Community Connector Health Advocate, Experienced - San Diego
Blue Shield of California 4.7
San Diego, CA jobs
Your Role The Community Programs team provides high-touch engagement with members and community-based organizations to remove barriers to healthcare access, enhance population health initiatives and advance health equity. The Community Connector Health Advocate will report to the Community Programs Manager, Operations. In this role you will serve as the Blue Shield of California Promise Health Plan's community expert. You will be responsible for creating meaningful relationships with community-based organizations, participating in community events and acting as the health plan liaison. In addition, you will assist members with complex health and/or social needs by assessing their immediate needs and addressing barriers to care to include, but not limited to, care coordination, linkages to health plan services and community resources.
This position requires frequent travel locally in San Diego County.
Responsibilities
Your Work
In this role, you will:
Assess psychosocial and social determinants of health needs for moderate-risk members and document assessment results or augment available information in appropriate systems
Consult with or refer members to licensed staff (social worker, nurse case manager etc.) as required based on member social, health risk and medical complexity
Establish relationships and partner with community resources, health plans and providers by participating in community engagement activities with local agencies e.g. faith-based organizations, community centers, government agencies, parks, recreation centers and schools
Assist members with problem-solving barriers to moderate health conditions by identifying, locating, connecting to and navigating needed community and medical system services, including visiting members at their homes, accompanying members to medical appointments and assisting members with completing forms to access needed services
Actively engage, build rapport and establish trusting relationships and facilitate collaborative communication with members and member family support systems
Identify and coordinate sponsorship and community investment opportunities
Identify and coordinate community event participation
Effectively manage workload to achieve productivity standards
Document and report on community outreach efforts
Qualifications
Your Knowledge and Experience
Requires a college degree in Social Work, Psychology, Biology, Public Health, Nursing, Community Health, or Health related field or equivalent experience
Requires at least 3 years of prior relevant experience working with people who need assistance with complex health and social issues
Requires knowledge of and experience working with community agencies and programs
Requires knowledge of Medi-Cal programs and services
Requires strong interpersonal skills
Bilingual speaking, reading and writing desired
#LI-AD3
About the Team
About Blue Shield of California
As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies.
At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.
To achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals.
Blue Shield is a U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community-minded companies in the United States by Points of Light. Here at Blue Shield, we strive to make a positive change across our industry and communities - join us!
Our Values:
Honest. We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short.
Human. We strive to listen and communicate effectively, showing empathy by understanding others' perspectives.
Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.
Our Workplace Model:
At Blue Shield of California and the Ascendiun Family of Companies, we believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility. As we continue to evolve our workplace model, our focus remains on creating spaces where our people can connect with purpose - whether working in the office or through a hybrid approach - by providing clear expectations while respecting the diverse needs of our workforce.
Two Ways of Working:
Hybrid (Default): Work from a business unit-approved office at least two (2) times per month (for roles below Director-level) or once per week (for Director-level roles and above).Exceptions:
o Member-facing and approved out-of-state roles remain remote.
o Employees living more than 50 miles from their assigned offices are expected to work with their managers on a plan for periodic office visits.
o For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being.
On-Site: Work from a business unit-approved office an average of four (4) or more days a week.
Physical Requirements:
Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.
Please click here for further physical requirement detail.
Equal Employment Opportunity:
External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.
$35k-41k yearly est. 2d ago
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Work From Home BCBA - Board Certified Behavior Analyst
BK Behavior 3.8
Clarksville, TN jobs
We're seeking Board Certified Behavior Analysts (BCBAs) who are ready to make a meaningful impact while being supported every step of the way. Please Note: We do not provide training for BCBA certification. Applicants must already hold active BCBA certification. Our training program is designed to support certified BCBAs in excelling within our company.
What We Offer
Competitive Pay: $55-$80/hr
Start Part-Time: Transition to full-time after 90 days
Work Options: In-person or hybrid roles
Structured 6-Month Training & Onboarding: Paid training program (13 hours across 6 months) to help you grow, connect, and thrive as part of our team
Free Licensure in All States We Operate In: We'll cover the cost of your LBA so you can work across multiple states under our company
Same Day Pay for flexibility
Full-Time Benefits (after 90 days): Health, dental, vision, life insurance, 401K with match, PTO, holiday pay
Growth Opportunities: Free CEUs, mentorship, leadership paths
No Non-Compete / No Set Caseloads
What You'll Do
Conduct assessments & create behavior plans
Supervise ABA programs and staff
Support and train caregivers & RBTs
Collaborate with a team of experienced BCBAs
Requirements
Active BCBA certification (required)
Experience supervising RBTs/technicians
Strong clinical and decision-making skills
Growth mindset & cultural responsiveness
Apply today and join a supportive team that values your expertise, flexibility, and professional growth.
$55-80 hourly 2d ago
Work From Home BCBA - Board Certified Behavior Analyst
BK Behavior 3.8
San Antonio, TX jobs
We're seeking Board Certified Behavior Analysts (BCBAs) who are ready to make a meaningful impact while being supported every step of the way. Please Note: We do not provide training for BCBA certification. Applicants must already hold active BCBA certification. Our training program is designed to support certified BCBAs in excelling within our company.
What We Offer
Competitive Pay: $55-$80/hr
Start Part-Time: Transition to full-time after 90 days
Work Options: In-person or hybrid roles
Structured 6-Month Training & Onboarding: Paid training program (13 hours across 6 months) to help you grow, connect, and thrive as part of our team
Free Licensure in All States We Operate In: We'll cover the cost of your LBA so you can work across multiple states under our company
Same Day Pay for flexibility
Full-Time Benefits (after 90 days): Health, dental, vision, life insurance, 401K with match, PTO, holiday pay
Growth Opportunities: Free CEUs, mentorship, leadership paths
No Non-Compete / No Set Caseloads
What You'll Do
Conduct assessments & create behavior plans
Supervise ABA programs and staff
Support and train caregivers & RBTs
Collaborate with a team of experienced BCBAs
Requirements
Active BCBA certification (required)
Experience supervising RBTs/technicians
Strong clinical and decision-making skills
Growth mindset & cultural responsiveness
Apply today and join a supportive team that values your expertise, flexibility, and professional growth.
