Clinical care coordinator work from home jobs - 417 jobs

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together. Alignment Health is seeking an compassionate, customer service oriented, and organized, bilingual Spanish care coordinator in California to join the remote Care Anywhere team. The Care Coordinator is responsible for supporting the Care Anywhere Program field providers, scheduling, outreach, and managing all care coordination needs for high-risk members enrolled with the program. If you're looking for an opportunity to learn and grow, be part of a collaborative team, and make a difference in the lives of seniors - we're looking for YOU! Individuals with front office medical assistant experience, experience supporting multiple providers, and high call volume experience are highly encouraged to apply. Schedule: Mondays - Fridays - Option 1: 8:00 AM - 5:00 PM Pacific Time (with 1-hour lunch) - Option 2: 8:30 AM - 5:30 PM Pacific Time (with a 30- minute lunch) General Duties / Responsibilities Manage (4) provider schedules to ensure schedules are filled. Prepare charts for upcoming home visit appointments (check member eligibility, gather records needed by the provider prior to the home visit) Conduct outreach for scheduling, appointment confirmation calls, wellness checks for high risk members, and to providers / pharmacies for member needs. Handle inbound / outbound Call (60 - 80 calls / day) Obtain medical records from provider offices, hospitals and skilled nursing facilities (SNF) and upload medical records to the electronic medical records (EMR). Submit referral authorizations to independent physician association (IPA) / medical groups for specialty, durable medical equipment (DME), and home health (HH) services. Coordinate lab orders, transportation for high-risk members. Documentation via EMR for Inbound / Outbound calls. Support short message service (SMS) and member outreach campaigns. Assist nurse practitioner (NP) team with visit preparation needs Appointment reminders to members Assign members to NP in EHR Provide needed documentation to NP for visits each day Direct inbound calls from members / family related to medication refills Assist with maintaining and updating members' records Assist with mailing or faxing correspondence to primary care physicians (PCP), specialists, related to, as needed. Attend Care Anywhere meetings / presentations and participates, as appropriate. Recognize work-related problems and contributes to solutions. Work with outside vendors to provide appropriate care needs for members Job Requirements: Experience: Required: Minimum (1) year experience entering referrals and prior authorizations in a healthcare setting. Preferred: 2 years' healthcare experience. Education: Required: High School Diploma or GED. Preferred: Completion of medical assistant program from an accredited school of training Training: • Preferred: Medical Terminology Specialized Skills: • Required: Able to communicate positively, professionally and effectively with others; provide leadership, teach and collaborate with others. Knowledge of ICD9 and CPT codes Knowledge of Managed Care Plans Able to type by 10-key touch minimum of 40 words per minute (WPM) Proficient with Microsoft Outlook, Excel, Word Effective written and verbal communication skills; able to establish and maintain a constructive relationship with diverse members, management, employees and vendors; Language Skills: Able to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals. Able to write routine reports and correspondence. Communicates effectively using good customer relations skills. Mathematical Skills: Able to add and subtract two-digit numbers and to multiply and divide with 10's and 100's. Able to perform these operations using units of American money and weight measurement, volume, and distance. Reasoning Skills: Able to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Able to deal with problems involving a few concrete variables in standardized situations. Problem-Solving Skills: Effective problem solving, organizational and time management skills and ability to work in a fast-paced environment. Bilingual English / Spanish required. • Preferred: Knowledge working in Athena Licensure: • Required: None • Preferred: Medical assistant certificate Medical terminology certificate Essential Physical Functions: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Pay Range: $41,472.00 - $62,208.00 Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc. Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation. *DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at ******************************* If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health's talent acquisition team, please email ******************.

HealthPartners is looking for a Certified Adult/Geriatric or Family Nurse Practitioner to join our Home-Based Medicine Team. Being a part of our team means you will have an impact on the care that our patients receive every day. As a Home-Based Medicine Nurse Practitioner/Care Coordinator, you will be part of the largest multi-specialty care system in the Twin Cities. This position will provide both telehealth and fieldwork with seeing patients in their homes. Local travel required. This individual will provide the primary health care for patients at home. * Provide care coordination to achieve patient centered, high quality and cost-effective care across the continuum * Provide nursing leadership in defining and achieving program goals in a changing healthcare environment * Utilizes principals of quality of life, maintenance of optimal function and the patient's advanced directives in developing plan of care * Supportive, patient-centered practice * MN RN and APRN licensure required along with prescriptive authority * Home Based Medicine experience (NP or RN) preferred * Must be able to provide own transportation for local travel. You will be joining a team that is supportive and respectful of one another and deeply committed to the mission of HealthPartners. Here, you'll become a partner for good, helping to improve the health and well-being of our patients, members and community. Our commitment to excellence, compassion, partnership and integrity is behind everything we do. It's the type of work that makes a difference, the kind of work you can be proud of. We hope you'll join us. WORK SCHEDULE: 8am - 5:00 pm BENEFITS: HealthPartners benefit offerings (for 0.5 FTE or greater) include medical insurance, dental insurance, 401k with company contribution and match, 457(b) with company contribution, life insurance, AD&D insurance, disability insurance, malpractice insurance for work done on behalf of HealthPartners as well as a CME reimbursement account. Our clinician well-being program provides a wealth of information, tools, and resources tailored to meet the unique needs of our health care professionals, including physicians, advanced practice clinicians (APCs) and dentists. HealthPartners is a qualified non-profit employer under the federal Public Service Loan Forgiveness program. TO APPLY: For additional information, please contact Judy Brown, Sr. Physician and APC Recruiter, *********************************. For immediate consideration, please apply online.

OUR PURPOSE We are focused on Good Living for the Greater Good. This means providing a true sense of home and belonging for our Neighbors and Prometheans and giving our time and resources to bring positive change locally and beyond. It also means supporting you in your career goals with the very best working experience, and that starts with us having fun in the work we do together. YOUR ROLE AND IMPACT Some companies call them “Property Administrators”, but at Prometheus our Home Base Coordinators do so much more. Our Senior Home Base Coordinators focus on the administration of multiple properties, and your role is a constant blend of: Financial Administration - Whether it is managing rent collections, reviewing ledgers, processing final account statements, or tracking invoices, you are on top if it all. You make every detail count and count every detail. Leasing Administration - You will provide support to the leasing team in qualifying future Neighbors - verifying applications, performing credit investigations, creating all associated documentation accompanying the rental agreements, and recertifications specifically related to Below Market Rate Housing or similar. Customer Service - You are a problem solver that makes renting easy. When Neighbors have questions about policies or deposit charges, you help them find the answers. When the office gets busy, you are the first one to jump in and answer the phones and provide support to the leasing team in qualifying future Neighbors. JOB QUALIFICATIONS Your Experience - Prometheans come from all walks of life and from all over the globe. We're also very diverse in that we hire talent with experience in other industries and who bring different skill sets and ideas to our company. You should bring a passion for working in a customer service, working knowledge of housing rental laws & ordinances, and enjoy solving problems. Your Cultural Traits - Although we're a highly dispersed organization by the nature of our business, our Prometheans are strongly united by our Purpose, Mission and our Cultural Traits. These are the defining characteristics of a Promethean: Team Oriented, Communicator, Entrepreneurial, Passionate, Self-Starter, Creative, Principled, and Brand Ambassador. Your Education - A Bachelor's degree is preferred and a High school diploma or general education degree (GED) is required. COMPENSATION & BENEFITS We offer a variety of benefits that take compensation well beyond a paycheck. This includes traditional benefits and benefits you might not expect or know about. The provided salary range is based on a number of factors, including location, job-related skills, experience and qualifications. Compensation Pay Range: $33.25 to 40.25 per hour Discretionary Semi-Annual Bonus Plan Benefits & Perks Medical; Vision; Dental:100% Company-paid plans (including eligible dependents) and affordable buy-up options Life insurance; Accidental Death & Dismemberment Insurance; Long Term Disability Behavioral Health Program Accessible 24/7 Tax-Free Flexible Spending Accounts 401(K) Retirement Plan with Employer Matching Recognition & Rewards Program (Torch) Vacation: 10 days per year with accrual increasing over time Anniversary Vacation: 40-hour Vacation Granted at Tenured Milestones Sick Leave: 9 days per year 12 paid holidays, including your birthday! Paid Volunteer Time Tenured-based Housing discounts Educational Assistance, Tuition Reimbursement Learn more about these and other perks of being a Promethean by exploring our full Benefits Guide. Prometheus is proud to be an equal opportunity workplace. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, veteran status, or any other status protected under federal, state or local law. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. If you'd like more information about your EEO rights as an applicant under Federal Employment Laws, please check out these FMLA, EEO, and EPPA pages.

