Case Management Coordinator remote jobs

BIM Coordinator - Airport Rail Transit A BIM (Building Information Modeling) Coordinator or Manager plays a crucial role in managing complex digital construction for rail transit infrastructure projects. Involves working on large-scale projects like subway extensions, light rail systems, and high-speed rail corridors, requiring coordination across multiple design disciplines and construction phases. Primary Responsibilities: Oversee BIM implementation across aviation projects from design through construction and facility management Coordinate between architects, engineers, contractors, and aviation stakeholders to ensure model accuracy and project alignment Manage BIM execution plans specific to aviation requirements, including security protocols and operational constraints Facilitate clash detection and resolution sessions to identify conflicts before construction Establish and maintain BIM standards and protocols compliant with aviation industry regulations (FAA, ICAO standards) Develop and maintain accurate 3D BIM models for rail transit infrastructure including tracks, stations, tunnels, bridges, and related systems Oversee model quality control and validation processes Aviation-Specific Considerations Ensure compliance with strict security and safety requirements inherent to aviation facilities Coordinate modeling of complex operational systems unique to airports Manage phased construction coordination to maintain airport operations during construction Interface with airport authorities, airlines, and regulatory bodies throughout the project lifecycle Team Leadership & Communication Lead multidisciplinary BIM teams and provide training on aviation-specific modeling requirements Communicate project status and coordinate with airport operations teams to minimize disruptions Manage data exchange protocols with various stakeholders including government agencies Typical Requirements: Bachelor's degree in architecture, engineering, or construction management Professional certification in BIM software (Revit, Navisworks, etc.) 5-10 years of BIM experience with aviation or complex infrastructure projects preferred Understanding of aviation regulations and high voltage rail transportation Strong project management and communication skills The aviation sector's unique operational requirements, security protocols, and regulatory environment make this role particularly specialized compared to traditional building construction BIM management. If you meet these requirements and are ready for a challenging and rewarding role, we invite you to apply. Be part of a dynamic team shaping the future of transportation and construction. Our benefits include: Medical, Dental, and Vision Insurance Comprehensive health coverage to ensure employees and their families receive quality healthcare protection. 401(k) Retirement Plan Competitive retirement savings program with up to 4% company matching, helping employees build long-term financial stability. Flexible Work Schedule Empowering employees with the ability to balance work and personal life through adaptable working hours and potential remote work options. Additional Insurance Benefits Life insurance to provide financial protection for employees' loved ones Pet insurance to support employees' furry family members Paid Time Off Flexible time off to promote work-life balance and employee wellness

About the Role Opportunity Education is seeking a current or former middle or high school educator to join our product team as an Educator Outreach Specialist. In this role, you'll help shape the future of our ed-tech tools by building and coordinating a teacher advisory board that provides valuable feedback on our products. This is an exciting opportunity for an educator who wants to make an impact beyond the classroom. Our ideal candidate has a strong network of teachers, an active presence and engaged following of educators on LinkedIn and other professional platforms, excellent communication skills, and the ability to turn educator feedback into actionable insights for our team. This is a part-time role (up to 20 hours/week) with the potential to expand. The position is remote but requires local coordination of regular, in-person teacher meet-ups in the Denver metro area. Key Responsibilities ● Recruit, onboard, and maintain strong relationships with Denver-based educators for our teacher advisory group. ● Plan and facilitate engaging remote and in-person feedback sessions and product pilots. ● Represent the voice of teachers in product planning by drawing on your own classroom experience and insights from the advisory board. ● Collect, analyze, and summarize feedback to inform product recommendations. ● Communicate proactively with teachers about Opportunity Education and our products. ● Availability for occasional virtual meetings Mon-Fri. What We're Looking For ● Location: Remote, based in Denver with the ability to coordinate and attend monthly in-person meet-ups. ● Experience: 3 years minimum working with Middle or Secondary Education. Experience using a range of ed-tech products in the classroom. 2 years minimum of Community Outreach ● Personal Characteristics Enthusiastic about connecting and supporting a community of teachers. Strong written and verbal communication skills. Highly organized with the ability to juggle multiple priorities. Technically capable and eager to learn new tools. Patient, empathetic approach to supporting users, especially with technical issues. Reliable, deadline-oriented, and comfortable working with a fully remote team. ● Reports to the Director of Product Strategy About Opportunity Education Opportunity Education (OE) is a non-profit foundation focused on learning innovation in the US and overseas. With a fully remote team of 20+ in the US, and an in-office team of 18 in Tanzania, we create resources, curriculum and tools needed by teachers to enable students to own and drive their learning. OE was founded by entrepreneur philanthropist Joe Ricketts in 2005 and has served over 1 million students in 11 countries. For more about our work, visit us at *****************************

Collegis Education is a marketing and technology education solutions company that offers industry-leading services for colleges and universities of every size in every sector. Using a proactive and data-driven approach, Collegis Education empowers institutions to make a broader impact by providing insights that help grow enrollments, improve student outcomes and optimize expenses. With several decades of experience working within the higher education industry, the team at Collegis Education was founded within the walls of a college and expanded to help change more lives through education. Currently, the infrastructures established by Collegis Education support more than 40,000 students nationwide. For more information about Collegis Education, please visit ************************** Our Enrollment Coordinators are responsible for working on behalf of Collegis' partner schools to support their Enrollment Coaches by being a critical point of contact for prospective students and supporting Enrollment Coaches with crucial enrollment tasks. Enrollment Coordinators must be driven and people-oriented to support both graduate and undergraduate potential students to enroll in online learning. Every day you'll make a difference in the lives of others by serving as a critical point of contact for potential students to answer questions and support retention efforts. Primary Responsibilities, Essential Functions and Requirements: The Enrollment Coordinator supports Enrollment Coaches who work with prospective students to make the decision to invest in their future and enroll in one of Collegis Education's client's programs in various fields of study. Serve as a critical point of contact for students using a variety of communication methods including phone calls, chats, emails, or texts to answer questions and support retention efforts. Coordinate with other departments for additional relationship building, coaching, and enrollment support. Foster a culture of engagement with prospective students by providing swift responses to questions, maintaining professional written and verbal communication, and providing support throughout enrollment. Work collaboratively with students to help them complete specific tasks and prepare for university life. Use resources and critical thinking skills to provide the best information and direction for students, and to troubleshoot issues when necessary. Continuously innovate and identify process improvements to better the students' experiences every day. Maintain a positive, “How can I help?” attitude. Cultivate relationships with the ASU community to ensure that recruitment program goals and objectives are accomplished. Assume or coordinate other duties or projects as assigned or directed. Requirements Demonstrated knowledge of the challenges faced by current and prospective students entering higher education (first generation, returning adults, financially constrained). Demonstrated skill in a customer-first mentality and a principle-thinking approach to innovate in delivering a world-class customer service experience. Demonstrated knowledge of Salesforce. Demonstrated skill in organization and time management to balance multiple competing needs and requests in a fast-paced environment. Demonstrated ability to establish and maintain effective working relationships. Demonstrated superior skill in both verbal and written communication. Education, Certifications and Licensures: Bachelor's degree preferred, Associate's degree required. Remote/Hybrid Policy: This role offers the flexibility of a fully remote environment. However, in alignment with our commitment to collaboration and team engagement, candidates within a 60-mile radius of our Chicago, IL headquarters will be expected to follow a hybrid schedule, working onsite 1-2 days per week to support in-person connection and cross-functional partnership. Beware of scams: Please note that all inquiries regarding Collegis Education job postings will come from an email domain ********************** *************************. Collegis Education is committed to the policy that all persons shall have equal access to its programs, facilities, and employment without regard to race, color, creed, religion, national origin, sex, age, marital status, disability, public assistance status, veteran status, or sexual orientation.