$55-80 hourly 2d ago
Work From Home BCBA - Board Certified Behavior Analyst
BK Behavior 3.8
Reading, PA jobs
We're seeking Board Certified Behavior Analysts (BCBAs) who are ready to make a meaningful impact while being supported every step of the way. Please Note: We do not provide training for BCBA certification. Applicants must already hold active BCBA certification. Our training program is designed to support certified BCBAs in excelling within our company.
What We Offer
Competitive Pay: $55-$80/hr
Start Part-Time: Transition to full-time after 90 days
Work Options: In-person or hybrid roles
Structured 6-Month Training & Onboarding: Paid training program (13 hours across 6 months) to help you grow, connect, and thrive as part of our team
Free Licensure in All States We Operate In: We'll cover the cost of your LBA so you can work across multiple states under our company
Same Day Pay for flexibility
Full-Time Benefits (after 90 days): Health, dental, vision, life insurance, 401K with match, PTO, holiday pay
Growth Opportunities: Free CEUs, mentorship, leadership paths
No Non-Compete / No Set Caseloads
What You'll Do
Conduct assessments & create behavior plans
Supervise ABA programs and staff
Support and train caregivers & RBTs
Collaborate with a team of experienced BCBAs
Requirements
Active BCBA certification (required)
Experience supervising RBTs/technicians
Strong clinical and decision-making skills
Growth mindset & cultural responsiveness
Apply today and join a supportive team that values your expertise, flexibility, and professional growth.
$55-80 hourly 2d ago
Financial Services / Remote Work
American Income Life Insurance Company 4.2
Oakland, CA jobs
The Year for Growth, Opportunity and Flexibility Are you ready for a career change in 2021? At American Income Life, we are searching for ambitious individuals who are ready to build a successful career while also having a positive impact on the communities around them. American Income Life currently provide supplemental insurance coverage to labor unions, credit unions and associations in 49 states, the District of Columbia, Canada and New Zealand.
Why We Stand Out
American Income Life provides supplemental insurance coverage to labor unions, credit unions and associations in 49 states, the District of Columbia, Canada and New Zealand.
Requirements:
Excellent communication skills
Basic computer knowledge
Work ethics
Outgoing, fun & energetic with an upbeat personality
Time management skills
Pass a criminal background check
Job Benefits:
Full Benefits
Paid weekly ($70,000 - $75,000 1st year average)
Bonuses
Health Insurance Reimbursement
Life Insurance
Flexible Schedule
Retirement Plan
American Income Life has served working class families since 1951 with life, accident, and supplemental health products to help protect members of labor unions, credit unions, associations, and their families. AIL representatives develop long-term relationships with clients and meet them where they are most comfortable: their homes
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$36k-47k yearly est. 2d ago
Customer Service Phone Advocate
Bluecross Blueshield of South Carolina 4.6
Florence, SC jobs
Location: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. This role is located on-site 300 Dozier Blvd, Florence, SC 29501 What You'll Do:
Ensure effective customer relations by responding accurately, timely and courteously to telephone inquiries. Accurately documents inquiries.
Initiate minor /clerical adjustments based on provider request or processes adjustments or perform other research as needed to resolve inquiries. Coordinate with other departments to resolve problems. Respond to, research and/or assists with priority inquiries and special projects as required by management.
Provide feedback to management regarding customer problems, questions and needs. Maintain accurate records on complaints and/or other customer comments, and make recommendations for changes to management. Follow through on complaints until resolved or report to management as needed.
Maintain basic knowledge of quality work instructions and company policies. Assist with process improvements through the recommendation of changes in procedures and techniques discovered during daily operations. Maintain all departmental productivity, quality, and timeliness standard.
Identify and promptly report and/or refer suspected fraudulent activities and system errors to the appropriate departments.
To Qualify For This Position, You'll Need The Following:
Required Education: High School Diploma or equivalent
Required Software and tools: Basic computer operating skills.
Required Skills and Abilities: Excellent verbal communication skills. Strong human relations and organizational skills. Ability to handle high stress situations. Good judgment skills. Strong customer service skills. Ability to learn and operate multiple computer systems effectively and efficiently.
We Prefer That You Have The Following:
Preferred Education: Associate Degree
Preferred Work Experience: 2 years-customer service or call center experience
Preferred Software and Other Tools: Knowledge of word processing, spreadsheet, and database software.
Our Comprehensive Benefits Package Includes The Following:
We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment.
Subsidized health plans, dental and vision coverage
401k retirement savings plan with company match
Life Insurance
Paid Time Off (PTO)
On-site cafeterias and fitness centers in major locations
Education Assistance
Service Recognition
National discounts to movies, theaters, zoos, theme parks and more
What We Can Do for You:
We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.
What To Expect Next:
After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.
Equal Employment Opportunity Statement
BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.
We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.
If you need special assistance or an accommodation while seeking employment, please email ************************ or call ************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.
We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information.
Some states have required notifications. Here's more information.
$29k-33k yearly est. 4d ago
Mental Health Worker (Call in, All Shifts)
Allied Services Integrated Health System 3.3
Towanda, PA jobs
Reporting directly to the Program Supervisor, the Mental Health Worker is responsible for carrying out the assigned programming to the residents. Assigned duties are implemented in a manner appropriate to the age-specific needs of the residents served.
Type of supervision exercised: None. Jobs reporting to this position: None.
EDUCATION:
High school diploma or equivalent required.
College courses in the Humanities or Social Sciences preferred.
WORK EXPERIENCE:
Two (2) years experience in working with mentally handicapped individuals preferred.
CHARACTERISTIC DUTIES & RESPONSIBILITIES OF JOB:
15% Maintains apartment life in a harmonious and as close to "normal" environment as possible, free of tension and stress so that all residents can live together comfortably
15% Teaches residents appropriate Activity of Daily Living Skills.
15% Implements specified individual service plans as developed by the residential rehabilitation team.
10% Provides individual support and direction for residents as needed.
10% Assists residents in community orientation and integration.
10% As necessary changes linen and makes beds; cares for resident's clothing and property; assists with oral hygiene, weighs residents, showers/bathes residents, and assists with dressing and grooming activities.
7% Provides physical assistance to residents as needed with Activities of Daily Living Skill development.
5% Keeps accurate records for each resident.
3% Monitors all medications as prescribed by physicians for residents
2% Assists supervisory staff in program implementation as assigned.