An ECM Coordinator supports department staff with administrative tasks related to a member's medical condition(s), department case work, communication with internal and external stakeholders, and manage audits. This role will engage with members to offer support and resources related to their medical condition(s) through Allied Care. ESSENTIAL FUNCTIONS Facilitate reviews, referrals, and outreach for referral-based proprietary strategies as well as engaging with members across Medical Management products Document all engagement accurately and concisely within the Microsoft Customer Relationship Management (CRM) system Manage escalated and time sensitive case management questions received from members, broker relationships, and internal and external Allied stakeholders Collaborate with strategic vendor partners to provide supportive services and support to members Lead and facilitate claims auditing in conjunction with ECM Coordinators. Complete department auditing related to daily tasks to ensure accuracy and identify escalations Identify impactful scenarios through appropriate closing summaries in timely fashion. Share impactful scenarios with the department's leadership team to deliver to internal departments, such as Sales, Operations, and Executive leadership Identifying escalations for department leadership team, as appropriate Other duties as assigned EDUCATION Bachelor's Degree or equivalent work experience, required EXPERIENCE AND SKILLS At least 3-5 years of administrative support experience required. Focus on patient-provider engagement, needs assessments, coordination of care, and or patient treatment adherence within the healthcare or social service industry preferred Understanding of intermittent medical terminology such as CPT, HCPC, and diagnostic codes Understanding of basic benefit plan design terminology such as deductible, out-of-pocket, prescription drugs, physical medicine services, etc. Strong verbal and written communication skills Strong analytical and problem-solving skills COMPETENCIES Communication Customer Focus Accountability Functional/Technical Job Skills PHYSICAL DEMANDS This is a standard desk role - long periods of sitting and working on a computer are required. WORK ENVIROMENT Remote Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive. The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate. Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life & Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend. Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role. Protect Yourself from Hiring Scams Important Notice About Our Hiring Process To keep your experience safe and transparent, please note: All interviews are conducted via video. No job offer will ever be made without a video interview with Human Resources and/or the Hiring Manager. If someone contacts you claiming to represent us and offers a position without a video interview, it is not legitimate. We never ask for payment or personal financial information during the hiring process. For your security, please verify all job opportunities through our official careers page: Current Career Opportunities at Allied Benefit Systems Your security matters to us-thank you for helping us maintain a fair and trustworthy process!

This role provides essential operational and technical support for Primary Care in Rochester and Kasson by managing digital content, organizing key documents, and maintaining web-based resources. This role ensures that providers, staff, and patients have access to accurate, up‑to‑date information across internal and external platforms. Requires strong organizational skills, attention to detail, ability to manage multiple priorities, excellent communication and problem-solving abilities. Manages and maintains Primary Care internet and intranet sites, ensuring all pages, documents, and resources remain current, accurate, and user‑friendly. Creates, updates, and optimizes web content using appropriate web languages, content management tools, and software platforms. Oversees the structure, layout, and navigation of SharePoint sites and subsites; organizes libraries, permissions, and document workflows to support operational efficiency. Ensures timely loading, formatting, and lifecycle management of digital documents, policies, protocols, and reference materials. Preferred experience with SharePoint site administration, website content management, or digital resource organization. Other duties and responsibilities assigned as needed. Work will primarily be performed remotely but at times will require incumbent to be on site. Therefore, the individual must live within driving distance of any Mayo Clinic Health System. High school diploma or equivalent required. Formal education or experience with web development languages/software or two years administrative experience including web development required. Previous supervision experience beneficial. Experience with database software such as Access and Excel desired. Prefer experience working in a healthcare environment. Excellent time management, team facilitation, and team building skills required. Ability to coordinate multiple projects, provide attention to detail, ability to follow through on assignments/tasks and ability to work with others to ensure consistency, validity, and accuracy. Ability to exercise independent problem solving.

Why Charlie Health? Millions of people across the country are navigating mental health conditions, substance use disorders, and eating disorders, but too often, they're met with barriers to care. From limited local options and long wait times to treatment that lacks personalization, behavioral healthcare can leave people feeling unseen and unsupported. Charlie Health exists to change that. Our mission is to connect the world to life-saving behavioral health treatment. We deliver personalized, virtual care rooted in connection-between clients and clinicians, care teams, loved ones, and the communities that support them. By focusing on people with complex needs, we're expanding access to meaningful care and driving better outcomes from the comfort of home. As a rapidly growing organization, we're reaching more communities every day and building a team that's redefining what behavioral health treatment can look like. If you're ready to use your skills to drive lasting change and help more people access the care they deserve, we'd love to meet you. About the Role Discharge Planners help manage client-related communication and coordination with referral sources, such as hospitals, outpatient practices, schools, and governmental organizations. Specifically, they are responsible for some or all of the following: providing treatment updates to referring providers and planning discharge for clients in our care. 1. Treatment updates to referring providers For clients receiving care at Charlie Health, Discharge Planners may be responsible for providing consistent, high-quality treatment updates to referral sources. They may also help answer questions about their referred clients. A key aspect of this role is building trusting relationships with referral sources - Discharge Planners are expected to communicate professionally and collaboratively to deliver a seamless, supportive experience. 2. Discharge planning For clients completing treatment at Charlie Health, Discharge Planners may be responsible for developing a discharge plan. The discharge plan is Charlie Health's opportunity to set the client and family up for success post-program. Discharge Planners ensure that each plan is comprehensive and clinically appropriate. Key activities include identifying appropriate aftercare resources and engaging with clients to facilitate a smooth transition. We're a team of passionate, forward-thinking professionals eager to take on the challenge of the mental health crisis and play a formative role in providing life-saving solutions. If you're inspired by our mission and energized by the opportunity to increase access to mental healthcare and impact millions of lives in a profound way, apply today. Responsibilities Ensure a supportive, positive experience for clients and referral sources / external providers Work directly with clients, families, and referral sources to understand their needs and preferences Make accurate and timely referrals to aftercare resources for clients discharging from Charlie Health Use and maintain a nationwide provider database to identify appropriate referral options Make referrals using external provider's preferred communication channels Follow-up with clients and/or external providers to verify placement Communicates with referral providers about new referrals and ensures that the facility/provider has all necessary information to consider a referral; assists with ensuring that all receiving providers have all necessary clinical materials and information. Documents case management contacts in progress notes, communicates with therapists/case managers and treatment team about contact and updates on the status of discharge planning Collaborate closely with internal stakeholders at Charlie Health (e.g., clinical team, admissions team) as needed to fulfill job responsibilities Work closely with the Clinical Outreach and Partnerships teams to build a deep understanding of referral sources and the services they provide Adhere to stated policies and procedures and achieve performance metrics goals Requirements Bachelor's degree in health sciences, communications, psychology, social work, or related field Minimum of 2 years of relevant work experience (e.g., experience in healthcare, preferably in customer / patient-facing roles such as case management, discharge planning, referral relations, admissions, or outreach) Strong interpersonal, relationship-building and listening skills Metrics- and results-oriented mindset, with experience working against concrete targets Excellent written and verbal communication skills Extreme organization and attention to detail Work authorized in the United States and native or bilingual English proficiency Ability to thrive in a fast-paced environment and learn quickly Proficient in Salesforce and Google Suite/MS Office Benefits Charlie Health is pleased to offer comprehensive benefits to all full-time, exempt employees. Read more about our benefits here. Additional Information Please note that this role is not available to candidates in Alaska, Maine, Washington DC, New Jersey, California, New York, Massachusetts, Connecticut, Colorado, Washington State, Oregon, or Minnesota. The expected base pay for this role will be between $52,500 and $60,000 per year at the commencement of employment. However, base pay will be determined on an individualized basis and will be impacted by location and years of experience. Further, base pay is only part of the total compensation package, which, depending on the position, may also include incentive compensation, discretionary bonuses, other short and long-term incentive packages, and other Charlie Health-sponsored benefits. #LI-REMOTE Based on the nature of this role, you will need to complete several state background checks for clearance to see clients. Florida requires a fingerprint based background check, with more information found here. Please note that the cost for this background check will be paid for in full by Charlie Health. Our Values Connection: Care deeply & inspire hope. Congruence: Stay curious & heed the evidence. Commitment: Act with urgency & don't give up. Please do not call our public clinical admissions line in regard to this or any other job posting. Please be cautious of potential recruitment fraud. If you are interested in exploring opportunities at Charlie Health, please go directly to our Careers Page: ******************************************************* Charlie Health will never ask you to pay a fee or download software as part of the interview process with our company. In addition, Charlie Health will not ask for your personal banking information until you have signed an offer of employment and completed onboarding paperwork that is provided by our People Operations team. All communications with Charlie Health Talent and People Operations professionals will only be sent *********************** email addresses. Legitimate emails will never originate from gmail.com, yahoo.com, or other commercial email services. Recruiting agencies, please do not submit unsolicited referrals for this or any open role. We have a roster of agencies with whom we partner, and we will not pay any fee associated with unsolicited referrals. At Charlie Health, we value being an Equal Opportunity Employer. We strive to cultivate an environment where individuals can be their authentic selves. Being an Equal Opportunity Employer means every member of our team feels as though they are supported and belong. We value diverse perspectives to help us provide essential mental health and substance use disorder treatments to all young people. Charlie Health applicants are assessed solely on their qualifications for the role, without regard to disability or need for accommodation. By clicking "Submit application" below, you agree to Charlie Health's Privacy Policy and Terms of Service. By submitting your application, you agree to receive SMS messages from Charlie Health regarding your application. Message and data rates may apply. Message frequency varies. You can reply STOP to opt out at any time. For help, reply HELP.