We are currently hiring for a Case Management Coordinator to join BlueCross BlueShield of South Carolina. In this role as a Case Management Coordinator, care management interventions focus on improving care coordination and reducing the fragmentation of the services the recipients of care often experience, especially when multiple health care providers and different care settings are involved. Taken collectively, care management interventions are intended to enhance client safety, well-being, and quality of life. These interventions carefully consider health care costs through the professional care manager's recommendations of cost-effective and efficient alternatives for care. Thus, effective care management directly and positively impacts the health care delivery system, especially in realizing the goals of the "Triple Aim," which include improving the health outcomes of individuals and populations, enhancing the experience of health care, and reducing the cost of care. The professional care manager performs the primary functions of assessment, planning, facilitation, coordination, monitoring, evaluation, and advocacy. Integral to these functions is collaboration and ongoing communication with the client, client's family or family caregiver, and other health care professionals involved in the client's care. Description Location This position is full-time (40 hours/week) Monday-Friday from 8:00am-4:30pm or 8:30am - 5:00pm EST and will be fully remote. What You'll Do: Provides active care management, assesses service needs, develops and coordinates action plans in cooperation with members, monitors services and implements plans, to include member goals. Evaluates outcomes of plans, eligibility, level of benefits, place of service, length of stay, and medical necessity regarding requested services and benefit exceptions. Ensures accurate documentation of clinical information to support and determine medical necessity criteria and contract benefits. Provides telephonic support for members with chronic conditions, high-risk pregnancy or other at-risk conditions that consist of: intensive assessment/evaluation of condition, at-risk education based on members' identified needs, provides member-centered coaching utilizing motivational interviewing techniques in combination with reflective listening and readiness to change assessment to elicit behavior change and increase member program engagement. Participates in direct intervention/patient education with members and providers regarding health care delivery system, utilization on networks and benefit plans. May identify, initiate, and participate in on-site reviews. Serves as member advocate through continued communication and education. Promotes enrollment in care management programs and/or health and disease management programs. Provides appropriate communications (written, telephone) regarding requested services to both health care providers and members. Performs medical or behavioral review/authorization process. Ensures coverage for appropriate services within benefit and medical necessity guidelines. 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). 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. To Qualify for This Position, You'll Need the Following: Required Education: Associates in a job-related field. Degree Equivalency: Graduate of Accredited School of Nursing or 2 years job related work experience. Required Experience: 4 years recent clinical in defined specialty area. Specialty areas include: oncology, cardiology, neonatology, maternity, rehabilitation services, mental health/chemical dependency, orthopedics, general medicine/surgery. Or, 4 years utilization review/case management/clinical/or combination; 2 of the 4 years must be clinical. Required Skills and Abilities: Working knowledge of word processing software. Knowledge of quality improvement processes and demonstrated ability with these activities. Knowledge of contract language and application. Ability to work independently, prioritize effectively, and make sound decisions. Good judgment skills. Demonstrated customer service, organizational, and presentation skills. Demonstrated proficiency in 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 License/Certificate: An active, unrestricted RN license 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 licensure as counselor, or psychologist from the United States and in the state of hire (in Div. 75 only). For Div. 75 and Div. 6B, except for CC 426: URAC recognized Case Management Certification must be obtained within 4 years of hire as a Case Manager. We Prefer That You Have the Following: Preferred Work Experience: At least 4 years of renal nursing experience. Prior hemodialysis, peritoneal dialysis, nephrology nursing, and/or access management experience. 7 years-healthcare program management. Preferred Education: Bachelor's degree- Nursing Preferred Skills and Abilities: Working knowledge of spreadsheet, database software. Thorough knowledge/understanding of claims/coding analysis, requirements, and processes. Preferred Licenses and Certificates: Case Manager certification, clinical certification in specialty area. Our Comprehensive Benefits Package Includes the Following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits for 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. Management will conduct interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the preferred qualifications. Pay Range Information: Range Minimum $53,462.00 Range Midpoint $77,860.00 Range Maximum $102,258.00 Pay Transparency Statement: Please note that this range represents the pay range for this and other positions that fall into this pay grade. Compensation decisions within the range will be dependent upon a variety of factors, including experience, geographic location, and internal equity. 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.

This position is responsible for obtaining and logging case management (CM) assessments/reassessments and progress notes received from external case management agencies, by educating sites and collecting documentation; conducting assessments/reassessments via telephone with members who have declined referrals to case management sites; conducting clinical profile reviews in care coordination system to determine areas where intervention is needed; and make other outreaches to members as needed to assist them with linkage to community resources. Qualifications Bachelor's degree in social work or a bachelor's degree plus at least one (1) year of relevant work experience in a human services field. One (1) year of experience working with HIV Case Managers, Care Coordinators, and/or Primary Care Providers in a social service or medical setting. Demonstrated knowledge of case management with focus on HIV-specific case management preferred. Strong knowledge of Microsoft Office (Word, Excel, and PowerPoint). Demonstrated judgment of safety and confidentiality issues. Demonstrate understanding and sensitivity to multi-cultural values, beliefs, and attitudes of both internal and external contacts. Demonstrate appropriate behaviors in accordance with the organization's vision, mission, and values. Additional Information All your information will be kept confidential according to EEO guidelines.