1% Attends monthly staff meetings
2% As assigned by supervisors, attends weekly staff meetings and contributes to overall program development through submission of constructive suggestions and participation in staff meetings.
2% Participates in ongoing in-service training programs.
2% Assists in the general maintenance of all program property including vehicles. Assists in routine household/residence maintenance duties.
1% As assigned, assists in the orientation of new personnel by instruction, example and guidance.
SPECIAL EMPLOYMENT REQUIREMENTS:
Must be cleared by PA State Police criminal history check.
CPR certification and First Aid certification must be obtained and maintained.
Good written and verbal communication skills and interpersonal skills required for effective communication with staff, management, residents and external agency personnel.
Valid PA driver's license required for driving of program vans.
Must successfully complete Allied's Driver Testing Program
Must be able to work flexible scheduled work time to accommodate the needs of the residents of the program.
Must be willing to rotate throughout CRRP work sites.
Must possess the ability to make mature and good judgments in matters related to resident safety.
Must adheres to established company and program policies and procedure related to safety and infection control.
WORKING CONDITIONS:
Works in residential setting for mentally ill adults.
Works indoors and outdoors in all weather conditions and seasons.
$26k-39k yearly est. 2d ago
Mental Health Worker (Part time, 2nd Shift)
Allied Services Integrated Health System 3.3
Towanda, PA jobs
Reporting directly to the Program Supervisor, the Mental Health Worker is responsible for carrying out the assigned programming to the residents. Assigned duties are implemented in a manner appropriate to the age-specific needs of the residents served.
Type of supervision exercised: None. Jobs reporting to this position: None.
EDUCATION:
High school diploma or equivalent required.
College courses in the Humanities or Social Sciences preferred.
WORK EXPERIENCE:
Two (2) years experience in working with mentally handicapped individuals preferred.
SPECIAL EMPLOYMENT REQUIREMENTS:
Must be cleared by PA State Police criminal history check.
CPR certification and First Aid certification must be obtained and maintained.
Good written and verbal communication skills and interpersonal skills required for effective communication with staff, management, residents and external agency personnel.
Valid PA driver's license required for driving of program vans.
Must successfully complete Allied's Driver Testing Program
Must be able to work flexible scheduled work time to accommodate the needs of the residents of the program.
Must be willing to rotate throughout CRRP work sites.
Must possess the ability to make mature and good judgments in matters related to resident safety.
Must adheres to established company and program policies and procedure related to safety and infection control.
PHYSICAL DEMANDS:
Moderate Work: duties require exerting up to 25 lbs. of force occasionally (approx 10-33% of shift), and/or up to 10lbs. of force frequently (approx 33-66% of the time), and/or a negligible amount of force constantly to lift, carry, push, pull, and move objects (i.e., occasional patient transfers).
Position involves bending, reaching, and stooping (occasionally in strained position) throughout shift.
Position required occasional crisis intervention for protection of self and others.
Must be able to transport self throughout facility.
Must be able to travel as required.
ACCIDENT OR HEALTH HAZARDS:
Occupational exposure to blood or other potentially infectious materials.
Frequent work in and around bathroom/shower areas where floors can be wet.
WORKING CONDITIONS:
Works in residential setting for mentally ill adults.
Works indoors and outdoors in all weather conditions and seasons.
$26k-39k yearly est. 2d ago
Registered Behavioral Intervention Specialist
BK Behavior 3.8
Great Bend, KS jobs
Are you a seasoned Registered Behavior Technician (RBT) seeking the ideal organization to join? We're actively seeking enthusiastic and devoted RBTs to become valued members of our team, contributing your expertise to support our clients in achieving their unique goals. As an accomplished professional in the Applied Behavior Analysis (ABA) field, your skills and dedication align with our dedication to providing excellence to our clients.
Perks:
Same Day Pay! No more waiting for payday - now you can access a portion of your paycheck right after you clock in and out. Whether it's an emergency or you just need funds sooner, you'll have the flexibility to get paid immediately.
Your time. Your money. On your schedule.
Elevate your career with job stability and opportunities for professional advancement in the thriving ABA industry.
Enjoy the flexibility and autonomy you deserve, catering to your schedule and professional preferences.
Receive competitive compensation that reflects your experience.
Ideal for those seeking part-time positions.
Access career advancement assistance through partnerships with BCBA schooling programs.
Benefit from a robust clinical team dedicated to providing the support you deserve.
Fellowship and internship opportunities to accumulate both restricted and unrestricted hours.
Enjoy the freedom to choose your own cases, without a minimum case requirement.
Earn referral bonuses by spreading the word about our opportunities.
Responsibilities:
Provide one-on-one ABA services to clients, using evidence-based interventions supporting independence and positive behavior.
Serve as an integral member of our clinical team, responsible for the direct implementation of skill-building and care plans.
Record session data accurately using electronic devices.
Foster a positive learning environment for clients and connect with families.
Qualifications:
High school diploma or equivalent.
Willingness to learn and passionate about making a difference for children with Autism.
Patience, compassion, and the ability to maintain a calm demeanor in challenging situations.
RBT certification is required before working
Need to Know:
Services will be provided in clients' homes or in community-based locations.
All positions start off part-time.
Looking to hire candidates who are willing to make a 6-month commitment to change our clients lives.
Great Fit If You Have Experience In:
Education or early childhood development
Childcare, babysitting, or youth mentorship
Teaching assistant, paraprofessional, or instructional aide roles
After-school programs or camp counseling
Behavioral health, mental health, or social services
ABA therapy or working with individuals with Autism
Healthcare support (DSP, CNA, HHA, PCA, caregiver)
Supporting a neurodiverse family member or loved one
No experience? No problem - paid training is provided!
If you're compassionate, patient, and passionate about making a difference, we encourage you to apply.
Join our team, contribute your skills to our mission, and continue your journey of making a meaningful difference in the lives of children with Autism. Apply today and be a part of our dynamic and fulfilling community!
