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  • Clinical Nurse Manager - Transplant Clinic-Riverside South Medical Building

    Ohiohealth 4.3company rating

    Chronic disease manager job in Columbus, OH

    We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities. Summary: This position ensures delivery of evidence-based practice by professional nursing personnel and other staff in designated areas of responsibility. The clinical nurse manager plans, organizes, directs and evaluates the department's delivery of evidence-based patient care in a cost-effective manner, providing leadership and clinical management to members of the health care team. The manager participates in integration of the Nursing Philosophy along with the mission, vision, values, goals and objectives of OhioHealth in clinic operations. Requirement- Needs prior solid organ transplant experience to be considered Responsibilities And Duties: 50% Patient Care: 1. Assists the Manager in accountability for ongoing delivery of patient care in area(s) of responsibility; assures application of the nursing process by Registered Nurses in the clinical setting (assessment, planning, implementation and evaluation); assures documentation of patient care in the medical record. Addresses concerns and resolves problems. Uses data from various sources to initiate continuous quality improvement within the department/unit. Coordinates nursing care in collaboration with other healthcare disciplines and assists in integrating services across the continuum of health care. Ensures nursing practice in a safe environment. Participates in process improvement activities and root cause analysis investigations. Assists the Manager with fiscal responsibility at the unit level. 2. Assists Manager with planning, assessing, implementing and evaluating patient care as appropriate to department/unit. 3. Assists Manager with planning, reviewing and coordinating staffing time schedules and allocating staff as appropriate for volume and patient care needs. Assists Manager in daily staffing plans. 4. Assists Manager to coordinate nursing care with other health care disciplines across the continuum of health care. 25% Operations and Personnel Management: 1. Maintains daily unit operations including the status of staffing, patient visits and/or admissions, discharges and transfers, serving as a resource to department/unit staff to guide patient care delivery. 2. Participates in recruitment, selection, retention and evaluation of personnel. Participates in staff performance via written performance appraisals and disciplinary procedures. Ensures appropriate orientation, training, competence, continuing education, and professional growth and development of personnel. Maintains staff records. 3. Assists manager in planning and contributing to fiscal management of unit by utilizing human and material resources and supplies in an efficient, cost effective manner. Assists Manager in development and implementation of services. 15% Professional Development and Leadership: 1. Practices as colleague with medical staff, other members of the interdisciplinary team, and other disciplines to initiate and support collaborative and cooperative clinical management practices. Actively participates in interdepartmental relationship building. 2. Contributes to development of self and staff through orientation and continuing education. Participates in identification of learning needs of staff. 3. Participates in collection, analysis and use of data for quality and process improvement activities at the unit level. 4. Provides leadership and clinical management through clinical practice, supervision, delegation, and teaching as delegated by Manager and/or Director. 5. Facilitates staff attendance at meetings and educational programs; supports staff with shared decision making activities. Ensures registered nurse participation in decision making at the unit level. Participates on Shared Governance Councils as a voting member. 6. Actively participates in hospital committees and decision making. 7. Continues professional self-development and education. Maintains professional competencies by attending educational and leadership programs, participation and leadership in professional organizations. Seeks appropriate professional certification. 8. Recognizes and assists manager in assessing impact and plan strategies to address diversity, cultural competency, ethics and the changing needs of society. Ensures delivery of culturally competent care and healthy, safe working environment. 9. Serves as patient safety coach. 10% Research and Evidence-Based Practice: Supports evidence-based practice by participation and encouraging staff involvement in nursing evaluative research activities at the department level. The major duties/ responsibilities and essential functions listed above are not intended to be all-inclusive of the duties, responsibilities and essential functions to be performed by associates in this job. Associate is expected to all perform other duties as requested by supervisor. Minimum Qualifications: Bachelor's Degree (Required) BLS - Basic Life Support - American Heart Association, RN - Registered Nurse - Ohio Board of Nursing Additional Job Description: May require advance training in specialty areas. Specialized knowledge in nursing process and clinical skills. Demonstrated skills in interpersonal relationships, verbal and written communication and nursing practice standards. Skills in computer applications as appropriate to area(s) of responsibility. 2-3 years nursing experience in related or like areas of responsibility. Previous leadership experience such as precepting, charge role, clinical lead role, mentoring, department committee leadership or facilitation of meetings.Requirement- Needs prior solid organ transplant experience to be considered Work Shift: Variable Scheduled Weekly Hours : 40 Department Solid Organ Transplant Administration Join us! ... if your passion is to work in a caring environment ... if you believe that learning is a life-long process ... if you strive for excellence and want to be among the best in the healthcare industry Equal Employment Opportunity OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment
    $73k-92k yearly est. 11d ago
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  • Bilingual Behavioral Health Care Manager

    Heritage Health Network 3.9company rating

    Remote chronic disease manager job

    This role works closely with Care Team Operations, Clinical Operations, Behavioral Health clinicians (LMFT/LCSW/LPCC), Community Health Workers (CHWs), Compliance, Finance (for authorizations), Care Operations Associates, and external partners including hospitals, primary care providers, behavioral health agencies, housing providers, and community-based organizations. Responsibilities Serve as the primary point of contact for assigned members with behavioral health and psychosocial complexity, building trust through consistent, trauma-informed engagement. Conduct comprehensive, holistic assessments addressing behavioral health, substance use, functional status, social determinants of health, safety risks, and care gaps. Develop, implement, and maintain person-centered care plans that integrate behavioral, medical, and social goals; update plans following transitions of care or changes in condition. Coordinate services across the continuum of care, including behavioral health providers, primary care, hospitals, housing supports, transportation, social services, and community-based organizations. Conduct required in-person home or community visits based on acuity, risk stratification, and payer requirements. Support Transitions of Care (TOCs) by completing timely follow-up, coordinating post-discharge services, and reinforcing discharge instructions and medication understanding. Utilize motivational interviewing, behavioral coaching, and health education to promote engagement, adherence, self-management, and long-term member stability. Identify, escalate, and address behavioral health risks, safety concerns, service delays, benefit lapses, and environmental barriers using HHN escalation protocols. Coordinate and track referrals, appointments, transportation, and follow-ups to ensure continuity and timeliness of care. Maintain accurate, timely, and audit-ready documentation of all assessments, encounters, and interventions in eClinicalWorks (ECW) and other HHN systems. Meet or exceed HHN and health plan productivity standards, including outreach cadence, encounter requirements, documentation timeliness, TOC completion, and quality measures. Actively participate in multidisciplinary case reviews, care conferences, team huddles, and escalations with nurses, behavioral health clinicians, CHWs, care operations, and compliance. Assist members with plan navigation, eligibility redeterminations, social service applications, housing resources, and crisis intervention support. Communicate professionally with members and care partners using HHN-approved channels, including phone, RingCentral, secure messaging, and SMS workflows. Contribute to continuous quality improvement efforts by identifying workflow gaps, documenting barriers, and sharing insights to improve care delivery. Uphold confidentiality and comply with all HIPAA, Medi-Cal, ECM, and payer regulatory requirements. Remain flexible and responsive to member needs, including field-based work and engagement in community settings. Skills Required Bilingual (English/Spanish) proficiency required to support member engagement and care coordination. Strong ability to build rapport and trust with diverse, high-need member populations. Proficiency in using eClinicalWorks (ECW), Google Suite (Docs, Sheets, Drive), RingCentral, and virtual communication tools. Ability to interpret and use PowerBI dashboards, reporting tools, and payer portals. Demonstrated skill in conducting holistic assessments and developing person-centered care plans. Experience with motivational interviewing, trauma-informed care, or health coaching. Strong organizational and time-management skills, with the ability to manage a complex caseload. Excellent written and verbal communication skills across in-person, telephonic, and digital channels. Ability to work independently, make sound decisions, and escalate appropriately. Knowledge of Medi-Cal, SDOH, community resources, and social service navigation. High attention to detail and commitment to accurate, audit-ready documentation. Ability to remain calm, patient, and professional while supporting members facing instability or crisis. Comfortable with field-based work, home visits, and interacting in diverse community environments. Cultural humility and demonstrated ability to work effectively across populations with varied lived experiences. Competencies Member Advocacy: Champions member needs with urgency and integrity. Operational Effectiveness: Executes workflows consistently and flags process gaps. Interpersonal Effectiveness: Builds rapport with diverse populations. Collaboration: Works effectively within an interdisciplinary care model. Decision Making: Uses judgment to escalate or intervene appropriately. Problem Solving: Identifies issues and creates practical, timely solutions. Adaptability: Thrives in a fast-growing, startup-style environment with evolving processes. Cultural Competence: Engages members with respect for their lived experiences. Documentation Excellence: Produces accurate, timely, audit-ready notes every time. Strong empathy, cultural competence, and commitment to providing individualized care. Ability to work effectively within a multidisciplinary team environment. Exceptional interpersonal and communication skills, with a focus on building trust and rapport with diverse populations. Job Requirements Education: Bachelor's degree in Social Work, Psychology, Public Health, Human Services, or related field. Licensure: Licensed LMFT, LCSW, LPCC.; certification in care coordination or CHW training is a plus. Experience: 1-3 years of care management or case management experience, preferably with high-need Medi-Cal populations. Experience in community-based work, homelessness services, behavioral health, or SUD settings strongly preferred. Familiarity with Medi-Cal, ECM, and community resource navigation. Travel Requirements: Regular travel for in-person home or community visits (up to 45%). Physical Requirements: Ability to perform home visits, climb stairs, sit/stand for prolonged periods, and lift up to 20 lbs if needed.
    $61k-76k yearly est. 1d ago
  • Chronic Disease Patient Navigator CHW