Job Details Remote - Corp - Tustin, CA Full Time $22.00 - $24.00 Hourly Day Join Liberty Dental Plan as a Case Management Coordinator, making a real impact in your Arizona community by helping members access the dental care they need. The Case Management Coordinator provides confidential, unbiased assistance to Liberty Dental Plan Medicaid enrollees in need of dental services who also have co-morbid special health care needs. The CMC supports enrollees by facilitating access to dental benefits, resolving barriers to care, and collaborating across divisions and external organizations to ensure holistic, quality service delivery. 📍 Location Requirement: Candidates must live in Arizona Essential Duties & Responsibilities Inform enrollees of available covered dental benefits. Assist enrollees in resolving conflicts and barriers to obtaining dental care. Support enrollees in securing dental services and provide education on their rights and responsibilities. Guide enrollees in accessing Liberty's complaints, appeals, and grievance processes. Document cases and events accurately in Health Solutions Plus (HSP). Manage telephone and email inquiries regarding services, dissatisfaction, and second opinions. Educate enrollees on the Liberty Care Coordination Program. Research and respond to inquiries, providing comprehensive written responses as needed. Meet required turnaround times for cases and inquiries through various communication channels. Collaborate effectively in a remote work environment with internal teams such as Member Services, Provider Relations, Claims, Grievances, Staff Dentists, and Leadership. Interface with external entities including dental offices, health plan care coordinators, transportation vendors, hospitals, and community organizations. Perform other duties as assigned. Education & Experience Requirements Associate degree or equivalent years of administrative experience required. 2+ years of experience in dental field preferred; insurance experience highly desired. Registered Dental Hygienist (RDH) or Registered Dental Assistant (RDA) certification is a plus. Proficient in Microsoft Excel, Word, and Outlook. Strong verbal and written communication skills with the ability to compose comprehensive responses. Strong critical thinking and problem-solving skills. Excellent customer service and interpersonal skills. Ability to work independently and collaboratively in a remote environment. Bilingual in Spanish preferred (must be able to pass a dental terminology exam if applicable). Knowledge of medical terminology preferred. Location Our employees are distributed in office locations in multiple markets across the United States. We are unable to hire or allow employees to work outside of the United States. What Liberty Offers Happy, healthy employees enhance our ability to assist our members and contribute more actively to their communities. That's why Liberty offers competitive and attractive benefit packages for our employees. We strive to care for employees in ways that promote wellness and productivity. Our first-class benefits package supports employees and their dependents with: Competitive pay structure and savings options to help you reach your financial goals. Excellent 401(k) retirement benefits, including employer match, Roth IRA options, immediate vesting during the Safe Harbor period, and access to professional financial advice through Financial Engines. Affordable medical insurance, with low-cost premiums for employee-only coverage. Liberty subsidizes the cost for eligible dependents enrolled in the plan. 100% employer-paid dental coverage for employees and eligible dependents. Vision insurance with low-cost premiums for employee-only coverage and dependents. Company-paid basic life and AD&D insurance, equal to one times your base salary, with options to purchase additional supplemental coverage. Flexible Spending Accounts for healthcare and dependent care expenses. Voluntary benefit programs, including accident, critical illness, and hospital indemnity insurance. Long-term disability coverage. Expansive wellness programs, including company-wide wellness challenges, BurnAlong memberships, and gym discounts. Employee Assistance Program (EAP) to support mental health and well-being. Generous vacation and sick leave policies, with the ability to roll over unused time. 10 paid company holidays. Tuition reimbursement for eligible educational expenses. Remote or hybrid work options available for various positions. Compensation In the spirit of pay transparency, the base salary range for this position is $22.00 - $24.00 hourly, not including fringe benefits or potential bonuses. At Liberty, your final base salary will be determined by factors such as geographic location, skills, education, and experience. We are committed to pay equity and also consider the internal equity of our current team members when making final compensation decisions. Please note that the range listed represents the full base salary range for this role. Typically, offers are not made at the top of the range to allow for future salary growth. Liberty Dental Plan commits to maintaining a work environment that acknowledges all individuals within the workplace and will continue to engage in practices that are inclusive of all backgrounds, experiences, and perspectives. We strive to have every person within the organization have a sense of belonging while encouraging individuals to unleash their full potential. Liberty will leverage diverse perspectives in building high performance teams and organizational culture. Liberty Dental Plan will continue to strengthen and develop external partnerships by providing equitable health care access and improving population health in the communities we serve. We comply with all applicable laws and regulations on non-discrimination in employment, recruitment, promotions, and transfers, as well as work authorization and employment eligibility verification requirements. Sponsorship and Relocation Specifications Liberty Dental Plan is an Equal Opportunity Employer / VETS / Disabled. No relocation assistance or sponsorship available at this time.