$42k-60k yearly est. 2d ago
Service Coordinator-CHC
Amerihealth Caritas Health Plan 4.8
Pittsburgh, PA jobs
AmeriHealth Caritas is seeking service-oriented, compassionate healthcare professionals to join our Long Term Services and Support (LTSS) team. Ideal candidates will have experience assessing those needing personal care services for instrumental daily living activities. As a Service Coordinator, you will assist participants who qualify for Medicaid in obtaining the long-term services and support they need as required by the Community Health Choices (CHC) agreement. You will contribute to the care coordination process by performing face-to-face assessments to identify, evaluate, coordinate, and manage participant's needs, including physical health, behavioral health, social services, and long-term services and support, as well as telephonic follow-up.
Work Arrangement
* This role is remote and will be community-facing
* Qualified candidates must live in and be able to travel throughout Lawrence county in PA and surrounding areas.
Responsibilities
Identify, coordinate, and assist participants in accessing needed LTSS services and other Covered Services, as well as non-covered medical, social, housing, educational, and other services and supports
Lead the participant-centered planning and service (PCPS) delivery process and oversee its implementation
Inform participants about available required needs assessments, the PCSP process, service alternatives, and service delivery options
Informs participants of their rights and assists with the complaint, grievance, and DHS Fair Hearing process
Collect additional necessary information, including participant preferences, strengths, and goals, to inform the development of the PCSP
Conducts reevaluation of level of care annually or more frequently as needed following CHC requirements
Works with the participant to complete activities necessary to maintain eligibility
Education and Experience
Bachelor's Degree in social work, psychology, or related field is preferred
3+ years of social service (in lieu of a Bachelor's degree) or related healthcare experience that required the following:
working with people who need personal care services
conducting face to face visits in the home or nursing facility focused on needs assessments and monitoring delivery of services
knowledge of the home and community-based service system and how to access/arrange for services
maintaining contact and relationships with healthcare professionals on a regular cadence, providing consistent and timely feedback to members' needs and requests
* 2 to 3 years of Case management experience
Licensure
* Valid and current driver's license with reliable transportation with state-mandated minimum insurance
Skills & Abilities
Must be computer proficient and have a working knowledge of MS Office specifically Excel
High speed internet
Dedicated home workspace free from distractions and conducive to HIPAA and Government compliance regulation
AmeriHealth Caritas is a mission-driven organization with more than 40 years of experience delivering comprehensive, outcomes-driven care to those who need it most. We are passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs.
We'd like to hear from you if you want to make a difference in people's lives.
Our Comprehensive Benefits Package
Flexible work solutions, including remote options and hybrid work schedules, Competitive pay, Paid time off, including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement, and more.
$37k-48k yearly est. 2d ago
Service Coordinator-CHC
Amerihealth Caritas 4.8
Pittsburgh, PA jobs
AmeriHealth Caritas is seeking service-oriented, compassionate healthcare professionals to join our Long Term Services and Support (LTSS) team.Ideal candidates will have experience assessing those needingpersonal care services for instrumental daily living activities. As a Service Coordinator, you will assist participants who qualify for Medicaid in obtaining the long-term services and support they need as required by the Community Health Choices (CHC) agreement. You will contribute to the care coordination process by performing face-to-face assessments to identify, evaluate, coordinate, and manage participant's needs, including physical health, behavioral health, social services, and long-term services and support, as well as telephonic follow-up.
**Work Arrangement**
+ This role is remote and will be community-facing
+ Qualified candidates must live in and be able to travel throughout Lawrence county in PA and surrounding areas.
**Responsibilities**
+ Identify, coordinate, and assist participants in accessing needed LTSS services and other Covered Services, as well as non-covered medical, social, housing, educational, and other services and supports
+ Lead the participant-centered planning and service (PCPS) delivery process and oversee its implementation
+ Inform participants about available required needs assessments, the PCSP process, service alternatives, and service delivery options
+ Informs participants of their rights and assists with the complaint, grievance, and DHS Fair Hearing process
+ Collect additional necessary information, including participant preferences, strengths, and goals, to inform the development of the PCSP
+ Conducts reevaluation of level of care annually or more frequently as needed following CHC requirements
+ Works with the participant to complete activities necessary to maintain eligibility
**Education and Experience**
+ Bachelor's Degree in social work, psychology, or related field is preferred
+ 3+ years of social service (in lieu of a Bachelor's degree) or related healthcare experience that required the following:
+ working with people who need personal care services
+ conducting face to face visits in the home or nursing facility focused on needs assessments and monitoring delivery of services
+ knowledge of the home and community-based service system and how to access/arrange for services
+ maintaining contact and relationships with healthcare professionals on a regular cadence, providing consistent and timely feedback to members' needs and requests
+ 2 to 3 years of Case management experience
**Licensure**
+ Valid and current driver's license with reliable transportation with state-mandated minimum insurance
**Skills & Abilities**
+ Must be computer proficient and have a working knowledge of MS Office specifically Excel
+ High speed internet
+ Dedicated home workspace free from distractions and conducive to HIPAA and Government compliance regulation
AmeriHealth Caritas is a mission-driven organization with more than 40 years of experience delivering comprehensive, outcomes-driven care to those who need it most. We are passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs.
We'd like to hear from you if you want to make a difference in people's lives.
**Our Comprehensive Benefits Package**
Flexible work solutions, including remote options and hybrid work schedules, Competitive pay, Paid time off, including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement, and more.
As a company, we support internal diversity through:
Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.
$37k-48k yearly est. 2d ago
Service Coordinator
Amerihealth Caritas 4.8
Philadelphia, PA jobs
As a Service Coordinator, you will assist participants who qualify for Medicaid in obtaining the long-term services and support they need as required by the Community Health Choices (CHC) agreement. ;You will contribute to the care coordination process by performing face-to-face assessments to identify, evaluate, coordinate, and manage participant's needs, including physical health, behavioral health, social services, and long-term services and support, as well as telephonic follow-up.