Why Charlie Health? Millions of people across the country are navigating mental health conditions, substance use disorders, and eating disorders, but too often, they're met with barriers to care. From limited local options and long wait times to treatment that lacks personalization, behavioral healthcare can leave people feeling unseen and unsupported. Charlie Health exists to change that. Our mission is to connect the world to life-saving behavioral health treatment. We deliver personalized, virtual care rooted in connection-between clients and clinicians, care teams, loved ones, and the communities that support them. By focusing on people with complex needs, we're expanding access to meaningful care and driving better outcomes from the comfort of home. As a rapidly growing organization, we're reaching more communities every day and building a team that's redefining what behavioral health treatment can look like. If you're ready to use your skills to drive lasting change and help more people access the care they deserve, we'd love to meet you. About the Role Discharge Planners help manage client-related communication and coordination with referral sources, such as hospitals, outpatient practices, schools, and governmental organizations. Specifically, they are responsible for some or all of the following: providing treatment updates to referring providers and planning discharge for clients in our care. 1. Treatment updates to referring providers For clients receiving care at Charlie Health, Discharge Planners may be responsible for providing consistent, high-quality treatment updates to referral sources. They may also help answer questions about their referred clients. A key aspect of this role is building trusting relationships with referral sources - Discharge Planners are expected to communicate professionally and collaboratively to deliver a seamless, supportive experience. 2. Discharge planning For clients completing treatment at Charlie Health, Discharge Planners may be responsible for developing a discharge plan. The discharge plan is Charlie Health's opportunity to set the client and family up for success post-program. Discharge Planners ensure that each plan is comprehensive and clinically appropriate. Key activities include identifying appropriate aftercare resources and engaging with clients to facilitate a smooth transition. We're a team of passionate, forward-thinking professionals eager to take on the challenge of the mental health crisis and play a formative role in providing life-saving solutions. If you're inspired by our mission and energized by the opportunity to increase access to mental healthcare and impact millions of lives in a profound way, apply today. Responsibilities Ensure a supportive, positive experience for clients and referral sources / external providers Work directly with clients, families, and referral sources to understand their needs and preferences Make accurate and timely referrals to aftercare resources for clients discharging from Charlie Health Use and maintain a nationwide provider database to identify appropriate referral options Make referrals using external provider's preferred communication channels Follow-up with clients and/or external providers to verify placement Communicates with referral providers about new referrals and ensures that the facility/provider has all necessary information to consider a referral; assists with ensuring that all receiving providers have all necessary clinical materials and information. Documents case management contacts in progress notes, communicates with therapists/case managers and treatment team about contact and updates on the status of discharge planning Collaborate closely with internal stakeholders at Charlie Health (e.g., clinical team, admissions team) as needed to fulfill job responsibilities Work closely with the Clinical Outreach and Partnerships teams to build a deep understanding of referral sources and the services they provide Adhere to stated policies and procedures and achieve performance metrics goals Requirements Bachelor's degree in health sciences, communications, psychology, social work, or related field Minimum of 2 years of relevant work experience (e.g., experience in healthcare, preferably in customer / patient-facing roles such as case management, discharge planning, referral relations, admissions, or outreach) Strong interpersonal, relationship-building and listening skills Metrics- and results-oriented mindset, with experience working against concrete targets Excellent written and verbal communication skills Extreme organization and attention to detail Work authorized in the United States and native or bilingual English proficiency Ability to thrive in a fast-paced environment and learn quickly Proficient in Salesforce and Google Suite/MS Office Benefits Charlie Health is pleased to offer comprehensive benefits to all full-time, exempt employees. Read more about our benefits here. Additional Information Please note that this role is not available to candidates in Alaska, Maine, Washington DC, New Jersey, California, New York, Massachusetts, Connecticut, Colorado, Washington State, Oregon, or Minnesota. The expected base pay for this role will be between $52,500 and $60,000 per year at the commencement of employment. However, base pay will be determined on an individualized basis and will be impacted by location and years of experience. Further, base pay is only part of the total compensation package, which, depending on the position, may also include incentive compensation, discretionary bonuses, other short and long-term incentive packages, and other Charlie Health-sponsored benefits. #LI-REMOTE Based on the nature of this role, you will need to complete several state background checks for clearance to see clients. Florida requires a fingerprint based background check, with more information found here. Please note that the cost for this background check will be paid for in full by Charlie Health. Our Values Connection: Care deeply & inspire hope. Congruence: Stay curious & heed the evidence. Commitment: Act with urgency & don't give up. Please do not call our public clinical admissions line in regard to this or any other job posting. Please be cautious of potential recruitment fraud. If you are interested in exploring opportunities at Charlie Health, please go directly to our Careers Page: ******************************************************* Charlie Health will never ask you to pay a fee or download software as part of the interview process with our company. In addition, Charlie Health will not ask for your personal banking information until you have signed an offer of employment and completed onboarding paperwork that is provided by our People Operations team. All communications with Charlie Health Talent and People Operations professionals will only be sent *********************** email addresses. Legitimate emails will never originate from gmail.com, yahoo.com, or other commercial email services. Recruiting agencies, please do not submit unsolicited referrals for this or any open role. We have a roster of agencies with whom we partner, and we will not pay any fee associated with unsolicited referrals. At Charlie Health, we value being an Equal Opportunity Employer. We strive to cultivate an environment where individuals can be their authentic selves. Being an Equal Opportunity Employer means every member of our team feels as though they are supported and belong. We value diverse perspectives to help us provide essential mental health and substance use disorder treatments to all young people. Charlie Health applicants are assessed solely on their qualifications for the role, without regard to disability or need for accommodation. By clicking "Submit application" below, you agree to Charlie Health's Privacy Policy and Terms of Service. By submitting your application, you agree to receive SMS messages from Charlie Health regarding your application. Message and data rates may apply. Message frequency varies. You can reply STOP to opt out at any time. For help, reply HELP.

Cardinal Health Sonexus™ Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products. Together, we can get life-changing therapies to patients who need them-faster. Responsibilities Responsible for handling inbound and outbound calls, with ability to determine needs and provide one call resolution Responsible for reporting adverse events within the required timeframe Create and complete accurate referrals and applications and keep updated on policy or procedural changes Investigate and resolve patient/physician inquiries and concerns in a timely manner Enter detailed information into company proprietary software while conversing via telephone Place outbound phone calls for patient follow ups or confirmations Demonstrate superior customer support talents Interact with the patient referral sources to process new applicants Steward patient accounts from initial contact through final approval/denial Prioritize multiple, concurrent assignments and work with a sense of urgency Maintaining quality and providing an empathetic and supportive experience to the patient by controlling the patient conversation, educating the caller as they provide effective and efficient strategies and processes Qualifications High School diploma or equivalent, preferred Previous customer service experience, preferred Knowledge of practices and procedures commonly used in a call center or customer service environment, preferred Knowledge of Medicare, Medicaid and Commercially insured payer common practices and policies, preferred Ability to use well-known and company proprietary software for maximum efficiencies, preferred Maintain a high level of productivity, preferred Ability to multitask while conversing, preferred What is expected of you and others at this level Applies acquired job skills and company policies and procedures to complete standard tasks Works on routine assignments that require basic problem resolution Refers to policies and past practices for guidance Receives general direction on standard work; receives detailed instruction on new assignments Refers to policies and past practices for guidance Receives general direction on standard work; receives detailed instruction on new assignments Consults with supervisor or senior peers on complex and unusual problems TRAINING AND WORK SCHEDULES: Your new hire training will take place 8:00am-5:00pm CST, mandatory attendance is required. This position is full-time (40 hours/week). Employees are required to have ability to work the scheduled shift of Monday-Friday, 10:00am- 7:00pm CT. REMOTE DETAILS: You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following: Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable. Download speed of 15Mbps (megabyte per second) Upload speed of 5Mbps (megabyte per second) Ping Rate Maximum of 30ms (milliseconds) Hardwired to the router Surge protector with Network Line Protection for CAH issued equipment Anticipated hourly range: $18.10 per hour - $25.80 per hour Bonus eligible: No Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being. Medical, dental and vision coverage Paid time off plan Health savings account (HSA) 401k savings plan Access to wages before pay day with my FlexPay Flexible spending accounts (FSAs) Short- and long-term disability coverage Work-Life resources Paid parental leave Healthy lifestyle programs Application window anticipated to close: 3/22/2026 *if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity. Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply. Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law. To read and review this privacy notice click here

Job Description Care Coordinator - MAT Duties: In this role, you will be providing care coordination services to adult clients with substance abuse and mental health issues. Implements monitoring system, determines clients' needs and ensures delivery of needed treatment. The Organization: Since 1955, Behavioral Health Care Partners (Formally known as Moundbuilders Guidance Center) has been providing integrated mental health and addiction treatment services for youth, adults and families. In addition, we offer: Exceptional pay Great benefits including health, dental, vision, life insurance 403b retirement plan with matching funds CEUs and Licensure/Certification Reimbursements, Multiple Loan Forgiveness Programs, and employee discounts Accrued paid time off including 2 weeks' vacation, 12 sick days per year, and 10 paid holidays for fulltime staff Flexible schedule and the ability to work remotely 40 hours per week (Monday-Friday) various shifts available Sign on bonus may be available Our Location: We are located at 65 Messimer Drive in Newark, Ohio, a short 30-minute scenic commute from Columbus, Zanesville, Lancaster, and Mount Vernon. Qualifications: Candidates must possess strong written and oral communication skills and the ability to collaborate with other service providers. CMA certification is required. Associates Degree preferred. CPR/BLS required. Basic computer, phone and typing skills are necessary for all positions. To Apply: Online at *************************** BHP is an EEO and ADA compliant organization.

