Clinical Liaison remote jobs

Compensation: $84,000 - $95,000 The Clinical Liaison serves as a key representative of the Mary Free Bed Rehabilitation Hospital System and Carle Health. This role is responsible for evaluating, coordinating and facilitating appropriate referrals for acute inpatient rehabilitation. This position requires advanced clinical judgement, strategic outreach, and cross functional collaboration to ensure high-quality patient transitions and territory growth. Essential Job Responsibilities Business Development Analyzes market trends and referral patterns of physicians and prioritizes time appropriately to increase business to drive increased census. Works with Mary Free Bed marketing department to determine needs of patients and referral sources to capitalize on education opportunities through new collateral materials and presentations. Develops and grows relationships with current and potential referral sources including case managers, therapists, provider and resident groups, and insurance case managers. Develops and executes strategic outreach plans in collaboration with the system continuum access team. Follows catastrophic cases throughout the assigned territory by rounding on appropriate call points with goal of incremental referral development. As a member of the Access team, coordinate meetings and calls on key referring physicians to drive census growth. Targets and builds relationships with catastrophic case managers. Provides reporting trends and activity to Access Leadership Team emphasizing barriers to care with solutions to drive growth. Admissions For those referrals that are appropriate for admission to Mary Free Bed & Carle Health Rehabilitation system: In collaboration with the acute care hospital staff, collects appropriate patient information and completes the appropriate documentation that is required for admission. Provides patient and family education related to inpatient rehabilitation. Collaborates with the referring hospital staff, inpatient staff and admitting physician to determine an admission plan, and to set a date and time that is appropriate for the patient and meets the needs of the referring hospital. Completes the pre-admission screen in compliance with CMS requirements and assures that appropriate physician review and approval is completed prior to admission. Develops and maintains effective working relationships with all referral's sources. Facilitates professional communication with each employee of the referring hospital. Encourages, coaches, and monitors teamwork and direct communication with co-workers to promote efficiency in process prioritizing throughput. Acts on behalf of the MFB System to see patients for other MFB sites, gathers patient information and supports communication with key contacts. Monitors customer satisfaction and facilitates problem solving with the admitting physicians, patients and families, and referral sources. Encourages a culture of personal accountability, solution-seeking behavior, mutual respect, open communication, openness to change, enthusiasm, and pride. Maintains a high level of current knowledge about each referral hospital and the associated patient populations. Develops and maintains excellent working relationship with Network and System Partners and their admissions team. Maintains appropriate credentialing certification at all required facilities. Works with Access support staff groups to ensure efficient processing and sharing of information to admitting teams at MFB. Other Job Responsibilities Maintains a high level of current knowledge about each referral source and the associated patient populations. Completes other duties as assigned. We'll embrace all people by: o Treating everyone with dignity and respect. o Opening more doors to opportunity for other to succeed. o Growing talent and people. o Ensuring a welcoming experience for all we serve, regardless of origin, race, religion, disability, sexual orientation or socioeconomic status. o Taking action against discrimination. o Honoring our differences and how to collaborate. o Educating staff, patients and the communities we care for. o Restoring Hope and Freedom, together. Customer Service Responsibilities Demonstrate excellent customer service and standards of behavior as well as encourage, coach, and monitor the same in team members. This individual should consistently promote teamwork and direct communication with co-workers and deal discretely and sensitively with confidential information. Responsibilities in Quality Improvement Contribute by identifying problems and seeking solutions. Promote patient/family satisfaction where possible; participates in departmental efforts to monitor and report customer service. Essential Job Qualifications Active degree in nursing, social work, physical therapy, occupational therapy, athletic trainer or speech therapy. Applicable state licensure is required Minimum of two years clinical experience in inpatient rehab, acute care, or post-acute setting Proficient in clinical documentation in electronic medical record platforms Strong interpersonal, organizational and communication skills, ability to educate and influence across disciplines. Valid driver's license with no restrictions. Preferred Job Qualifications Previous experience working in a liaison, care management, clinical outreach or other access roles preferred. Experience working in inpatient rehab, LTACH, or SNF/SAR referral processes. Understanding of CMS guidelines and insurance authorization practices. Demonstrated ability to analyze territory metrics and referral data. Strong presentation skills and comfort speaking in front of key referral sources. Able to respond to highly variable workload demands. Physical Requirements for Essential Job Qualification Levels: None (No specific requirements) Occasionally (Less than 1/3) Frequently (1/3 to 2/3) Majority (More than 2/3) Remain in a stationary position: Majority Traverse or move around work location: None Use keyboard: Frequently Operate or use department specific equipment: None Ascend/Descend equipment or ladder: None Position self to accomplish the Essential Functions of the role: None Receive and communicate information and ideas for understanding: Frequently Transport, position, and/or exert force: Up to 10 pounds: Occasionally Up to 25 pounds: _____ Up to 50 pounds: _____ Up to 75 pounds: _____ More than 100 pounds: _____ Other weight: Up to___ pounds _____ Other: _____ Consistent with the Americans with Disabilities Act (ADA), it is the policy of Mary Free Bed Rehabilitation Hospital to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process. If reasonable accommodation is needed, please contact the Talent Acquisition team at ***************************. Mary Free Bed is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, age, genetic information, veteran status, disability or other legally protected characteristic.