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. JOB SUMMARY: Coordinator, Appeals Management ESSENTIAL DUTIES AND RESPONSIBILITIES: Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member's performance objectives as outlined by the Team Member's immediate Leadership Team Member. Location: Remote within US only Required Schedule: Monday - Friday, 8:00 AM - 5:00 PM EST Hourly Payrate: $18.27 Overview: Our Denial Management department is responsible for managing denied inpatient referrals from our partnered clients, handling a consistently high volume of cases each day. We support approximately 100 facilities, utilizing a structured workflow coordinated through a dedicated queue schedule maintained in SharePoint. Each team member is assigned specific facilities or tasks but remains cross-trained to work across multiple areas to ensure seamless coverage and operational flexibility. The department functions exclusively as an outbound call center, with all incoming communication routed to a centralized mailbox for triage and follow-up. Job Summary Perform denial research and follow-up work with insurance companies via phone to resolve appeals that have been submitted but remain without a determination Compile multiple documents into appeal bundles and submit appeal bundles to payers in a timely manner Determine and document appeal timeframes and payer process per facility within CorroHealth proprietary system Transcribe information from clients' EMRs and payer portals into required electronic format; check completed work for accuracy Monitor and complete tasks within shared inboxes and internal request dashboards Receive and document incoming emails, calls, tickets, or voicemails Follow up with the client or internal staff via email or phone for additional information as requested Export and upload documents within CorroHealth proprietary system Cross-trained on various functions within the department to support other teams as needed Other responsibilities as requested by management Minimum Qualifications: Must love communicating with others over the phone Computer proficient. Must have intermediate skills with Outlook and Excel. Must be able to schedule meetings, log onto Teams for meetings. Must be able to open a new excel workbook, use formulas such as; adding and subtracting, copying and pasting. Must be able to type a minimum of 25wpm Detail oriented Shows initiative and responsibility in taking the necessary steps towards problem resolution Works independently, but is a team player Able to work in a fast-paced environment Possess good verbal and written communication skills Required to keep all client and sensitive information confidential Strict adherence to HIPAA/HITECH compliance Education/Experience Required: High School Diploma or equivalent required Bachelor's degree preferred Understanding of denials processes for Medicare, Medicaid, and Commercial/Managed Care product lines Prior experience of accessing hospital EMR's and Payer Portals preferred Proficient in MS Word and Excel. Needs to be able to open a new excel workbook, copy and paste, do basic formulas such as adding, subtracting and copying and pasting. Must have basic skils in Outlook. Should be able to create a meeting invitation, accept a meeting invitation, receive and respond ot email and set up folders. Must be able to type a minimum of 25 wpm with a 90% accuracy rate. What we offer: Hourly salary $18.27 (firm) Medical/Dental/Vision Insurance Equipment provided 401k matching (up to 2%) PTO: 80 hours accrued, annually 9 paid holidays Tuition reimbursement Professional growth and more! PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A is only intended as a guideline and is only part of the Team Member's function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Remote PST location. Staff are expected to maintain an average of 60-70 calls per day to be successful in this CMSC role. -Enrollment Specialist, Customer Service Experience, needs to ensure they can handle the number of calls & workload per day. -Locating staff who have experience in call centers such as 911 dispatchers and people who have worked in Managed Care or Medicaid/Medicare Brokerages may be helpful since they are used to high call, metric driven environments. Position Purpose: Supports administrative care management activities including performing outreach answering inbound calls and scheduling services. Serves as a point of contact to members providers and staff to resolve issues and documents member records in accordance with current state and regulatory guidelines. License/Certification: Provides outreach to members via phone to support with care plan next steps community or health plan resources questions or concerns related to scheduling and ongoing education for both the member and provider throughout care/service Provides support to members to connect them to other health plan and community resources to ensure they are receiving high-quality customer care/service May apply working knowledge of assigned health plans activities and resources Serves as the front-line support on various member and/or provider inquiries requests or concerns which may include explaining care plan procedures and protocols Supports member onboarding and day-to-day administrative duties including sending out welcome letters related correspondence and program educational materials to assist in the facilitation of a successful member/provider relationship Documents and maintains non-clinical member records to ensure standards of practice and policies are in accordance with state and regulatory requirements and provide to providers as needed Knowledge of existing benefits and resources locally and make referrals to address Social Determinants of Health SDOH needs Performs other duties as assigned Complies with all policies and standards Experience Level Entry Level Job Type & Location This is a Contract to Hire position based out of Los Angeles, CA. Pay and Benefits The pay range for this position is $21.00 - $23.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on Nov 18, 2025. h4>About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Who We Are Imagine Pediatrics is a tech enabled, pediatrician led medical group reimagining care for children with special health care needs. We deliver 24/7 virtual first and in home medical, behavioral, and social care, working alongside families, providers, and health plans to break down barriers to quality care. We do not replace existing care teams; we enhance them, providing an extra layer of support with compassion, creativity, and an unwavering commitment to children with medical complexity. The primary location for this role is remote, and expected schedule requirements are Monday to Friday, 8:00am - 5:00pm or 10:30pm - 07:pm Eastern time. What You'll Do As a Behavioral Health Care Manager (BHCM) with Imagine Pediatrics, you will work with the families of medically complex children providing case management services in accordance with Case Management Society of American (CMSA) Standards of Practice for members enrolled in Imagine Pediatrics behavioral health program. You will work alongside pediatricians, nurses, care coordinators, and other healthcare professionals. Your primary responsibilities will include: Monitor high-risk pediatric patients (up to 19 years old), some recently discharged from the hospital, ensuring appropriate follow-up and clinical management, and adjusting care plans as needed. Conduct biopsychosocial assessments to address behavioral, social, emotional, and systemic needs of the patient and family. Create and evaluate the effectiveness of the patient/family's care plan and modify based on families evolving needs and goal progression. Provide intervention that is consistent with the social/emotional/physical needs of patients and caregivers such as mental health crises, behavioral issues, and family conflict. Facilitate case management and support that requires clinical expertise in various systems with focus on helping patients and families negotiate the complexities involved with a mental health diagnosis. Resource validated external services requested by the family to meet behavioral and social needs such as social services agencies and behavioral specialists. Provides interventions in response to crisis to de-escalate and stabilize patient and family members Provides psychoeducation on the nature of mental health diagnosis and progression, the importance of treatment adherence, and related information as appropriate Collaborate with external care team members regularly including school systems, specialists, and DFPS as needed. Participate in ongoing scheduled consultations with an interdisciplinary team to monitor patient progress Represent Imagine Pediatrics commendably to patients, families, providers, and community Performs other duties and assumes other responsibilities as assigned by manager What You Bring & How You Qualify First and foremost, you're passionate and committed to creating the world our sickest children deserve. You want an active role in building a diverse and values-driven culture. Things change quickly in a startup environment; you accept that and are willing to pivot quickly on priorities. In this role, you will need: Masters' degree with major course work in social work or related field Minimum 3-5 years of post-graduate experience in health care social work/Case management in behavioral health Required. Experience working with pediatric population and family systems required Proficiency in motivational interviewing practices and/or techniques; goal setting and intervention; assessment of needs Knowledge of social work including crisis prevention and intervention Experience with providing telehealth services Knowledge of MS Office Suite and ability to work in online platforms Bilingual Spanish required/highly preferred Strong knowledge of behavioral health principles and practices Proficient in trauma-informed care practices Strong knowledge of mental health common signs and symptoms and able to identify difficulties with coping Role is remote with 10% travel necessary for training/education purposes Ability to work afternoons and evenings What We Offer (Benefits + Perks) The role offers a base salary range of $70,000 - $77,000 in addition to annual bonus incentive, competitive company benefits package and eligibility to participate in an employee equity purchase program (as applicable). When determining compensation, we analyze and carefully consider several factors including job-related knowledge, skills and experience. These considerations may cause your compensation to vary. We provide these additional benefits and perks: Competitive medical, dental, and vision insurance Healthcare and Dependent Care FSA; Company-funded HSA 401(k) with 4% match, vested 100% from day one Employer-paid short and long-term disability Life insurance at 1x annual salary 20 days PTO + 10 Company Holidays & 2 Floating Holidays Paid new parent leave Additional benefits to be detailed in offer What We Live By We're guided by our five core values: Our Values: Children First. We put the best interests of children above all. We know that the right decision is always the one that creates more safe days at home for the children we serve today and in the future. Earn Trust. We listen first, speak second. We build lasting relationships by creating shared understanding and consistently following through on our commitments. Innovate Today. We believe that small improvements lead to big impact. We stay curious by asking questions and leveraging new ideas to learn and scale. Embrace Humanity. We lead with empathy and authenticity, presuming competence and good intentions. When we stumble, we use the opportunity to grow and understand how we can improve. One Team, Diverse Perspectives. We actively seek a range of viewpoints to achieve better outcomes. Even when we see things differently, we stay aligned on our shared mission and support one another to move forward - together. We Value Diversity, Equity, Inclusion and Belonging We believe that creating a world where every child with complex medical conditions gets the care and support, they deserve requires a diverse team with diverse perspectives. We're proud to be an equal opportunity employer. People seeking employment at Imagine Pediatrics are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information, or characteristics (or those of a family member), pregnancy or other status protected by applicable law.