**Work Arrangement**
+ Remote
+ Must be able to travel up to 90 minutes from your home to Chester, Bucks, Montgomery, Delaware, and Philadelphia Pennsylvania counties
**Responsibilities;**
+ Identify, coordinate, and assist participants in accessing needed LTSS services and other Covered Services, as well as non-covered medical, social, housing, educational, and other services and supports
+ Lead the participant-centered planning and service (PCPS) delivery process and oversee its implementation
+ Inform participants about available required needs assessments, the PCSP process, service alternatives, and service delivery options
+ Informs participants of their rights and assists with the complaint, grievance, and DHS Fair Hearing process
+ Collect additional necessary information, including participant preferences, strengths, and goals, to inform the development of the PCSP
+ Conducts reevaluation of level of care annually or more frequently as needed following CHC requirements
+ Works with the participant to complete activities necessary to maintain eligibility
**Education and Experience**
+ Bachelor's Degree in social work, psychology, or related field is preferred
+ 3+ years of social service (in lieu of a Bachelor's degree) or related healthcare experience that required the following:
+ working with people who need personal care services,
+ conducting face to face visits in the home or nursing facility focused on needs assessments and monitoring delivery of services
+ knowledge of the home and community-based service system and how to access/arrange for services
+ maintaining contact and relationships with healthcare professionals on a regular cadence, providing consistent and timely feedback to members' needs and requests.
+ 2 to 3 years of Case management experience
**Licensure**
+ Valid and current driver's license
**Skills & Abilities**
+ Must be computer proficient and have a working knowledge of MS Office specifically Excel
+ High speed internet
+ Dedicated home workspace free from distractions and conducive to HIPAA and Government compliance regulations
;
AmeriHealth Caritas is seeking service-oriented, compassionate healthcare professionals to join our Long Term Services and Support (LTSS) team.;Ideal candidates will have experience assessing those needing;personal care services for instrumental daily living activities
AmeriHealth Caritas is a mission-driven organization with more than 40 years of experience delivering comprehensive, outcomes-driven care to those who need it most. We are passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs.;
We'd like to hear from you if you want to make a difference in people's lives.
**Our Comprehensive Benefits Package**
Flexible work solutions, including remote options and hybrid work schedules, Competitive pay, Paid time off, including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement, and more.
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As a company, we support internal diversity through:
Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.
$38k-51k yearly est. 2d ago
Service Coordinator
Amerihealth Caritas Health Plan 4.8
Philadelphia, PA jobs
As a Service Coordinator, you will assist participants who qualify for Medicaid in obtaining the long-term services and support they need as required by the Community Health Choices (CHC) agreement. You will contribute to the care coordination process by performing face-to-face assessments to identify, evaluate, coordinate, and manage participant's needs, including physical health, behavioral health, social services, and long-term services and support, as well as telephonic follow-up.
Work Arrangement
* Remote
* Must be able to travel up to 90 minutes from your home to Chester, Bucks, Montgomery, Delaware, and Philadelphia Pennsylvania counties
Responsibilities
Identify, coordinate, and assist participants in accessing needed LTSS services and other Covered Services, as well as non-covered medical, social, housing, educational, and other services and supports
Lead the participant-centered planning and service (PCPS) delivery process and oversee its implementation
Inform participants about available required needs assessments, the PCSP process, service alternatives, and service delivery options
Informs participants of their rights and assists with the complaint, grievance, and DHS Fair Hearing process
Collect additional necessary information, including participant preferences, strengths, and goals, to inform the development of the PCSP
Conducts reevaluation of level of care annually or more frequently as needed following CHC requirements
Works with the participant to complete activities necessary to maintain eligibility
Education and Experience
Bachelor's Degree in social work, psychology, or related field is preferred
3+ years of social service (in lieu of a Bachelor's degree) or related healthcare experience that required the following:
working with people who need personal care services,
conducting face to face visits in the home or nursing facility focused on needs assessments and monitoring delivery of services
knowledge of the home and community-based service system and how to access/arrange for services
maintaining contact and relationships with healthcare professionals on a regular cadence, providing consistent and timely feedback to members' needs and requests.
* 2 to 3 years of Case management experience
Licensure
* Valid and current driver's license
Skills & Abilities
Must be computer proficient and have a working knowledge of MS Office specifically Excel
High speed internet
Dedicated home workspace free from distractions and conducive to HIPAA and Government compliance regulations
AmeriHealth Caritas is seeking service-oriented, compassionate healthcare professionals to join our Long Term Services and Support (LTSS) team. Ideal candidates will have experience assessing those needing personal care services for instrumental daily living activities
AmeriHealth Caritas is a mission-driven organization with more than 40 years of experience delivering comprehensive, outcomes-driven care to those who need it most. We are passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs.
We'd like to hear from you if you want to make a difference in people's lives.
Our Comprehensive Benefits Package
Flexible work solutions, including remote options and hybrid work schedules, Competitive pay, Paid time off, including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement, and more.
$38k-51k yearly est. 2d ago
Supervisor Service Coordinator
Amerihealth Caritas Health Plan 4.8
Philadelphia, PA jobs
Your career starts now. We are looking for the next generation of healthcare leaders.
At AmeriHealth Caritas, we are passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in healthcare solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together, we can build healthier communities. We want to connect with you if you're going to make a difference.
Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with over 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.
Discover more about us at ***************************
Responsibilities:
The Service Coordination Supervisor is responsible for overseeing the operational functions of the LTSS Service Coordination team using the AmeriHealth Caritas Pennsylvania Community Health Choices model of care.
Oversees the day to day operations of the LTSS department, including the development of Person-Centered Service Plans, authorization and approval of services and the coordination of benefits for all LTSS Participants.
Serves as a subject matter expert for LTSS training for internal care teams and external audiences.
Supports coordination of LTSS with other clinical and social services across the continuum of care, striving to enhance the quality of Participant care and services.
Maintains operational processes, policies, and procedures to support LTSS care delivery
Ensure quality and performance metrics are consistently met regarding LTSS, as specified in the agreement.
Education/Experience:
Bachelor's degree required.
Pennsylvania licensed RN, LSW, or LPC required.
1 to 3 years of leadership and/or supervisory experience.
3 years working in social service or healthcare-related field.
Experience working with people with disabilities or seniors in need of LTSS.
Knowledge of the home and community-based service system and how to access and arrange for services.
Experience conducting LTSS needs assessments and monitoring LTSS delivery.
Ability to provide informed advocacy.
Ability to interact with health care professionals professionally.
Our Comprehensive Benefits Package
Flexible work solutions include remote options, hybrid work schedules, competitive pay, paid time off, holidays and volunteer events, health insurance coverage for you and your dependents on Day 1, 401(k) tuition reimbursement, and more.