This role is responsible for maximizing site performance and site engagement in clinical studies. Leveraging strong clinical operational and therapeutic expertise (scientific, clinical, disease states, and treatment alternatives knowledge within the therapeutic area(s)) to support execution of clinical studies. Engages with clinical sites to develop, build, and maintain strong relationships with investigators/staff that will ensure high-quality investigative sites to support clinical development programs. Collaborate with internal and external stakeholders as well as third-party vendors. Provide operational support to the CPM/Sr CPM to deliver the study within planned timelines and according to required standards of quality and compliance. Evaluate, screen and develop high-quality investigative sites to support clinical development programs. This is a field-based position, fully remote with domestic travel required 50%-75% of the time to sites within assigned territory (Midwest). The preferred location for this position is Midwest. Responsibilities: Site Engagement Deliverables: Develop, communicate, and execute Site Engagement Strategy/Plan working closely with the Clinical Team and key internal stakeholders throughout the life cycle of clinical trials Support the clinical team in coordinating and executing site engagement activities by understanding the competitive landscape, capturing trial roadblocks, and using motivational tactics to ensure the timely delivery of trials Engage, evaluate, and develop a network of high-performing sites through coordinated, consistent interactions using multiple communication channels to create awareness of its activities thereby increasing their desire to partner with ProKidney Develop & maintain relationships with site engagement organizations; assist identification of high-performing sites and key opinion leaders that can contribute to forums, boards and/or discussions. Interact/train new investigators to work on clinical trials ensuring the clinical and scientific understanding of the trial Support site with enrollment, including the development of patient material, advertisement materials, new requests for concierge services for participants (including travel/accommodation/appreciation items) Serve as primary contact for biopsy and/or procedure injections scheduling, logistics and Support site with screen failures during the enrollment phase, including pre-screening activities to improve patient selection and trial readiness Monitoring Deliverables: Responsible for attending Site Initiation Visits and managing the sites' performance regarding protocol and procedure knowledge and support Acts as the primary contact for the site regarding the general organization of the study, timelines, status, educational needs, and process flows. Responsible for the early engagement with Key Opinion Leaders (KOLs)/sites/patients organizations and key contact points for these throughout the study. Interact/train new investigators to work on clinical Attend key therapeutic training/meetings and/or industry Close collaboration and partnership with CRO to inform of all aspects of the clinical trial status at the site. Ensure appropriate engagement and communication with internal stakeholders regarding site visits and related activities. Support the development of presentations at Investigator Meetings or other trial-related Contributes to updates of clinical program information, g., annual safety updates, Investigator's Brochure, and on query resolution, as needed, etc. In collaboration with CPM/study team, ensure that the study is audit/inspection ready and any resulting findings from audits/inspections are addressed appropriately and in a timely manner. Qualifications: Bachelor's Degree Preferably in life/physical sciences, RN or clinical degree highly preferred. Experience working in renal therapeutic area required Strong scientific background with at least 5 years of experience in Clinical Operations, Clinical Development, or as a Clinical Trial Liaison or Medical Science Liaison. Strong understanding of start-up activities, clinical trial planning, (site) management, and metrics. Strong communication and leadership Travel required to Boston and Raleigh HQs for team meetings as needed ProKidney is an equal employment opportunity employer and does not discriminate against any applicant because of race, creed, color, age, national origin, ancestry, religion, gender, sexual orientation, disability, genetic information, veteran status, military status, application for military service or any other class protected by state or federal law. Applicants must be eligible to work in the United States without the need for work visa or residency sponsorship.

Facility Name: Kindred Hospital Bay Area - St. Petersburg Schedule: Full Time Please note: The title 'Clinical Rehabilitation Specialist is functionally equivalent to the Clinical Liaison role. Both titles refer to the same position and may be used interchangeably. Your experience matters Lifepoint Rehabilitation is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Clinical Rehabilitation Specialist joining our team, you're embracing a vital mission dedicated to making communities healthier . Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve. How you'll contribute A Clinical Rehabilitation Specialist who excels in this role: Educate the community on rehabilitation to develop a census through face-to-face contacts Develop business based on the strategic goals of the rehabilitation program Face-to-face connections within territory to build relationships with referral sources to increase census Identifies barriers to the admission process and creates solutions with the assistance of the program director Ability to review patient medical charts and understand test results, therapy evaluations, pre-existing conditions, and have a general medical knowledge of the patient Ability to clearly and professionally interact with patients, families, and healthcare providers while gathering additional clinical information and past history Conduct thorough patient assessments to identify patients for potential admission into the rehabilitation program Complete detailed Pre-Admission Screens, as applicable, according to facility policies and procedures, Lifepoint policies and procedures, and payer requirements, as applicable. Schedules meetings and arrange in services for medical professionals including potential and existing referral sources, doctors, nurses, social workers and other health care professional. Provide patient updates to physicians, payers, case managers, social workers and other relevant persons. Maintain solid working relationships with new and existing referral sources by providing excellent after-sales service. Other duties as assigned Why join us… We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers: Comprehensive Benefits: Multiple levels of medical, dental and vision coverage - with medical plans starting at just $10 per pay period - tailored benefit options for part-time and PRN employees, and more. Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match. Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs). Professional Development: Ongoing learning and career advancement opportunities. What we're looking for Clinical experience is required At a minimum, should be a graduate of a four-year college program with a bachelor's degree in a health related, business or marketing area of concentration, nursing or therapy preferred Ability to travel in the community to meet clients/customers at hospitals, SNFs, physician offices and other nontraditional referral sources. Valid driver's license and own reliable transportation required Communicate and demonstrate a professional image/attitude for patients, families, clients, co-workers, and others, demonstrating great customer service and listening skills Connect with a Recruiter Not ready to complete an application, or have questions? Please contact Fomeika Ingram by emailing at **********************************. EEOC Statement “Lifepoint Rehabilitation is an Equal Opportunity Employer. Lifepoint Rehabilitation is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.”