    Heart of Ohio Family Health 3.0company rating

    Chronic disease manager job in Columbus, OH

    Summary: The Chronic Disease Patient Navigator will work to engage patients with chronic disease such as diabetes and hypertension in care. The position will predominantly communicate with patients via phone and other methods to ensure adherence to their chronic disease care plans. The position will address social determinants of health and education gaps for patients with chronic disease, working closely with medical providers, staff, and other agencies to improve patient care and outcomes. Reports to: Nutrition Program Manager Manages: No Dress Requirement: Business Casual or scrubs Work Schedule: Monday through Friday during standard business hours Times are subject to change due to business necessity Non-Exempt Requirements: * Education or Experience: One year experience in medical field AND/OR education as community health worker, medical assistant, public health, social services, or similar strongly preferred * Work experience or life experience working with people with diabetes or hypertension preferred. * Background check and fingerprinting * Multilingual candidates (especially those speaking languages most prevalent in Heart of Ohio Family Health's health centers: Spanish/Somali/Nepali/Haitian Creole) are encouraged to apply. Spanish speaking preferred. Key Responsibilities: * Complete outreach calls to patients with chronic disease like diabetes and hypertension who have been lost to care or are due for additional care. * Complete outreach calls or meet in the clinic with patients with chronic disease to screen for social determinants of health needs and educate on HOFH programs. * Complete outreach calls to patient enrolled in the Mid-Ohio Farmacy program or to enroll them in the Mid-Ohio Farmacy program. * Act as a preceptor to CHW interns. * Based on training level of the candidate, educate patients on basics of diabetes and hypertension within scope of practice. * Assist patients with accessing home blood pressure monitors. * Help patients develop health management plans and goals. * Follow-up with health management/care plans with both patients and providers. * Link patient to resources to help in management of chronic health conditions as needed. * Assist patient in understanding care plans and instructions. * Document activities, service plans, and results in an effective manner while strictly adhering to the policies and procedures in place. * Establish positive, supportive relationships with participants. * Help clients in utilizing resources, including scheduling appointments, and assisting with completion of applications for programs for which they may be eligible. * Motivate patients to be active, engaged participants in their health. * Effectively work with people (staff, clients, doctors, agencies, etc) from diverse backgrounds in reducing cultural and socio-economic barriers between clients and institutions. * Build and maintain positive working relationships with the clients, providers, nurse case managers, agency representatives, supervisors and office staff. * Continuously expand knowledge and understanding of community resources, services and programs provided; human relations and the procedures used in dealing with the public as part of a service or program. * Be a champion in the organization for activities related to diabetes and hypertension. * Train or educate other staff on programs available for diabetes and hypertension. * Other duties as assigned. Equipment Operated: Telephone Computer Printer Fax machine Copier Scanner Other office equipment as assigned Facility Environment: All facilities are a medical office environment with front-desk reception area, separate patient examination rooms, pharmacy stock room, business offices, hallways and private toilet facilities. Both facilities are on the main ground floor and ADA compliant. The office area is: * kept at a normal working temperature * sanitized daily * maintains standard office environment furniture with adjustable chairs Physical Demands and Requirements: these may be modified to accurately perform the essential functions of the position: * Mobility = ability to easily move without assistance * Bending = occasional bending from the waist and knees * Reaching = occasional reaching no higher than normal arm stretch * Lifting/Carry = ability to lift and carry a normal stack of documents or laptop * Pushing/Pulling = ability to push or pull a normal office environment * Dexterity = ability to handle and/or grasp, use a keyboard, calculator, and other office equipment accurately and quickly * Hearing = ability to accurately hear and react to the normal tone of a person's voice * Visual = ability to safely and accurately see and react to factors and objects in a normal setting * Speaking = ability to pronounce words clearly to be understood by another individual Indicate Frequency of Factors that Contribute to this Position: Factor Frequency, 0 = never, 1 = occasionally, 2 = normally, 3= often, add explanation where needed Normal, steady work pace 2 Randomly changing work pace 1 Fast, sometimes chaotic work pace 1 Independent decisions made without supervision 3 Exposure to trauma, grief, death, etc 2, through patient's personal situation Exposure to disease or bacteria 2, working closely with patient Handles closed containers or vials of patients' bodily fluids or tissues 0 Required to wear safety clothing or equipment 0 Handles money (cash, checks or credit cards) 0 Interacts personally with public 3 Interacts with public via the telephone, letter, or other non-face-to-face measure 2
    $41k-64k yearly est. 27d ago
  • Clinical Monitoring Manager

    Apogee Therapeutics

    Remote chronic disease manager job

    About Apogee Therapeutics Founded in 2022, Apogee Therapeutics, Inc. (Ticker: APGE) is a well-funded, Nasdaq listed company that offers the opportunity to work in a fast-paced, highly dynamic environment. At Apogee, you can actively contribute to shaping the company culture, take on various roles and responsibilities, and grow professionally. Apogee Therapeutics, Inc. is a biotechnology company seeking to develop differentiated biologics for the treatment of atopic dermatitis, chronic obstructive pulmonary disease and other inflammatory and immunology indications with high unmet need. Our antibody programs are designed to potentially overcome limitations of existing therapies by targeting well-established mechanisms of action and incorporating advanced antibody engineering to optimize half-life and other properties. We seek to reshape the current standard of care for inflammatory and immune diseases because we believe people living with these diseases deserve the best possible treatment, and we refuse to stop at “good enough.” We are a fast-paced company committed to building an exceptional company culture, founded on our C.O.R.E. values: Caring, Original, Resilient and Egoless. If this sounds like you, keep reading! Role Summary We are seeking a Clinical Monitoring Manager to oversee in-house Oversight CRAs that will oversee CRO CRA's management of clinical study site activities for Apogee sponsored clinical trials. This role will also support the study team in various trial related activities. In this role, you will serve as Apogee's primary liaison with the in-house CRAs and CRO clinical monitoring team and liaise with clinical study sites and contribute to building a culture of team, site and patient centricity. Helping Apogee become “Sponsor of Choice” with both our CRO partners and sites will be critical. This role is accountable for oversight of clinical monitoring activities from site identification through close out of the study site. The Clinical Monitoring Manager has ‘in-house' responsibilities (e.g., oversight CRAs), and as required by project scope, sponsor monitoring or co-monitoring visits at the clinical study sites. The Clinical Monitoring Manager collaborates closely with the Apogee Executive Director, Clinical Operations and the Clinical Study Lead, assists in the planning/management/execution of Apogee sponsored clinical trials, and contributes to the overall success of the clinical study according to company and department objectives. Key Responsibilities In-house responsibilities The Clinical Monitoring Manager is responsible for the study deliverables of in-house CRAs on a given study(s), ensuring study deliverables are met with efficiency and quality and in accordance with applicable standard operating procedures (SOPs), regulations, good clinical practices (GCP), Key Performance Indicators (KPs), and study-specific requirements May be responsible for the hiring of in-house CRAs Input into and assist with the development of study documents (e.g., protocols, case report forms, informed consent forms) Oversee development and implementation of project specific processes, tools, and documents (e.g., monitoring oversight plans, site visit report templates, monitoring tools) Support the training and development of in-house CRAs and ensuring study training compliance is maintained Works with the study team on developing and updating best practices and processes, with input on discussions around quality by design and operational delivery Oversight of review of monitoring visit reports and metrics, including protocol deviations and follow-up items, to evaluate for compliance and trends, summarizing for the study team, escalating issues, and involved in the development of corrective and preventative actions, as needed Responsible for oversight of CRA review of clinical data (e.g., electronic case report forms, eCOA data, central laboratory data, risk-based monitoring outputs, etc.) to ensure the CRAs are informed and managing their site's data with quality and integrity Responsible for ensuring CRAs maintain their sites as inspection ready, including the Trial Master File (TMF), for health authority inspections at all times Responsible for compiling and providing clinical monitoring metrics per KPIs to ensure adequate oversight of clinical monitoring activities Lead, conduct, and document regular meetings with their in-house and CRO CRA team and with individual CRAs to disseminate timely and relevant updates and best practices for consistency and efficiency Oversee the study specific performance of the CRA team(s) and implement plans of action as needed; escalate performance issues to the Executive Director, Clinical Operations Support and liaise with clinical site personnel, as needed Review and approve time sheets and expense reports Assist with review and revision of departmental SOPs and policies Assist with creation and delivery of new department initiatives, improvement plans or training May assist with the identification and selection of appropriate clinical trial sites and investigators Field monitoring responsibilities Conduct CRO co-monitoring visits or other monitoring visits (site qualification visit, site initiation visit, interim monitoring visit, or close-out visit) as required by study needs Oversee CRO site visits to qualify, initiate, and close-out study sites, and perform site monitoring to ensure study sites' compliance with study timelines, protocol requirements, and applicable regulatory guidelines Review and ensure data integrity, accuracy, and completeness at the clinical study sites Escalate site related issues to the study team Oversee the coordination for study site audit and ensure assigned study sites are inspection-ready, as needed Ideal Candidate Bachelor's degree in a scientific or healthcare-related field Minimum of 8 years of experience as a CRA or related role within the pharmaceutical, biotechnology, or medical device industry Minimum 2 years of experience leading a team of CRAs Recent experience working on respiratory, dermatology and / or gastrointestinal clinical trials a plus Certification as a Clinical Research Associate (CCRA) or equivalent preferred Recent experience working on trials utilizing risk-based monitoring models Strong knowledge of International Council for Harmonization (ICH) guidelines, Good Clinical Practice (GCP), and FDA regulations Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint) and Smartsheet Experience with EDC systems, electronic trial master files (eTMFs) and other clinical trial databases and systems Strong understanding of clinical trial processes and study conduct Excellent organizational and time management skills Effective communication and interpersonal skills, with the ability to work collaboratively in a team environment, but can also work independently without significant oversight Experience working in a fast-paced and dynamic environment Successfully exhibit Apogee's C.O.R.E. values: Caring, Original, Resilient and Egoless Position requires up to 35% travel, including mandatory in-person attendance at Apogee All Hands meetings typically held twice per year. Travel is also required to attend key Phase 3 meetings, typically held at the Apogee San Francisco office. This position may also require US and international travel to clinical sites and/or medical conferences. Position requires up to 35% travel, including mandatory in-person attendance at Apogee All Hands meetings typically held twice per year, and a clinical operations meeting held once per year. Travel is also required to attend key Phase 3 meetings, typically held at the Apogee San Francisco office. This position may also require US and international travel to clinical sites and/or medical conferences. The anticipated salary range for candidates for this role will be $150,000 - $170,000. per year. The final salary offered will depend on several factors, which may include, but is not limited to relevant years of experience, educational background, and geography. What We Offer A great culture, grounded in our C.O.R.E. values: Caring, Original, Resilient and Egoless Opportunity to work in a fast-paced, highly dynamic environment where you help shape the culture and company, wear multiple hats, and learn quickly Market competitive compensation and benefits package, including base salary, performance bonus, equity grant opportunities, health, welfare & retirement benefits We provide competitive time off, including three weeks PTO, two one-week company-wide shutdowns a year and dedicated paid sick leave Commitment to growing you professionally and providing access to resources to further your development Apogee offers regular all team, in-person meetings to build relationships and problem solve E-Verify Participation: As part of the I9 verification of authorization to work in the US, Apogee participates in E-Verify. To learn more about E-Verify please review this poster. A pogee Therapeutics is proud to be an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law. To review our privacy policy, click here It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
    $150k-170k yearly Auto-Apply 32d ago
  • RadMachine Clinical Success Manager