at Zócalo Health Compensation: $25-27 per hour Reports to: Head of Behavioral Health #communityhealth #healthequity #latinohealth #healthcare About Us Zócalo Health is the first tech-driven provider built specifically for Latinos, by Latinos. We are developing a new approach to care that is designed around our very own shared and lived experiences and brings care to our gente . Founded in 2021 on the idea that our communities deserve more than just safety nets, we are backed by leading healthcare and social impact investors in the country to bring our vision to life. Our mission is to improve the lives of our communities-communities that have dealt with generations of poor experiences. These experiences include waiting hours in waiting rooms, spending mere minutes with doctors who don't speak their language, and depending on their youngest kids to help them navigate our complex healthcare system. At Zócalo Health, we meet our members where they are, bringing care into their homes and neighborhoods through our team of community-based care providers and virtual care offerings. We partner with community-based organizations, local healthcare providers, and health plans that recognize the value of culturally aligned care, which are not limited to brief interactions in an exam room. Together, we are building a new experience that revolves around the use of modern technology, culturally competent primary care, behavioral health, and social services to provide a radically better experience of care for every member, their family, and the communities we serve. We are committed to expanding our reach to serve more members and their communities. We are looking for passionate individuals who share our belief that healthcare should be accessible, personalized, and rooted in the community. Join us in our mission to ensure that no one has to navigate the complexities of the healthcare system alone and that everyone receives the local, culturally competent care they deserve. Role Description Zócalo Health is seeking a detail-oriented and compassionate Behavioral Health Care Coordinator to support the delivery of high-quality, culturally responsive behavioral health services for our members. The Care Coordinator plays a key role in ensuring patients are efficiently scheduled, appropriately referred, and fully supported throughout their care journey-from initial intake to ongoing treatment. This role focuses on scheduling optimization, referral coordination, and completion of behavioral health intakes, ensuring a smooth and timely experience for both patients and providers. The ideal candidate is highly organized, proactive, and mission-driven, with a passion for improving access to equitable, culturally grounded mental health care. About the Role Scheduling and Operations Support Manage behavioral health scheduling workflows, including intake appointments, therapy sessions, and follow-up visits. Confirm, schedule, and reschedule appointments while maintaining timely and professional communication with patients and providers. Support re-engagement efforts for patients who have missed or declined appointments, helping the team meet outreach and touchpoint requirements. Assist clinicians in managing their caseloads by monitoring scheduling needs, panel balance, and utilization goals. Coordinate across disciplines (Behavioral Health, Primary Care, and Enhanced Care Management) to optimize provider availability and minimize no-shows or scheduling gaps. Participate in weekly interdisciplinary team meetings by preparing documentation and trackers, engaging all participating team members, and ensuring attendance of required staff. Monitor and contribute to key performance indicators (KPIs) such as patient retention, appointment completion rates, and timely follow-up. Identify opportunities and support initiatives to reduce no-shows, enhance engagement, and streamline scheduling workflows. Behavioral Health Intake and Referral Coordination Complete intake screenings, verify insurance and eligibility, and ensure all required consents and assessments are completed before the first appointment. Triage new referrals to the appropriate level of care, clinician, or program based on clinical need and patient preference. Monitor the referral pipeline to ensure timely follow-up and close the loop on all referrals (internal and external). Serve as a liaison between patients, providers, and health plan case managers to coordinate behavioral health services and address care barriers. Care Coordination and Patient Support Support continuity of care by ensuring information is accurately documented and shared across the care team. Facilitate transitions between care programs (e.g., from short-term therapy to psychiatry or community-based services). Assist in connecting patients to social and community resources that support emotional well-being (transportation, food access, housing support, etc.). Provide empathetic, culturally sensitive communication to build trust and engagement with patients and families. Data and Quality Improvement Maintain accurate records in the electronic health record (EHR) and related tracking tools. Participate in team huddles, quality reviews, and process improvement initiatives to enhance efficiency and patient experience. Track referral turnaround times, appointment completion rates, and intake volumes to inform operational improvements. Qualifications 2+ years of experience in care coordination, scheduling, or behavioral health administrative support (telehealth experience preferred). Experience working with culturally diverse or underserved communities preferred. Familiarity with behavioral health concepts, confidentiality regulations (HIPAA), and care coordination best practices. Strong organizational, communication, and problem-solving skills with exceptional attention to detail. Experience with electronic health records (e.g., Athena, Epic, or similar) and comfort using spreadsheets or dashboards. Bilingual (English/Spanish) required - must be able to communicate fluently in both languages, including in clinical and administrative contexts. Skills and Competencies Strong understanding of behavioral health and clinical workflows, with the ability to triage and address care needs effectively. Excellent communication and interpersonal skills with a warm, professional, and culturally attuned approach. Ability to manage multiple priorities in a fast-paced, patient-centered, and evolving environment. Commitment to advancing health equity and improving access to care for underserved communities. Benefits & Perks Ground floor opportunity; shape the direction of a fast-growing, high impact healthcare company Comprehensive benefits (medical/dental/vision) Generous home office stipend 15 days of PTO is eligible non-exempt employees to use for vacation, personal time, or illness. 6 vacation days You must be authorized to work in the United States. We are open to remote work anywhere in the locations outlined in this job description. At Zócalo Health Inc., we see diversity and inclusion as a source of strength in transforming healthcare. We believe building trust and innovation are best achieved through diverse perspectives. To us, acceptance and respect are rooted in an understanding that people do not experience things in the same way, including our healthcare system. Individuals seeking employment at Zócalo Health are considered without regard to race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Those seeking employment at Zócalo Health are considered without regard to race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status or disability status.

About the Job MedStar Medical Group offers a uniquely rewarding career in a major marketplace. Shape your future in health care in the kind of setting that's right for you and your practice. Become part of an organization that welcomes your experience and input - as a clinician and healthcare expert. We are looking for a Nurse Practitioner with inpatient, ER, or primary care experience to join MedStar's growing telemedicine services in Connected Transitional Care. In this position you will work remotely using our telehealth platform seeing patients for hospital discharge follow up visits. This program promotes a team-based approach to care, working in conjunction with our other primary care team members. This program improves patient access to a clinician and facilitates care within the MedStar system. As a MedStar Medical Group clinician, you can expect: * A competitive salary * Medical, dental and vision insurance * Paid malpractice insurance * Generous paid time off * CME leave and CME allowance * Retirement savings plan - 403(b) with % employer match Be a part of a nationally-recognized health system and the largest provider of health services in the Baltimore/Washington region. With our vast resources and capabilities at your disposal, you can expand your clinical expertise. Enjoy a rich career and a quality of life unique to Baltimore and the Mid-Atlantic region, which features a mix of urban, suburban and rural communities. ******************* MedStar Medical Group is an equal opportunity employer. This position has a hiring range of USD $110,000.00 - USD $120,000.00 /Yr.