The Clinical Liaison is a pre-admission remote position that blends clinical assessment, healthcare marketing, patient advocate, business strategy analysis, and electronic medical record transcription. This is a salaried employment position with direct marketing responsibilities to an assigned geographic territory and pre-admission processes for an Inpatient Rehabilitation Facility. Our hospital provides high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we serve. The Clinical Liaison is responsible for evaluating patients and determining if s/he meets admissions criteria. Prepares development plans, conducts calls, and presents to potential referral sources. This position must integrate company values into daily practice. Essential Functions: Conducts proper pre-admission patient evaluations in a timely manner. Work hours are variable pending case load and bed availability. Maintains assigned sales territory in St. Joseph and surrounding communities to the northeast, east, and south, not including Kansas City. Develops, implements, evaluates, and refines territory sales plans based upon data, trends, market needs, and facility needs. Responsible for a 1 in 4 weekend and holiday coverage schedule. Able to work autonomously while setting and adjusting to changing daily priorities. Responsible person in meeting monthly admission quotas and marketing expectations. Coordinates specific marketing and public relations activities such as conferences exhibits, seminars/in-services, advertising, media relations, government relations, etc. as assigned. Effectively tracks sales activity, maintain client profiles, and ensure compliance with company's standards. Participates in program development initiatives as assigned. Provides an environment conducive to safety for patients, visitors, and staff. Assesses the risks for safety and implements appropriate precautions. Complies with appropriate and approved safety and Infection Prevention standards. Maintains regular attendance in keeping with assigned work schedule. Performs other duties as assigned to support overall effectiveness of the organization. Minimum Job Requirements Minimum Education & Experience : 3 years healthcare experience required. Healthcare sales experience preferred. Required Licenses, Certifications, and/or Documentation: Clinical licensure required (RN, RT, LVN, PT, OT, SLP preferred). Must maintain valid, acceptable driving record, current driver's license, and insurability. Required Knowledge, Skills, and Abilities: Knowledge of clinical operations and procedures. Demonstrates an understanding of patient mix, regulatory requirements, reimbursement, etc. that impact overall hospital operations. Demonstrates the highest degree of customer service and professionalism. Demonstrates general computer skills including data entry, word processing, email, and record management. Effective organizational and time management skills with flexibility of work hours. Effective written and verbal communication skills. Ability to prioritize, meet deadlines, and complete complex tasks. Ability to maintain quality, safety, and/or infection prevention standards. Ability to work independently. Ability to maintain proper levels of confidentiality. Ability to work closely and professionally with others at all levels of the organization. Physical Requirements Over the Course of a Shift: A significant amount of standing, sitting, and driving, often for prolonged periods. Lifting/exerting of up to 25 lbs. Possible exposure to bodily fluids. Ability to hear overhead pages. Sufficient manual dexterity to operate equipment and computer keyboard. Close vision and the ability to adjust focus.

JOB TITLE: Residential Clinical Supervisor I or II FLSA: Exempt, 1.0 FTE (expectation to work 40 hours per week) SUPERVISOR: Facility Administrator PAY GRADE: Clinical Supervisor I Pay Grade B12 ($73,900 - $111,600 annually depending on experience) OR Clinical Supervisor II Pay Grade B13 ($81,000 - $123,100 annually depending on experience) **STAR is a BRAND NEW 24-hour sub-acute/Psychiatric Residential Treatment Facility (PRTF) offering services for up to thirteen individuals, ages 12 and below. Community Counseling Solutions provides a team-based Servant Leadership environment! Our mission is to provide dynamic, progressive, and diverse supports to improve the well-being of our communities and we're looking for motivated employees to help us continue our vision! Location Information: Boardman is located in Eastern Oregon with year-round recreation based near the Blue Mountains. Boardman offers a unique blend of small-town charm and big opportunities. With its stunning views of the Columbia River, abundant outdoor recreation, and a growing economy driven by agriculture, energy, and technology, Boardman is a place where work-life balance truly thrives. Whether you're drawn to the peaceful pace of rural living or excited by the chance to be part of a dynamic and supportive community, Boardman provides the perfect setting to grow your career while enjoying the natural beauty and warmth of a close-knit town. Apply Directly at ********************************** CCS has a benefit package including, but not limited to: Health, dental and vision insurance 6% initial 401K match Potential for tuition reimbursement Paid vacation tiers ranging from accrual of 1 day to 4 days per month (Annual rollover cap of 220 hours, additional hours can be paid out at 50% at the end of the fiscal year) 9 Paid holidays, Community service day Floating holiday & 2 mental health days provided after 1 year introduction Workplace Flexibility schedule options available (work from home hours vary by position & schedule) Exempt employees receive additional admin leave & work from home hours Relocation Benefit of up to $4,000 if moving over 100 miles, $ depending on distance. This is available to be included w/ job offer Student loan forgiveness (NHSC & Public Service) Paid licensure supervision. Employee Assistance, Wellness Benefits, Dependent Care & Long-Term Disability Insurance DESCRIPTION The Clinical Supervisor of Specialized Treatment and Resiliency Center (STAR) plans, assigns, directs and reviews the clinical work of personnel. They ensure that the relevant Oregon Administrative Rules (OAR's) are adhered to, monitor quality assurance, and develops and monitors treatment protocols. In addition, the position will carry a caseload and conduct comprehensive assessments, develop treatment plans and provide quality clinical care. Clinical services, while delivered in a residential facility, fall under the scope of outpatient services per the Oregon Health Authority. As such, services fall under the outpatient section of the Oregon Administrative Rules and are included in the GOBHI (OHP) contract requirements. SUPERVISION Supervision Received This position is supervised by the Facility Administrator of Specialized Treatment and Resiliency Center, STAR. The Facility Administrator will provide both administrative supervision and clinical