    Radformation 4.1company rating

    Remote chronic disease manager job

    About RadformationRadformation is transforming the way cancer clinics deliver care. Our innovative software automates and standardizes radiation oncology workflows, enabling clinicians to plan and deliver treatments faster, safer, and more consistently, so patients everywhere can receive the same high-quality care. Our software focuses on three key areas: • Time savings through automation. • Error reduction through automated systems. • Increased quality care through advanced algorithms and workflows. We are a fully remote, mission-driven team united by a shared goal: to reduce cancer's global impact and help save more of the 10 million lives it claims each year. Every line of code, every product release, and every conversation with our customers brings us closer to ensuring no patient's treatment quality depends on where they live. About RadMachineRadformation specializes in Radiation Oncology workflow automation. Our solutions save clinics time, eliminate planning errors, and enable them to design the optimal treatment for their patients. Radformation's RadMachine QA software is a cloud platform that standardizes QA across all sites, machines, and users. RadMachine has the ability to track all machine tests and equipment to ensure an efficient workflow while automating data upload and analysis. Instant notifications alert the clinic when a test is due or failing. Why This Role MattersIn this role you will mentor clinics as they join the Radformation community to assist them in establishing the most efficient machine QA workflow and increase standardization. You will work closely with clinics, the programming team, and the sales team to give presentations to clinics, solve problems on the fly, proactively check in with customers, and incorporate feedback into redefining how to best complete machine QA. With your clinical background, you will be able to teach and improve efficiency in Radiation Oncology clinics throughout the country. Job BriefWe are looking for a highly motivated individual who has a passion for machine QA and enjoys a fast-paced environment. The full-time RadMachine Clinical Success Manager will bring their upbeat personality to this role to give presentations to clinics, solve problems on the fly with customers, and proactively call clinics to check in and hear feedback. The RadMachine Clinical Success Manager will help mentor clinics as they join the Radformation community to assist them in establishing the most efficient machine QA workflow and increase standardization. As the RadMachine Clinical Success Manager, you will develop relationships with clinics and incorporate feedback into redefining how to best complete machine QA. With your clinical background, you will be able to teach and improve efficiency in radiation oncology clinics throughout the country. Responsibilities Include:• Demo, install, and train clinics on Radformation's RadMachine machine QA software • Implement RadMachine at clinics by developing QA templates and customizing clinics' settings • Work with clinics to understand their issues and provide a solution independently and/or with the help of the programming team • Work with the sales team to demonstrate software to prospective customers and provide training to newly installed clinics • Proactively check in with current customers to hear feedback and share new features • Host webinars to answer clinics' questions and highlight features • Test new versions of the software to aid in development and quality assurance • Develop training materials to distribute to clinics • Research new QA guidelines and stay current as updates are released • On-site visits to clinics when permitted Required Experience:• Minimum 2 years of experience in performing and analyzing daily, monthly, and annual radiation oncology machine QA • 2 years of experience as a medical physics assistant or similar • Strong critical thinking skills • Exceptional presentation skills • Positive attitude and a passion for excellence in patient care Preferred Experience:• Minimum 5 years of experience in performing and analyzing daily, monthly, and annual radiation oncology machine QA • Degree in medical physics or dosimetry • Minimum 2 years of experience with ARIA OIS • Experience with Python • Customer service experience Abilities• Enthusiastic about learning new technologies and sharing them with the healthcare community • Thrives with a busy schedule and a constant learning environment • Excels at multitasking and managing multiple projects simultaneously • Enjoys listening to clinics' needs and developing relationships with clinical leaders • Master of machine QA and radiation oncology clinical workflow • Ability to maintain a positive attitude in a fast-paced and ever-changing work environment • Strong organizational skills and ability to work independently • Highly motivated to help clinicians improve their workflow • Excellent communication skills, both written and oral • Non-judgmental personality and welcoming of ideas and feedback AI & Hiring IntegrityAt Radformation we believe AI can be an incredible tool for innovation, but our hiring process is all about getting to know you, your skills, experience, and unique approach to problem solving. We ask that all interviews and assessments be completed without tools that generate answers in real time. This helps ensure a fair process for everyone and allows us to see your authentic work. Using such tools during the process may affect your candidacy. Benefits & Perks - What Makes Us RADWe care about our people as much as we care about our mission. We offer competitive compensation, benefits, and the opportunity to make an impact in the fight against cancer. The salary range for this role is $130,000 - $150,000 OTE which includes base salary and bonus eligibility. For Canadian candidates, compensation will vary and will be assessed during the screening process based on local market conditions and individual experience. For US teammates:Health & Wellness • Multiple high-quality medical plan options with substantial employer contributions • Health coverage starting on day one • Short-term and long-term disability and supplementary life insurance Financial & Professional Growth • 401(k) with employer match vested immediately • Annual reimbursement for professional memberships • Conference attendance and continued learning opportunities Work-Life Balance & Perks • Self-managed PTO and 10 paid holidays • Monthly internet stipend • Company-issued laptop and one-time home office setup stipend • Fully remote work environment with virtual events and yearly retreats Our Commitment to DiversityCancer affects people from every walk of life, and we believe our team should reflect that diversity. Radformation is proud to be an equal opportunity workplace and an affirmative action employer. We welcome candidates from all backgrounds and are committed to fostering an inclusive environment for all employees. Agency & Candidate Safety NoticeRadformation does not accept unsolicited resumes from agencies without a signed agreement in place. We do not partner with third-party recruiters unless explicitly stated. All legitimate communication from Radformation will come from an @radformation.com email address. If you receive outreach from another domain or via unofficial channels, please contact ************************.
    $130k-150k yearly Auto-Apply 52d ago
  • Manager of Clinical Training

    Wellsense Health Plan

    Remote chronic disease manager job

    It's an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances. Job Summary: Upon the direction of the Sr. Manager of Clinical Operations, the Manager of Clinical Training is responsible for oversight, strategy, measurement of impact, and maintenance of scalable learning solutions for training programs supporting teams across Clinical Services. This role drives the development of complex training programs and materials, including processes for tracking and deploying competency in line with departmental and regulatory requirements. The Manager of Clinical Training oversees and advises the Clinical Trainers to standardize and develop training tools and resources that are scalable and aligned with strategic initiatives and goals. Chairs the Continuing Education Committee that fosters integration and education across the health system in support of staff and provider learning and development. Our Investment in You: · Full-time remote work · Competitive salaries · Excellent benefits Key Functions/Responsibilities: · Lead a team of clinical trainers and coordinators to achieve departmental learning and development initiatives. · Responsible for the Clinical Services training program addressing new hire orientation and ongoing learning, standardization of training materials, and collaboration across multiple departments within Clinical Services to expand scope of knowledge to enhance job performance, and development and promotion of continuing education and professional development for staff. · Facilitate cross-functional internal stakeholders (customer service, marketing, product, finance, care management, utilization management, pharmacy, behavioral health) to ensure operational requirements are developed to support Clinical Services objectives · Strategize with department leadership in developing department training plans · Actively lead projects focused on aligning learning and development solutions for various functional areas and key strategic initiatives. · Manage training programs and projects using industry best practices such as ADDIE or SAM models to design training curricula and define program/project life cycle with an eye on sustainability. · Prioritize program roadmaps to manage multiple programs concurrently · Advise clinical leaders, subject matter experts and other training staff to identify objectives, measures of success, content, audience, length and delivery vehicles. · Collaborate with Human Resources as appropriate in the standardization of company-wide orientation materials. · Execute the development, implementation and revisions of Clinical Service training and education initiatives including working with the department management to identify gaps in workflows, and policies and procedures. · Analyze training program feedback to effectively create / modify training to meet individual / departmental needs and goal · Engage with stakeholders, evaluate business problems, and conduct needs analysis exercises to identify training opportunities. · Create mechanisms for systematically measuring the impact and continuously improving training programs to maximize the training effectiveness and translate results in ROI. · Other duties as assigned. Supervision Exercised: · Directly or indirectly oversees management of up to 15 clinical and non-clinical staff Supervision Received: · Indirect supervision is received weekly Qualifications: Education Required: · Bachelor's degree or equivalent combination of education and relevant experience in health plan setting required Education Preferred: · Master's degree in related field (e.g. Adult Education, Learning Design, Instructional Design), etc) Experience Required: · 5+ years of experience in a learning and development environment · 2+ years of prior management/supervisory experience · 5+ years of related managed health or insurance operations experience Experience Preferred/Desirable: · 10+ years of experience in a learning and development environment · 10+ years of related managed healthcare clinical program experience · Project management experience · Experience in leader development programming · Active and unrestricted RN or SW license Certification or Conditions of Employment: · Pre-employment background check Competencies, Skills, and Attributes: · Exceptional written and oral communication skills. · Excellent organizational skills and attention to detail · Ability to interact with all levels of the organization, as well as external stakeholders. · Superior meeting facilitation skills and experience in leading cross-functional teams · Demonstrated ability to work independently and manage multiple complex projects simultaneously. · Proactive, motivated, and a collaborative team player. · Demonstrated ability to adapt quickly to changing priorities. · Ability to analyze, compile, format, and present data to a variety of stakeholders. · Strong critical thinking, analytical, and problem-solving skills. · Proficiency with MS tools including Word, Excel, PowerPoint, Visio and MS Project · Demonstrated ability of managing competing priorities as well as stakeholders with differing objectives/perspectives. · Effective at forming alliances with other departments to develop partnerships and commitment toward completing the project. · Comprehensive knowledge of training program design and delivery required to include materials development is required including e-learning tools. · Outstanding interpersonal, communication and team building skills required. · Ability to work effectively in a fast-paced environment. Organized, able to prioritize and work independently. · Able to negotiate enterprise solutions with other departments that work interdepartmentally. Working Conditions and Physical Effort: · Regular and reliable attendance is an essential function of the position. · Fast paced office environment. · Work is normally performed in a typical remote work environment. · No or very limited physical effort required. No or very limited exposure to physical risk. Compensation Range $96,000 - $139,500 This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensure as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, WellSense offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family wellbeing. Note: This range is based on Boston-area data, and is subject to modification based on geographic location. About WellSense WellSense Health Plan is a nonprofit health insurance company serving more than 740,000 members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded in 1997, WellSense provides high-quality health plans and services that work for our members, no matter their circumstances. WellSense is committed to the diversity and inclusion of staff and their members. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. WellSense participates in the E-Verify program to electronically verify the employment eligibility of newly hired employees
    $96k-139.5k yearly 9d ago
  • Clinical Success Manager