Scholar Rock is a biopharmaceutical company that discovers, develops, and delivers life-changing therapies for people with serious diseases that have high unmet need. As a global leader in the biology of the transforming growth factor beta (TGFβ) superfamily of cell proteins and named for the visual resemblance of a scholar rock to protein structures, the clinical-stage company is focused on advancing innovative treatments where protein growth factors are fundamental. Over the past decade, the company has created a pipeline with the potential to advance the standard of care for neuromuscular disease, cardiometabolic disorders, cancer, and other conditions where growth factor-targeted drugs can play a transformational role. Scholar Rock is the only company to show clinical proof of concept for a muscle-targeted treatment in spinal muscular atrophy (SMA). This commitment to unlocking fundamentally different therapeutic approaches is powered by broad application of a proprietary platform, which has developed novel monoclonal antibodies to modulate protein growth factors with extraordinary selectivity. By harnessing cutting-edge science in disease spaces that are historically under-addressed through traditional therapies, Scholar Rock works every day to create new possibilities for patients. Learn more about the company's approach at ScholarRock.com and follow @ScholarRock and on LinkedIn . Summary of Position: The Rx Onboarding and Care Coordinator (ROCC) is a patient journey expert focused on delivering personalized education and comprehensive care coordination to support patients and families throughout their spinal muscular atrophy (SMA) treatment journey. Acting as a trusted patient advocate, the ROCC serves as the central point of contact, bridging communication between patients, caregivers, healthcare teams, and advocacy groups to support appropriate patients at all stages of the treatment journey. This role focuses on the patient experience through uncovering individual needs and delivering customized tools and resources to address them. The ROCC will be the connection to resources that address access, affordability, and logistical challenges and will work cross-functionally to identify and compliantly remove non-clinical barriers. With an emphasis on empowering patients and caregivers, the ROCC will lead with empathy to provide tailored education and connections to practical solutions and tools that effectively address non-clinical barriers to access and improve patient experience. The ROCC role offers a unique opportunity to make a significant impact on the lives of individuals living with a rare neuromuscular disease by ensuring access, support, and continuity of care throughout their treatment journey. The ROCC will be a critical member of the broader Patient Access and Experience Team.Position Responsibilities: Act as the primary point of contact for patients and caregivers, providing clear and compassionate education on the disease state, therapy options, access pathways, and available support services to empower them throughout their treatment journey. Compliantly oversee and streamline access coordination, including affordability program enrollment, benefit verifications, prior authorization process, and site-of-care logistics, while ensuring timely therapy initiation and adherence. Proactively address challenges to simplify the process and provide comprehensive support. Deliver personalized patient care, conduct in-depth engagements to identify individual needs, develop tailored education and resource plans. Provide hands-on logistical assistance, including in-person support at treatment centers when necessary. Collaborate extensively with internal teams (Sales, Field Reimbursement, Advocacy, Marketing, etc.) to enhance patient experience, address access challenges, and align program operations with organizational goals. Handle escalated issues promptly to maintain a consistent, high-quality patient experience. Coordinate with external stakeholders (care coordinator, office staff, infusion site, etc.) to identify, anticipate and address patient access challenges. Ensure patients and their healthcare team have the necessary resources and education to effectively navigate access to therapy. Monitor market trends, payer landscapes, and regulatory shifts to anticipate challenges, adjust strategies, and communicate updates to patients, caregivers, healthcare teams, and internal teams. Build strong networks through advocacy group involvement, rare disease-related events, and national conference attendance. Maintain a deep understanding of patient and community needs, available resources, and national access dynamics to support patients effectively at the regional level with tailored education and assistance. Adhere to legal and regulatory standards (HIPAA, FDA, OIG), maintain awareness of compliance policies, and accurately record and report adverse events and product complaints. Candidate Requirements: Minimum of 5 years of relevant experience in related roles within the pharmaceutical or biotech space; prior patient support, account management, reimbursement, HUB/patient services and/or market access experience preferred. Demonstrated ability to effectively engage with patients, caregivers and healthcare professionals, demonstrating empathetic listening skills to build trust and foster ongoing relationships. Experience in rare disease, buy & bill, specialty pharmacy, and provider/hospital processes is required; prior launch experience preferred Experience with specialty or high-cost therapies in chronic or acute care settings is required, with a strong preference for those experienced in launching new therapies into infusion sites/home infusion. Experience with complex patient-case management is required. Strong understanding of the evolving patient access landscape to include payer, PBM, and SP interdependencies. Proven expertise and experience with government and private payers, addressing access/reimbursement challenges and navigating complex insurance landscapes. Ability to work independently, manage multiple priorities, and demonstrate strong organizational skills. Familiarity with HIPAA, FDA, and OIG guidelines. Exceptional written and verbal communication skills to manage individual patient cases and report meaningful activity regionally. Strong interpersonal skills, rooted in patient-centricity and flexibility to meet evolving patient, caregiver, HCP, and organizational needs. Bilingual (Spanish-speaking) preferred. Location and Travel Requirements: Role is field based, requiring up to 60% travel Candidate must reside in territory Scholar Rock is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees .

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. As Datavant's PEND Management Coordinator, you will be responsible for managing PEND inventory, coordinating closely with Client, Provider, and Datavant Operations Teams to coordinate the release of medical records requests. You will: Participate in outbound and inbound calling campaigns Retrieves charts from electronic medical record systems and compile medical records to send to other parties for coding Log all call transactions into the designated computer software system(s) Requests medical records by making outbound phone calls to provider groups and resolve schedule issues as required Completes supplemental medical records requests using Excel files Assist with providing updated member and provider information to operations teams as required, including researching bad data as necessary Directs medical record requests to the responsible party Resolves outstanding vendor pending request within a timely manner Assist with resolving technical issues related to data reporting issues Assist with ad hoc requests Responsible to meet company set performance goals (KPIs) Adhere to the Company's code of Conduct and policies and maintain HIPPA compliance What you will bring to the table: High school diploma or equivalent 2+ year of experience in medical records, medical record coding or a related field, preferred Prior outbound/sales/collections/call center experience preferred Understanding of medical terminology and HIPAA medical privacy regulations, preferred Proficient time management, problem solving and analytical skills Self-motivated and dependable - must excel in a minimally supervised role Schedule flexibility; schedule may include hours outside of normal shift and weekends Ability to receive coaching from Supervisor in a constructive/positive manner Exceptional attention to detail with high level of accuracy Experience meeting changing requirements/priorities, and meeting deadlines Ability to deal with personnel at all levels, exercise discretion of all confidential health information, and ensure compliance with HIPAA standards Ability to multi-task with high degree of organization and time management skills Proficient in entire MS Suite with heavy emphasis on Excel skills and Email Appreciation and understanding of the medical record retrieval industry Clear and concise verbal and written communication skills Ability to work autonomously in a fast-paced environment Track, report and prioritize scheduled retrieval locations Make independent decisions regarding the hoc documentation to Provider Group that contains Protected Healthcare Information (PHI) and Personally Identifiable Information (PII) Ability to work on multiple long-term projects concurrently to include balancing resources and priorities to different projects along their life cycle Excellent Time Management skills Must be extremely detail oriented Ability to Research and ungroup orgs, detailed understanding and competency in the use of Chart Finder Exceptional Verbal and Written Communication skills Assist with additional work duties or responsibilities as evident or required Understand and analyze project data to identify trends related to project goals and act accordingly within the organization Work within client project management to create frameworks to ensure projects are completed on time Comprehensive understanding of Datavant and Client processes to include intake methods/processes; the workflows between Outreach and Onsite/Remote teams; Onsite/Remote workflows; Offsite Scheduling We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. Our compensation philosophy is to be externally competitive, internally fair, and not win or lose on compensation. Salary ranges for this position are developed with the support of benchmarks and industry best practices. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your responses will be anonymous and used to help us identify areas of improvement in our recruitment process. ( We can only see aggregate responses, not individual responses. In fact, we aren't even able to see if you've responded or not .) Responding is your choice and it will not be used in any way in our hiring process . Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. The estimated base pay range per hour for this role is:$16.29-$19.69 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the ‘Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy.