We're opening eyes, hearts, and minds to the impact that a pharmacy team can have in changing lives. As part of Catalyst Health Group, Stellus Rx improves ease and outcomes in every moment that matters, along every health journey. Join our group of talented, committed team members-pharmacists, pharmacy care coordinators, technologists, product strategists and more-to create and expand the delivery of personalized health support that people didn't even know could be possible. The Pharmacy Care Coordinator - Engagement Specialist help our communities thrive by helping connect newly-referred patients to our Stellus Engage pharmacy team. The Pharmacy Care Coordinator - Engagement Specialist assists the Account Management team under the direction and supervision of the Clinical Pharmacy Specialists and Clinical Client Liaisons by providing support in identifying, outreaching, and educating patients about Stellus engage services through various communication channels. You will work closely with Stellus Rx leaders and across the organization, as we work collaboratively to unlock the health of millions of Americans by turning "use as prescribed" into a guarantee, not a direction. We are a culture that is unabashedly driven by purpose. We are making a difference to our patients and team members while growing at an accelerated rate. If you love serving others and would like to make a material difference in an industry‐transforming organization, then we invite you to apply to this role. Learn more about us at stellusrx.com. Accountabilities: This individual will need a broad working knowledge of the Stellus Engage service model or similar pharmacy-support services to drive enrollment growth and stellar patient satisfaction. You will develop superior customer experience knowledge and effectively educate and engage patients about the positive clinical impact pharmacy services can provide for them. Roles and Responsibilities: Assumes responsibility for a broad range of activities in the patient engagement workflow from patient outreach through scheduling Acts as a liaison for the patient between the referring physician or employer group and Engage pharmacist team Complete patient outreach via phone call and text message (SMS) to connect with referred patients about Stellus Engage services Confidently educate patients on Stellus Engage services and connection back to the PCP referral or employer group benefits Coordinate scheduling of patients with respective Engage pharmacist for CMA/IMA Professionally interact with patients on phone calls and text messages (SMS) Monitor referral queue and workflow for new patient referral funnel and support in referral entry from Leading Reach or other defined referral channel into Engage platform Support in UAT for application needs related to Account Management team sign off Understand confidentiality with respect to patient/client care; complying with all federal and state laws applicable to the confidentiality of protected health information (PHI) and electronic protected health information (EPHI); and follow HIPAA guidelines regarding readily identifiable protected health information. Complete tasks as assigned, related to the referral workflow and Account Management in general Accessing, inputting, and retrieving information through the Pharmacy's computer network to maintain accurate records. Comply with established procedures, rules, and regulations. Completes clear and concise documentation in Care Management programs. Promoting teamwork, professional services and clear communication Minimum Qualifications and Requirements: High school diploma or equivalent. Pharmacy technician license or pharmacy technician trainee license from the Texas State Board. Strong communication and customer service skills. Ability to read and transcribe pharmaceutical information. Sit for long periods of time, stand for intermittent periods of time. Flexibility to work from home.. PC literate, including Microsoft Office products. Analytical and interpretive skills. Strong organizational skills. Excellent interpersonal skills. Ability to work in a team environment. In-depth knowledge of patient servicing. Ability to handle conflict and confront challenging issues in a fast work environment. Ability to meet or exceed Performance Competencies. Able to influence and motivate others through persuasive points-of-view.

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:** 1/4/2026 *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 (***************************************************************************************************************************

Benefits: 401(k) matching Company car Dental insurance Health insurance Opportunity for advancement Paid time off Why Doc Love Homecare LLC? At Doc Love Homecare LLC, clients aren't the only people who receive exceptional care-our team does too. We offer flexible scheduling, clear career paths, and a supportive culture where your clinical expertise directly improves lives. If you're passionate about coordinating high‑quality, personalized home‑care plans, join us and grow with purpose. Benefits & Perks Competitive pay with annual merit reviews Flexible schedules & remote‑work options for care‑plan documentation Continuing‑education reimbursement & leadership‑development programs Mileage reimbursement and company‑provided laptop / phone A mission‑driven team that values your voice and ideas What You'll Do Coordinate holistic care: collaborate with physicians, families, and caregivers to craft individualized Care Plans that meet medical, emotional, and social needs. Ensure plan adherence: monitor daily services, review progress toward goals, and retrain staff when updates are needed. Lead client advocacy: accompany clients to physician appointments or hospital visits; relay updates to the healthcare team and family members. Recruit & train caregivers: assist HR in hiring, onboarding, and educating field staff on best practices and agency protocols. Schedule like a pro: build and adjust caregiver schedules for a caseload of ~30-40 clients, balancing continuity of care and employee preferences. Track outcomes: document assessments, incidents, and goal progress in our EMR/CRM; generate reports that drive quality improvement. Problem‑solve fast: resolve urgent issues with calm, confidence, and compassion-24/7 on‑call rotation shared with team [if applicable]. What You'll Bring Certification / license: CMA, CNA, LPN, RN, or Social Worker credentials welcome (preferred but not required) 1-2 years' experience as a Care Coordinator, Client Care Manager, Case Manager, or similar role-home‑care or healthcare setting highly valued Strong assessment, care‑planning, and documentation skills; familiarity with HIPAA and state regulations Proficiency with Microsoft Office and EMR/CRM scheduling software Excellent verbal and written communication; you build trust quickly with clients and clinicians alike Stellar organization: juggle multiple priorities, meet deadlines, and adapt in a fast‑paced environment Reliable transportation for client visits; valid driver's license Ready to Champion Client Care? Bring your heart for service and talent for coordination to a company that values both. Click “Apply Now” to upload your resume and speak with our recruiting team! Professional caregivers go by many names: homemakers, home care aides, home health aides, certified nursing assistants, personal care assistants, direct care workers. No matter the name, what they all have in common is a calling to care for people in the comfort of their own homes. This agency is independently owned and operated. Your application will go directly to the agency, and all hiring decisions will be made by the management of this agency. All inquiries about employment at this agency should be made directly to the agency location, and not to Home Care Evolution Corporate.