    Inspiren

    Remote chronic disease manager job

    Inspiren offers the most complete and connected ecosystem in senior living. Founded by Michael Wang, a former Green Beret turned cardiothoracic nurse, Inspiren proves that compassionate care and technology can coexist - bringing peace of mind to residents, families, and staff. Our integrated solutions seamlessly fit into existing workflows, capturing everything happening within a community. Backed by nurse specialists and powerful analytics, we provide the data operators need to make informed clinical and operational decisions - driving efficiency, profitability, and better care outcomes. About the Role It is an exciting time to be part of Inspiren. Inspiren's technology is revolutionizing how care is delivered in hospitals and assisted living facilities through innovative technology. We are seeking highly motivated and experienced nursing and client success leaders to join our team. As a Clinical Success Manager, you will play a critical role in supporting healthcare organizations in adopting and maximizing the return on investment (ROI) for AUGi. The ideal candidate will have a strong background in customer success, nursing, or a related healthcare field, with at least 5 years of relevant work experience. What you'll do: Customer Onboarding and Customer Success Transition Participate in the onboarding process for new healthcare organizations, ensuring a smooth and efficient transition to AUGi after go-live, while setting them up for long term sustained success. Adoption and Engagement Monitor and analyze adoption metrics and usage data to assess the level of engagement and success of our solution within healthcare organizations. Proactively engage with customers to drive increased utilization and value by identifying opportunities for further integration and expansion of the solution. Identify and address any barriers or challenges that may hinder adoption or usage of the solution. Relationship Management: Build and maintain strong relationships with key stakeholders within healthcare organizations, including executives, administrators, and clinical staff. Serve as the primary point of contact for customers, addressing their inquiries, providing support, and guiding them through any challenges or issues that arise. Conduct regular check-ins and health assessments to ensure customer satisfaction and identify opportunities for improvement or upselling. Value Measurement and Communication: Collaborate with healthcare organizations to understand their ROI goals and objectives related to patient safety Develop and communicate metrics and reports that demonstrate the tangible ROI achieved through the use of our solution, such as reduced fall rates, improved patient outcomes, and cost savings. Present ROI findings and facilitate discussions with key stakeholders, showcasing the value and impact of the solution on their organization. Product Education and Expertise: Maintain a deep understanding of the AUGi platform, its features, and its benefits for healthcare organizations. Provide ongoing product education and training to customers, ensuring they are up to date with the latest features and capabilities. Serve as a trusted advisor, offering insights and best practices to help customers optimize their usage and achieve their desired outcomes. Escalation Management: Act as the point person for customer concerns or disruptions, working closely with internal teams to address and resolve service related issues promptly and effectively. Advocate for customer needs within the organization, ensuring timely resolution of any technical or operational challenges they may encounter. Outcomes Story Development and ROI: Identify and cultivate success stories and testimonials from healthcare organizations that have achieved significant results and positive outcomes using AUGi Collaborate with marketing and communications teams to develop compelling case studies, testimonials, and other collateral that highlight the value and impact of our solution. Leverage customer feedback and insights to contribute to thought leadership content, industry events, and other promotional activities. Customer Feedback and Product Improvement: Gather and analyze customer feedback to identify areas for product improvement or enhancement. Collaborate with the product management team to communicate customer needs, requirements, and feature requests, contributing to the ongoing development of the solution. About you: Prior experience as a clinician (RN, OT, PT, or a related licensed healthcare professional) required. Bachelor's degree in Nursing, Healthcare Management, or a related field (preferred). Minimum of 5 years of work experience, with a combination of customer success management, nursing quality, nursing education or healthcare experience. Strong understanding of patient monitoring solutions and their implementation in healthcare organizations. Excellent communication and interpersonal skills, with the ability to build rapport and establish strong relationships with healthcare professionals at all levels. Proven track record of successfully driving adoption, engagement, and ROI for customers. Ability to analyze data and metrics to derive actionable insights and recommendations. Exceptional problem-solving skills, with the ability to identify and address customer challenges effectively. Self-motivated and able to work independently, while also collaborating effectively with cross-functional teams. Strong organizational and time management skills, with the ability to prioritize and manage multiple customer engagements simultaneously. Details The annual salary/OTE for this role is $120,000-$135,000 + equity + benefits (including medical, dental, and vision) Flexible PTO Location: Remote, US Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status. Compensation & Benefits At Inspiren, we are committed to fair, transparent, and equitable compensation. We know that every candidate brings a unique combination of experience, skills, and perspectives, and we take these factors into account when determining pay. While compensation may vary depending on your background, role, and location, we are proud to offer a competitive base salary and total benefits package, alongside eligibility for equity awards in the form of stock options. We believe great work deserves great rewards. Our compensation and benefits are designed to recognize your contributions and reflect the standards of leading organizations in our field. Your recruiter will be happy to walk you through the full compensation package, including what your total pay could look like, so you have a clear picture of both the immediate and long-term value of joining our team.
    $120k-135k yearly Auto-Apply 60d+ ago
  • Manager Clinical Affairs

    Dexcom 4.7company rating

    Remote chronic disease manager job

    The Company Dexcom Corporation (NASDAQ DXCM) is a pioneer and global leader in continuous glucose monitoring (CGM). Dexcom began as a small company with a big dream: To forever change how diabetes is managed. To unlock information and insights that drive better health outcomes. Here we are 25 years later, having pioneered an industry. And we're just getting started. We are broadening our vision beyond diabetes to empower people to take control of health. That means personalized, actionable insights aimed at solving important health challenges. To continue what we've started: Improving human health. We are driven by thousands of ambitious, passionate people worldwide who are willing to fight like warriors to earn the trust of our customers by listening, serving with integrity, thinking big, and being dependable. We've already changed millions of lives and we're ready to change millions more. Our future ambition is to become a leading consumer health technology company while continuing to develop solutions for serious health conditions. We'll get there by constantly reinventing unique biosensing-technology experiences. Though we've come a long way from our small company days, our dreams are bigger than ever. The opportunity to improve health on a global scale stands before us. Meet the team: As a Manager in Clinical Affairs at Dexcom, you'll be an integral part of our mission to empower people to take control of their health. In this position, you'll lead a team of global direct reports responsible for comprehensive site management activities. This includes site selection, qualifications, activation, training, proctoring, communications, and closeout for all clinical studies sponsored by Dexcom. You will be responsible for the direct management and development of personnel. Additionally, you will drive the development and improvement of clinical procedures, processes, and templates in support of Dexcom's continuous quality improvement efforts. If you thrive in a fast-paced, evolving environment and are committed to building a world-class Clinical Affairs organization, we'd love to have you on our team. Where you come in: Perform line management for a team, including hiring, training/mentoring, resource allocation/assignments, performance and compliance assessments/reviews, recommending salaries and promotions, and implementing performance improvement plans and remedial actions as needed. Lead the team to ensure high-quality site management, regulatory compliance, and timely delivery of study site milestones, including, but not limited to: Accountable for global or regional operational leadership on one or more clinical trials, depending on program's priority and breadth. Oversee site identification, qualification, and selection processes. Ensure timely completion of Site Qualification Visits (SQVs) and approvals. Confirm site activation readiness, including supply and equipment receipt. Supervise Site Initiation Visits (SIVs) and Close-Out Visits (COVs). Ensure ongoing site support and clear communication. Provide support and allocate resources for internal or external audits/inspections and ensure resolution of audit/inspection findings. Ensure maintenance of site-level Trial Master File (TMF) and sponsor TMF for archiving. Oversee development and distribution of Investigator Site Files and study manuals. Facilitate IRB/EC submissions and end-of-study notifications. Lead the development and implementation of improved systems, frameworks, policies, and tools to support a culture of data use for decision-making across programs. Provide strategic direction as a subject matter expert in site management. Develop and oversee key performance metrics for the team and provide regular and ad hoc reporting of metrics to Clinical Affairs leadership. Lead a team of Site Managers who will facilitate training on the use of study-specific equipment during the conduct of clinical study visits to ensure proper use of the equipment and adherence to the Clinical Investigation Plan. In support of this, the team will be responsible for: Educating site staff on use of the study-specific equipment, including calibration, use, and troubleshooting. Communicating technical information clearly and effectively. Developing effective working relationships with site staff, with whom you will interact on a regular basis. Ensure that staff meet or exceed project and functional timelines and deliverables (e.g., site start-up, enrollment targets, database lock, close-out, etc.). Partner with leadership to ensure shared study timelines are met or exceeded. Proactively identify issues and create mitigation strategies in collaboration with leadership. What makes you successful: You must be open to a dynamic work environment which includes regular interaction with several different physicians and site staff across a variety of locations. You have extensive prior experience in a similar role with a proven track record of successful clinical study completion with adherence to timelines and milestones. You bring knowledge and experience with GCP and global medical device regulations and have experience leading complex medical device studies. You have strong experience of managing individuals. You are proficient at utilizing clinical management systems and electronic data capture systems. You have experience in global Contract Research Organization (CRO)/vendor management. You bring an operational-excellence mindset, critical thinking, and make data-driven decisions. You are a detail-oriented, critical thinking, independent problem-solver. You are proficient at working in an extremely fast-paced environment while maintaining high attention to detail, quality, and accuracy. You have excellent communication (written and verbal) and proven ability to influence outcomes. What you'll get: A front row seat to life changing CGM technology. Learn about our brave #dexcomwarriors community. A full and comprehensive benefits program. Growth opportunities on a global scale. Access to career development through in-house learning programs and/or qualified tuition reimbursement. An exciting and innovative, industry-leading organization committed to our employees, customers, and the communities we serve. Travel Required: 5-15% Experience and Education Requirements: Typically requires a Bachelor's degree with 8 - 12 years of industry experience. Requires a degree in technical discipline. 2 -5 years of previous management of lead experience. Remote Workplace: Your location will be a home office; you are not required to live within commuting distance of your assigned Dexcom site (typically 75 miles/120km). If you reside within commuting distance of a Dexcom site (typically 75 miles/120km) a hybrid working environment may be available. Ask about our Flex workplace option. Please note: The information contained herein is not intended to be an all-inclusive list of the duties and responsibilities of the job, nor are they intended to be an all-inclusive list of the skills and abilities required to do the job. Management may, at its discretion, assign or reassign duties and responsibilities to this job at any time. The duties and responsibilities in this job description may be subject to change at any time due to reasonable accommodation or other reasons. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. An Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, or protected veteran status and will not be discriminated against on the basis of disability. Dexcom's AAP may be viewed upon request by contacting Talent Acquisition at ****************************. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact Dexcom Talent Acquisition at ****************************. Meritain, an Aetna Company, creates and publishes the Machine-Readable Files on behalf of Dexcom. To link to the Machine-Readable Files, please click on the URL provided: ***************************************************** Code=MERITAIN_I&brand Code=MERITAINOVER/machine-readable-transparency-in-coverage?reporting EntityType=TPA_19874&lock=true To all Staffing and Recruiting Agencies: Our Careers Site is only for individuals seeking a job at Dexcom. Only authorized staffing and recruiting agencies may use this site or to submit profiles, applications or resumes on specific requisitions. Dexcom does not accept unsolicited resumes or applications from agencies. Please do not forward resumes to the Talent Acquisition team, Dexcom employees or any other company location. Dexcom is not responsible for any fees related to unsolicited resumes/applications. Salary: $116,600.00 - $194,400.00
    $116.6k-194.4k yearly Auto-Apply 31d ago
  • Manager, Behavioral Health