$38k-51k yearly est. 2d ago
Privacy Specialist, Youth Privacy
BBB National Programs 4.7
McLean, VA jobs
BBB National Programs
BBB National Programs is where businesses turn to enhance consumer trust and consumers are heard.
Privacy Specialist, Youth Privacy
WHO WE ARE
We are a non-profit organization dedicated to fostering a more accountable and trustworthy marketplace. As the foremost thought leader on industry self-regulation, we are shaping the way that businesses and consumers interact with one another. As the home of U.S. independent industry self-regulation, we are currently operating more than a dozen globally recognized programs that have been helping enhance consumer trust in business for more than 50 years. Our programs provide third-party accountability and dispute resolution services that address existing and emerging industry issues, create a fairer playing field for businesses, and a better experience for consumers. We continue to evolve our work and grow our impact by providing business guidance and fostering best practices in arenas such as advertising, child-and-teen-directed marketing, data privacy, dispute resolution, automobile warranty, technology, and emerging areas.
ABOUT THE SAFE HARBOR PROGRAM
Since its inception 50 years ago, the Children's Advertising Review Unit (CARU), a division of BBB National Programs, helps companies comply with laws and guidelines that protect children from deceptive or inappropriate marketing. BBB National Programs operates the nation's first FTC-approved Safe Harbor Program under the Children's Online Privacy Protection Act (COPPA), and monitors child-targeted media to ensure that advertisements are truthful, accurate, appropriate, and in compliance with applicable guidelines, including COPPA.
YOUR IMPACT
As the Privacy Specialist, Youth Privacy, you will advise our COPPA Safe Harbor program participants to ensure compliance with COPPA, CARU's Privacy Online Guidelines and other applicable laws and best practices. Your deep knowledge of the legal landscape coupled with your expertise in digital forensics, data collection analysis, and/or artificial intelligence will help the organization further develop its compliance efforts in the children and teen spaces. You will work with Safe Harbor and CARU team members to ensure the program is meeting its obligations and commitments to the Federal Trade Commission as well as deliver thought leadership to participants via blogs and webinars. In addition, you will contribute to the thought leadership and development of the TeenAge Privacy Program (TAPP).
ESSENTIAL DUTIES AND RESPONSIBILITIES
Provide guidance and support on child-related technology and privacy issues to stakeholders.
Assess Safe Harbor participant online services for compliance with COPPA and other applicable laws and best practices.
Research, develop, and maintain appropriate tools and documentation to assess privacy and security features of Safe Harbor online services including websites, mobile apps, and video games.
Create project plans and manage projects according to internal project management standards.
Maintain ongoing communication with COPPA safe harbor participants through written compliance alerts, tips and webinars.
Constantly monitor and stay abreast of new US federal and state laws and regulations affecting children data privacy and online safety.
WHAT YOU WILL BRING
Must have
:
Bachelor's degree with 2+ years of experience
Working knowledge of relevant privacy laws and regulations including COPPA, General Data Protection Regulation (GDPR), Age-Appropriate Design Codes, and California Consumer Privacy Act (CCPA)
Strong analytical and problem-solving skills
Ability to thrive in a dynamic environment
Excellent time management skills and ability to multi-task and prioritize work
Strong Office 365 and other similar skills
Let us know if you have:
JD or bar admission in any US jurisdiction
Prior experience working in data privacy, AI, or data security
CIPP (or equivalent) certification
Major law firm, in-house or government experience
Technical expertise in network technology, software development, and/or gaming
WHAT WE OFFER:
At BBB National Programs, we bring a growth mindset as we advance our mission and strive to foster trust, innovation, and competition in the marketplace, while cultivating a team of talented and engaged professionals who seek out new challenges and opportunities to catalyze our progress. We are an inclusive organization, bringing a dynamic environment that supports our employees and the meaningful work we do.
Health & Welfare Benefits
: You will be offered a comprehensive plan offering health, dental and vision plans, paid short-term disability insurance, and life insurance.
Financial Well-Being
: Build your retirement savings with our 401k plan matching up to 7% of your contributions.
Time Off
: You will have flexibility for the time you need off from work. We offer a variety of plans including vacation, personal, and wellness leave.
Wellness
: We promote physical and mental wellness by providing a fully equipped on-site fitness center in our offices and an employee assistance program.
Environment
: Our modern headquarters in McLean, VA provides the space for creativity and collaboration, and the technology resources so you can be at your best. We believe that an inclusive workforce is a strength in fulfilling our mission.
BBB National Programs is Great Place to Work Certified and has been named as a Best Place to Work for Working Daughters.
BBB National Programs is proud to be an equal employment opportunity employer.
$29k-40k yearly est. 4d ago
Mental Health Worker (PT, 3rd shift)
Allied Services Integrated Health System 3.3
Scranton, PA jobs
Reporting directly to the Mental Health Services Supervisor, the Mental Health Worker is responsible for carrying out the assigned programming to the residents. Assigned duties are implemented in a manner appropriate to the age-specific needs of the residents served.
Type of supervision exercised: None. Jobs reporting to this position: None.
EDUCATION:
High school diploma or equivalent required.
College courses in the Humanities or Social Sciences preferred.
WORK EXPERIENCE:
Two (2) years experience in working with mentally handicapped individuals preferred.
CHARACTERISTIC DUTIES & RESPONSIBILITIES OF JOB:
Maintains apartment life in a harmonious and as close to "normal" environment as possible, free of tension and stress so that all residents can live together comfortably.
Teaches residents appropriate Activity of Daily Living Skills.
Implements specified individual service plans as developed by the residential rehabilitation team.
Provides individual support and direction for residents as needed.
Assists residents in community orientation and integration.
As necessary changes linen and makes beds; cares for resident's clothing and property; assists with oral hygiene, weighs residents, showers/bathes residents, and assists with dressing and grooming activities.
Provides physical assistance to residents as needed with Activities of Daily Living Skill development.
Keeps accurate records for each resident.
Monitors all medications as prescribed by physicians for residents.
Assists supervisory staff in program implementation as assigned.
Attends monthly staff meetings.
As assigned by supervisors, attends weekly staff meetings and contributes to overall program development through submission of constructive suggestions and participation in staff meetings.
Participates in ongoing in-service training programs.
Assists in the general maintenance of all program property including vehicles. Assists in routine household/residence maintenance duties.
