Case management coordinator work from home jobs - 520 jobs
Care Coordinator - Forensics
Lutheran Social Services of Wi & Up Mi 3.7
Remote job
Lutheran Social Services of WI and Upper MI is currently seeking a Forensic Care Coordinator for our Operating Avenues for Re-Entry Success (OARS) program serving Marathon, Wood and Clark counties. This is a full-time, benefit eligible role. The position requires regular visits in the client's home and/or community and then is able to work from home for documentation and meeting purposes. The role is primarily, Monday through Friday, 1st shift, but will require flexibility to meet the needs of clients.
This role provides comprehensive person-centered casemanagement. This requires ongoing learning in Motivational Interviewing through participation in monthly coaching and quarterly fidelity reviews as well as the use of other identified evidence-based practices. This role works with individuals in DHS's Outpatient Competency Restoration Program (OCRP), Jail-Based Competency Program (JBCR), Conditional Release Program (CR), and Opening Avenues to Reentry Success Program (OARS), or Supervised Release (SR). Forensic Care Coordinators work collaboratively with community service providers that have been identified to specifically address the needs of the client with a mental health diagnosis and/or substance use disorder. LSS works closely with the client's treatment team and natural supports to best support whether the client is released from jail, prison, mental health institutions, or the community. Forensic Care Coordinators working in CR, OCRP, JBCR or OARS can be asked to work with clients in any of those programs, but Supervised Release remains separate. Supervised Release Care Coordinators will not work in CR, OCRP, JBCR or OARS:
The CR program works with individuals found not guilty by reason of mental disease or defect. Forensic Coordinators provide professional testimony, write court documents, and understand the 917.17 WSS. The Forensic Coordinator works with mental health institutions, court systems, natural support, and community providers.
The OCRP and JBCR offer services to adults charged with a crime adjudicated not competent to stand trial but likely to regain competency. The Competency programs Forensic Coordinators understand the 971.14 WSS and are responsible for meeting clients in the community (OCRP) as well as in the Jail setting (JBCR). The Forensic Coordinator works with the jail system, providing legal education, community providers, the court system, institutions, and natural support.
· The OARS program, the Forensic Coordinator, understands the criminogenic needs of the client. This is a voluntary program. The Forensic Coordinator starts meeting with the client at the correctional institution in the pre-release stage and continues through post-release. The Forensic Coordinator works closely with the client and their treatment team for up to two years.
· Supervised Release specifically works with sexually violent people who are committed under WI statute 980. While they currently may be living at Sandridge Secure Treatment Center, the role of LSS is to provide service coordination and services to assist them with a transition to living in the community.
o Sexually violent person: This is someone who has a mental disorder that makes it likely the person will engage in future acts of sexual violence convicted of a sexually violent offense, adjudicated as delinquent for a sexually violent offense, or found not guilty of or not responsible for a sexually violent offense by reason of mental disease or defect. These people are committed under Wis. Stat. ch. 980.
DIRECT SERVICE REQUIREMENTS (Required of all employees providing direct services):
Promote client independence and growth, consistent with the service plan.
Provide services using a trauma-informed and person and/or family-centered model.
Provide services utilizing agency approved and supported evidence-based practices that have been indicated by the funder and/or agency.
Accurately complete time reporting.
Essential Duties and responsibilities:
This list of duties and responsibilities is not all-inclusive and may be expanded to include other duties and responsibilities, as management may deem necessary from time to time.
Assess client's needs utilizing the required assessment tool(s) (e.g. functional screen). Re-assess, as needed, and at least annually. Information to complete the assessment is gained via interviews, collateral contacts and prior records.
Work alongside the client, their family, his/her supports, and other service providers, develop and implement a comprehensive and individualized service plan.
When required by the program/service, coordinate and authorize services according to the service plan.
Provide services to assigned clients in alignment with the service plan.
Organize and plan work effectively.
Apply knowledge of community resources.
Apply knowledge of casework principles and methods.
Apply working knowledge of human behavior, dynamics of groups, interpersonal relations, and social interactions.
Apply working knowledge of social problems and their effects on individuals.
Work collaboratively with clients, service teams, and clinical supervisor to determine interventions.
Communicate effectively with team members and providers. When authorizing services, articulate the expectations of the service.
Establish and maintain effective and collaborative working relationships.
Complete documentation within required timelines and expectations per LSS, regulation, funders, and practice standards.
Maintain client records, primarily electronic files.
Make recommendations within the client team and scope of practice.
Testify at legal proceedings as required by law and/or role.
Coordinate and facilitate person and/or family-centered team meetings.
When supervision is a program requirement, actively engage in the clinical supervision process.
Attend and participate in staff development programs, including in-service training, staff meetings, and professional seminars.
Within your scope of practice, provide consultation to peers.
Understand productivity expectations. Meet or exceed the standards that have been established for the role and the program.
Perform other duties and special projects as required.
PERKS:
Public Service Loan Forgiveness (PSLF)
By being employed with LSS, which is a non-profit agency, you can be eligible for loan forgiveness under the Public Service Loan Forgiveness program.
Loans are eligible to be forgiven after 10 years of on-time and consistent payments through the income-based re-payment plan.
Assistance navigating the PSLF through Summer
Medical/Dental/Vision Insurance
Flex Spending for Dependent & Health Care
Mileage reimbursement
Paid Time Off
10 Paid Holidays
Ability to Contribute to 403B
LSS makes annual raises a priority for employees
Calm Wellness App - Premium Access
Student loan navigation program with
Summer, PBC
Early Earned Wage Access with UKG Wallet
Employee Assistance Program
Service Awards and Recognition
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Upon offer, candidates must successfully complete the necessary background, caregiver, medical and any other checks required, according to program requirements
.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
EDUCATION AND/OR EXPERIENCE:
The specific education and/or experience is determined by the service delivered and the funding stream requirements.
General Requirements:
· Bachelor's degree in relevant area of human services.
Acceptable human service degrees for this role include, but are not limited to, the following:
· Community Mental Health
· Substance Use
· Counseling/Guidance
· Criminal Justice
· Psychology
· Recreational Therapy
· Rehabilitation Counseling
· Social Worker
· Vocational Counseling
If not listed above, a transcript review as well as payer review may be requested of the applicant/potential employee.
CERTIFICATES, LICENSES, REGISTRATIONS:
Must have a valid driver's license and have reliable transportation to perform the essential duties of the role; a motor vehicle check (MVR) with a satisfactory driving record per the LSS Driver Safety Procedure is required, and ability to meet LSS auto insurance requirements.
TRAVEL: Daily travel may be required. Some overnight travel may be required
$38k-50k yearly est. 4d ago
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Case Management Supervisor - Ramsey County
Bloomington 3.6
Remote job
Build Something Bigger - And Change Lives, Including Your Own. In 1935, Louise Whitbeck Fraser opened a school in her home for people with disabilities - defying social expectations and choosing compassion over convention. She believed everyone deserves the chance to reach their potential and thrive. Today, that same bold spirit is alive in every Fraser service. We're still building something bigger - a more inclusive, connected world where everyone belongs. At Fraser, you'll find more than a job. You'll find purpose. You'll find growth. And you'll find a place where your work changes lives - including your own.
Fraser is seeking a CaseManagement Supervisor to support the Ramsey County team! We seek someone that is organized, has the ability to multitask and prioritize competing demands, has consultative skills to address the concerns of staff or individuals served, and someone who values a team approach and relationship building.
This is a great opportunity to grow within Fraser, apply today!
Responsibilities:
The Supervisor is responsible for 1:1 consultation, overseeing day to day operations, completing staff performance evaluations, assisting with onboarding and training of new staff, assisting with recruitment and hiring in collaboration with Human Resources and Operations, providing management of caseloads and transfers of clients, and working in collaboration with the CaseManagement Program Managers.
The Supervisor will also perform casemanagement duties in the absence of a CaseManager as requested, will routinely conduct quality assurance internal file audits for the staff supervised to assure compliance, and routinely observe, evaluate and monitor service delivery methods to assure services are provided in a person-centered manner.