This role provides essential operational and technical support for Primary Care in Rochester and Kasson by managing digital content, organizing key documents, and maintaining web-based resources. This role ensures that providers, staff, and patients have access to accurate, up‑to‑date information across internal and external platforms. Requires strong organizational skills, attention to detail, ability to manage multiple priorities, excellent communication and problem-solving abilities. Manages and maintains Primary Care internet and intranet sites, ensuring all pages, documents, and resources remain current, accurate, and user‑friendly. Creates, updates, and optimizes web content using appropriate web languages, content management tools, and software platforms. Oversees the structure, layout, and navigation of SharePoint sites and subsites; organizes libraries, permissions, and document workflows to support operational efficiency. Ensures timely loading, formatting, and lifecycle management of digital documents, policies, protocols, and reference materials. Preferred experience with SharePoint site administration, website content management, or digital resource organization. Other duties and responsibilities assigned as needed. Work will primarily be performed remotely but at times will require incumbent to be on site. Therefore, the individual must live within driving distance of any Mayo Clinic Health System. High school diploma or equivalent required. Formal education or experience with web development languages/software or two years administrative experience including web development required. Previous supervision experience beneficial. Experience with database software such as Access and Excel desired. Prefer experience working in a healthcare environment. Excellent time management, team facilitation, and team building skills required. Ability to coordinate multiple projects, provide attention to detail, ability to follow through on assignments/tasks and ability to work with others to ensure consistency, validity, and accuracy. Ability to exercise independent problem solving.

The Clinic Coordinator plays a key role in providing exceptional nursing care and support through phone interactions. This position involves assessing patient inquiries and managing messages to ensure that patients receive timely follow-up and comprehensive care. This is a fully remote position. While day-to-day work is performed remotely, the employee may be required to attend onsite meetings or trainings on an occasional basis Duties & Responsibilities: Manages incoming clinical phone calls, which may include routing to appropriate personnel or initiating messages to practices via Cerner. Assess patient symptoms and concerns over the phone to determine urgency and need for follow-up care. Document patient information and care interactions accurately in the electronic health record (EHR) system. Assist in responding to messages, ensuring that patients receive accurate information and timely support. Assist with managing Cerner pools by reviewing and responding to patient-related tasks, such as lab results, medication refills, and patient inquiries within the Cerner system. Provides clinical guidance for the scheduling of patients. Notify patients of test results, medication refills, and other necessary follow-ups as directed by physicians. Assists with Transitions of Care Program when needed. Performs other duties as assigned Qualifications Current MI LPN or CMA Certification required. Recent experience in a professional office setting. Experience with phone triage, call center nursing, or patient care coordination preferred. Strong communication and interpersonal skills, with the ability to listen, empathize, and clearly explain medical information. Critical thinking and problem-solving skills to assess and prioritize patient needs effectively. Working knowledge of modern professional office practices and procedures. Working knowledge of public relations and telephone etiquette. Ability to establish and maintain effective working relationships with doctors, other employees, and patients. Ability to deal with people tactfully and courteously.

We are currently hiring for a Behavioral Health Case Management Coordinator to join BlueCross BlueShield of South Carolina. In this role as a Behavioral Health Case Management Coordinator, care management interventions focus on improving care coordination and reducing the fragmentation of the services the recipients of care often experience, especially when multiple health care providers and different care settings are involved. Taken collectively, care management interventions are intended to enhance client safety, well-being, and quality of life. These interventions carefully consider health care costs through the professional care manager's recommendations of cost-effective and efficient alternatives for care. Thus, effective care management directly and positively impacts the health care delivery system, especially in realizing the goals of the "Triple Aim," which include improving the health outcomes of individuals and populations, enhancing the experience of health care, and reducing the cost of care. The professional care manager performs the primary functions of assessment, planning, facilitation, coordination, monitoring, evaluation, and advocacy. Integral to these functions is collaboration and ongoing communication with the client, client's family or family caregiver, and other health care professionals involved in the client's care. Description Location This position is full-time (40 hours/week) Monday-Friday from 8:30am- 5:00pm and will be fully remote. The candidate will be required to report on-site occasionally for trainings, meetings, or other business needs. What You'll Do: Provides active care management, assesses service needs, develops and coordinates action plans in cooperation with members, monitors services and implements plans, to include member goals. Evaluates outcomes of plans, eligibility, level of benefits, place of service, length of stay, and medical necessity regarding requested services and benefit exceptions. Ensures accurate documentation of clinical information to support and determine medical necessity criteria and contract benefits. Provides telephonic support for members with chronic conditions, high-risk pregnancy or other at-risk conditions that consist of: intensive assessment/evaluation of condition, at-risk education based on members' identified needs, provides member-centered coaching utilizing motivational interviewing techniques in combination with reflective listening and readiness to change assessment to elicit behavior change and increase member program engagement. Participates in direct intervention/patient education with members and providers regarding health care delivery system, utilization on networks and benefit plans. May identify, initiate, and participate in on-site reviews. Serves as member advocate through continued communication and education. Promotes enrollment in care management programs and/or health and disease management programs. Provides appropriate communications (written, telephone) regarding requested services to both health care providers and members. Performs medical or behavioral review/authorization process. Ensures coverage for appropriate services within benefit and medical necessity guidelines. Utilizes allocated resources to back up review determinations. Identifies and makes referrals to appropriate staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of care Referrals, etc.). Participates in data collection/input into system for clinical information flow and proper claims adjudication. Demonstrates compliance with all applicable legislation and guidelines for all regulatory bodies, which may include but is not limited to ERISA, NCQA, URAC, DOI (State), and DOL (Federal). Maintains current knowledge of contracts and network status of all service providers and applies appropriately. Assists with claims information, discussion, and/or resolution and refers to appropriate internal support areas to ensure proper processing of authorized or unauthorized services. To Qualify for This Position, You'll Need the Following: Required Education: Associates in a job-related field. Degree Equivalency: Graduate of Accredited School of Nursing or 2 years job related work experience. Required Experience: 4 years recent clinical in defined specialty area. Specialty areas include: oncology, cardiology, neonatology, maternity, rehabilitation services, mental health/chemical dependency, orthopedics, general medicine/surgery. Or, 4 years utilization review/case management/clinical/or combination; 2 of the 4 years must be clinical. Required Skills and Abilities: Working knowledge of word processing software. Knowledge of quality improvement processes and demonstrated ability with these activities. Knowledge of contract language and application. Ability to work independently, prioritize effectively, and make sound decisions. Good judgment skills. Demonstrated customer service, organizational, and presentation skills. Demonstrated proficiency in spelling, punctuation, and grammar skills. Demonstrated oral and written communication skills. Ability to persuade, negotiate, or influence others. Analytical or critical thinking skills. Ability to handle confidential or sensitive information with discretion. Required Software and Tools: Microsoft Office. Required License/Certificate: An active, unrestricted RN license from the United States and in the state of hire OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC) OR, active, unrestricted licensure as counselor, or psychologist from the United States and in the state of hire (in Div. 75 only). For Div. 75 and Div. 6B, except for CC 426: URAC recognized Case Management Certification must be obtained within 4 years of hire as a Case Manager. We Prefer That You Have the Following: Preferred Education: Bachelor's degree- Nursing Preferred Work Experience: 7 years-healthcare program management. Preferred Skills and Abilities: Working knowledge of spreadsheet, database software. Thorough knowledge/understanding of claims/coding analysis, requirements, and processes. Preferred Licenses and Certificates: Case Manager certification, clinical certification in specialty area. Our Comprehensive Benefits Package Includes the Following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits for the first of the month following 28 days of employment. Subsidized health plans, dental and vision coverage 401k retirement savings plan with company match Life Insurance Paid Time Off (PTO) On-site cafeterias and fitness centers in major locations Education Assistance Service Recognition National discounts to movies, theaters, zoos, theme parks and more What We Can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company. What To Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email ************************ or call ************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information.