Who we are Transcarent and Accolade have come together to create the One Place for Health and Care, the leading personalized health and care experience that delivers unmatched choice, quality, and outcomes. Transcarent's AI-powered WayFinding, comprehensive Care Experiences - Cancer Care, Surgery Care, Weight - and Pharmacy Benefits offerings combined with Accolade's health advocacy, expert medical opinion, and primary care, allows us to meet people wherever they are on their health and care journey. Together, more than 20 million people have access to the combined company's offerings. Employers, health plans, and leading point solutions rely on us to provide trusted information, increase access, and deliver care. We are looking for teammates to join us in building our company, culture, and Member experience who: Put people first, and make decisions with the Member's best interests in mind Are active learners, constantly looking to improve and grow Are driven by our mission to measurably improve health and care each day Bring the energy needed to transform health and care, and move and adapt rapidly Are laser focused on delivering results for Members, and proactively problem solving to get there What you'll do Communicate and follow-up with plan members to ensure understanding of the program while delivering exceptional customer service Answers the phones and responds to incoming inquiries while utilizing care center training tools Facilitates patients successfully through the surgery review process, exceeding expectations while meeting the program metrics Efficiently and effectively manages a case load across a variety of clients and surgical categories Coordinate the scheduling and approval process from the initial request for surgery to patient placement Obtain the necessary information - demographic, financial, clinical and other pertinent data to complete referral process Obtain medical records in a timely and accurate manner to ensure an expedited process Maintain and update application with current data, pertinent information, and status of cases Collaborate with providers, clinics and facilities, and various levels of management to effectively resolve issues. Obtain pre-authorizations. Works effectively with other supporting operational roles and internal departments, to coordinate the member's case Effectively address and resolve patient barriers to utilize the benefit including working with members to address program questions Maintain confidentiality and knowledge of HIPAA regulations Demonstrate Transcarent core values Comply with company policies Be willing and available to work overtime as needed What we're looking for Available to work Monday - Friday, 11:30a-8:00p MT 2 to 4 years customer relationship and phone center experience Proficient in data entry, Microsoft Office, and contact center-style phone systems Excellent customer service, written and verbal communication and interpersonal skills A “delight the customer” attitude Prior healthcare industry experience with a working knowledge of medical terminology and health benefits claim process Strong organizational, critical thinking and problem-solving skills Strong attention to detail and follow-through Project management-type skills; prior experience managing a high-volume caseload An ability to focus in a high energy atmosphere Openness and understanding that dynamic environments include change, and welcoming that change with a positive attitude Nice to have Experience in surgical scheduling Strong skills in multitasking Ability to move between multiple technologies As a remote, hourly position, the pay for this role is: $20.00-$24.00/hr Total Rewards Individual compensation packages are based on a few different factors unique to each candidate, including primary work location and an evaluation of a candidate's skills, experience, market demands, and internal equity. Salary is just one component of Transcarent's total package. All regular employees are also eligible for the corporate bonus program or a sales incentive (target included in OTE) as well as stock options. Our benefits and perks programs include, but are not limited to: Competitive medical, dental, and vision coverage Competitive 401(k) Plan with a generous company match Flexible Time Off/Paid Time Off, 12 paid holidays Protection Plans including Life Insurance, Disability Insurance, and Supplemental Insurance Mental Health and Wellness benefits Location You must be authorized to work in the United States. Depending on the position we may have a preference to a specific location, but are generally open to remote work anywhere in the US. Transcarent is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. If you are a person with a disability and require assistance during the application process, please don't hesitate to reach out! Research shows that candidates from underrepresented backgrounds often don't apply unless they meet 100% of the job criteria. While we have worked to consolidate the minimum qualifications for each role, we aren't looking for someone who checks each box on a page; we're looking for active learners and people who care about disrupting the current health and care with their unique experiences.

Summary: Community LIFE provides services for nursing home eligible adults aged 55+ living in the community. As a COTA in the Home Care Coordinator position, you will work closely with the Interdisciplinary Team to assess participant needs and coordinate delivery of participant-centered appropriate home/personal care services. The primary focus of this role is to maximize rehab potential in all aspects of daily living and minimize or eliminate inpatient care. The HCC is a Certified Occupational Therapy Assistant who is instrumental in supporting smooth transitions to and from home after hospitalization or acute Skilled Nursing for extended respite or rehab. The HCC will work under the supervision of the Home Care Supervisor and in collaboration with the Therapy team to formulate an appropriate plan of care for in-home services. Schedule : Mon-Fri 7:30am-4:00pm plus one weekend day per month and on-call rotation every 5 weeks Location : Homestead, PA Schedule an online interview for this position on 11/13 here Community LIFE Virtual Interviews Required Education: Graduate of accredited Certified Occupational Therapist Assistant (COTA) program. Required Experience: At least one year of experience working with a frail elderly population, preferably in long term care, home care or community health. Experience teaching patients and other health care workers preferred. Required Certifications/Licensure: Valid PA COTA license and Valid PA Driver's license. Required Skills Knowledge of the medical, social, and emotional needs of a frail, elderly population. Effective written and oral communication skills. Strong organizational and planning skills; ability to manage multiple priorities. Must be able to work independently and to utilize critical decision-making skills. Working knowledge of utilization review, quality assurance and managed health care concepts. Ability to work with the interdisciplinary team approach to care for the elderly. Working knowledge of local health care and geriatric service networks. Basic working knowledge of Windows operating systems, e-mail, word processing. Able to deliver services in a compas s ionate, responsive, and courteous manner. Dependable, resourceful and flexible. Able to work effectively with staff, participants, providers and referral sources. Interest in geriatrics and community-based programming. Ability to appreciate and enjoy working with elderly individuals. Benefits: Community LIFE offers a generous benefit package, including Medical, Dental and Vision insurance, Life insurance, Long Term Disability insurance, 4 weeks Paid Vacation, Paid Holidays, Company contribution to a 403(b)-retirement plan, Tuition Reimbursement, Mileage Reimbursement, Employee Appreciation events, and more! About us: Community LIFE is a program of all-inclusive care for the elderly, committed to empowering older adults to remain at home while preserving their dignity, independence and quality of life. Our program brings the region's experts in geriatric medicine and care together to work as a team in specialized Day Centers, to help older adults enjoy the highest quality of life possible. Our professionals are committed to keeping older adults independent, and in their homes. Our wide range of services are designed to meet the varied needs of seniors, and include medical care, social services, meals, activities, transportation and much more.

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.