As assigned, assists in the orientation of new personnel by instruction, example and guidance.
SPECIAL EMPLOYMENT REQUIREMENTS:
Must be cleared by PA State Police criminal history check.
CPR certification and First Aid certification must be obtained and maintained.
Good written and verbal communication skills and interpersonal skills required for effective communication with staff, management, residents and external agency personnel.
Valid PA driver's license required for driving of program vans.
Must successfully complete Allied's Driver Testing Program, as stated by policy #2.43.
Must be able to work flexible scheduled work time to accommodate the needs of the residents of the program.
Must be willing to rotate throughout CRRP work sites.
Must possess the ability to make mature and good judgments in matters related to resident safety.
Must adheres to established company and program policies and procedure related to safety and infection control.
WORKING CONDITIONS:
Works in residential setting for mentally ill adults.
Works indoors and outdoors in all weather conditions and seasons.
$26k-39k yearly est. 2d ago
Mental Health Worker (Call In, All Shifts)
Allied Services Integrated Health System 3.3
Wilkes-Barre, PA jobs
Reporting directly to the Mental Health Services Supervisor, the Mental Health Worker is responsible for carrying out the assigned programming to the residents. Assigned duties are implemented in a manner appropriate to the age-specific needs of the residents served.
Type of supervision exercised: None. Jobs reporting to this position: None.
EDUCATION:
High school diploma or equivalent required.
College courses in the Humanities or Social Sciences preferred.
WORK EXPERIENCE:
Two (2) years experience in working with mentally handicapped individuals preferred.
SPECIAL EMPLOYMENT REQUIREMENTS:
Must be cleared by PA State Police criminal history check.
CPR certification and First Aid certification must be obtained and maintained.
Good written and verbal communication skills and interpersonal skills required for effective communication with staff, management, residents and external agency personnel.
Valid PA driver's license required for driving of program vans.
Must successfully complete Allied's Driver Testing Program, as stated by policy #2.43.
Must be able to work flexible scheduled work time to accommodate the needs of the residents of the program.
Must be willing to rotate throughout CRRP work sites.
Must possess the ability to make mature and good judgments in matters related to resident safety.
Must adheres to established company and program policies and procedure related to safety and infection control.
PHYSICAL DEMANDS:
Moderate Work: duties require exerting up to 25 lbs. of force occasionally (approx 10-33% of shift), and/or up to 10lbs. of force frequently (approx 33-66% of the time), and/or a negligible amount of force constantly to lift, carry, push, pull, and move objects (i.e., occasional patient transfers).
Position involves bending, reaching, and stooping (occasionally in strained position) throughout shift.
Position required occasional crisis intervention for protection of self and others.
Must be able to transport self throughout facility.
Must be able to travel as required.
ACCIDENT OR HEALTH HAZARDS:
Occupational exposure to blood or other potentially infectious materials.
Frequent work in and around bathroom/shower areas where floors can be wet.
WORKING CONDITIONS:
Works in residential setting for mentally ill adults.
Works indoors and outdoors in all weather conditions and seasons.
$26k-39k yearly est. 2d ago
Mental Health Worker (PT, 1st shift)
Allied Services Integrated Health System 3.3
Wilkes-Barre, PA jobs
Reporting directly to the Mental Health Services Supervisor, the Mental Health Worker is responsible for carrying out the assigned programming to the residents. Assigned duties are implemented in a manner appropriate to the age-specific needs of the residents served.
Type of supervision exercised: None. Jobs reporting to this position: None.
EDUCATION:
High school diploma or equivalent required.
College courses in the Humanities or Social Sciences preferred.
WORK EXPERIENCE:
Two (2) years experience in working with mentally handicapped individuals preferred.
CHARACTERISTIC DUTIES & RESPONSIBILITIES OF JOB:
15% Maintains apartment life in a harmonious and as close to "normal" environment as possible, free of tension and stress so that all residents can live together comfortably.
15% Teaches residents appropriate Activity of Daily Living Skills.
15% Implements specified individual service plans as developed by the residential rehabilitation team.
10% Provides individual support and direction for residents as needed.
10% Assists residents in community orientation and integration.
10% As necessary changes linen and makes beds; cares for resident's clothing and property; assists with oral hygiene, weighs residents, showers/bathes residents, and assists with dressing and grooming activities.
7% Provides physical assistance to residents as needed with Activities of Daily Living Skill development.
5% Keeps accurate records for each resident.
3% Monitors all medications as prescribed by physicians for residents.
2% Assists supervisory staff in program implementation as assigned.
1% Attends monthly staff meetings.
2% As assigned by supervisors, attends weekly staff meetings and contributes to overall program development through submission of constructive suggestions and participation in staff meetings.
2% Participates in ongoing in-service training programs.
2% Assists in the general maintenance of all program property including vehicles. Assists in routine household/residence maintenance duties.
1% As assigned, assists in the orientation of new personnel by instruction, example and guidance.
SPECIAL EMPLOYMENT REQUIREMENTS:
Must be cleared by PA State Police criminal history check.
CPR certification and First Aid certification must be obtained and maintained.
Good written and verbal communication skills and interpersonal skills required for effective communication with staff, management, residents and external agency personnel.
Valid PA driver's license required for driving of program vans.
Must successfully complete Allied's Driver Testing Program, as stated by policy #2.43.
Must be able to work flexible scheduled work time to accommodate the needs of the residents of the program.
Must be willing to rotate throughout CRRP work sites.
Must possess the ability to make mature and good judgments in matters related to resident safety.
Must adheres to established company and program policies and procedure related to safety and infection control.
WORKING CONDITIONS:
Works in residential setting for mentally ill adults.
Works indoors and outdoors in all weather conditions and seasons.
$26k-39k yearly est. 2d ago
Mental Health Worker (PT, 2nd shift)
Allied Services Integrated Health System 3.3
Pottsville, PA jobs
Reporting directly to the Program Supervisor, Mental Health Worker is responsible for carrying out the assigned programming to the residents. Assigned duties are implemented in a manner appropriate to the age-specific needs of the residents served.
Type of supervision exercised: None. Jobs reporting to this position: None.
EDUCATION:
High school diploma or equivalent required.
College courses in the Humanities or Social Sciences preferred.
WORK EXPERIENCE:
Two (2) years experience in working with mentally handicapped individuals preferred.