Benefits for Full-time Employees (30+ hours per week)
Medical, dental and vision insurance
Health Savings Account (HSA) and Flexible Spending Account (FSA)
Employee Assistance Plan (EAP)
Life, AD&D and Voluntary Life Insurance
Long-Term Disability, Accident Insurance, Critical Illness Insurance and Hospital Indemnity Insurance
Pet Insurance
403(b) Retirement Plan with Company Match
Work-Life Balance; 5 weeks of paid time off annually (18 days PTO + 9 Paid Holidays)
Location and Schedule & Pay:
This position is salaried exempt, working Monday - Friday during standard business hours at Fraser Bloomington and virtual office. Supervisors are expected to work in the office at least 1 day per week and can work remotely up to 4 days per week. However, Supervisors are expected to work in the office more frequently (a minimum of 2 days per week) to support employee onboarding during employee ramp-up (first 90 days at least, and up to 6 months if necessary).
Supervisors meet with their staff 1:1 on a weekly basis (virtually or in person); once per month this meeting must be conducted in person.
Supervisors meet with their teams monthly (virtually or in person); meetings must be attended in person at least once every two months.
The salary range for this position is $67,500 - $70,000.
Requirements:
At least a bachelor's degree in social work, special education, psychology, nursing, human services, or other fields related to the education or treatment of persons with developmental disabilities or related conditions and one of the following:
o One year of experience in the education or treatment of persons with developmental disabilities or related conditions (QDDP qualified)
o A minimum of one course that specifically focuses on developmental disabilities (Fraser can provide this course to you free of charge)
If degree is in social work, social work licensure is required.
At least 4 years of experience working in waiver casemanagement strongly preferred.
Ability to pass DHS background study required.
Excellent communication skills, in both verbal and written English.
Commitment to promoting diversity, multiculturalism and inclusion with focus on culturally responsive practice, internal self-awareness and reflection
Basic mathematical skills, with the ability to develop and monitor budgets, interpret accounting reports, and prepare accurate billing information.
Ability to understand, implement, and supervise employees according to all related regulations, policies, and procedures.
Why Join Fraser?
Meaningful Impact
Help individuals and families lead more connected, independent, and fulfilling lives. Your impact here is real - and lasting.
Competitive Pay & Benefits
Fraser offers fair pay and comprehensive benefits that support your health, well-being, and future goals.
Flexibility & Work-Life Balance
With flexible schedules, generous paid time off, and wellness programs, Fraser helps you care for others without sacrificing yourself.
Grow Your Career With Us
We invest in your development with training, licensure support, leadership pathways, and real opportunities to advance.
Culture That Lives Its Values
Inclusion isn't just a buzzword - it's how we operate. You'll be seen, heard, and supported to bring your full self to work.
Thrive with Stability and Purpose
With nearly 90 years of trusted service and continued growth, Fraser is a nonprofit where you can build a lasting, mission-driven career.
Fraser is Minnesota's leader in autism, mental health, and disability services - and one of the few Certified Community Behavioral Health Clinics (CCBHCs) in the state. As a nonprofit organization, we provide integrated community behavioral healthcare that improves quality, accessibility, and coordination of care. We lead with compassion, innovate with purpose, and fight for inclusion - every single day. Ready to Build Something Bigger? Join Fraser. Grow with us. Make a difference. Because when you thrive, so does the world around you.
Fraser values a diverse staff to ensure the best outcomes for our diverse client base. We are committed to anti-racism at Fraser. Our anti-racism committee assesses, develops, and implements numerous initiatives ranging from recruiting and retaining diverse staff to staff training and more.
Fraser is an Affirmative Action and Equal Opportunity Employer.
This position will be posted at ****************************** until filled. You must apply online here to be formally considered.
If you are having trouble applying or have questions, please contact Fraser HR at ****************** or ************. If you have successfully submitted your application, you will get a confirmation email. If you do not receive the confirmation email, please check your junk/spam folders, then contact us as we may not have received your application. Thank you for considering Fraser!
$67.5k-70k yearly Easy Apply 38d ago
Case Management Supervisor RN
Corvel Healthcare Corporation
Remote job
Job Description
The CaseManagement Supervisor is responsible for directing the operations of their designated department, which may include one or more of the following functions: human resources, customer service, and limited sales management.
This is a remote position.
ESSENTIAL FUNCTIONS &RESPONSIBILITIES:
Responsible for directing a designated group of employees in their day-to-day operations
Responsible for quality of service provided
Responsible for human resources matters directly related to department supervised
Requires regular and consistent attendance
Comply with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP)
May be required to travel overnight and attend meetings
May perform daily, weekly, monthly reviews of various reports, invoices, logs and expenses
May be responsible for limited marketing and sales activities
May be required to oversee casemanagement clinical activities (dependent on whether or not unit manager is an RN)
For Supervisors who are not RN's, the clinical oversight and direction will be performed by a designated RN with a nationally recognized certification. This could be a casemanagement supervisor, another manager or local executive
May perform casemanagement responsibilities (dependent on whether or not unit manager is an RN for medical casemanagement activities or qualified for vocational casemanagement)
Additional duties as required
KNOWLEDGE & SKILLS:
Ability to write and speak clearly, easily communicating complex ideas across multiple platforms
Ability to remain poised in stressful situations and communicate diplomatically via telephone, computer, fax, correspondence, etc.
Ability to skillfully manage multiple, complex projects and competing priorities concurrently while working under pressure to meet deadlines and maintaining strong customer service orientation
Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets
Must have technical knowledge of the laws, policies, and procedures in defined territory
Strong interpersonal, time management and written communication skills
Great attention to detail, and results focused
EDUCATION/EXPERIENCE:
Graduate of accredited school of nursing with a diploma/Associates degree (Bachelor of Science degree or Bachelor of Science in Nursing preferred)
Current RN licensure in state of operation
3 or more years of recent clinical experience, preferably in rehabilitation
National certification (CRC, CIRS, CCRN, CVE, CCM, etc.), CCM preferred
Demonstrated experience in management or supervision
PAY RANGE:
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
Pay Range: $76,207 - $117,662
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
ABOUT CORVEL
CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
#LI-Remote
$29k-55k yearly est. 16d ago
Case Coordinator
Vibrant ABA
Remote job
We are a dynamic, fast-paced ABA (Applied Behavior Analysis) company dedicated to delivering high-quality services to individuals and families. Our team thrives on collaboration, efficiency, and compassionate care. We're looking for a driven CaseCoordinator to join our growing organization and play a crucial role in ensuring seamless care delivery.
Position Summary:
As a CaseCoordinator, you'll serve as the vital link between clients, families, and the clinical team. You will oversee the daily operations of assigned cases, ensure continuity of care, and maintain the integrity and efficiency of our services. This role requires strong organizational skills, excellent communication, and the ability to manage multiple priorities in a high-energy environment.
Key Responsibilities:
Act as primary liaison between clients, families, Behavior Analysts (BCBAs), and Behavior Technicians (RBTs).
Coordinate and manage staff schedules to ensure consistent coverage and continuity of care.
Monitor session completion and attendance; resolve scheduling conflicts promptly.
Facilitate communication across care teams to align goals, treatment plans, and client needs.
Track caseload viability, staffing levels, and session data to ensure optimal service delivery.
Support onboarding of new staff and clients as needed.
Problem-solve quickly and effectively in a constantly evolving environment.
Requirements
1+ years of experience in casemanagement, healthcare coordination, ABA, or a related field preferred.
Excellent interpersonal and written/verbal communication skills.
Bilingual (Spanish Speaking) preferred
Highly organized with strong attention to detail and follow-through.
Able to thrive in a fast-paced, multi-tasking environment.
Proficient in scheduling software or EHR platforms (e.g., Central Reach, Passage Health).