supervision. Supervision Exercised This position directly supervises all assigned clinical staff at the facility. RESPONSIBILITIES Provide clinical supervision and oversight on a daily and regular basis to assigned clinicians and Qualified Mental Health Associates. Ensure that care is of the highest clinical standards and consistent with CCS philosophy and policy. Ensure that assigned clinicians are apprised of current evidence based practices (EBP's), implements EBP's, and ensures that the agency is meeting or exceeding standards of good clinical outcomes Ensure that all paperwork by the clinical staff is completed in a professional and timely manner, and provide supervision when this goal is not being met. Ensure that the quality of clinical work is superior and completed in a professional manner, and provide supervision when this goal is not being met. This position will participate in the on-call rotation at Specialized Treatment and Resiliency Center (STAR) and may be asked to participate in on call rotation for crisis services. Ensure knowledge and application of CCS personnel policies and procedures. This position recruits, hires and trains new staff. They provide supervision and conduct performance evaluations. They follow policies for employee discipline and termination when necessary. Works to resolve conflict as appropriate and provides positive leadership. When necessary, in consultation with Facility Administrator, Human Resources Specialist and/or the Executive Director, engage in disciplinary actions. Report all cases of abuse or neglect to the proper agency, or ensure that all cases are reported. Provide follow up and completes all investigative reports when required, as well as implementing safety plans. Schedule and participate in meetings with other agencies to ensure continuity of service delivery and ensure that CCS is highly regarded by other community partners. This position will maintain a caseload. This position will provide quality individual, group and family counseling services. Ensure that all paperwork is professional and timely. This position will possess the ability and skill to facilitate comprehensive mental health assessment to determine the appropriate level of care for youth referred to Specialized Treatment and Resiliency Center, STAR. Follow the grievance process for consumer complaints and work diligently to resolve complaints. Ensure that the agency is meeting or exceeding all of the requirements for the relevant OAR's, as well as the clinical contractual requirements as required by Greater Oregon Behavioral Health (GOBHI) and other mental health organizations. Ensure that clients are scheduled in a timely manner and assure all clinical needs are met. Work with the Assistant Administrator and facility Administrator for ensuring clinical staff coverage by overseeing vacations, sick leave, training, etc. Work with contracted prescribers to put together schedules and ensure that the service delivery is well coordinated for prescribers and the customers they see. Consult with prescribers to coordinate medical treatment. Work with Quality Assurance Coordinator to ensure that clinicians are meeting quality assurance standards. When requested, participate in internal administrative meetings. Hold regular clinical staff meetings. Communicate with members of the public to inform the public about our services, and speak with groups about our services and/or specific areas of mental health and alcohol/drug programs. Where applicable; Serve on various boards or committees in the community as it relates to program services. Assist and work with the Facility Administrator in ensuring that all operations of the equine assisted therapy program are functioning suitably and needs are met. Will provide directives to the program. Transport clients as needed. Other duties as assigned. Requirements QUALIFICATIONS Education and/or Experience Clinical Supervisor I -Master's degree from an accredited university in psychology, sociology or other human services related field and have 2 years of post-grad experience in the delivery of clinical services. Preferred supervisor experience. Clinical Supervisor II - Licensed (LCSW, LPC, LMFT) with 5 years' experience in delivery of clinical services. Prefer 3 years' experience being a supervisor in related field Other Skills and Abilities Knowledge of the diagnosis and treatment of mental illness and addictions and principles of counseling. The ability to use independent judgment including finely developed decision making, planning, analytical and organizational skills. Ability to prepare and maintain detailed and accurate records. Ability to communicate and coordinate well with a diverse population including staff members, professional consultants, agencies, customers, and members of the general public. Ability to understand, interpret and apply laws, regulations and administrative rules related to mental health and chemical dependency. Ability to learn and implement CCS procedures, regulations and requirements with respect to procurement, budget, safety, operations and organization. Must be a self starter and demonstrate the ability to supervise and assign work to subordinates; ability to work effectively with other employees and the general public. Good organizational and time management skills are essential. Must be able to work with minimal supervision. The position requires the handling of highly confidential information. Must adhere to rules and laws pertaining to client confidentiality. Must be able to communicate effectively in both written and oral formats. Must have the ability to present and exchange information internally across teams and co-workers, and externally with clients and the public. Information communicated ranges from routine/basic to complex and confidential information. Must have excellent typing skills, have knowledge of basic office software programs and ability to effectively use such software. PHYSICAL DEMANDS While performing the essential duties of this job, the employee is regularly required to use office automation including computer and phone systems that require find manipulation, grasping, typing and reaching. The employee is also regularly required to sit; talk and hear; use hands and fingers and handle or feel. The employee is occasionally required to stand; walk; reach with hands and arms; stoop; kneel and/or squat when adjusting equipment or retrieving supplies. The employee may occasionally lift and/or move up to 30 pounds. Specific vision abilities required by this job include close vision, peripheral vision, distance vision and the ability to adjust focus. The employee should possess a valid driver's license for vehicle travel when working on behalf of the agency. When serving in the on-call rotation, employees may be required to perform on less-than-optimal amounts of sleep. WORK ENVIRONMENT Work is performed within the facility, within an office environment as well as in the community. The noise level in the office environment is usually moderate, but