    Imagine Pediatrics

    Remote chronic disease manager job

    Who We Are Imagine Pediatrics is a tech enabled, pediatrician led medical group reimagining care for children with special health care needs. We deliver 24/7 virtual first and in home medical, behavioral, and social care, working alongside families, providers, and health plans to break down barriers to quality care. We do not replace existing care teams; we enhance them, providing an extra layer of support with compassion, creativity, and an unwavering commitment to children with medical complexity. The primary location for this role is remote, travel is expected to be up to 10%, and the expected schedule is Monday - Friday 8:00am - 05:00pm central. Independently licensed in TX or MO (LCSW, LPC, LMHC, or LMFT) required. What You'll Do As the Manager, Behavioral Health Longitudinal at Imagine Pediatrics you will manage a team of supervisors overseeing three roles: Behavioral Health Therapists, Behavioral Health Care Managers, and Care Team Assistants who work as an interdisciplinary team to serve a patient population experiencing severe mental illness (SMI). This role oversees a regional behavioral health care team and is responsible for team metrics and program outcomes. 90% of Manager, Behavioral Health, longitudinal role will be administrative inclusive of the following: Manage a team of regional cross functional care team members with the support of supervisors. Provide oversight to a team of supervisors including 1:1 support, quarterly feedback, and typical functions of people management Provide guidance to supervisors regarding performance management of indirect reports. Uphold team members responsible to Imagine specific policies, clinical programming requirements, and utilization targets. Partner with talent acquisition to carry out hiring plans, interviews, and onboard new team members. Assist with strategic planning for expansion into new markets for company growth. Analyze programmatic metrics and individual metrics in order to utilize staff appropriately. Hold the team accountable for working at the top of their license and utilizing team functions as efficiently as possible Identify areas for improvement within team processes, clinical care, and action on projects to make them more efficient. Serve as the Behavioral Health Longitudinal representative in leadership meetings to provide feedback, improve patient experience, and support the development of new programs and services. Acts as the liaison for behavioral health services to all stakeholders taking a lead role in process and performance improvement and the delivery of high-quality services Collaborate with clinical education team for implementation of new trainings in alignment with care team and organizational needs. Create a positive and inclusive culture of teamwork and accountability Assist behavioral health team with navigating new processes, policies, and procedures. 10% of Manager, Behavioral Health - longitudinal role will be clinical and include but are not limited to the following responsibilities. Consult with market leaders on behavioral health cases. Manage patient escalations as needed. Support service recovery calls. What You Bring & How You Qualify First and foremost, you're passionate and committed to creating the world our sickest children deserve. You want an active role in building a diverse and values-driven culture. Things change quickly in a startup environment; you accept that and are willing to pivot quickly on priorities. A qualified candidate will be empathetic, caring, organized, and has strong relationship-building skills. In this role, you will need: Master's degree in social work, Marriage and Family Therapy, Counseling, or related area Must be licensed to independently practice in TX or MO (LCSW, LPC, LMHC, LMFT), openness to cross-state licensure. 5 years of experience post independent licensure in a behavioral health setting. 3 years of experience in management/supervision of mental health providers (experience in remote/start-ups environments preferred). Experience working with children, adolescents, and their caregivers inclusive of external systems involved in a minor's care. Experience with chart auditing and training to improvement-oriented outcomes. Certification/Training in evidence-based modalities including but not limited to cognitive behavioral therapy and dialectical behavioral therapy preferred Experience working with high-risk behavioral health populations including but not limited to suicidal ideation, homicidal ideation, severe persistent mental illness (SPMI), children in the foster care system. Strong preference and comfortability conducting triage assessments and crisis interventions. Diligent regarding documentation standards and accustomed to using electronic medical records. Experience working with a diverse population or demographics. Telehealth experience Familiarity with technology, Microsoft suites, and documenting in electronic health records. Fully remote with 10% travel for training/education What We Offer (Benefits + Perks) The role offers a base salary range of $88,000 - $107,000 in addition to annual bonus incentive, competitive company benefits package and eligibility to participate in an employee equity purchase program (as applicable). When determining compensation, we analyze and carefully consider several factors including job-related knowledge, skills and experience. These considerations may cause your compensation to vary. We provide these additional benefits and perks: Competitive medical, dental, and vision insurance Healthcare and Dependent Care FSA; Company-funded HSA 401(k) with 4% match, vested 100% from day one Employer-paid short and long-term disability Life insurance at 1x annual salary 20 days PTO + 10 Company Holidays & 2 Floating Holidays Paid new parent leave Additional benefits to be detailed in offer What We Live By We're guided by our five core values: Our Values: Children First. We put the best interests of children above all. We know that the right decision is always the one that creates more safe days at home for the children we serve today and in the future. Earn Trust. We listen first, speak second. We build lasting relationships by creating shared understanding and consistently following through on our commitments. Innovate Today. We believe that small improvements lead to big impact. We stay curious by asking questions and leveraging new ideas to learn and scale. Embrace Humanity. We lead with empathy and authenticity, presuming competence and good intentions. When we stumble, we use the opportunity to grow and understand how we can improve. One Team, Diverse Perspectives. We actively seek a range of viewpoints to achieve better outcomes. Even when we see things differently, we stay aligned on our shared mission and support one another to move forward - together. We Value Diversity, Equity, Inclusion and Belonging We believe that creating a world where every child with complex medical conditions gets the care and support, they deserve requires a diverse team with diverse perspectives. We're proud to be an equal opportunity employer. People seeking employment at Imagine Pediatrics are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information, or characteristics (or those of a family member), pregnancy or other status protected by applicable law.
    $88k-107k yearly Auto-Apply 4d ago
  • Clinical, Manager, Prior Authorization Technician

    Capital Rx 4.1company rating

    Remote chronic disease manager job

    About Judi Health Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health™, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and Judi , the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform. Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit **************** Location: Remote (For Non-Local) or Hybrid (Local to NYC area) Position Responsibilities: Oversee a dynamic team of pharmacy technicians engaged in the prior authorization process. Analyze available data to provide prior authorization staffing, workflow, and system enhancement recommendations to maximize team agility and performance. Actively participate in the prior authorization technician metric and quality goal setting process. Generate and deliver comprehensive reports on prior authorization technician metrics to both internal and external stakeholders. Assist the talent acquisition team in the hiring, evaluation, training, and onboarding of new employees. Investigate/resolve escalated issues or problems from team members, clients, and other internal teams. Key stakeholder in ensuring the prior authorization review platform is optimized for technician functions. Maintain relationships with external Independent Review Organizations and clinical resource vendors. Support the training and growth of both new and existing staff members in adherence to proper procedures. Collaborate with prior authorization leadership to develop process improvements and support long-term business needs, recommend new approaches, policies, and procedures to influence continuous improvements in department's efficiency and help establish best practices for conflict resolution while actively participating in problem identification and coordinate resolutions between appropriate parties. Assists with in other responsibilities, projects, implementations, and initiatives as needed in accordance with the policies and procedures established within the department. Prepare prior authorization requests received by validating prescriber and member information, level of review, and appropriate clinical guidelines. Maintain compliance with local, state, and federal laws, in addition to established organizational standards. Proactively obtains clinical information from prescribers, referral coordinators, and appropriate staff to ensure all aspects of clinical guidelines are addressed for pharmacist review. Triage phone calls from members, pharmacy personnel, and providers by asking applicable drug and client specific clinical questions. Follow all internal Standard Operating Procedures and adhere to HIPAA guidelines and Company policies Required Qualifications: Active, unrestricted, National Certified Pharmacy Technician (CPhT) license required Bachelor's or Associate's degree is preferred 4+ years of PBM or Managed Care pharmacy experience required Proficient in Microsoft Office Suite with emphasis on Microsoft Excel and PowerPoint Strong clinical background required Excellent communication, writing, and organizational skills Ability to multi-task and collaborate in a team with shifting priorities Preferred Qualifications: 2+ years of regulated market prior authorization operations experience or knowledge of how to operationalize regulated market requirements Previous prior authorization operations leadership experience Salary Range$80,000-$90,000 USD All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at *********************************************
    $80k-90k yearly Auto-Apply 2d ago
  • Manager Behavioral Health Services