Bachelor's degree in Psychology, Healthcare Administration, Social Work, or related field a plus
Benefits
Pay Rate: $27 - $30 per hour
Collaborative and supportive team culture
Work from home Fridays
Career growth opportunities within a mission-driven organization
Training and professional development
Competitive hourly rate based on experience
$27-30 hourly Auto-Apply 60d+ ago
V105 - Legal Case Status Coordinator
Flywheel Software 4.3
Remote job
For ambitious, culturally diverse, curious minds seeking booming careers, Job Duck unlocks and nurtures your potential. We connect you with rewarding, remote job opportunities with US-based employers who recognize and appreciate your skills, allowing you to not just survive but thrive.
As a lifestyle company, we ensure that everybody working here has a fantastic time, which is why we've earned the Great Place to Work Certification every year since 2022!
Job Description:
Step into a role where your communication skills and calm demeanor make a real difference every day. As a Legal Case Status Coordinator with Job Duck, you'll be the steady point of contact for clients, helping them feel supported and informed while attorneys focus on their cases. You'll coordinate court dates, managecase statuses, and ensure attorneys have the right documents and instructions before heading to court. This position is perfect for someone who enjoys solving problems independently, thrives in fast-paced environments, and brings empathy and professionalism to every interaction. If you're resourceful, tech-savvy, and comfortable working with clients in distress, you'll find this role both rewarding and impactful.
• Monthly Salary Range: 1,150 to 1,220 USD
Responsibilities include, but are not limited to:
Respond to inquiries with professionalism and care
Organize and confirm court dates for attorneys
Act as a buffer between clients and attorneys, managing expectations and flow of information
Serve as the primary contact for clients, offering clear and compassionate communication
Check case statuses with courts and filing services
Share instructions and necessary documents for court appearances
Manage daily call volume as needed
Requirements:
1-2 years of experience in customer support inside a law firm
Excellent communication skills in both English and Spanish
Strong customer service or client-facing background required
Familiarity with assisting clients with legal cases is preferred
Ability to work independently and manage tasks without constant supervision
Solid writing and organizational abilities
Key Skills
Clear and confident communication
Strong customer service instincts are a must
Ability to follow detailed instructions is a must
Proactivity is a must
Independent thinking and problem-solving
Calm and composed under pressure
Professional presence and reliability
Common sense and attention to detail
Tech-savvy
Patient and empathetic
Self-directed and resourceful
Software: CRM familiarity is a plus, OpenPhone, Slack, Google Suite, Dropbox
Expected call volume: Some calls involved
Working Schedule: Monday to Friday
Location: Remote || PST (Pacific Standard Time)
Work Shift:
8:00 AM - 5:00 PM [PST][PDT] (United States of America)
Languages:
English, Spanish
Ready to dive in? Apply now and make sure to follow all the instructions!
Our application process involves multiple stages, and submitting your application is just the first step. Every candidate must successfully pass each stage to move forward in the process.
Please keep an eye on your email and WhatsApp for the next steps. A recruiter will be assigned to guide you through the application process. Be sure to check your spam folder as well.
$35k-48k yearly est. Auto-Apply 34d ago
Part-time Intake Case Coordinator
Axiom Medical
Remote job
Title: Intake CaseCoordinator (ICC) Classification: Non-Exempt Manager: Operations or Team Manager The Intake CaseCoordinator (“ICC”) is an integral member of Axiom's Ops Support - Central Services Department (“CS”). The ICC will play a key role in providing customer service and screening support to the employees of Axiom's clients. The ICC will be accountable for answering phones and taking information on new incidents/injuries, communicating, and escalating necessary information, and working with company databases. Additionally, the ICC will have other duties and responsibilities as determined from time to time by the Operations or Team Manager.
Essential Functions:
The essential functions of the ICC are to:
Assign new cases to medical staff in accordance with corresponding licensing laws
Provide excellent customer service in a fast-paced environment
Performing administrative duties to multiple departments as needed, in accordance with Service Level Agreements where applicable
Developing and maintaining cooperative and professional relationships with fellow employees, supervisors, and leadership from various departments
Perform initial assessments of intake calls
Qualifications:
The successful candidate should have a combination of demonstrated experience and education that is equivalent to 1 year with a focus on call center, customer service or related fields.
Physical Requirements:
Regularly required to, stand, sit; talk, hear, and use hands and fingers to operate a computer and telephone keyboard reach,
Specific vision abilities required by this job include close vision requirements due to computer work,
Light to moderate lifting is required
Regular, predictable attendance is required
This is a remote position.
$34k-50k yearly est. Auto-Apply 9d ago
Family Adventure Coordinator (Remote)
Scenic Voyages
Remote job
Scenic Voyages is seeking a Remote Family Adventure Coordinator who is passionate about crafting unforgettable family experiences. This role is perfect for someone who enjoys helping others explore new destinations, plan special memories, and travel with ease. Join a supportive team that values collaboration, continuous learning, and exceptional client care.
Key Responsibilities
Assist families with planning and booking vacations, activities, and adventure experiences
Provide personalized recommendations tailored to different family sizes, interests, and travel styles
Support clients through the entire planning process, ensuring a smooth and enjoyable experience
Manage travel itineraries, reservations, and adjustments as needed
Stay up to date on family-friendly destinations, promotions, and vendor offerings
Deliver outstanding customer service through clear communication and timely follow-up
Handle client inquiries, travel details, and troubleshooting as required
Qualifications
Strong passion for travel planning and customer support
Excellent communication and interpersonal skills
Ability to work independently in a remote environment
Organizational skills with strong attention to detail
Computer literacy and ability to learn supplier booking systems
Problem-solving mindset with a positive, professional attitude
What We Offer
Comprehensive training and ongoing professional development
Flexible remote work environment
Opportunities to explore destination knowledge and industry perks
Supportive team culture focused on growth and success
Access to exclusive agent perks
If you love helping families create meaningful adventures and lasting memories, we would love to hear from you! Apply today to join our growing team at Scenic Voyages.
$35k-50k yearly est. 60d+ ago
Coordinator, Individualized Care
Cardinal Health 4.4
Remote job
Cardinal Health Sonexus™ Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products.
What Individualized Care contributes to Cardinal Health
Clinical Operations is responsible for providing clinical specialties support and expertise in the areas of advice and consulting, research and patient care to internal business units and external customers.
Individualized Care provides care that is planned to meet the particular needs of an individual patient.
Job Summary
The Coordinator, Individualized Care supports patient access to therapy through Reimbursement Support Services in accordance with the program business rules. This role is responsible for guiding the patient through the various process steps of their patient journey to therapy. These steps include patient referral intake, investigating all patient health insurance benefits, and proactively following up with various partners including the insurance payers, specialty pharmacies, support organizations, and the patient/physician to facilitate coverage and dispense of product in a timely manner. The Coordinator, Individualized mediates effective resolution for complex payer/pharmacy issues toward a positive outcome and provides a positive patient experience. This role answers inbound questions and provides customer service and technical expertise to parties.
Responsibilities
Maintains a current and in-depth understanding of patient therapy's, prior approval and reimbursement processes and details of health care plans.
Manages a queue of technical or complex therapy and reimbursement questions from customers and applies judgment in resolving service and problems falling within established limits of authority and knowledge.
Meets key performance indicators including service levels, call volumes, adherence and quality standards.
Follows up with patients, pharmacies, physicians and other support organizations as needed regarding inquiries.
Handles sensitive information and personal data with discretion including prescriptions, personal information, date of birth, financials and insurance information.
Escalates highly complex and difficult issues as needed to senior team members and Individualize Care leadership.
Qualifications
1-3 years of experience preferred
High School Diploma, GED or equivalent work experience preferred
Ability to work Monday-Friday between the hours of 7:00 AM-7:00 PM CST
What is expected of you and others at this level
Applies acquired job skills and company policies and procedures to complete standard tasks
Works on routine assignments that require basic problem resolution
Refers to policies and past practices for guidance
Receives general direction on standard work; receives detailed instruction on new assignments
Consults with supervisor or senior peers on complex and unusual problems
TRAINING AND WORK SCHEDULES: Your new hire training will take place 8:00am-5:00pm CST, 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, between the hours of 7:00am- 7:00pm CST.