occasionally one may be exposed to loud noises. The noise in the community, including the homes of customers, is often difficult to predict. Occasional out of area travel and overnight stays will be required for attendance at meetings and/trainings. However, the employee also will be required to work in the communities, homes and other living environments, of the clients we serve. Handicap access may not be available at all places where this position must go. There are some situations where this position may be required to respond to environments where a client is in crisis. The environments in these situations are difficult to predict and may be in uneven terrain. This position exposes the employee to the everyday risks or discomforts which require normal safety precautions typical of such places as an office. CRIMINAL BACKGROUND CHECKS Must pass all criminal history check requirements as required by ORS 181.536-181.537 and in accordance with OAR 410-007-0200 through 410-007-0380. In addition to a pre-employment background check, each employee, volunteer and contractor shall be checked on a monthly basis against the OIG and GSA exclusion lists, as well as other federal and state agency lists. If it is discovered that an employee, volunteer or contractor is excluded or sanctioned it will be the cause for immediate termination of employment, volunteering, or the termination of the contract. PERSONAL AUTO INSURANCE Must hold a valid driver's license as well as personal auto insurance for privately owned vehicles utilized for CCS business such as client service purposes, travel between business offices and the community, to attend required meetings and trainings. Must show proof of $300,000 or more liability coverage for bodily injury and $100,000 or more in property damage and maintain said level of coverage for the duration of employment at CCS. The employee's insurance is primary with CCS insurance being secondary. CCS reserves the right to deny any employee the use of a vehicle owned by CCS. Community Counseling Solutions IS AN EQUAL OPPORTUNITY EMPLOYER MEMBER OF NATIONAL HEALTH SERVICES CORPORATION Salary Description $73,900-$123,100 annually, depending on experience

What We Do Milliman IntelliScript is a group of a few hundred experts in fields ranging from actuarial science to information technology to clinical practice. Together, we develop and deploy category-defining, data-driven, software-as-a-service (SaaS) products for a broad spectrum of insurance clients. We're a business unit within Milliman, Inc., a respected consultancy with offices around the world. Candidates who have their pick of jobs are drawn to IntelliScript's entrepreneurial and collaborative culture of innovation, excellence, exceptional customer service, balance, and transparency. Every single person has a voice in our company and we challenge each other to push the outer limits of our full, diverse potential. We've shown sustained growth that ensures you'll have room to grow your skillset, responsibilities, and career. Our team is smart, down-to-earth, and ready to listen to your best ideas. We reward excellence and offer competitive compensation and benefits. Visit our LinkedIn page for a closer look at our company and learn more about our cultural values here. Milliman invests in skills training and career development and gives all employees access to a variety of learning and mentoring opportunities. Our growing number of Milliman Employee Resource Groups (ERGs) are employee-led communities that influence policy decisions, develop future leaders, and amplify the voices of their constituents. We encourage our employees to give back to their varied professions, including leadership in professional organizations. Please visit our website to learn more about Milliman's commitments to our people, diversity and inclusion, social impact, and sustainability. What this position entails IntelliScript offers an innovative suite of products that interpret and deliver electronic medical data (such as prescription histories, diagnoses, and treatment data) to help our clients make effective underwriting and risk assessments. The Clinical Informatics Consultant is a vital part of IntelliScript's Clinical Services Team - a team that delivers the clinical intelligence and expertise needed for industry-leading clinical interpretation solutions. Working with various members of teams across the company, you will be instrumental as we continue to innovate, design, and maintain the clinical intelligence behind our decision support software and fulfill the specific needs of each client. Our proven interpretation engines (Irix and Curv) are being adapted to incorporate and interpret electronic health record data in addition to our existing pharmacy and medical claims data. In this role, the Clinical Informatics Consultant will bring professional experience and training from a variety of settings and perspectives, a passion for leveraging health-related data and performing complex analysis to solve business questions, as well as an entrepreneurial spirit. What you will be doing * Clinical condition interpretation: Translate complex clinical data elements into meaningful medical condition identification and severity insights to support our clients' decision-making processes. * Clinical value set creation: Develop and maintain groupings of clinical codes. These building blocks create the foundation of our clinical interpretation insights. You will leverage terminologies such as GPI, RxNorm, ICD-10, CPT, HCPCS, REV, SNOMED, and LOINC codes to facilitate our client's risk assessments. * Clinical terminology management: Oversee the organization, standardization, and maintenance of clinical terminologies to ensure up-to-date, consistent, and accurate results from our interpretation solutions. * UAT and impact testing: Conduct user acceptance testing and impact analysis to validate the functionality and effectiveness of new features and enhancements in our clinical products. * Research and development: Engage in research activities to identify emerging trends in clinical practice and our products, contributing to the development of interpretation solutions. * Model consultation: Consult with data science team to align predictive model features with clinical data concepts and medical knowledge. * Innovation collaboration: Participate in brainstorming and whiteboarding sessions to drive the creation of enhancements for our clinical interpretation solutions and innovative new products. * Clinical data solutions consulting: Provide expert consulting services on clinical data solutions, guiding internal and external clients through the effective design and use of our systems. What we need * Current licensure in good standing as a healthcare professional * Minimum three years of experience in clinical informatics * Experience analyzing electronic health record, medical claims, and pharmacy claims data * Experience enhancing EHR systems and/or clinical decision support software What you bring to the