    Carebridge 3.8company rating

    Chronic disease manager job in Columbus, OH

    JR167272 Manager Behavioral Health Services Responsible for overseeing Behavioral Health Utilization Management (BH UM), this position supports the Medicaid line of business. Location: Hybrid 2: This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. How will you make an impact: * Serves as a resource for medical management programs. Identifies and recommends revisions to policies/procedures. * Ensures staff adheres to accreditation guidelines. * Supports quality improvement activities. * May assist with implementation of cost of care initiatives. * May attend meetings to review UM and/or CM process and discusses facility issues. * Hires, trains, coaches, counsels, and evaluates performance of direct reports. * Responsibilities for BH UM may include: Manages a team of licensed clinicians and non-clinical support staff responsible to ensure medical necessity and appropriateness of care for inpatient/outpatient BH services; ensures appropriate utilization of BH services through level of care determination, accurate interpretation/application of benefits, corporate medical policy and cost efficient, high quality care; manages consultation with facilities and providers to discuss plan benefits and alternative services; manages case consultation and education to customers and internal staff for efficient utilization of BH services; leads development and maintenance of positive relationship with providers and works to ensure quality outcomes and cost effective care; assists in developing clinical guidelines and medical policies used in performing medical necessity reviews; provides leadership in the development of new pilots and initiatives to improve care or lower cost of care. Minimum requirements: LICENSURE REQUIREMENTS FOR ALL FUNCTIONS: * Requires current, active, unrestricted license such as LCSW (as applicable by state law and scope of practice), LMHC, LPC, LMSW (as allowed by applicable state laws), LMFT, or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States. * For Government business only: LAPC, and LAMFT are also acceptable if allowed by applicable state laws and any other state or federal requirements that may apply; provided that the manager's director has one of the types of licensures specified in the preceding sentence. * Licensure is a requirement for this position. EDUCATION/EXPERIENCE REQUIREMENTS: * Prior experience in Managed Care setting required. * Additional requirements for BH UM: MS in social work, counseling, psychology or related behavioral health field or a degree in nursing and minimum of 5 years of clinical experience with facility-based and/or outpatient psychiatric and chemical dependency treatment and prior utilization management experience; or any combination of education and experience, which would provide an equivalent background. * Experience applying clinical and policy knowledge on the continuum of Behavioral Health treatment strongly preferred. Preferred Skills, Capabilities, and Experiences: * Leadership and prior management experience. * Experience in managed care. * Candidates from all states are welcome, but they must reside within commuting distance of a Pulse Point office location where we have an office to be considered. * Proficiency in MS Office and data reporting. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
    $65k-84k yearly est. Auto-Apply 60d+ ago
  • Manager, Regulatory Clinical Applications

    Dianthus Therapeutics

    Remote chronic disease manager job

    About Us We are developing potentially best in class therapies for patients living with severe autoimmune diseases. Our lead antibody, claseprubart (DNTH103), is purposefully engineered with extended half-life, improved potency, and high selectivity for only the active C1s complement protein that drives disease pathology - enabling less frequent and more convenient self-administered subcutaneous injections. Our second clinical candidate, DNTH212 is a first and potentially best in class, bifunctional inhibitor that targets clinically validated and complementary disease modifying mechanisms, Type 1 IFN suppression and B cell modulation - enabling potential for improved clinical outcomes and patient friendly convenient, self-administered subcutaneous injections. To learn more, please visit ****************** and follow us on LinkedIn. About the Role As the Manager, Regulatory Clinical Applications, you will play a key role in supporting the planning and execution of clinical trial application (CTA) activities across global studies. Reporting to the Director of Regulatory Clinical Applications Strategy, you will collaborate closely with Clinical Research Organizations (CROs), internal stakeholders, and regulatory bodies to ensure timely and compliant study startup and maintenance. You must have experience with clinical trial applications to be successful in this role. This is an exciting opportunity to contribute to a growing regulatory function within a clinical-stage company, supporting strategic initiatives and operational excellence throughout the study lifecycle. We are building a culture of individuals who hold our core principles at the center of our operations, with the goal to elevate the care of our patients' lives. We are open to you working remotely in the United States. Key Responsibilities Support the Director in coordinating and implementing study startup activities in collaboration with CROs and internal study teams. Assist in identifying country-specific regulatory and ethics committee requirements to facilitate timely CTA approvals. Review and prepare submission packages for Regulatory Authorities and IRB/IEC for completeness and accuracy. Ensure required Quality documentation (e.g., QP declaration, GMP Certification) is available for drug release. Track and coordinate responses to Regulatory and IRB/IEC queries and deficiency letters with subject matter experts. Monitor and report on CTA status updates and study startup progress across assigned projects. Maintain internal regulatory files and ensure documentation is complete and accessible. Support the review and maintenance of the Trial Master File for regulatory and ethics committee documentation. Update global clinical trial registries (e.g., ClinicalTrials.gov) as required. Participate in Study Management Team meetings to represent regulatory/study startup perspectives. Assist in gathering and sharing regulatory intelligence related to study startup. Contribute to the development and maintenance of SOPs and process improvement initiatives. Support strategic planning and risk mitigation efforts related to study startup activities. Travel up to 10% for team meetings and company events. Experience Bachelor's degree in life sciences or related field required; advanced degree preferred. 5+ years of experience in clinical trial startup and regulatory affairs within the pharmaceutical or biotech industry. Familiarity with CRO operations and global regulatory requirements for clinical trial applications. Experience supporting global interventional clinical studies and managing CTA submissions. Strong organizational skills with the ability to manage multiple priorities and meet deadlines. Knowledge of GxP, ICH guidelines, and health authority regulations. Effective communication and interpersonal skills; ability to work collaboratively across teams. Detail-oriented with strong analytical and problem-solving capabilities. Proficiency in project management and documentation systems.
    $67k-105k yearly est. Auto-Apply 54d ago
  • Field Clinical Manager (Remote)

    Kardium 4.2company rating

    Remote chronic disease manager job

    Your opportunity By joining the Kardium team, you can help make a difference in the lives of millions around the world. We have developed a ground-breaking medical device for the diagnosis and treatment of the most common heart rhythm disorder, atrial fibrillation - which can cause stroke, heart failure, and other heart-related complications. Kardium's mission is to deliver the best treatment for atrial fibrillation. To achieve this, we have developed The Globe Pulsed Field System - we have a fantastic technical team that has developed a product with strong, unique, and customer-valued differentiators versus other solutions on the market. We have built connections with key opinion leaders who are already using the Globe System and are helping to tell our story. We are now focused on our commercial launch. This is an exciting and significant milestone in our journey to bring this ground-breaking technology to patients. As a Field Clinical Manager, you will play an instrumental role in the success of the commercial launch for the Globe Pulsed Field System. You will be responsible for building, managing and supporting a team of Field Clinical Specialists who will provide clinical expertise and support for the Globe System. You will play a crucial role in ensuring the successful implementation and utilization of our products in clinical settings, fostering strong relationships with healthcare professionals, and driving the overall success of the commercial launch. Please note, this opportunity is a remote work arrangement based in the United States. Meaningful work you will be a part of Your responsibilities will include: Lead, mentor, and manage a team of Field Clinical Specialists. Develop and implement training programs to ensure team proficiency in electrophysiology and in supporting commercial ablation cases. Monitor and evaluate team performance, providing feedback and coaching to drive continuous improvement. Provide clinical expertise and support to healthcare professionals during cardiac ablation procedures. Ensure compliance with regulatory requirements and company policies. Stay current with industry trends, advancements, and best practices in electrophysiology. Travel to various clinical sites to support team activities and build relationships with key stakeholders. What you bring to the team Our Kardium team is smart, creative, and passionate about creating cutting-edge medical devices to help improve people's lives. We work within a collaborative environment based on trust and respect. And we understand that only by working together can we solve the unsolvable. You will be successful in this role because you possess these attributes: Bachelor's degree, or equivalent 5+ years experience leading a team of Clinical Specialists in Electrophysiology or experience as a Field Trainer Strong clinical knowledge and expertise in electrophysiology procedures and products. Excellent communication, interpersonal, and leadership skills. Flexibility to take on additional responsibilities as appropriate Ability to work in the USA A valid Driver's License Ability to travel over 50% Compensation Kardium has listed the total cash compensation range (base salary + 5% 401k contribution + variable compensation based on the achievement of organizational goals and objectives) that we expect to pay applicants for this role, as of the time of this posting. Pay offered will be determined based on numerous relevant business and candidate factors including, for example, education, qualifications, certifications, experience, skills, and business or organizational needs. For candidates with more or less experience than listed above, the pay range will be adjusted. As a permanent employee, you will also participate in Kardium's stock option plan. $175,000 - 230,000 (USD Annually) Your Benefits & Well-being The total cash we've listed for this position includes a base salary, plus a contribution to a Retirement Savings plan to help support your financial goals. Comprehensive medical & dental coverage for all permanent employees - effective as of Day 1, with no waiting period. Work-day flexibility - additionally, we provide 3 personal days per year. Support for you (and your dependents) overall well-being. Family building - we provide top up for both maternity leave & adoptive leave. Employees can also enroll in benefit coverage for fertility drug treatment. Career progression and learning support. Professional membership support. Life at Kardium What makes us a great place to work? Our Purpose Our People Our Culture At Kardium, we embrace diversity of background, experience, and perspective and we're committed to inclusion and equity at every level. We encourage applications from all qualified candidates who represent the full diversity of all communities. We collaborate with Employee Resource Groups (ERGs), as volunteer-led groups who share a common dimension of diversity and come together to provide support, education, and other opportunities across Kardium. Examples of our ERGs include Women ERG, Pride ERG, Race Ethnicity & Cultural Heritage (REACH) ERG, Truth & Reconciliation ERG, Persian Community ERG, Chinese ERG, Barangay Kardium (Filipino) ERG, and Irish ERG. As part of your application, we encourage you to note if you require an accommodation for the recruitment process (including alternate formats of materials, accessible meeting rooms or other accommodations). There will be an optional section in the application form where you can provide this information to the recruitment team. And our employees think we are great too - check out Glassdoor to learn more!
    $63k-101k yearly est. 24d ago
  • Clinical Relations Manager