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: $18.10 per hour - $25.80 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: 3/5/2026 *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
$18.1-25.8 hourly Auto-Apply 3d ago
Family Vacation Coordinator (Remote)
Reed's Adventures
Remote job
About the Role:
Join our team as a Family Vacation Coordinator, assisting parents and families in planning trips that balance relaxation, fun, and convenience. Youll recommend destinations, arrange bookings, and handle the details so families can enjoy stress-free getaways.
Responsibilities:
Help families choose vacation destinations, resorts, and activities.
Coordinate bookings for accommodations, transportation, and excursions.
Provide recommendations for family-friendly experiences.
Manage reservations, documentation, and payment processes.
Maintain clear and supportive communication with clients.
Qualifications:
Strong communication and customer service skills.
Organized, detail-oriented, and reliable.
Comfortable working remotely and independently.
Interest in family-oriented travel planning.
What We Offer:
Comprehensive training for new coordinators.
Flexible scheduling with remote work.
Performance-based pay structure.
Ongoing mentorship and professional support.
Access to family travel resources and perks.
$26k-37k yearly est. 13d ago
Work From Home-Online Hotel Coordinator-Entry Level
Destination Knot
Remote job
Job Title: Work From Home-Online Hotel Coordinator-Entry Level About Destination Knot:Destination Knot is a travel planning company dedicated to creating unforgettable experiences for every type of traveler. From romantic getaways and family vacations to group trips and business stays, we provide personalized hotel and resort booking services with care and attention to detail.
Position Overview: We're looking for a motivated and detail-oriented Online Hotel Coordinator to join our remote team. This is an entry-level role ideal for someone eager to begin a career in the travel industry. You'll help match clients with the perfect hotel accommodations, manage bookings, and provide outstanding customer support throughout the planning process.
Key Responsibilities:Assist clients in researching and booking hotel and resort accommodations Respond to inquiries via email, phone, or chat in a timely, professional manner Review client preferences to recommend suitable lodging options based on budget, location, and travel dates Manage reservation details and updates using booking tools and systems Maintain accurate client records and documentation Support post-booking needs such as changes, special requests, or follow-up questions Stay informed on current travel trends, hotel promotions, and destination offerings
Qualifications:No prior travel industry experience required-training provided Strong communication and customer service skills Organized, dependable, and detail-oriented Comfortable working remotely and managing tasks independently Tech-savvy with basic knowledge of online platforms (booking systems a plus) Must be 18 years or older with reliable internet access and a computer Passion for travel and helping others plan great experiences
What We Offer:Remote, flexible work environment Entry-level onboarding and continuous training Supportive team and professional development opportunities Access to industry tools and hotel booking platforms Travel perks and performance-based incentives
Work Environment: This is a remote position with flexible hours. It's perfect for individuals who are self-motivated, enthusiastic, and ready to start a fulfilling path in the travel and hospitality industry.$40,000 - $60,000 a year We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
$40k-60k yearly Auto-Apply 20d ago
Client Coordinator
Teksystems 4.4
Remote job
Job Title: Client Coordinator
We are seeking a detail-oriented and dependable Client Coordinator to join our team. This role is essential in supporting our operations by managingcase data through CMS portals, verifying eligibility, and ensuring accurate documentation. The ideal candidate will be tech-savvy, organized, and committed to delivering high-quality customer service in a fast-paced healthcare environment.
Key Responsibilities:
Process cases through CMS portals and enter accurate data into internal databases.
Review documentation for eligibility and completeness.
Prepare, enter, track, and file data with precision and attention to detail.
Respond promptly and professionally to client inquiries via email regarding case status, documentation, and general information.
Utilize internal systems and databases to input and retrieve client and examination information.
Access and upload medical records from external client portals into internal systems.
Verify that all required components of medical records are complete and properly documented.
Assign medical records to reviewers for clinical insight to support insurance claim decisions under the No Surprises Act (IDR Team).
Required Skills & Qualifications:
Technical Skills: Proficient in Microsoft Office Suite (Excel, Outlook), Salesforce CRM, W365 Edge, and CMS systems.
Healthcare Knowledge: Familiarity with medical terminology, insurance claims, EOBs, and electronic medical records.
Administrative Skills: Strong data entry capabilities, organizational skills, and attention to detail.
Customer Service: Excellent written and verbal communication skills with a client-focused approach.
Work Environment: Must have reliable internet and a private, distraction-free workspace.
Education: High school diploma or equivalent required.
Preferred Experience:
Must have experience within Healthcare - Medical Records or Call Center
Experience Level
Entry Level
Job Type & Location
This is a Contract position based out of Rockford, IL.
Pay and Benefits
The pay range for this position is $15.00 - $15.00/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 Jan 12, 2026.
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.
$15-15 hourly 12d ago
Care Coordinator
Triton Health Systems
Remote job
Job Description
Nurses and Social Workers!
VIVA HEALTH, ranked one of the nation's Best Places to Work by Modern Healthcare, is currently seeking a Care Coordinator in Mobile, AL!
VIVA HEALTH knows that nursing and social work is not just a job, it is a calling. If you would like to fulfill your calling in healthcare, check us out! We offer regular hours with no mandatory nights or weekends. This way you can do what you love at work and can take care of the people you love at home! We also offer a great benefits package including tuition reimbursement for employees and dependents, paid parental leave, and paid day for community service, just to name a few!
VIVA HEALTH employees are a part of the communities they serve and proudly partner with members on their healthcare journeys. Come join our team!
Care Coordinators use psychosocial and/or clinical knowledge to provide non-clinical services for Medicaid recipients to improve the medical compliance and health outcomes of the populations served. This position identifies barriers to medical compliance such as lack of transportation, illiteracy, or other social determinants that impact a member's health, and ensures services are delivered and continuity of care is maintained. The position analyzes the home and community environment and makes autonomous decisions regarding appropriate care plans and goals using a thorough knowledge of available community resources. These services are provided primarily in community and home settings via phone and/or in person. Local daytime travel is required via a reliable means of transportation insured following Company policy. This position will have work-from-home opportunities.
GENERAL CARE COORDINATION
REQUIRED:
Licensed BSN/ADN
Licensed BSW
PREFERRED:
Licensed MSW and/or Certified CaseManager (CCM) designation
Experience in casemanagement, human services, public health, or experience with the underinsured population
Also requires a valid driver's license in good standing, willingness to submit to vaccine testing and screening, and may require significant face-to-face member contact with duties performed away from the principal place of business. All positions require excellent interview and telephone skills as well as the ability to deal with recipients in a caring and helpful manner. The Care Coordinators should have a working knowledge of health-related service delivery systems and excellent communication and relationship skills. This position requires the ability to analyze varied environmental factors to members' well-being and work independently in an autonomous setting and the ability to locate, augment, and develop resources, including information on services offered by other agencies.
$33k-47k yearly est. 9d ago
Care Coordinator
Pomelo Care
Remote job
About us Pomelo Care is the national leader in evidence-based healthcare for women and children. We deliver personalized, high-quality clinical interventions from reproductive care and pregnancy, infant care and pediatrics, to hormonal health through perimenopause and menopause, with long-term preventive care and condition management. Our model delivers 24/7 multispecialty care to address the medical, behavioral, and social factors that most significantly impact outcomes for women and children. We partner with payers, employers, and providers to expand access to quality healthcare across the system.
Role Description
Your North Star: Support the Pomelo clinical practice's efficiency by owning key operational & administrative processes.