--------------------------------------------------------------- This position is responsible for assisting with the management of the pharmacy benefit and developing and delivering clinical and educational interventions designed to improve pharmaceutical use. Responsibilities include formulary management; assisting with management of specific patients in the multidisciplinary case management/medication therapy management program, P&T, developing and conducting educational initiatives to improve prescribing patterns; develop and conduct quality improvement programs related to the pharmacy program; evaluating medication authorization requests and providing oversight to the medication PA process; and other pharmacy program activities as assigned. NOTE: This is a temporary position expected to last 9 months. Estimated Hiring Range: $151,965.00 - $185,735.00 Bonus Target: Bonus - SIP Target, 5% Annual Current CareOregon Employees: Please use the internal Workday site to submit an application for this job. --------------------------------------------------------------- Essential Responsibilities Prepare drug utilization reports and analyses for the Pharmacy & Therapeutics Committee. Use an evidence-based process to perform new drug reviews, and to develop formulary recommendations and drug use criteria for the Pharmacy & Therapeutics Committee. Critically evaluate drug therapy regimens for patients enrolled in the case management program and assist with developing treatment plans. Provide medication therapy management services. Develop and conduct retrospective drug use reviews. Review medication prior authorization requests and appeals. Develop and implement clinical educational programs to improve drug utilization and quality. Review and refine policies and procedures regarding Pharmacy Department functions including medication therapy management, DUR programs, medication prior authorization, and others. Develop and conduct quality improvement programs related to the pharmacy program. Monitor functions provided by the plans' Pharmacy Benefit Manager including pharmacy benefit coding, customer service guidelines, prior authorization activities, and other delegated services. Develop and critically evaluate pharmacy claim data analysis/reports in support of specific projects or program objectives. Assess, review, and respond to federal and state regulatory requirements/audits of the pharmacy benefit. Consult with clinicians and pharmacists to resolve pharmacy benefit issues. Review and refine pharmaceutical reimbursement and purchasing procedures. Develop materials to communicate pharmacy benefit or other information to members, clinicians, and pharmacists. Experience and/or Education Required Graduate of an accredited pharmacy program Current, unrestricted license as a pharmacist in Oregon Advanced pharmacy training (PharmD, residency, fellowship, or master's degree in related discipline) Practical experience as a clinical pharmacist in formulary management or ambulatory care or other clinical setting Preferred Previous experience in managed care Experience with reviewing Prior Authorization requests against plan criteria and making approval or decline decisions Knowledge, Skills and Abilities Required Knowledge Must have comprehensive, clinical pharmaceutical knowledge base Knowledge of the principles of managed care, pharmacy benefit management, pharmaceutical reimbursement, and pharmaceutical utilization Skills and Abilities Ability to critically evaluate clinical pharmaceutical and medical literature and apply principles of evidence-based medicine Ability to design and review pharmacy claims analysis/reports according to specific project requirements Must be highly motivated and have the ability to work independently Excellent organizational, project management, and time-management skills Excellent written and verbal communication skills Excellent customer service skills Ability to manage multiple tasks Ability to negotiate, problem-solve, and consensus-build Basic word processing, spreadsheet, and database skills Ability to work effectively with diverse individuals and groups Ability to learn, focus, understand, and evaluate information and determine appropriate actions Ability to accept direction and feedback, as well as tolerate and manage stress Ability to see, read, hear, speak clearly, and perform repetitive finger and wrist movement for at least 6 hours/day Ability to lift and carry for at least 1-3 hours/day Working Conditions Work Environment(s): ☒ Indoor/Office ☐ Community ☐ Facilities/Security ☐ Outdoor Exposure Member/Patient Facing: ☒ No ☐ Telephonic ☐ In Person Hazards: May include, but not limited to, physical and ergonomic hazards. Equipment: General office equipment Travel: May include occasional required or optional travel outside of the workplace; the employee's personal vehicle, local transit or other means of transportation may be used. Work Location: Work from home We offer a strong Total Rewards Program. This includes competitive pay, bonus opportunity, and a comprehensive benefits package. Eligibility for bonuses and benefits is dependent on factors such as the position type and the number of scheduled weekly hours. Benefits-eligible employees qualify for benefits beginning on the first of the month on or after their start date. CareOregon offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). We also offer a strong retirement plan with employer contributions. Benefits-eligible employees accrue PTO and Paid State Sick Time based on hours worked/scheduled hours and the primary work state. Employees may also receive paid holidays, volunteer time, jury duty, bereavement leave, and more, depending on eligibility. Non-benefits eligible employees can enjoy 401(k) contributions, Paid State Sick Time, wellness and employee assistance program benefits, and other perks. Please contact your recruiter for more information. We are an equal opportunity employer CareOregon is an equal opportunity employer. The organization selects the best individual for the job based upon job related qualifications, regardless of race, color, religion, sexual orientation, national origin, gender, gender identity, gender expression, genetic information, age, veteran status, ancestry, marital status or disability. The organization will make a reasonable accommodation to known physical or mental limitations of a qualified applicant or employee with a disability unless the accommodation will impose an undue hardship on the operation of our organization.

Job SummaryThe Senior Clinical Implementation Educator is responsible for leading the successful adoption and integration of Fresenius Kabi's IV Therapy solutions at healthcare facilities. This role drives clinical excellence through comprehensive education, hands-on implementation support, and ongoing partnership with internal teams and external stakeholders. The Senior Clinical Implementation Educator ensures optimal product utilization, customer satisfaction, and contributes to the continuous improvement of clinical workflows and patient outcomes. The ideal candidate will live near a major airport. Travel will be up to 75%. Salary Range: $90,000 - $100,000 per year Position is eligible to participate in a bonus plan with a target of 6% of the base salary. Final pay determinations will depend on various factors, including, but not limited to experience level, education, knowledge, skills, and abilities. Our benefits and programs are comprehensive and thoughtfully crafted to ensure our colleagues live healthy lives and have support when it matters most.Responsibilities Develops and maintains relationships with internal multi-disciplinary team members from sales, pharmacy, technical, and project management teams. Develops professional relationships with customer contacts while onsite providing education and go live/post go live clinical support. Provides classroom setup and training for Fresenius Kabi's customer clinicians (users, super users, and peer-based training) on the appropriate use of our IV Therapy products. Communicates and escalates risks, concerns and customer issues to the project manager, and Clinical Implementation Specialist. Supports education for Ivenix device integration with customer EMR (Electronic Medical Records) Applies understanding of clinical workflows, voice of customer, and healthcare expertise to provide troubleshooting tips related to Ivenix clinical workflows and infusions. Ensures client satisfaction through follow-up, client responsiveness and thorough communication. Provides clinical support for sales team during device demonstrations/pump fairs as directed by implementation leaders. While not providing education/onsite go live support, other activities include (but not limited to): Supports Clinical Implementation Specialist with onsite Infusion System Assessment activities, as well as remote follow up from Infusion System Assessment tasks. Supports Clinical Implementation Specialist with formatting tubing cross references. Supports Clinical Implementation Specialist with formatting customer education schedules. Completes all training requirements, including all department-specific, compliance training, etc. All employees are responsible for ensuring the compliance to company documents, programs and activities related to the Health, Safety, Environment, Energy, and Quality Management Systems, as per your roles and responsibilities. Requirements Bachelor of Science in Nursing (BSN) degree or related degree with a current RN license. 5+ years related experience Experience providing education and/or training in a clinical environment preferred. RN license must be maintained throughout the course of employment. Direct patient care experience highly preferred. Experience implementing medical device products highly preferred. Excellent communication and collaboration skills. Experience providing professional services to clinical environments. EMR/EHR integration (Epic, Cerner, Meditech) experience a plus Ability to work well in a collaborative environment and willingness to multitask and be hands-on. Demonstrated ability to develop strong working relationships with internal departments and external customers. Strong presentation skills accompanied with exceptional interpersonal and communication skills (verbal and written). Intermediate skillset with Microsoft Office (Excel, Word, PowerPoint, Outlook), and other database/ERP concepts (i.e., Salesforce.com). Travel is required to attend meeting/trainings/programs at client locations (up to 75%) and is based on business need (via public transportation: air/auto); may require overnight travel. Must have a valid driver's license. Must maintain all requirements for access to customer sites, including active and current compliance with all credentialing requirements (may include COVID-19 and annual influenza vaccinations), in order to perform the essential functions of the role at customer locations. Demonstrated ability to prioritize and execute tasks in a dynamic environment. Ability to work effectively with all employees and external business contacts while conveying a positive, service-oriented attitude. Highest level of integrity and good judgment, with the ability to effectively deal with highly sensitive, confidential information. Ability to maintain complete confidentiality and discretion in business relationships and exercise sound business judgment. Ability to work flexible hours and weekends as needed to meet business/customer needs. Additional Information We offer an excellent salary and benefits package including medical, dental and vision coverage, as well as life insurance, disability, 401K with company contribution, and wellness program. Fresenius Kabi is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, citizenship, immigration status, disabilities, or protected veteran status.