    Global 4.1company rating

    Remote chronic disease manager job

    How will you make an impact? Manages identified Clinical Sites to educate prospective study subjects and health care professionals about clinical trial participation. Takes on added responsibility as requested from VP of Clinical Relations to assist the team in achieving Glaukos clinical enrollment goals. The specific tasks could be: new employee training, planning and leading Glaukos study investigators meetings, planning and implementing scheduled Investigator conference calls, overseeing the creation and delivery of monthly clinical study newsletters, Updating iPad with CRM study tools, performing the functions of CRM while also executing the Surgical Specialist tasks on identified trained Investigators, leading the team with updates with tracking subject software (iMednet), development of tools for scheduling clinical surgery, development of patient out-reach programs, development of surveys to track performance from our customers, attendance as needed to major local, regional, national, international industry meetings, development of surgical forms as needed as technique is developed for new Glaukos products. Being prepared as a back-up to the CRA to deliver the "Excellence in Research" program, Take the lead as directed on developing the system for Glaukos in-office surgery. What will you do? Leads clinical recruitment efforts on key US IDE and post-approval trials. Acts as an integral member of the core project team working directly with the Clinical Affairs team (Directors or Managers of Clinical Affairs, and Clinical Research Associates) and the Surgical Specialists (Regional Business Managers), and any other relevant team members. Develops strong personal relationships with study investigators, clinical coordinators, and glaucoma/cataract key opinion leaders. Establishes and builds rapport with clinical sites and assess their recruitment challenges and opportunities. Based on a thorough assessment, develops a detailed and specific subject recruitment plan for clinical sites participating in Glaukos-sponsored studies. Implements and facilitates subject recruitment and retention activities. Analyzes metrics to identify trends, issues, areas of success and for improvement. Identifies and proposes strategies, procedures, systems, technology etc. to improve productivity and efficiencies in clinical trial subject recruitment. Develops detailed site specific study pre-screening plans based on protocol inclusion/exclusion criteria. Performs and oversees patient chart reviews to identify potential study subjects. Complies with HIPAA, pertinent federal and state laws and regulations, and relevant Glaukos internal procedures. Identifies outreach opportunities to educate patients, health care professionals, advocacy groups, and potential referring physicians about study participation. Monitors referral sources to ensure adequate study information is provided to potential participants. Identifies, coordinates, and staffs appropriate events and meetings, as needed. Proactively and effectively communicates updates on site status to clinical management, Clinical Affairs, and RBMs. Communicates trends in the industry and, whenever possible, status of competitive clinical trials. Determines best practices for working with sites on increasing subject enrollment. Works with other respective Clinical Relations Managers to elevate team success. Attends major ophthalmic meetings, as needed. Provide training to ophthalmology practices on how to properly and efficiently identify patients within their practice who are potential candidates for commercial iStent implantation. Employ effective tools and programs to properly communicate the potential benefits of iStent implantation to appropriately identified patients. How You'll Get there: Minimum 9+ years relevant work experience in the medical device or pharmaceutical industry, preferably with experience in ophthalmology and medical devices. Required Knowledge of medical terminology required, with knowledge of ophthalmology terminology strongly preferred Required Prior experience in business development or as a study coordinator or clinical research assistant desirable Required Prior experience developing and executing training plans Required Knowledge of the medical, scientific, design, and clinical research aspect of medical device and/or pharmaceutical trials Required Strong communication, interpersonal, and analytical skills Required Excellent time management and organizational skills Required Experience in MS Office (Outlook, Word, Excel); familiarity with databases helpful Required Self-motivated and able to work independently, as well as within a team in a multidisciplinary environment Required Must be willing and able to travel a significant amount of time (> 50%) Required Flexibility, as assignments vary in location, time intensity Required Exhibits personal integrity, credibility, and responsibility Required Bachelor's Degree with major in biological science, nursing, or other health-related discipline preferred COA - Certified Ophthalmic Assistant Preferred COT - Certified Ophthalmic Medical Tech Preferred #GKOSUS
    $66k-104k yearly est. Auto-Apply 8d ago
  • Clinic Manager

    Skinspirit 4.0company rating

    Chronic disease manager job in Dublin, OH

    Job DescriptionDescriptionCelebrating 20+ years of excellence, SkinSpirit is a top destination for aesthetic skincare and body - with over 55 locations nationwide. Our highly trained experts are the best in the industry - renowned for personalized service delivering safe, effective, medically proven treatments and optimal results. SkinSpirit is here to ensure you find joy in your skincare journey and happiness in the results you're looking for. We thrive in a people- first culture with an authentic emphasis on wellbeing. As we grow, we reinforce the integrity of our unique culture by leading with love and an unparalleled passion for what we do. We offer world-class training and education. And as industry leaders we're always innovating - bringing state-of-the-art equipment and services to our clinics. Join the SkinSpirit experience! Position Overview The Clinic Manger is a crucial position in the success of SkinSpirit. This role is responsible for setting the tone of the clinic while managing the team and clinic operations through the lens of our culture and values. The Clinic Manager will partner with their leadership and clinic team to strategically position the business for consistent growth while ensuring daily operations are smooth and effective. The Clinic Manager will empower and motivate their team while ensuring the clinic is delivering the highest level of service to clients. Why You'll Thrive at SkinSpirit Obsession with client experience: We connect with our clients on a personal level to provide the best service to meet their needs. We listen to feedback and proactively address any concerns that may arise to foster loyalty and achieve our goals Drive for excellence and continuous improvement: We are committed to exceeding expectations, both internally and externally Entrepreneurial spirit: SkinSpirit does nto have a one-size-fits-all approach. We encourage our employees to thing outside of the box and find new avenue for the growth and success of their clinic. We embrace ambiguity, learn from mistakes and fail forward Commitment to putting the team first: We recognize that it takes a village and are deeply committed to the growth and development of the people around us. We recognize when others succeed, we do too What You Will DoKey Responsibilities Set the vision and direction for the clinic team, articulating priorities, and generating enthusiasm and energy against unified goals Manage all aspects of clinic daily operations, such as organizing workflow, optimizing schedules, addressing client feedback, inventory management, revenue performance, and other administrative duties Hold the team accountable for maintaining the highest of standards as related to client service, safety and compliance Recruit, retain, and develop a high- performing and diverse team Support staff development through 1:1 touch-bases, Individual Development Plans. coaching, and training/development Improve systems, policies, and procedures to increase efficiency and level of service Additional duties and tasks as needed What You Will Bring Skills, Knowledge & Expertise Bachelor's Degree strongly desired; HS Diploma/ GED required 5+ years of relevant experience in the medical/spa industry, luxury retail, hospitality, or similar industry Experience managing, leading, coaching, and developing diverse teams and specialized talents to achieve high performance A positive attitude and desire to model a growth mindset for employees Ability to work a flexible scheduled to accomplish all major responsibilities. This includes early mornings, evenings, weekends, and holidays Strong organizational skills with the ability to habdel multiple tasks simultaneously, maintain focus and adapt to unexpected situations Excellent written and verbal communication, and active listening skills; ability to communicate at all leaved of the organization Fluent computer and phone skills; working knowledge of Microsoft Office ( Word, Excel, Outlook) and the ability to learn about new technologies Physical Requirements Prolonged periods of sitting at a desk and working on a computer Occasionally stand, walk, use j Occasionally lift and/or move up to 20 pounds and occasionally lift/or move up to 30 pounds BenefitsWe offer a competitive benefits package which includes generous employee discounts, Friends & Family discounts and a beautiful working environment with a stellar team. We also offer paid holidays and a 401k plan with a company match program. For full- time employees (24 + hours/week) we offer Medical, Vision, and Dental insurance. Notices for Applicants Notice at Collection Privacy Policy for California Residents SkinSpirit participates in E-Verify; To learn more please visit E-Verify.gov - Employee Rights and Responsibilities SkinSpirit is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition, national origin, physical or mental disability, political affiliation, protected veteran status, race, religion, sex, (including pregnancy), sexual orientation, or any other characteristic protected by applicable laws, regulations and ordinances. We seek to hire on the basis of merit, competence, performance, and business needs.
    $61k-97k yearly est. 9d ago
  • Telehealth Clinical Manager - Remote

    Gateway Rehabilitation Center 3.6company rating

    Remote chronic disease manager job

    Job DescriptionDescription: Ready to Elevate Addiction Recovery? If you're looking to redefine the way care is delivered and be at the forefront of addiction recovery, we have the career for you! Your expertise and compassion can change lives-one virtual session at a time Gateway Rehab Center (GRC) is seeking a passionate and skilled Clinical Manager to revolutionize the way we deliver care. This management position allows you to bring compassion, innovation, and expertise to individuals on their journey to recovery-all from the comfort of your home with occasional travel to a GRC location. If you're driven by the mission of making high-quality, accessible care a reality for all, we want to hear from you! Please Note: This is a remote position with occasional travel to a GRC facility in Robinson, PA. Ideal candidate should live in the Pittsburgh area or surrounding counties. Why Choose Gateway Rehab? Make an impact through Gateway's mission “to help all affected by addictive disease to be healthy in body, mind, and spirit.” Be a part of an organization that has been leading the way in addiction treatment for over 50 years. Leverage cutting-edge telehealth technology to bridge gaps in care and transform lives. Enjoy the flexibility of a remote role while maintaining meaningful client. Why This Role is the Future of Addiction Treatment? GRC's Telehealth Services team is changing lives, and as a Clinical Manager, you'll be at the forefront of this movement. Your work will expand access to critical services, empower clients, and shape the future of addiction recovery. This is more than just a job-it's a mission-driven career where you can make a lasting impact every single day. Your Role in Transforming Recovery Conduct authorization audits to ensure timely completion, avoiding any disruption in payments. Develops a training curriculum for Aura/m.care, tailored for new hires in all Telehealth positions. Performs chart audits for compliance of all new admissions, ensuring deadlines are met and sending reminders to staff with outstanding documentation. Maintains staff training records and identify training opportunities based on areas of need, as recommended by the Director or Executive Director. Oversees patient program attendance, ensuring compliance with policies and licensure requirements, particularly for psych services and IOP. Conducts documentation audits across different levels of care to ensure timely completion of all required items. Attends mandatory GRC trainings and in-services. Requirements: What We're Looking For Master's degree in field that meets Pennsylvania Department of Health staffing qualification regulations required. License or certification from the Pennsylvania Certification Board eligible. Two years' clinical experience in a health or human service agency, including one year working directly with chemically dependent persons. Supervisory experience preferred. Knowledge of Substance Use Disorders and Evidence-based treatment methods. Strong leadership skills. Ability to manage crisis, make decisions, and make sound clinical judgements. Excellent written and verbal communication skills. Additional Requirements Pass PA Criminal Background Check. Obtain PA Child Abuse and FBI Fingerprinting Clearances. Pass Drug Screen. TB Test. Work Conditions Remote with travel into a GRC facility. Favorable working conditions. Minimal physical demands. GRC is an Equal Opportunity Employer committed to diversity, equity, inclusion, and belonging. We value diverse voices and lived experiences that strengthen our mission and impact.
    $31k-38k yearly est. 28d ago
  • Behavioral Health Clinical Review Manager