Your key responsibilities will include:
* Work closely with clinical staff to provide care navigation support for patients who need help finding providers in their network and/or being connected to other care or social services such as housing, transportation, WIC and SNAP
* Monitor our member support phone line and answer any questions that patients call in with
* Complete eligibility checks for new and existing patients and own the patient offboarding process
* Own patient scheduling, including patient prioritization, appointment reminders and provider schedule optimization
* Manage referrals to health plan's CaseManagement team
* Collaborate with Market Operations Lead to develop new workflows focused on improving care coordinator efficiency
* Other responsibilities as assigned
Who you are
* 4+ years healthcare administration experience, ideally having worked within virtual care
* Familiarity with SDOH platforms and referrals
* Results-oriented operator who moves fast
* Meticulous attention to detail
* Goes the extra mile for patients
* Comfort with ambiguity
* Ability to work cross-functionally with clinicians
* Passionate about maternal and child health
Why you should join our team
By joining Pomelo, you will get in on the ground floor of a fast-moving, well-funded, and mission-driven startup where you will have a profound impact on the patients we serve. And you'll learn, grow, be challenged, and have fun with your team while doing it.
We strive to create an environment where employees from all backgrounds are respected. We value working across disciplines, moving fast, data-driven decision making, learning, and always putting the patient first. We also offer:
* Competitive healthcare benefits
* Generous equity compensation
* Generous PTO policy
At Pomelo, we are committed to hiring the best team to improve outcomes for all mothers and babies, regardless of their background. We need diverse perspectives to reflect the diversity of problems we face and the population we serve. We look to hire people from a variety of backgrounds, including but not limited to race, age, sexual orientation, gender identity and expression, national origin, religion, disability, and veteran status.
Our salary ranges are based on paying competitively for our company's size and industry, and are one part of the total compensation package that also includes equity, benefits, and other opportunities at Pomelo Care. In accordance with New York City, Colorado, California, and other applicable laws, Pomelo Care is required to provide a reasonable estimate of the compensation range for this role. Individual pay decisions are ultimately based on a number of factors, including qualifications for the role, experience level, skillset, geography, and balancing internal equity. A reasonable estimate of the current salary range is $40,000 to $50,000. We expect most candidates to fall in the middle of the range. We also believe that your personal needs and preferences should be taken into consideration, so we allow some choice between equity and cash.
#LI-Remote
Potential Fraud Warning
Please be cautious of potential recruitment fraud. With the increase of remote work and digital hiring, phishing and job scams are on the rise with malicious actors impersonating real employees and sending fake job offers in an effort to collect personal or financial information.
Pomelo Care will never ask you to pay a fee or download software as part of the interview process with our company. Pomelo Care will also never ask for your personal banking or other financial information until after you have signed an offer of employment and completed onboarding paperwork that is provided by our People Operations team. All official communication with Pomelo Care People Operations team will come from domain email addresses ending ******************.
If you receive a message that seems suspicious, we encourage you to pause communication and contact us directly at ********************** to confirm its legitimacy. For your safety, we also recommend applying only through our official Careers page. If you believe you have been the victim of a scam or identity theft, please contact your local law enforcement agency or another trusted authority for guidance.
$40k-50k yearly Auto-Apply 25d ago
Health Home Care Coordinator Pullman, WA (Whitman County - Remote)
Rural Resources Community Action 3.2
Remote job
Part-time Description
We're pleased to announce an opportunity for the position of Health Home Care Coordinator within the Community Based Teams Department.
The Health Home Care Coordinator provides comprehensive care coordination services to eligible individuals and their families. This role involves assessing member needs, developing and monitoring individualized service plans, making appropriate referrals, and advocating on behalf of members with other service providers. Care Coordinators maintain a dedicated caseload and ensure consistent monthly engagement with assigned members across various settings. Health Home Care Coordinator's support members in identifying and accessing resources, delivering health education, and applying motivational interviewing techniques to foster goal achievement, resilience, and healthy lifestyle choices. The Care Coordinator promotes wellness through coaching and awareness of chronic health conditions, aiming to reduce emergency service usage and prevent hospital readmissions.
Benefits Information
Medical and Dental insurance options for employees and families
Vision and Life insurance as well as other auxiliary insurance options
403(b) retirement plan with up to 6% matching contribution
Health Savings Account and Flexible Spending Account options
Paid vacation earned on a pro-rated basis according to worked/paid leave hours
Paid Sick leave earned on a pro-rated basis according to actual hours worked
Eleven paid holidays per year on a pro-rated basis according to hours worked
*Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
Salary Description Offered At: $21.65 - $23.42 per/hr.
$21.7-23.4 hourly 12d ago
Care Coordinator (Remote US)
Maximus Health 4.3
Remote job
is Remote (US/Canada)
No agencies please
Maximus (****************************** is a mission-driven consumer performance medicine telehealth company that provides men and women with content, community, and clinical support to optimize their health, wellness, and hormones. Maximus has achieved profitability, 8-figure ARR, and is doubling year over year - with a strong cash position. We have raised $15M from top Silicon Valley VCs such as Founders Fund and 8VC as well as leading angel investors/operators from companies like Bulletproof, Tinder, Coinbase, Daily Stoic, & Shopify.
Position Summary
In this role as a Care Coordinator supporting Maximus patients, you will be instrumental in delivering a seamless care experience. Your primary responsibilities include managing provider video conferencing schedules, coordinating with lab and pharmacy partners, and overseeing patient messaging queues. You will also serve as a key contributor to our patient concierge experience. The ideal candidate is driven by a passion for lifestyle, wellness, and fitness, constantly seeks innovative approaches to their work, and is eager to shape the overall patient journey.
Key Responsibilities
Video Conferencing & Scheduling
Coordinate and maintain provider schedules for video consultations, ensuring efficient appointment booking and minimizing scheduling conflicts.
Monitor upcoming telehealth appointments, confirm patient/provider availability, and troubleshoot any technical issues that may arise.
Lab & Pharmacy Coordination
Liaise with laboratory partners to manage test orders, track results, and ensure timely communication of lab outcomes to providers and patients.
Collaborate with pharmacy partners to facilitate prescription orders, refills, and medication-related inquiries.
Messaging Queue Management
Oversee and triage patient messages in digital platforms, ensuring inquiries are addressed promptly and directed to the appropriate clinical team member.
Escalate urgent or complex issues to the appropriate care team members, keeping patients informed of next steps.
Patient Communication & Support
Provide friendly and empathetic support to patients, answering questions related to appointments, lab tests, prescriptions, and follow-ups.
Educate patients on the use of telehealth platforms, including troubleshooting basic technical issues and sharing best practices for virtual visits.
Digital Healthcare Administration
Maintain accurate and up-to-date electronic health records (EHR), ensuring data integrity and confidentiality.
Identify opportunities to streamline workflows and enhance patient experiences, bringing recommendations to leadership.
Quality Assurance & Compliance
Ensure compliance with all relevant healthcare regulations and company policies, including HIPAA and data privacy laws.
Participate in team meetings to review patient feedback, address operational challenges, and discuss quality improvement initiatives.
Qualifications
Experience: 1-3 years of experience in a care coordinator, healthcare administration, or telehealth support role.
Education: Associate's or Bachelor's degree in Healthcare Administration, Public Health, or a related field preferred.
Technical Skills: Familiarity with EHR systems, telehealth platforms, scheduling software, and basic troubleshooting of common technical issues.
Communication Skills: Excellent verbal and written communication skills to effectively coordinate with patients, providers, and partners.
Organizational Skills: Strong attention to detail and ability to manage multiple tasks efficiently in a fast-paced, digital environment.
Interpersonal Skills: Empathetic, patient-focused approach with a commitment to delivering high-quality care and exceptional patient experiences.
Compliance Knowledge: Understanding of healthcare regulations, especially HIPAA and data privacy guidelines.
What We Offer (Benefits):
Full Suite: Medical, Dental, Vision, Life Insurance
Flexible vacation/time-off policies
Fully remote work environment
Maximus is an equal opportunity employer, which not only includes standard protected categories, but the additional freedom from discrimination against your free speech and beliefs, as long as they are aligned with company values. We celebrate intellectual diversity.
Note: We utilize AI note-taking technology during our interview sessions to ensure we capture all answers and details accurately. Candidates are also encouraged to use AI note-takers for their own records if they wish.