LOCATION: Remote - must live in or near Franklin, Granville, or Vance County, NC. Incumbent in this role is required to reside in North Carolina or within 40 miles of the North Carolina border. This position requires travel. GENERAL STATEMENT OF JOB The 1915(i) Waiver Care Coordinator (“Care Coordinator”) is responsible for providing proactive intervention and coordination of care to eligible Vaya Health members and recipients (“members”) to ensure that these individuals receive appropriate assessment and services. Care Coordinator is also responsible for providing care coordination activities and monitoring to individuals who have been deemed eligible for 1915i services by North Carolina Department of Health and Human Services (DHHS). Care Coordinator works with the member and care team to alleviate inappropriate levels of care or care gaps, coordinate multidisciplinary team care planning, linkage and/or coordination of services across the 1915i service array and other healthcare network(s) including the MH, SU, intellectual/ developmental disability (“I/DD”), traumatic brain injury (“TBI”) physical health, pharmacy, long-term services and supports (“LTSS”) and unmet health-related resource needs. Care Coordinator support and may provide transition planning assistance to state, and community hospitals and residential facilities and track individuals discharged from facility settings to ensure they follow up with aftercare services and receive needed assistance to prevent further hospitalization. This is a mobile position with work done in a variety of locations, including members' home communities. The Care Coordinator also works with other Vaya staff, members, relatives, caregivers/ natural supports, providers, and community stakeholders. As further described below, essential job functions of the Care Coordinator include, but may not be limited to: Utilization of and proficiency with Vaya's Care Management software platform/ administrative health record (“AHR”) Outreach and engagement Compliance with HIPAA requirements, including Authorization for Release of Information (“ROI”) practices Performing NC Medicaid 1915i Assessment tool to gather information on the member's relevant diagnosis, activities of daily living, instrumental activities of daily living, social and work-related needs, cognitive and behavioral needs, and services the member is interested in receiving Adherence to Medication List and Continuity of Care processes Participation in interdisciplinary care team meetings, comprehensive care planning, and ongoing care management Transitional Care Management Diversion from institutional placement This position is required to meet NC Residency requirements as defined by the NC Department of Health and Human Services (“NCDHHS” or “Department”). ESSENTIAL JOB FUNCTIONS Assessment, Care Planning and Interdisciplinary Care Team : Ensures identification, assessment, and appropriate person-centered care planning for members. Meets with members to complete a standardized NC Medicaid 1915i Assessment Links members with appropriate and necessary formal/ informal services and supports across all health domains (i.e., medical, and behavioral health home) Supports the care team in development of a person-centered care plan (“Care Plan”) to help define what is important to members for their health and prioritize goals that help them live the life they want in the community of their choice. Ensure the Care Plan includes specific services, including 1915(i) services to address mental health, substance use or I/DD, medical and social needs as well as personal goals Ensure the Care Plan includes all elements required by NCDHHS Use information collected in the assessment process to learn about member's needs and assist in care planning Ensure members of the care team are involved in the assessment as indicated by the member/LRP and that other available clinical information is reviewed and incorporated into the assessment as necessary Work with members to identify barriers and help resolve dissatisfaction with services or community-based interventions Reviews clinical assessments conducted by providers and partners with licensed staff for clinical consultation as needed to ensure all areas of the member's needs are addressed. Help members refine and formulate treatment goals, identifying interventions, measurements, and barriers to the goals Ensures that member/legally responsible person (“LRP”) is/are informed of available services, referral processes (e.g., requirements for specific service), etc. Provides information to member/LRP regarding their choice of service providers, ensuring objectivity in the process Works in an integrated care team including, but not limited to, an RN (Registered Nurse) and pharmacist along with the member to address needs and goals in the most effective way ensuring that member/LRP have the opportunity to decide who they want involved Supports and may facilitate care team meetings where member Care Plan is discussed and reviewed Solicits input from the care team and monitors progress Ensures that the assessment, Care Plan, and other relevant information is provided to the care team Consults with care management licensed professionals, care management supervisors, and other colleagues as needed to support effective and appropriate member care/planning process Support Monitoring/Coordination, Documentation and Fiscal Accountability : Serves as a collaborative partner in identifying system barriers through work with community stakeholders. Works in partnership with other Vaya departments to identify and address gaps in services/ access to care within Vaya's catchment. Participates in cross-functional clinical and non-clinical meetings and other projects as needed/ requested to support the department and organization. Participates in routine multidisciplinary huddles including RN, Pharmacist, M.D. to present complex clinical case presentation and needs, providing support to other CMs (Care Manager) and receiving support and feedback regarding CM interventions for clients' medical, behavioral health, intellectual /developmental disability, medication, and other needs. Works with 1915 (i) Care Coordination manager in participating in high-risk multidisciplinary complex case staffing as needed to include Vaya CMO/ Deputy CMO, Utilization Management, Provider Network, and Care Management leadership to address barriers, identify need for specialized services to meet client needs within or outside the current behavioral health system. Ensure that services are monitored (including direct observation of service delivery) in all settings at required frequency and for compliance with standards Monitors provision of services to informally measure quality of care delivered by providers and identify potential non-compliance with standards. Ensures the health and safety of members receiving care management, recognize and report critical incidents, and escalate concerns about health and safety to care management leadership as needed. Supports problem-solving and goal-oriented partnership with member/LRP, providers, and other stakeholders. Promotes member satisfaction through ongoing communication and timely follow-up on any concerns/issues. Supports and assists members/families on services and resources by using educational opportunities to present information. Make announced/unannounced monitoring visits, including nights/weekends as applicable. Promote satisfaction through ongoing communication and timely follow-up on any concerns/issues Monitor services to ensure that they are delivered as outlined in individualized service plan and address any deviations in service Verifies member's continuing eligibility for Medicaid, and proactively responds to a member's planned movement outside Vaya's catchment area to ensure changes in their Medicaid county of eligibility are addressed prior to any loss of service. Alerts supervisor and other appropriate Vaya staff if there is a change in member Medicaid eligibility/status. Maintain electronic health record compliance/quality according to Vaya policy Proactively monitor own documentation to ensure that issues/errors are resolved as quickly as possible Ensure accurate/timely submission of Service Authorization Requests (SARS) for all Vaya funded services/supports Proactively monitors own documentation within the AHR to ensure completeness, accuracy and follow through on care management tasks. Works with 1915 (i) Care Coordination Manager to ensure all clinical and non-clinical documentation (e.g., goals, plans, progress notes, etc.) meet all applicable federal, state, and Vaya requirements, including requirements within Vaya's contracts with NCDHHS. Participates in all required Vaya/ Care Management trainings and maintains all required training proficiencies. Other duties as assigned . KNOWLEDGE, SKILLS, & ABILITIES Ability to express ideas clearly/concisely and communicate in a highly effective manner Ability to drive and sit for extended periods of time (including in rural areas) Effective interpersonal skills and ability to represent Vaya in a professional manner Ability to initiate and build relationships with people in an open, friendly, and accepting manner Attention to detail and satisfactory organizational skills Ability to make prompt independent decisions based upon relevant facts. A result and success-oriented mentality, conveying a sense of urgency and driving issues to closure Comfort with adapting and adjusting to multiple demands, shifting priorities, ambiguity, and rapid change Thorough knowledge of standard office practices, procedures, equipment, and techniques and intermediate to advanced proficiency in Microsoft office products (Word, Excel, Power Point, Outlook, Teams, etc.), and Vaya systems, to include the care management platform, data analysis, and secondary research Understanding of the Diagnostic and Statistical Manual of Mental Disorders (current version) within their scope and have considerable knowledge of the MH/SU/IDD/TBI service array provided through the network of Vaya providers. Experience and knowledge of the NC Medicaid program, NC Medicaid Transformation, Tailored Plans, state-funded services, and accreditation requirements are preferred. Ability to complete and maintain all trainings and proficiencies required by Vaya, however delivered, including but not limited to the following: BH I/DD Tailored Plan eligibility and services Whole-person health and unmet resource needs (Adverse Childhood Experiences, Trauma, cultural humility) Community integration (Independent living skills; transition and diversion, supportive housing, employment, etc) Components of Health Home Care Management (Health Home overview, working in a multidisciplinary care team, etc) Health promotion (Common physical comorbidities, self-management, use of IT, care planning, ongoing coordination) Other care management skills (Transitional care management, motivational interviewing, Person-centered needs assessment and care planning, etc) Serving members with I/DD or TBI (Understanding various I/DD and TBI diagnoses, HCBS, Accessing assistive technologies, etc) Serving children (Child and family centered teams, understanding of the “System of Care” approach) Serving pregnant and postpartum women with Substance Use Disorder (SUD) or with SUD history Serving members with LTSS needs (Coordinating with supported employment resources) Job functions with higher consequences of error may be identified, and proficiency demonstrated and measured through job simulation exercises administered by the supervisor where a minimum threshold is required of the position. EDUCATION & EXPERIENCE REQUIREMENTS Bachelor's degree in a field related to health, psychology, sociology, social work, nursing or another relevant human services area is preferred. Required years of work experience (include any required experience in a specific industry or field of study): Serving members with BH conditions: Two (2) years of experience working directly with individuals with BH conditions Serving members or recipients with an I/DD or Traumatic Brain Injury (TBI) Two (2) years of experience working directly with individuals with I/DD or TBI Serving members with LTSS needs Minimum requirements defined above Two (2) years of prior Long-tern Services and Supports and/or Home Community Based Services coordination, care delivery monitoring and care management experience. This experience may be concurrent with the two years of experience working directly with individuals with BH conditions, an I/DD, or a TBI, described above OR a combination of education and experience as follows: A graduate of a college or university with a Bachelor's degree in a human services field and two years of full-time accumulated experience with population served OR A graduate of a college or university with a Bachelor's degree is in field other than Human Services and four years of full-time accumulated experience with population served OR A graduate of a college or university with a Bachelor's Degree in Nursing and licensed as RN, and four years of full-time accumulated experience with population served. Experience can be before or after obtaining RN licensure. OR Please note, if a graduate of a college or university with a Master's level degree in Human Services, although only one year is needed to reach QP status, the incumbent must still have at least two years of experience with the population served *Must meet the criteria of being a North Carolina Qualified Professional with the population served in 10A NCAC 27G .0104 Licensure/Certification Required: If Bachelor's degree in nursing and RN, incumbent must be licensed to practice in the State of North Carolina by the North Carolina Board of Nursing. PHYSICAL REQUIREMENTS Close visual acuity to perform activities such as preparation and analysis of documents; viewing a computer terminal; and extensive reading. Physical activity in this position includes crouching, reaching, walking, talking, hearing and repetitive motion of hands, wrists, and fingers. Sedentary work with lifting requirements up to 10 pounds, sitting for extended periods of time. Mental concentration is required in all aspects of work. Ability to drive and sit for extended periods of time (including in rural areas) RESIDENCY REQUIREMENT: The person in this position is required to reside in North Carolina or within 40 miles of the North Carolina border. SALARY: Depending on qualifications & experience of candidate. This position is non-exempt and is eligible for overtime compensation. DEADLINE FOR APPLICATION: Open Until Filled APPLY: Vaya Health accepts online applications in our Career Center, please visit ****************************************** Vaya Health is an equal opportunity employer.