table * Focused on results and able to explain clinical concepts in a way that answers business questions * Adept at ascertaining client needs, conducting an analysis, and presenting solutions * Ability to shift communication styles for clinical, technical, or business audiences * Strong eye toward quality and an acumen for peer review as part of the development process * Capacity to work with and analyze medical data for extended periods of time * Demonstrated "let's find a way to do it" attitude-conviction that no task is too big or too small, quick to approach an issue and find the optimal solution, ready to adapt in any situation * Detail oriented with excellent verbal and written communication skills * Professional when interacting with clients and colleagues * Able to work independently and thrive on a small team * Adaptable and willing to pitch in wherever needed * Skilled in understanding complex systems and thinking abstractly to identify patterns, connections, and opportunities * Proficient in identifying and gathering the information needed to diagnose and solve problems * Capable of generating, developing, and evaluating a wide range of creative ideas, concepts, and solutions * Effective in maintaining performance when faced with uncertain, unclear, or incomplete information Wish list * Continued education and/or advanced degree(s) * Advanced degree or certification in clinical informatics * Experience in software-as-a-service industry * Experience in clinical practice in addition to clinical informatics * Published thought leadership articles, past speaking engagements, etc. * Experience presenting to management-level decision-makers Location The expected application deadline for this job is March 31, 2026. This position is open to remote work. Applicants must be willing to travel to the Milliman office in Brookfield, WI as needed and travel nationwide for meetings, conferences, and team events (up to 10%). Compensation The overall salary range for this role is $93,700 - $199,065 For candidates residing in: * Alaska, California, Connecticut, Illinois, Maryland, Massachusetts, New Jersey, New York City, Pennsylvania, Virginia, Washington, or the District of Columbia: * $107,755 - $177,675 if overall experience is less than 5 years; and * $120,635 - $199,065 for experience greater than 5 years. * All other states: * $93,700 - $154,500 if overall experience is less than 5 years; and * $104,900 - $173,100 for experience greater than 5 years. A combination of factors will be considered, including, but not limited to, education, relevant work experience, qualifications, skills, certifications, etc. Milliman Benefits We offer a comprehensive benefits package designed to support employees' health, financial security, and well-being. Benefits include: * Medical, Dental and Vision - Coverage for employees, dependents, and domestic partners. * Employee Assistance Program (EAP) - Confidential support for personal and work-related challenges. * 401(k) Plan - Includes a company matching program and profit-sharing contributions. * Discretionary Bonus Program - Recognizing employee contributions. * Flexible Spending Accounts (FSA) - Pre-tax savings for dependent care, transportation, and eligible medical expenses. * Paid Time Off (PTO) - Begins accruing on the first day of work. Full-time employees accrue 15 days per year, and employees working less than full-time accrue PTO on a prorated basis. * Holidays - A minimum of 10 paid holidays per year. * Family Building Benefits - Includes adoption and fertility assistance. * Paid Parental Leave - Up to 12 weeks of paid leave for employees who meet eligibility criteria. * Life Insurance & AD&D - 100% of premiums covered by Milliman. * Short-Term and Long-Term Disability - Fully paid by Milliman. Equal Opportunity All qualified applicants will receive consideration for employment, without regard to race, color, religion, sex, sexual orientation, national origin, disability, or status as a protected veteran.

Who We Are Imagine Pediatrics is a tech enabled, pediatrician led medical group reimagining care for children with special health care needs. We deliver 24/7 virtual first and in home medical, behavioral, and social care, working alongside families, providers, and health plans to break down barriers to quality care. We do not replace existing care teams; we enhance them, providing an extra layer of support with compassion, creativity, and an unwavering commitment to children with medical complexity. What You'll Do: As Clinical Educator with Imagine Pediatrics, you will play a critical role in supporting the clinical development and education of all clinical health professionals. This position involves developing, implementing, and evaluating training programs to ensure the delivery of high-quality, family-centered care. The Clinical Educator will collaborate with interdisciplinary teams to enhance the competencies of clinicians, improve patient outcomes, and ensure adherence to value-based care principles. You will support various learning programs through in-person and remote training. You will: Develop and maintain new hire standards for onboarding and clinical orientation. Collaborate with program and regional leaders to design and deliver robust clinical onboarding experience that focuses on care delivery models, process improvement, tailored services, value-based care, and SDOH. Create, coordinate, and deliver training programs, workshops, and continuing education sessions for team members focusing on evidence-based practices, child/adolescent health, and our integrated care models. Oversee preceptor training by collaborating with clinical staff on current practices, interpersonal skills and EMR training. Create and present educational content with a focus on areas that support business objectives to include but not limited to transitions of care, disease management, and case management. Provide clinical coaching and mentorship to clinical health staff, focusing on skill development, case consultation, and clinical supervision. Foster a culture of continuous learning and improvement. Utilize clinical data, outcome measures, and performance metrics to assess the effectiveness of educational programs and make data-driven recommendations for program enhancements. Assist in the development and revision of clinical policies, procedures, and protocols to ensure compliance with regulatory requirements and alignment with Imagine Pediatrics care model. Create educational materials, guides, and resources for clinicians and families to support understanding of pediatric behavioral health conditions, treatments, and the value-based care model. Provide training for various electronic medical records and software. Design compelling training for wide audiences and skill levels for both online and instructor-led material. Travel to Imagine Pediatrics' offices to train on various content or reinforce adherence to process. This position will require up to 20-30% travel. What You Bring & How You Qualify First