$34k-47k yearly est. Auto-Apply 2d ago
1915(i) Waiver Care Coordinator (Franklin/Granville/Vance)
Vaya Health 3.7
Remote job
LOCATION: Remote - must live in or near Franklin, Granville, or Vance County, NC. Incumbent in this role is required to reside in North Carolina or within 40 miles of the North Carolina border. This position requires travel.
GENERAL STATEMENT OF JOB
The 1915(i) Waiver Care Coordinator (“Care Coordinator”) is responsible for providing proactive intervention and coordination of care to eligible Vaya Health members and recipients (“members”) to ensure that these individuals receive appropriate assessment and services. Care Coordinator is also responsible for providing care coordination activities and monitoring to individuals who have been deemed eligible for 1915i services by North Carolina Department of Health and Human Services (DHHS). Care Coordinator works with the member and care team to alleviate inappropriate levels of care or care gaps, coordinate multidisciplinary team care planning, linkage and/or coordination of services across the 1915i service array and other healthcare network(s) including the MH, SU, intellectual/ developmental disability (“I/DD”), traumatic brain injury (“TBI”) physical health, pharmacy, long-term services and supports (“LTSS”) and unmet health-related resource needs. Care Coordinator support and may provide transition planning assistance to state, and community hospitals and residential facilities and track individuals discharged from facility settings to ensure they follow up with aftercare services and receive needed assistance to prevent further hospitalization. This is a mobile position with work done in a variety of locations, including members' home communities. The Care Coordinator also works with other Vaya staff, members, relatives, caregivers/ natural supports, providers, and community stakeholders. As further described below, essential job functions of the Care Coordinator include, but may not be limited to:
Utilization of and proficiency with Vaya's Care Management software platform/ administrative health record (“AHR”)
Outreach and engagement
Compliance with HIPAA requirements, including Authorization for Release of Information (“ROI”) practices
Performing NC Medicaid 1915i Assessment tool to gather information on the member's relevant diagnosis, activities of daily living, instrumental activities of daily living, social and work-related needs, cognitive and behavioral needs, and services the member is interested in receiving
Adherence to Medication List and Continuity of Care processes
Participation in interdisciplinary care team meetings, comprehensive care planning, and ongoing care management
Transitional Care Management
Diversion from institutional placement
This position is required to meet NC Residency requirements as defined by the NC Department of Health and Human Services (“NCDHHS” or “Department”).
ESSENTIAL JOB FUNCTIONS
Assessment, Care Planning and Interdisciplinary Care Team :
Ensures identification, assessment, and appropriate person-centered care planning for members.
Meets with members to complete a standardized NC Medicaid 1915i Assessment
Links members with appropriate and necessary formal/ informal services and supports across all health domains (i.e., medical, and behavioral health home)
Supports the care team in development of a person-centered care plan (“Care Plan”) to help define what is important to members for their health and prioritize goals that help them live the life they want in the community of their choice.
Ensure the Care Plan includes specific services, including 1915(i) services to address mental health, substance use or I/DD, medical and social needs as well as personal goals
Ensure the Care Plan includes all elements required by NCDHHS
Use information collected in the assessment process to learn about member's needs and assist in care planning
Ensure members of the care team are involved in the assessment as indicated by the member/LRP and that other available clinical information is reviewed and incorporated into the assessment as necessary
Work with members to identify barriers and help resolve dissatisfaction with services or community-based interventions
Reviews clinical assessments conducted by providers and partners with licensed staff for clinical consultation as needed to ensure all areas of the member's needs are addressed. Help members refine and formulate treatment goals, identifying interventions, measurements, and barriers to the goals
Ensures that member/legally responsible person (“LRP”) is/are informed of available services, referral processes (e.g., requirements for specific service), etc.
Provides information to member/LRP regarding their choice of service providers, ensuring objectivity in the process
Works in an integrated care team including, but not limited to, an RN (Registered Nurse) and pharmacist along with the member to address needs and goals in the most effective way ensuring that member/LRP have the opportunity to decide who they want involved
Supports and may facilitate care team meetings where member Care Plan is discussed and reviewed
Solicits input from the care team and monitors progress
Ensures that the assessment, Care Plan, and other relevant information is provided to the care team
Consults with care management licensed professionals, care management supervisors, and other colleagues as needed to support effective and appropriate member care/planning process
Support Monitoring/Coordination, Documentation and Fiscal Accountability :
Serves as a collaborative partner in identifying system barriers through work with community stakeholders.
Works in partnership with other Vaya departments to identify and address gaps in services/ access to care within Vaya's catchment.
Participates in cross-functional clinical and non-clinical meetings and other projects as needed/ requested to support the department and organization.
Participates in routine multidisciplinary huddles including RN, Pharmacist, M.D. to present complex clinical case presentation and needs, providing support to other CMs (Care Manager) and receiving support and feedback regarding CM interventions for clients' medical, behavioral health, intellectual /developmental disability, medication, and other needs.
Works with 1915 (i) Care Coordinationmanager in participating in high-risk multidisciplinary complex case staffing as needed to include Vaya CMO/ Deputy CMO, Utilization Management, Provider Network, and Care Management leadership to address barriers, identify need for specialized services to meet client needs within or outside the current behavioral health system.
Ensure that services are monitored (including direct observation of service delivery) in all settings at required frequency and for compliance with standards
Monitors provision of services to informally measure quality of care delivered by providers and identify potential non-compliance with standards.
Ensures the health and safety of members receiving care management, recognize and report critical incidents, and escalate concerns about health and safety to care management leadership as needed.
Supports problem-solving and goal-oriented partnership with member/LRP, providers, and other stakeholders.
Promotes member satisfaction through ongoing communication and timely follow-up on any concerns/issues.
Supports and assists members/families on services and resources by using educational opportunities to present information.
Make announced/unannounced monitoring visits, including nights/weekends as applicable.
Promote satisfaction through ongoing communication and timely follow-up on any concerns/issues
Monitor services to ensure that they are delivered as outlined in individualized service plan and address any deviations in service
Verifies member's continuing eligibility for Medicaid, and proactively responds to a member's planned movement outside Vaya's catchment area to ensure changes in their Medicaid county of eligibility are addressed prior to any loss of service. Alerts supervisor and other appropriate Vaya staff if there is a change in member Medicaid eligibility/status.
Maintain electronic health record compliance/quality according to Vaya policy
Proactively monitor own documentation to ensure that issues/errors are resolved as quickly as possible
Ensure accurate/timely submission of Service Authorization Requests (SARS) for all Vaya funded services/supports
Proactively monitors own documentation within the AHR to ensure completeness, accuracy and follow through on care management tasks.
Works with 1915 (i) Care CoordinationManager to ensure all clinical and non-clinical documentation (e.g., goals, plans, progress notes, etc.) meet all applicable federal, state, and Vaya requirements, including requirements within Vaya's contracts with NCDHHS.
Participates in all required Vaya/ Care Management trainings and maintains all required training proficiencies.
Other duties as assigned .
KNOWLEDGE, SKILLS, & ABILITIES
Ability to express ideas clearly/concisely and communicate in a highly effective manner
Ability to drive and sit for extended periods of time (including in rural areas)
Effective interpersonal skills and ability to represent Vaya in a professional manner
Ability to initiate and build relationships with people in an open, friendly, and accepting manner
Attention to detail and satisfactory organizational skills
Ability to make prompt independent decisions based upon relevant facts.
A result and success-oriented mentality, conveying a sense of urgency and driving issues to closure
Comfort with adapting and adjusting to multiple demands, shifting priorities, ambiguity, and rapid change
Thorough knowledge of standard office practices, procedures, equipment, and techniques and intermediate to advanced proficiency in Microsoft office products (Word, Excel, Power Point, Outlook, Teams, etc.), and Vaya systems, to include the care management platform, data analysis, and secondary research
Understanding of the Diagnostic and Statistical Manual of Mental Disorders (current version) within their scope and have considerable knowledge of the MH/SU/IDD/TBI service array provided through the network of Vaya providers.