Are you a compassionate individual who enjoys helping others achieve their personal health and wellness goals? If so, a career as a CHOICES Care Coordinator might be perfect for you. As a Care Coordinator, you will make a lasting impact on members' lives by ensuring their safety at home or within a community setting. In this role, you'll travel to member's homes for visits, while managing various demands and requests from both internal and external stakeholders. We're seeking individuals who excel in problem-solving through critical thinking, and who are adept at time management and prioritizing daily tasks. You should be self-motivated, flexible, and thrive in a fast-paced environment. Most importantly, you should have a passion for improving the quality of life for diverse members in their communities. You will be a great match for this role if you have: • 3 years of experience in a clinical setting • Registered nurse with an active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Act; or Masters in Social Work with an active unrestricted license (LCSW, LMSW, or LAPSW). • Exceptional customer service skills • Must live within the following counties: Giles and Lawrence Counties • Available for an 8:00am - 5:00pm EST(no on call) schedule, with the option (upon management approval) to work a compressed work week after 1 year. Job Responsibilities Partnering with members and families to identify needed supports and direct services to meet personal goals for good health, employment and independent or community living. Collaborates with a team of clinical and social support colleagues to meet the physical, behavioral health and long term service needs of each member. Conduct thorough and objective face-to-face visits with and assess each members situation to determine current status and needs, including physical, behavioral, functional, psycho-social, financial, and employment and independent living expectations. Utilizing criteria for authorizing appropriate home and community based services and confirm those services are being provided and that members needs are being met. Valid Driver's License. TB Skin Test (applies to coordinators that work in the field). Position requires 24 months in role before eligible to post for other internal positions. Various immunizations and/or associated medical tests may be required for this position. Job Qualifications Experience 2 years - Clinical experience required Skills\Certifications PC Skills required (Basic Microsoft Office and E-Mail) Effective time management skills Excellent oral and written communication skills Strong interpersonal and organizational skills License Registered nurse with an active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Act; or Masters in Social Work with an active unrestricted license (LCSW, LMSW, or LAPSW). Employees who are required to operate either a BCBST-owned vehicle or a personal or rental vehicle for company business on a routine basis* will be automatically enrolled into the BCBST Driver Safety Program. The employee will also be required to adhere to the guidelines set forth through the program. This includes, maintaining a valid driver's license, auto insurance compliance with minimum liability requirements; as defined in the “Use of Non BCBST-Owned Vehicle” Policy (for employees driving personal or rental vehicles only); and maintaining an acceptable motor vehicle record (MVR). *The definition for "routine basis" is defined as daily, weekly or at regularly schedule times. Number of Openings Available 0 Worker Type: Employee Company: VSHP Volunteer State Health Plan, Inc Applying for this job indicates your acknowledgement and understanding of the following statements: BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.

Mission 💪 Our mission is to ensure that no one in the world has to suffer from a treatable skin disease because of an access issue ever again. 👋 Honeydew is building a platform for hundreds of millions of people globally to access expertise and science-backed skin treatments, from prescription to retail. Our tech-forward dermatology experience helps people with chronic skin conditions access licensed specialists, FDA-approved treatment, and ongoing support in record time (24 hours vs an industry average of 6 months). Honeydew is the future of skin health - digitally native, scientifically rooted, integrated end-to-end (evaluation + treatments + lab tests), and powered by AI. About the Role Start Being The Reason Someone Finally Feels Seen. As a Care Coordinator at Honeydew, you'll be the thoughtful voice during someone's treatment - the person who crafts messages that make patients feel heard, supported, and confident in their skincare journey. This isn't just customer service, it's healthcare. You know that feeling when someone actually listens to your healthcare concerns? When you're not just another ticket number or appointment slot? That's what you'll create every single day at Honeydew - one message at a time. If you join us, you'll be central to our mission as a trusted guide helping people navigate one of the most frustrating parts of modern life: getting healthcare that works. Your Day-to-Day You'll be the empathetic problem-solver behind the screen: Master the art of written communication - crafting clear, warm, professional messages via app chat that make patients feel supported (this is 99% of your patient interaction) Turn healthcare chaos into clarity through thoughtful, detailed written responses that anticipate questions before they're asked Coordinate directly with pharmacies and labs via phone to troubleshoot prescription issues, insurance hiccups, and delivery problems Connect with dermatology providers as needed to ensure care plans stay on track Keep meticulous records because details matter when it's someone's health on the line Bridge the gap between patients, providers, and insurance companies through strategic communication across channels Partner with medical teams to communicate care plans that actually fit into people's real lives Monitor patient progress through ongoing messaging, troubleshoot obstacles, and celebrate wins along their journey Important to Keep in Mind about the Schedule Honeydew is open, serving patients between 9am and 10pm Eastern every day, and Care Coordinators can choose the structure of their workday on their own. However, Care Coordinators have a responsibility to respond to patients within 4 hours on weekdays and within 6 hours on weekends. Abiding by these response times is crucial to success. As part of the initial onboarding and training process, Care Coordinators are expected to be available 7 days a week in order to ramp up to a full-time (35+ hours/week) schedule. You Might Be Our Person If… You genuinely like people, even when they're frustrated and it's coming through in ALL CAPS You're comfortable with async communication You can read tone and emotion in written messages and respond appropriately You find satisfaction in solving problems that don't have obvious solutions You like to be proactive in offering advice, rather than just following a template You believe healthcare should be accessible to everyone, not just the privileged few You find joy in doing work that matters What We're Looking For... The Non-Negotiables: High school diploma or equivalent You're an exceptional writer and speaker - clear, warm, professional across every channel You type at least 40 WPM You're comfortable with Gmail and Chrome (or similar) Rock-solid internet and a private workspace - HIPAA compliance isn't optional, and dropped connections aren't an option You have a customer service mentality but understand healthcare isn't retail - empathy and professionalism are your baseline, not your ceiling You thrive working independently - no one's looking over your shoulder, and you don't need them to You're coachable and collaborative - you take feedback as fuel, not criticism, and communicate openly with the team We're Looking For At Least Two Of These: Customer service experience - you've turned "difficult customers" into your happiest ones Healthcare or clinical support background - you speak the language and understand the stakes Remote work experience - you've already figured out how to stay focused when Netflix is two clicks away The Nice-to-Haves (But Honestly, You'll Pick These Up Fast): Comfortable with Slack and Zoom - if you're not, no stress, you'll be fluent in a week What You Get Full remote flexibility Direct impact you can measure Ability to grow within the company $100 monthly tech stipend Free Honeydew membership Direct access to new dermatology treatments 20% off Honeydew products Bi-monthly get togethers Peer-to-peer recognition through Motivosity Full-time employees also get: Health insurance & HSA match 401(k) retirement savings with employer match Unlimited time off Hourly pay: $15/hour (or the applicable state or local minimum wage, if higher) Our Process Application Skills assessment (async) - max 30 minutes Screening interview - 20-30 minutes Team Lead interview - 30 minutes CEO interview - 30 minutes Offer Candidates must be authorized to work for any employer in the US. This role is not eligible for visa sponsorship. Candidates residing in the following states will be considered for this role: AL, AZ, DC, FL, GA, ID, MD, MI, MO, NJ, NY, NC, OH, PA, TX, UT, VA, WA, WI