The Clinical Coordinator coordinates the clinical and/or community placement activities of the pre-licensure or graduate nursing programs within the College of Nursing for an assigned campus. Assists the team to develop, coordinate, assigns, and maintain clinical and/or community site relationships. Collects and/or maintains documentation required by the clinical and/or community sites to be compliant with policies and standards. Collaborates with the specific placement director for program-specific needs. Duties and Responsibilities: I. Coordinate Clinical Placements 1. Work with CCT leadership and Clinical Directors of pre-licensure to ensure adequate clinical/community placements (sites, preceptors, and required hours) are available. 2. Communicate effectively with the relevant individuals and groups (internally and externally) reporting any concerns to the Director(s) of Clinical Affairs for follow-up. 3. Provide guidance and support for students to prepare for onboarding and progression through the entire clinical/community placement process. 4. Maintain ongoing communication with the Clinical Coordinators and Placement Directors regarding updates (e.g., new policies, new trainings) from clinical partners that may have an impact on student placement. 5. Participate in meetings with clinical partners locally and/or regionally as requested by CCT leadership. 6. Maintain, or have immediate access to, the documents required by clinical partners to demonstrate student and faculty compliance during audits. 7. Develop and maintain proficiency in multiple applications for all clinical placement activities. II. Procurement and Management of Clinical Sites 1. Maintain relationships with existing sites/preceptors to ensure a positive relationship. 2. Represent the Samuel Merritt University School of Nursing in a positive and professional manner. 3. Prepare, and review for accuracy, the clinical contract request forms and submit to the SMU Contract Specialist for processing. 4. Monitor contract status of all clinical sites (new and existing contracts) and notify Directors when contracts expire or need renewal. 5. Maintains an accurate database to document status of student displacements and the resolution. III. Compliance A. CLINICAL SITES 1. Maintain a current repository of all SMU required preceptor documents and manage the distribution of these documents to clinical sites as necessary. 2. Submit required clinical/community documents to the sites in a timely and complete manner. 3. Submit course syllabi and objectives to clinical/community partners/preceptors prior to the start of the course at their requests. 4. Communicate with the hospital partners regarding Preceptorship and provide necessary paperwork/documentation for the student rotation. 5. Submit to the clinical/community sites student rosters, contact information and other required information prior to clinical rotations. B. STUDENTS 1. Ensure students have submitted all required documents for their specific clinical site assignments in a timely manner. 2. Assist AA to confirm all student compliance requirements are complete and uploaded into the SMU system as required by Samuel Merritt University programs and various clinical sites. 3. Ensure students are aware of required documents and/or logs they need to maintain during their clinical/community rotations. This includes providing students with instructions on how to access, complete and submit. 4. Maintain access to My Clinical Exchange and other similar systems (i.e., accounts) are up to date; monitor for account expirations 5. Confirm access for students to site specific systems, i.e., OAR (Sutter) and UC Davis. Identity; monitor for expiration dates and need for renewal. C. FACULTY 1. Ensure clinical faculty have submitted all required documents for their specific clinical site assignments in a timely manner. 2. Assist AA to ensure all faculty compliance requirements are met and uploaded into the SMU system as required by Samuel Merritt University programs and various clinical sites. 3. Ensure access to My Clinical Exchange and other similar systems (i.e., accounts) are up to date; monitor for account expirations 4. Confirm access for faculty to site specific systems, i.e., OAR (Sutter,) UC Davis and NUIDs Identity; monitor for expiration dates and need for renewal. IV. General Administrative Support 1. Receive and direct inquiries from clinical/community sites, preceptors, and students to appropriate administrators, faculty, and staff, as needed 2. Assist AA with scheduling on campus electronic health record training for faculty (PL) and students prior to start of clinical/community rotation 3. Participate in new student orientation, as appropriate for each program, to provide clinical/community overview and unique requirements 4. Assist AA to schedule/arrange new faculty orientation at the clinical/community site; maintain documentation of completion date. 5. Collaborate with Program Chair/Course Managers to ensure clinical/community faculty are appropriate for each clinical setting. MINIMUM QUALIFICATIONS Self-starter that takes initiative and independently develops solutions. Strong leadership and evaluation skills. Excellent communication, written, oral and negotiation skills. Excellent interpersonal skills that would support optimal public relations for CCT and the SoN. Good judgement and creative critical thinking to solve problems and to develop alternative solutions. Handle privileged information in a confident manner. Ability to organize and prioritize workload. Effective project planning and implementation skills. Excellent organizational and operational skills. Excellent concentration and attention to details required for an extended period of time Extensive computer experience and the ability to use the Microsoft Office Suite (Word, Excel, PowerPoint). Ability to speak effectively with public, co-workers, faculty and student populations. Ability to receive and interpret detailed information through written and verbal communication. Ability to read and write clear documents PHYSICAL REQUIREMENTS Considerable time is spent at a desk using a computer. Physical ability to lift, bend and flex the upper body. Ability to lift up to 20-30 pounds; Ability to push and pull carts. May be required to attend conference and training sessions within Bay Area. May be required to travel occasionally to offsite campuses and agency locations. EDUCATION, QUALIFICATIONS AND/OR EXPERIENCE Bachelor's Degree Required SUPERVISORY RESPONSIBILITIES Assist with supervising/managing student employees and work-study projects Employee Status:RegularExemption Status:United States of America (Non-Exempt) Time Type:Full time Job Shift: Pay Range: $29/hr to $35/hr ( non exempt/hourly) Samuel Merritt University currently provides base salary ranges for all positions-on job advertisements-in the United States based on local requirements. Individual compensation will ultimately be determined based on a variety of relevant factors including but-not limited to qualifications, geographic location, and other relevant skills.

Who We Are: Santé Group Companies prides itself in being a leader in community-based behavioral and mental health services. Our track record of innovation and growth reflects our ability to deliver diverse and highly individualized services. We have a passion for providing empathetic and potentially life-saving care to help individuals heal, recover, and thrive, as well as live their lives in a manner that allows them to fully integrate in the community. The Santé Group aspires to create an organization that places value on collaboration, innovation, creativity, and inclusiveness. To achieve this success, it is essential that all members of our organization feel secure, welcome, and respected. All members of our organization have a responsibility to uphold these values. What We're Looking For: Santé is seeking Clinical Coordinator, Call Center to join our frontline crisis intervention team in Easton, MD! You will be responsible for the daily operation of the operations of the call center, providing intake, information, triage and assessment. NOT A REMOTE POSITION. IN PERSON ONLY. This is an on-call supervisory role and hours may vary. What You'll Do: • Monitors all phone cases to ensure documentation is completed in a thorough, accurate and timely manner • Provide clinical and administrative supervision to phone counselors • Responsible to manage OPS leads and coordinate supervision for all staff • Provides on-call clinical and administrative supervision • Develops and implements community-based training as required • Collaborate with community providers to ensure streamline service delivery (ie: crisis beds, local hospitals, shelters) • Responsible for back up phone for call center or the designee • Clinical review of all cases prior to closure • Daily monitoring of all open cases • Oversight of operations center work schedules • Responsible to work with team lead and Director to complete all performance evaluations of staff • Responsible for identifying any needed disciplinary action and working with director and HR to implement any actions • Participates in community and company boards and committees, as needed • Responsible for coordinating and/ or training all staff • Check work e-mail according to agency protocol • Other duties as assigned What We Require: Master's Degree in Counseling, Social Work, or a related field of study. Provisional license required. Valid driver's license and proof of current automobile insurance. Must possess and maintain current licensure in the State of Maryland (ie: a LCSW-C or LCPC.) What You'll Get: Salary Range: $68,640-75,920 per hour depending on licensure and experience. Schedule: Monday- Friday 9:00am-5:00pm and every other weekend as needed; hours may vary. On call supervisory role. Financial assistance for certification and licensure fees and no cost supervision for clinical licensure. Opportunities for career growth, ongoing training and development, flexible work schedules and shifts. The rare opportunity to make a difference in the very community that you call home. We are leading providers in Behavioral and Mental Health! Smart, passionate, and engaged coworkers. We believe that diversity of background and experience makes for better problem-solving and collaboration, which is why we are dedicated to adding new perspectives to the team. Even more important than your resume is a positive attitude, a passion for making an impact, a personal desire to grow, and the ability to help individuals heal, recover, and thrive. LI-SC2