Experience and knowledge of the NC Medicaid program, NC Medicaid Transformation, Tailored Plans, state-funded services, and accreditation requirements are preferred.
Ability to complete and maintain all trainings and proficiencies required by Vaya, however delivered, including but not limited to the following:
BH I/DD Tailored Plan eligibility and services
Whole-person health and unmet resource needs (Adverse Childhood Experiences, Trauma, cultural humility)
Community integration (Independent living skills; transition and diversion, supportive housing, employment, etc)
Components of Health Home Care Management (Health Home overview, working in a multidisciplinary care team, etc)
Health promotion (Common physical comorbidities, self-management, use of IT, care planning, ongoing coordination)
Other care management skills (Transitional care management, motivational interviewing, Person-centered needs assessment and care planning, etc)
Serving members with I/DD or TBI (Understanding various I/DD and TBI diagnoses, HCBS, Accessing assistive technologies, etc)
Serving children (Child and family centered teams, understanding of the “System of Care” approach)
Serving pregnant and postpartum women with Substance Use Disorder (SUD) or with SUD history
Serving members with LTSS needs (Coordinating with supported employment resources)
Job functions with higher consequences of error may be identified, and proficiency demonstrated and measured through job simulation exercises administered by the supervisor where a minimum threshold is required of the position.
EDUCATION & EXPERIENCE REQUIREMENTS
Bachelor's degree in a field related to health, psychology, sociology, social work, nursing or another relevant human services area is preferred. Required years of work experience (include any required experience in a specific industry or field of study):
Serving members with BH conditions:
Two (2) years of experience working directly with individuals with BH conditions
Serving members or recipients with an I/DD or Traumatic Brain Injury (TBI)
Two (2) years of experience working directly with individuals with I/DD or TBI
Serving members with LTSS needs
Minimum requirements defined above
Two (2) years of prior Long-tern Services and Supports and/or Home Community Based Services coordination, care delivery monitoring and care management experience.
This experience may be concurrent with the two years of experience working directly with individuals with BH conditions, an I/DD, or a TBI, described above
OR a combination of education and experience as follows:
A graduate of a college or university with a Bachelor's degree in a human services field and two years of full-time accumulated experience with population served
OR
A graduate of a college or university with a Bachelor's degree is in field other than Human Services and four years of full-time accumulated experience with population served
OR
A graduate of a college or university with a Bachelor's Degree in Nursing and licensed as RN, and four years of full-time accumulated experience with population served. Experience can be before or after obtaining RN licensure.
OR
Please note, if a graduate of a college or university with a Master's level degree in Human Services, although only one year is needed to reach QP status, the incumbent must still have at least two years of experience with the population served
*Must meet the criteria of being a North Carolina Qualified Professional with the population served in 10A NCAC 27G .0104
Licensure/Certification Required:
If Bachelor's degree in nursing and RN, incumbent must be licensed to practice in the State of North Carolina by the North Carolina Board of Nursing.
PHYSICAL REQUIREMENTS
Close visual acuity to perform activities such as preparation and analysis of documents; viewing a computer terminal; and extensive reading.
Physical activity in this position includes crouching, reaching, walking, talking, hearing and repetitive motion of hands, wrists, and fingers.
Sedentary work with lifting requirements up to 10 pounds, sitting for extended periods of time.
Mental concentration is required in all aspects of work.
Ability to drive and sit for extended periods of time (including in rural areas)
RESIDENCY REQUIREMENT: The person in this position is required to reside in North Carolina or within 40 miles of the North Carolina border.
SALARY: Depending on qualifications & experience of candidate. This position is non-exempt and is eligible for overtime compensation.
DEADLINE FOR APPLICATION: Open Until Filled
APPLY: Vaya Health accepts online applications in our Career Center, please visit ******************************************
Vaya Health is an equal opportunity employer.
$35k-44k yearly est. Auto-Apply 24d ago
Clinical Coordinator
Geode Health of Texas
Remote job
Geode Health is a rapidly growing, national provider of outpatient mental health services. Our Mission is to “Transform mental health by making it more accessible, affordable and effective”.
As the Clinical Coordinator for all Georgia offices, you will play a critical role in managing, standardizing, and elevating clinical operations across Geode Health locations statewide. This role partners closely with clinical leadership, operations, compliance, and project management teams to support our rapid growth and ensure safe, high-quality patient care. The ideal candidate is energized by a fast-growing healthcare organization, passionate about improving mental health care delivery, and motivated to build efficient, compliant, and patient-centered clinical systems. Most importantly, we're looking for someone who is aligned with our mission to improve access to high-quality mental healthcare across the country.
This is a hybrid role that requires travel to all of our offices throughout Georgia.
Responsibilities
Leadership & Administrative Duties
Order, receive, and maintain clinical supplies across all Georgia locations
Coordinate and procure clinical supplies for the opening of new offices
Set up and manage clinical vendors for new office locations
Assist with the opening of new locations, ensuring clinical setup and operational readiness
Hire, onboard, and train clinical staff across Georgia offices
Train and oversee medical assistants on triage protocols, workflows, and documentation standards
Collaborate with office managers to identify performance gaps and retrain staff as needed
Partner with project managers to develop clinical workflows and train staff during the launch of new clinical services (e.g., Spravato)
Assist with crisis response training, including 1013 procedures
Act as director for provisionally licensed therapists and coordinate supervision in collaboration with the Compliance Director
Ensure all offices comply with company safety policies and applicable regulatory requirements
Audit medication sample closets to ensure proper storage, maintenance, and disposal of expired medications
Travel to office locations to conduct quarterly medical assistant evaluations and clinical skill check-offs
Clinical Duties
Assist with patient triage in accordance with established clinical protocols
Support providers by addressing clinical questions during clinic hours
Oversee and support clinical treatments, including Spravato, ADHD testing, and TMS
Coordinate treatment workflows to promote patient safety, efficiency, and consistency across locations
Help facilitate and manage in-office crisis situations as needed
Provide procedural guidance and hands-on clinical support to staff when required
Qualifications
Bachelor's degree in a related field (Nursing, Healthcare Administration, etc.) preferred.
Prior experience in a supervisory or leadership role within a clinical setting.
Strong understanding of emergency protocols and clinical operations.
Certification in CPR/AED training is highly desirable.
Excellent communication and interpersonal skills.
Ability to train and mentor clinical staff effectively.
At Geode Health, we offer:
Competitive compensation
Flexible schedule
In-person and virtual patient visits
Comprehensive admin support (front office, accounting, finance, payroll, HR, etc)
Professional development opportunities
Clinical community, support, and leadership
Medical, dental and vision benefits
Life insurance
Short and long-term disability
Paid vacation and holidays
Matching 401k plan
State of the art technology
Why work for Geode Health?
At Geode Health, we take our commitment to patients and providers seriously. We focus every day on how to help patients across the United States get the best possible mental health care available. To achieve this, we focus on ensuring our providers have unmatched support and resources so that they can focus on providing great care. We are backed by KKR, a leading private equity firm with the experience and mission alignment to truly make an impact. Joining Geode Health will put you on the front-end of a rapidly growing movement to increase access and improve outcomes for mental health patients and providers across the nation.
To learn more, visit us as *******************
Geode Health is an Equal Opportunity Employer. We respect and seek to empower each individual and support the diverse cultures, perspectives, skills and experiences of our workforce.
$49k-67k yearly est. Auto-Apply 19d ago
Care Coordinator
Honeydew
Remote job
Are you passionate about helping people navigate their healthcare journey? Do you thrive in a dynamic environment where you can make a real difference? Join our team as a Care Coordinator and be part of a mission-driven organization dedicated to improving patient outcomes and providing exceptional care.
About Us:
Honeydew is transforming skincare by making it accessible and affordable for everyone. Our team is dedicated to providing compassionate, personalized care to help patients achieve their skin health goals. We're seeking a highly organized and empathetic Care Coordinator to join our team and be a vital part of our mission.