CHARACTERISTIC DUTIES & RESPONSIBILITIES OF JOB:
15% Maintains apartment life in a harmonious and as close to "normal" environment as possible, free of tension and stress so that all residents can live together comfortably.
15% Teaches residents appropriate Activity of Daily Living Skills.
15% Implements specified individual service plans as developed by the residential rehabilitation team.
10% Provides individual support and direction for residents as needed.
10% Assists residents in community orientation and integration.
10% As necessary changes linen and makes beds; cares for resident's clothing and property; assists with oral hygiene, weighs residents, showers/bathes residents, and assists with dressing and grooming activities.
7% Provides physical assistance to residents as needed with Activities of Daily Living Skill development.
5% Keeps accurate records for each resident.
3% Monitors all medications as prescribed by physicians for residents.
2% Assists supervisory staff in program implementation as assigned.
1% Attends monthly staff meetings.
2% As assigned by supervisors, attends weekly staff meetings and contributes to overall program development through submission of constructive suggestions and participation in staff meetings.
2% Participates in ongoing in-service training programs.
2% Assists in the general maintenance of all program property including vehicles. Assists in routine household/residence maintenance duties.
1% As assigned, assists in the orientation of new personnel by instruction, example and guidance.
SPECIAL EMPLOYMENT REQUIREMENTS:
Must be cleared by PA State Police criminal history check.
CPR certification and First Aid certification must be obtained and maintained.
Good written and verbal communication skills and interpersonal skills required for effective communication with staff, management, residents and external agency personnel.
Valid PA driver's license required for driving of program vans.
Must successfully complete Allied's Driver Testing Program
Must be able to work flexible scheduled work time to accommodate the needs of the residents of the program.
Must be willing to rotate throughout CRRP work sites.
Must possess the ability to make mature and good judgments in matters related to resident safety.
Must adheres to established company and program policies and procedure related to safety and infection control.
WORKING CONDITIONS:
Works in residential setting for mentally ill adults.
Works indoors and outdoors in all weather conditions and seasons.
$27k-40k yearly est. 2d ago
Compliance Counsel
Forrest T. Jones & Company 4.0
Kansas City, MO jobs
Compliance Counsel is responsible for developing a comprehensive understanding of the Compliance Department operations, with the potential of overseeing and managing the Compliance Department. Managing and overseeing compliance activities for all states in which the company operates. Responsibilities also include providing compliance direction to licensed attorneys and other legal professionals, promptly identifying and implementing new compliance requirements as they arise, maintaining FSL's regulatory compliance for its insurance products and services sold through appropriately licensed agents and administrators, and other duties as may be assigned.
Expectations
Individual shall timely perform legislative reviews and monitoring of all laws and regulatory changes that impact compliance and procedures for the products and services provided by FSL/FTJ and its affiliates and promptly communicate all such applicable updates to affected departments. Examples include, but are not limited to, Health Care Reform, mandated benefits, annuity/senior suitability, state prompt pay/claims settlement practices/appeal procedures, state guarantee association notices, state complaint notification requirements, minimum health standards laws, life insurance replacement, interest on death proceeds, and agent and administrator requirements.
Anti - Money Laundering. Responsibilities include maintaining AML procedures, coordinating with accounting, claims and customer service departments, agent communications including standards of payment, red flags, producer's guide, verification of prior AML training, coordination with human resources department for the AML training for home office personnel, and coordination of annual AML testing requirements. Duties also include assuring AML compliance of individual cash value life and annuity products, periodic review and update of corporate AML policy and procedures, coordination of annual AML testing with corporate Audit, as well as coordination and documentation of periodic SDN and FinCEN searches with IT department.
Standard Practice Memorandums (SPM) and Compliance Bulletins. Research and update SPMs to incorporate legislative changes. Draft and coordinate distribution of compliance bulletins.
Product Evaluation. Assist marketing and product control in the evaluation of new products/ideas and identify regulatory and filing issues that may impact the programs.
Life/annuity/financial product line compliance, which includes legal support and assistance to (i) marketing and product control for new product analysis and development, and (ii) contracts department for existing product updates, new product contract drafting and project implementation, and objections on product filings.
NAIC Best Interest Annuity Suitability Compliance - Review and recommend updates to NAIC Best Interest Annuity Suitability and related state Supervision System including: (i) Procedures to inform producers of the Best Interest rules requirements; (ii) Producer training manuals/materials/ and communications; (iii) Product specific promotional materials and agent training; (iv) New business process to assure all applicable forms and suitability review completed prior to issue; (v) Procedures to review recommendations; (vi) Annual reporting to states and senior management.
Advertising Review and Marketing Compliance Support. Assist marketing department with developing agent training, client presentations and advanced markets sales concepts, advertising and website review, and recommendations and approval for regulatory compliance.
Policy Filing Support. Provide assistance to the contracts department when requested. Monitor and communicate changes to policy form and rate filing requirements and procedures in the various states.
Claims Support. Research and respond to claims questions regarding mandated benefits, prompt pay statutes, interest, subrogation, etc.
Market Conduct. Review and evaluation of market conduct issues when requested.
General Regulatory Compliance - Provide legal support and guidance regarding the following: (i) Life Underwriting developments including genetic information, AIDs, Search Engines; (ii) NAIC Lost Policyholder reporting; (iii) Life Claims questions related to prompt pay, interest, child support, rescissions; (iv) Licensing appointment, policies and procedures, controls and producer oversight; (v) Assist with Periodic Reporting.
Competencies
Strong management skills.
Exceptional verbal and written communication, interpersonal, problem-solving, analytical, oral presentation, and organizational skills.
Requisites
Juris Doctor and attendant Bachelor of Arts or Bachelor of Science degrees.
7+ years of industry experience in annuities and interest sensitive life products.
3+ years of management experience (functional and personnel).
We offer comprehensive benefits to full-time employees including company-paid medical, STD, LTD and life insurance; plus voluntary dental, vision, life/AD&D insurance, 401(k) with company matching, generous paid time off and much more.
We encourage applicants of all ages and experience, as we do not discriminate on the basis of an applicant's age.
ALL OFFERS OF EMPLOYMENT ARE CONTINGENT UPON PASSAGE OF A DRUG SCREEN AND BACKGROUND CHECK.