and foremost, you're passionate and committed to reimagining pediatric health care and creating a world where every child with complex medical conditions gets the care and support, they deserve. You want an active role in building a diverse and value-driven culture. Things change quickly in a startup environment; you accept that and are willing to pivot quickly to priorities. In this role, you will need: You hold an unrestricted RN and/or NP state license, including board certification, or the ability to become board certified within 2 years. You have strong comprehension of clinical standards of care and are focused on quality of life for your patients. You have proficiency in Microsoft products and general technological savviness. Experience with curriculum design platforms. Experience leading training efforts or as a Clinical Educator. Experience working with a pediatric population strongly preferred, virtual care experience a plus. What We Offer (Benefits + Perks) The role offers a base salary range of $80,000 - $110,000 In addition to competitive company benefits package and eligibility to participate in an employee equity purchase program (as applicable). When determining compensation, we analyze and carefully consider several factors including job-related knowledge, skills and experience. These considerations may cause your compensation to vary. We provide these additional benefits and perks: Competitive medical, dental, and vision insurance Healthcare and Dependent Care FSA; Company-funded HSA 401(k) with 4% match, vested 100% from day one Employer-paid short and long-term disability Life insurance at 1x annual salary 20 days PTO + 10 Company Holidays & 2 Floating Holidays Paid new parent leave Additional benefits to be detailed in offer What We Live By We're guided by our five core values: Our Values: Children First. We put the best interests of children above all. We know that the right decision is always the one that creates more safe days at home for the children we serve today and in the future. Earn Trust. We listen first, speak second. We build lasting relationships by creating shared understanding and consistently following through on our commitments. Innovate Today. We believe that small improvements lead to big impact. We stay curious by asking questions and leveraging new ideas to learn and scale. Embrace Humanity. We lead with empathy and authenticity, presuming competence and good intentions. When we stumble, we use the opportunity to grow and understand how we can improve. One Team, Diverse Perspectives. We actively seek a range of viewpoints to achieve better outcomes. Even when we see things differently, we stay aligned on our shared mission and support one another to move forward - together. We Value Diversity, Equity, Inclusion and Belonging We believe that creating a world where every child with complex medical conditions gets the care and support, they deserve requires a diverse team with diverse perspectives. We're proud to be an equal opportunity employer. People seeking employment at Imagine Pediatrics are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information, or characteristics (or those of a family member), pregnancy or other status protected by applicable law.

Gateway Rehab Center (GRC) has an outstanding opportunity for a Nurse Liaison Gateway Rehab who will be responsible for the pre-admission case management, ASAM level of care assessment, and coordination of admission to care for substance use disordered patients referred from a hospital setting. To be considered for the position, you must live within the Pittsburgh, PA area or surrounding counties. Responsibilities Assesses admission candidates' medical and psychiatric appropriateness for treatment. Determines level of care placement based on ASAM criteria. Pre-certifies admissions as required. Discusses treatment options with referral sources. Acts as liaison between Gateway and outside referral sources. Coordinates patient transfers from other facilities to Gateway Aliquippa/Westmoreland. Responds to needs of referral sources and managed care representatives. Interacts with the physician through coordination of patient assessments. Attends GRC mandatory training and in-services. Other duties as required. Knowledge, Skills, and Abilities Strong communication skills required. Able to work independently with minimal oversight. Knowledge of skilled nursing Requirements Pennsylvania RN or LPN licensure 3+ years nursing experience preferred. Experience identifying/treating drug and alcohol addictions. Experience in conducting assessments and evaluations. Additional Requirements Pass PA Criminal Background Check Obtain PA Child Abuse and FBI Fingerprinting Clearances. Pass Drug Screen TB Test Access to reliable and dependable internet connection. Work Conditions Favorable working conditions. Minimal physical demands Significant mental demands include those associated with working with patients with addictive disorders and managing multiple tasks. GRC is an Equal Opportunity Employer committed to diversity, equity, inclusion, and belonging. We value diverse voices and lived experiences that strengthen our mission and impact.

Job DescriptionAbout the Role: Join Peace of Mind Therapy as a Clinical Supervisor, where you will play a vital role in guiding our team of dedicated therapists. This is an exciting opportunity to lead a compassionate group in providing exceptional mental health services to our community in Upland, CA. Responsibilities: Oversee clinical operations and ensure compliance with state and federal regulations. Provide supervision and support to therapists and interns, fostering professional development. Conduct regular case reviews and offer constructive feedback to enhance client care. Develop and implement treatment plans and therapeutic interventions. Maintain accurate clinical documentation and manage client records. Collaborate with community partners and stakeholders to improve service delivery. Facilitate training sessions and workshops for staff on best practices and new methodologies. Promote a positive work environment that encourages teamwork and open communication. Requirements: Masters degree in Social Work, Psychology, or a related field. Current licensure as an LCSW, LMFT, or LPCC in California. Minimum of 3 years of clinical experience in mental health settings. Proven leadership skills with a focus on team development and support. Strong understanding of clinical best practices and ethical standards. Excellent communication and interpersonal skills. Ability to work collaboratively in a fast-paced environment. Passion for mental health advocacy and community service. About Us: Peace of Mind Therapy has been serving the Upland community for over a decade, providing comprehensive mental health services with a personal touch. Our clients love us for our commitment to quality care, and our employees appreciate a supportive and nurturing work environment that empowers them to make a difference. This is a remote position.