Job Description:
As a Care Coordinator, you'll play a critical role in ensuring our patients receive the support and guidance they need throughout their skincare journey. This full-time, fully remote role focuses on patient communication, coordinating care, and managing essential administrative tasks to provide a seamless experience.
Responsibilities:
Serve as the primary point of contact for patients, providing guidance, support, and information about their care plans.
Answer patient inquiries related to appointments, medical services, and treatment options with empathy and professionalism.
Coordinate and schedule appointments, follow-ups, and referrals between patients and healthcare providers.
Ensure that all patient information and communications are accurately documented in our healthcare system.
Act as a liaison between patients, insurance providers, and medical teams to facilitate seamless care delivery.
Collaborate with healthcare professionals to develop personalized care plans for patients.
Continuously monitor patient progress and provide ongoing support, addressing any concerns or obstacles that arise.
Qualifications:
Previous experience in a healthcare setting, preferably in a care coordination, patient support, or administrative role.
Exceptional communication skills, both verbal and written, with the ability to convey complex information clearly.
Strong organizational skills and attention to detail to manage multiple tasks and priorities.
Proficiency in using healthcare management software or similar systems.
Ability to work independently and as part of a multidisciplinary team.
A positive attitude, empathy, and a genuine passion for helping others.
Benefits:
• Flexible and remote schedule.
• Opportunity to make a meaningful impact on patients' lives.
• Join a mission-driven, innovative team dedicated to revolutionizing skincare.
Pay: $15.00 per hour
$15 hourly Auto-Apply 60d+ ago
Clinical Review Coordinator / Specialty / Remote
Brightspring Health Services
Remote job
Our Company
Amerita
The Specialty Clinical Review Coordinator will ensure referrals and new orders meet clinical admission payer criteria. This role ensure that all assigned specialty patients are provided with timely and exceptional clinical service and an exception customer experience.
Schedule:
Monday - Friday
8:30am - 5:30pm
• Competitive Pay
• Health, Dental, Vision & Life Insurance
• Company-Paid Short & Long-Term Disability
• Flexible Schedules & Paid Time Off
• Tuition Reimbursement
• Employee Discount Program & DailyPay
• 401k
• Pet Insurance
Responsibilities
On-board all new specialty infusion referrals
Manage relationships with internal customers to ensure effective workflow
Reviews referral documents and updates information in the patient's demographics
Reference clinical admission criteria for specialty therapies and navigate patient charts to locate documentation for admission criteria
Works closely with sales partners to ensure completeness of submitted referral information
Participates in the development of best practices for documentation supporting clinical care and reimbursement qualification for Specialty Patients
Support patient retention efforts by ensuring all reasonable interventions are executed to retain a patient on service
Supervisory Responsibility: No
Qualifications
EDUCATION/EXPERIENCE
• Pharmacy Technician background
• Recent three to five (3-5) years of experience in specialty pharmacy, home infusion and/or home health
• Experience in Microsoft BI. Experience in Outlook, Word, and PowerPoint desired
LICENSE/CERTIFICATION/OTHER SPECIAL REQUIREMENTS
• State pharmacy technician licensure
• PTCB certified technician credentials preferred
KNOWLEDGE/SKILLS/ABILITIES
• Ability to work effectively within a multidisciplinary team
TRAVEL REQUIREMENTS
Percentage of Travel: 0-25%
**To perform this role will require sitting, and typing on a keyboard with fingers for an extensive amount of time, and occasionally standing, walking, bending, and reaching. The physical requirements will be the ability to push/pull and lift/carry 1-10 lbs**
About our Line of Business Amerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness, and entrepreneurial spirit of a local provider. For more information, please visit ****************** Follow us on Facebook, LinkedIn, and X.
Salary Range USD $24.00 - $28.00 / Hour
$24-28 hourly Auto-Apply 3d ago
Charge Capture Coordinator - Clinical Revenue Integrity - Full Time 8 Hour Days (REMOTE) (Non-Exempt) (Non-Union)
Usc 4.3
Remote job
Under the general direction of the Revenue Manager, the Charge Capture Coordinator is primarily responsible for unit and area specific charge capture of clinical services and procedures within revenue producing departments throughout the system. The Charge Capture Coordinator's main role is to enter charges into existing computerized billing system (Cerner and or PBAR). The Charge Capture Coordinator will perform due diligence in entering all appropriate charges accurately and within a timely manner, including conducting reconciliation of department generated record with billing system report to ensure optimal charge capture; auditing for completeness, correcting, and resubmitting rejected charges and charge follow-up. The Charge Capture Coordinator is also responsible for communicating missing or incomplete clinical documentation and charge entry errors for clinical department process improvement.
Essential Duties:
Review department clinical documentation from multiple sources and enter hospital charges accurately, timely and in accordance with Keck Medical Center of USC charge capture policies/guidelines, into Patient Accounting System -Cerner or PBAR. .
Demonstrate proficiency in using Keck Medical Center of USC charge capture policies, rules, criteria and decision trees (algorithms) to assign the correct charge code.
Demonstrate understanding of CMS Medicare billing rules, regulations, and compliance related to outpatient intravenous infusion and chemotherapy administration charges, observation charging (and other service line charges.)
Perform daily charge reconciliation on accounts; check charges for accuracy and completeness, correct errors.
Follow processes to send appropriate notification to other parties such as Coding Manager, Clinical Department Manager, or Patient Accounting Manager. For example, notify the nursing team of incomplete medical records or coding questions.
Attend scheduled meetings and trainings and be accountable for what has been discussed in staff meetings.
Identify events requiring administrative review and forward these promptly to the appropriate Revenue Cycle Supervisor, Manager or Director.
Review own work for accuracy and completeness prior to end of shift.
Daily focus on attaining productivity standards, recommending new approaches for enhancing performance, and productivity when appropriate.
Identify and alert a member of the management staff of any situation that may negatively impact the patient, department operations, public relations, or the hospital's integrity.
Adhere to health information regulations including HIPAA.
Perform other duties as assigned.
Required Qualifications:
Req High school or equivalent
Req 2 years Clinical or healthcare disciplines such as previous hospital or medical office, charge entry or medical records experience.
Req Must have excellent data entry and quality outcome skills
Req Proficient in Microsoft Office applications and others as needed
Req Communicates clearly and concisely, verbally and in writing
Req Demonstrates knowledge and understanding of organizational policies, procedures and systems
Req Must have the ability to maintain confidentiality of patient, physician and health system information
Req Strong interpersonal, teamwork and customer service skills are necessary
Req Ability to maintain minimum standards of productivity and accuracy
Req Strong analytical skills
Req Understanding and/or experience computerized billing systems.
Req Current knowledge of medical terminology, anatomy, and physiology.
Req Basic coding knowledge
Preferred Qualifications:
Pref Related undergraduate study Related college or trade school coursework
Pref 1 year Experience with advanced education degree/certification
Pref Knowledge of legal and fiscal requirements in the healthcare industry.
Required Licenses/Certifications:
Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)
Pref Certified Coding Specialist - CCS (AHIMA) or CPC from AAPC or related HFMA, AHIMA certification
The hourly rate range for this position is $29.00 - $45.20. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.
USC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other characteristic protected by law or USC policy. USC observes affirmative action obligations consistent with state and federal law. USC will consider for employment all qualified applicants with criminal records in a manner consistent with applicable laws and regulations, including the Los Angeles County Fair Chance Ordinance for employers and the Fair Chance Initiative for Hiring Ordinance, and with due consideration for patient and student safety. Please refer to the Background Screening Policy Appendix D for specific employment screen implications for the position for which you are applying.
We provide reasonable accommodations to applicants and employees with disabilities. Applicants with questions about access or requiring a reasonable accommodation for any part of the application or hiring process should contact USC Human Resources by phone at **************, or by email at *************. Inquiries will be treated as confidential to the extent permitted by law.
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