    Bluecross Blueshield of Tennessee 4.7company rating

    Remote chronic disease manager job

    Are you passionate about making a meaningful impact on the lives of individuals facing mental health challenges, while working behind the scenes? If so, Utilization Management might be the perfect fit for you! In this role, you'll play a critical part in shaping care decisions and improving outcomes, all without direct, face-to-face interaction. What You'll Do Apply your knowledge of Behavioral Health and Withdrawal Management diagnoses. Navigate the continuum of care and levels of care for Behavioral Health and Withdrawal Management. Present cases confidently and effectively during clinical rounds. Work independently with minimal supervision. Excel in a fast-paced, dynamic environment. Our Ideal Candidates will have an RN or Social Work license and: 3 years - Clinical behavioral health / substance use disorder experience required 1 year - Must be knowledgeable about community care resources and levels of behavioral health care available. Along with: 3+ years of experience in Psychiatric and/or Substance Use treatment. Background in Behavioral Health settings (both inpatient and outpatient). Prior experience in Utilization Management or Managed Care. Strong communication and presentation skills. Ability to work autonomously and manage time effectively. Adaptability and resilience in a rapidly changing work environment. Why Choose Us? This is more than a job; it's an opportunity to make a lasting difference in people's lives while leveraging your expertise in a collaborative, supportive setting. Job Responsibilities Assists non-clinical staff in performance of administrative reviews Initiate referrals to ensure appropriate coordination of care. Seek the advice of the Medical Director when appropriate, according to policy. Performing comprehensive provider and member appeals, denial interpretation for letters, retrospective claim review, special review requests, and UM pre-certifications and appeals, utilizing medical appropriateness criteria, clinical judgement, and contractual eligibility. Various immunizations and/or associated medical tests may be required for this position. Job Qualifications License Current, active unrestricted Tennessee license in Nursing (RN) or behavioral health field (Master's level or above) (Ph.D., LCSW/LMSW, LLP, MHC, LPC, etc.) required. RN may hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Law. Experience 3 years - Clinical behavioral health / substance use disorder experience required Skills\Certifications Must be knowledgeable about community care resources and levels of behavioral health care available. Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint) Independent, Sound decision-making and problem-solving skills Excellent oral and written communication skills Strong interpersonal and organizational skills Strong analytical skills Positive relationship building skills and ability to engage with diverse populations Ability to quickly identify and prioritize member needs and provide structured and focused support and interventions Number of Openings Available 1 Worker Type: Employee Company: BCBST BlueCross BlueShield of Tennessee, Inc. Applying for this job indicates your acknowledgement and understanding of the following statements: BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.
    $83k-98k yearly est. Auto-Apply 4d ago
  • Clinic Manager (100% Full Time, Days)- Occupational Health

    Adena Health 4.8company rating

    Chronic disease manager job in Chillicothe, OH

    The Operations Manager is responsible for the overall management and operation of services, which may be in multiple locations. Ensures compliance with all regulatory and accreditation standards, staffing/competencies and organizational/department level policies. Decisions are made independently or in collaboration with others. The manager is the leader of the office team providing, directing and encouraging ongoing development of team members. This position has limited patient contact, has access to confidential information and functions under the indirect supervision of the Director. Required Educational Degree: Bachelor's Degree in Health Related Field Preferred Education: BSN Preferred Preferred Certifications, Credentials and Licenses: RN- Registered Nurse with current Ohio license. Certification in Occupational Health Nursing Required Experience: Experience with Workers Compensation. Management or Supervisory experience Preferred Experience: Experience with direct patient care. Job Essential Functions: Responsible for operational policy and procedure development and maintenance Establishes and monitors department metrics for employee satisfaction, patient satisfaction, growth, quality and profitability Participates in direct patient care when necessary and intervenes with patients, employers and third parties as appropriate. Serves as custodian of medical records that are stored at the clinic location Interfaces with company officials and ensures problem resolution Benefits for Eligible Caregivers: Paid Time Off Retirement Plan Medical Insurance Tuition Reimbursement Work-Life Balance About Adena Health: Adena Health is an independent, not-for-profit and locally governed health organization that has been “called to serve our communities” for more than 125 years. With hospitals in Chillicothe, Greenfield, Washington Court House, and Waverly, Adena serves more than 400,000 residents in south central and southern Ohio through its network of more than 40 locations, composed of 4,500 employees - including more than 200 physician partners and 150 advanced practice provider partners - regional health centers, emergency and urgent care, and primary and specialty care practices. A regional economic catalyst, Adena's specialty services include orthopedics and sports medicine, heart and vascular care, pediatric and women's health, oncology services, and various other specialties. Adena Health is made up of 341 beds, including 266-bed Adena Regional Medical Center in Chillicothe and three 25-bed critical access hospitals-Adena Fayette Medical Center in Washington Court House; Adena Greenfield Medical Center in Greenfield; and Adena Pike Medical Center in Waverly.
    $51k-65k yearly est. Auto-Apply 60d+ ago
  • CPST Clinical Manager [Marion, Ohio]

    Third Street Family Health Services 3.9company rating

    Chronic disease manager job in Marion, OH

    What We're Looking For Are you a proactive problem-solver who takes pride in delivering meaningful work that makes a lasting impact? We're looking for a driven and detail-oriented professional to join our team as a CPST Clinical Manager. In this role, you'll play a vital part in ensuring the delivery of high-quality mental health services to clients, helping us move forward with purpose and precision. The ideal candidate values continuous learning, leads with a welcoming spirit, takes ownership of their work, and is passionate about supporting people and building stronger communities. Essential Job Duties: * Provide leadership and guidance to the behavioral health department, ensuring that all staff members are effectively carrying out their roles and responsibilities. Supervise and support CPST staff, and as needed clinical staff. * Provide clinical supervision to the behavioral health department, ensuring that all staff members are effectively carrying out their roles and responsibilities. Supervise and support CPST staff, and as needed clinical staff.. Review and when appropriate sign-off on client visit notes. * Provide direct client services as expected per service, area or location. * Support the professional growth and development of the behavioral health staff by providing effective people management. * Clinical Managers participate in 24/7 call coverage equitably along with the Director of Behavioral Health where needed. * Ensure that the behavioral health department complies with all relevant laws, regulations, and ethical guidelines. * Implement quality assurance measures and monitor the effectiveness of services provided. * Be a positive role model for all center staff. What We Offer Attending to your needs today: * Your ideas, input, and contributions are valued and recognized. * Excellent clinical, administrative, and management support. * Forward-thinking, collaborative, transparent, and inclusive company culture. * Employee Assistance Program. * Competitive Medical, Dental, and Vision plans. * Competitive Market Value Compensation. * Generous Paid Time Off. * Tuition assistance. Protecting your future: * Medical, dental and vision insurance * 403(b) retirement plan with match * Employer-paid life insurance * Employer-paid long-term disability Third Street is an equal opportunity employer. Our goal is to be a diverse workforce that is representative, at all job levels, of the communities and patients we serve. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law. If you require reasonable accommodation in completing this application, please direct your inquiries to ************************ or call ************ ext. 2201 Requirements Qualifications: * Valid driver's license and reliable transportation * Graduate of a mater level accredited social work or clinical counselor program. * Ohio LISW or LPCC state license. * Experience as a counselor, preferably in the community clinic setting. * Supervisory experience, preferred. About Us: Third Street is a patient-centered medical home driving change in the community. We adapt to the needs of those we serve while building services to fill gaps in care to invest in a healthier future for all. At Third Street, we provide high-quality care through the continual learning of our employees and by building a diverse team. We value our employees, communicate our expectations, and train our team on best practices. Organizational Information: * Established in 1994, Third Street Family Health Services is a regional not-for-profit community health center providing medical, dental, OB/GYN, pediatric, community outreach, and behavioral health services across eleven locations in Richland, Marion, Ashland, and Crawford counties. Our mission is to deliver comprehensive health and wellness care, accessible to all in the communities we serve. We believe that the health status of our community can be improved by providing accessible and affordable health care, advocacy, and community health initiatives. * We provide patient-centered care and provide our services with respect, integrity, and accountability top of mind. For more information, visit tsfhs.org or find them on Facebook or Twitter. Mission: To deliver comprehensive health and wellness care, accessible to all in the communities we serve.
    $40k-53k yearly est. 60d+ ago
  • Sr. Clinical Manager of Community Based (LISW-S, LPCC-S)

    Buckeye Ranch 3.1company rating

    Chronic disease manager job in Whitehall, OH

    The Buckeye Ranch is seeking a Community Based Sr. Clinical Manager to join our Community Based program. The Sr. Clinical Manager of Community Based (Licensed Social Worker/ Counselor) provides supervision and clinical development for community-based supervisors to ensure the clinical development of direct care staff. Works in collaboration with other key managers across the agency to ensure access to care for clients, efficiency of staff providing services, compliance with regulatory bodies, and smooth collaboration between departments. This position also supervises a small number of direct care clinicians, therapists, and counselors (LSW, LPC, MFT). Learn about The Buckeye Ranch: For decades, The Buckeye Ranch has been restoring hope and providing healing for children, youth, and families in Central Ohio. Our continuum of care addresses every stage and aspect of what children may be experiencing after traumas caused by mental illness, abuse, or neglect. With help from The Buckeye Ranch, they're empowered to overcome obstacles, tap into their resilience, and move forward toward healthy, fulfilling lives. Our benefits: Benefit effective date: First of the month following 30 days of employment. Wonderful medical, dental, and vision insurance. Paid Time Off (Three weeks within the first year) Company Paid Life Insurance Company Paid Short Term Disability 401K + Employer Contribution Non-Profit Student Loan Forgiveness Program Employee Assistance Program Tuition Assistance Employee Referral Program Qualifications Who you are: You have a master's degree in social work, counseling, or family therapy. You have at least three years of relevant Clinician, Therapist, Social Worker, or Counselor experience. Supervisory experience preferred. You have an active LISW-S, LPCC-S, or LIMFT-S You have an active driver's license and proof of auto insurance. Applicants are considered for all positions in accordance with statutes and regulations concerning non-discrimination on the basis of race, ancestry, age, color, religion, sex, national origin, sexual orientation, gender identity, non-disqualifying disability, veteran status, or other protected classification. The Buckeye Ranch is an equal opportunity employer, as well as a substance and tobacco free workplace. All offers of employment are contingent on satisfactory pre-employment drug screen, references, FBI/BCI background check, ARCS registries check, and SACWIS database checks. At this time, The Buckeye Ranch is unable to provide visa sponsorship. Candidates must be legally authorized to work in the U.S. without sponsorship now or in the future. #TBR001
    $27k-35k yearly est. 2d ago

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