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team. Job Summary The Clinical Documentation Improvement (CDI) Auditor Educator will facilitate improvement system-wide in the overall quality, completeness, and accuracy of the medical record documentation through extensive audit investigation, education and data analysis. The incumbent will be responsible for identification of patterns, trends, and opportunities for the entire CDI team, at all acute care facilities, to improve accuracy and outcomes. This position will also be responsible for assisting with large retrospective audits, at the request of hospital clients system-wide, and for educating physicians, if needed. Reports to the CDI Quality/Education Manager. The CDI Auditor reports to the Director as an individual contributor and provides recommendations on clinical documentation quality improvement and education programs.Job DescriptionMEMORIAL HERMANN CANNOT HIRE REMOTE WORKERS IN THE FOLLOWING STATES: Arizona, California, Connecticut, Maryland, Massachusetts, Missouri, New Jersey, New York, Utah, Ohio, Pennsylvania, Washington, Alabama, Mississippi, Illinois, Oregon, Arkansas or Iowa Please Note: We cannot consider MDs or doctors for this position Minimum Qualifications Education: Bachelor's of Nursing, required; Master's Degree in Nursing or Management preferred Licenses/Certifications: Current State of Texas license or temporary/compact license to practice professional nursing Certified Clinical Documentation Specialist (CCDS) required; AHIMA ICD-10-CM/PCS Trainer preferred Experience / Knowledge / Skills: Minimum of three (3) to five (5) years of CDS experience Previous CDIS auditing and education experience and/or CDIS supervisory/management background preferred Strong computer proficiency including working knowledge of MS Office- Word, Excel and Outlook and 3M Coding and Reimbursement software; experience with Cerner EMR preferred Excellent communication, analytical and problem solving skills are essential Strong organizational skills and must be detail oriented Highly analytical with strong risk assessment, impact analysis and problem solving skills Highly self-motivated, yet demonstrate ability to be a team player and take direction Flexible and able to multi-task and prioritize work load on a daily basis, performing concurrent chart reviews as needed Principal Accountabilities Audits case reviews and queries of Clinical Documentation Specialists (CDIS) to ensure quality and compliance, using audit tools developed. Tracks, trends, and reports audit findings for each Clinical Documentation Specialist (CDIS), Hospital Region, and System-wide to Director/management team. Identifies knowledge gaps and provides clear explanations and interpretations on missing, unclear, conflicting, or non-compliant information captured by the CDIS. Researches, investigates and remains up to date on both clinical and coding guidelines in quarterly Coding Clinics as they relate to physician documentation improvement needed, in an ICD-10 coding environment. Assists in overall quality, timeliness and completeness of the quality health record to ensure appropriate data, provider communication, and quality outcomes. Serves as a resource for appropriate clinical documentation. Develops presentation material and provides training and education to physicians and CDIS staff as needed in an effort to strengthen documentation practices and ensure accurate coding that reflects the severity of illness (SOI) and risk of mortality (ROM) of patients they serve. Responsible for using audit tools to conduct clinical quality audits Develops and updates policies and procedures around the CDIS audit function; and refines audit tools as needed in collaboration with Director/management team. Collaborates with leadership to conduct focused post-discharge documentation and coding audits as requested by hospital clients system-wide. Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service. Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff. Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann's service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues. Other duties as assigned.

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 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 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.

Under the general supervision of the Director, the Associate Discharge Planner supports the care management team by coordinating discharge planning and assisting with the operational functions of the department, ensuring efficient transitions for patients from hospital to home or alternative care settings. Providence caregivers are not simply valued - they're invaluable. Join our team at Providence California Regional Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required Qualification: + Clinical or administrative experience in healthcare industry. Preferred Qualification: + Associate's Degree Why Join Providence? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. About Providence At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act." Requsition ID: 403888 Company: Providence Jobs Job Category: Behavioral Health Job Function: Clinical Care Job Schedule: Full time Job Shift: Multiple shifts available Career Track: Clinical Support Department: 7000 UTILIZATION MGMT CA SOCAL Address: CA Torrance 20555 Earl St Work Location: Providence Administrative Offices-Earl Street Workplace Type: On-site Pay Range: $31.43 - $48.08 The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Pharmacy Clinical Consulting Advisor Internal Job Title - Clinical Account Manager (CAM) Area of Operation - Colorado, Utah, Pacific Northwest As part of Cigna Pharmacy Management, the Pharmacy Sales Advisor is a licensed clinician who serves as the primary pharmacy benefits subject matter expert supporting Cigna Integrated Pharmacy clients within an assigned geographical market(s) and client size band. The Pharmacy Sales Advisor position will be responsible for developing and maintaining relationships with internal stakeholders including the medical sales teams and pharmacy underwriting organization as well as external brokers and consultants. The primary objective of this position is supporting long-term client retention and growth, while achieving Cigna's corporate strategic goals. The Pharmacy Clinical Consulting Advisor also provides pharmacy product and clinical expertise in support of the Medical Sales teams as well as the Pharmacy Implementation organization. This position is responsible for working with the Cigna Medical teams to support the Pharmacy component of an integrated benefit, which typically includes Medical, Pharmacy, and Behavioral. This includes service support, reporting, pricing, and/or other performance guarantees - while working with multiple internal stakeholders at Cigna and Evernorth, as well as external influencers (e.g. consultants, producers and decision makers in the benefits organization or financial and/or C-Suite of our clients). The primary roles of the Pharmacy Clinical Consulting Advisor are: Retain the assigned book of business through proactive portfolio management, including an understanding of available performance guarantees and pricing strategies in order to renew clients and preserve earnings. Participate in client meetings and presentations to review client performance and sell in the suite of pharmacy management programs and solutions that align to Cigna's overall value proposition of lowering total healthcare costs. Act as Pharmacy Sales support for renewals involving consultants. Cultivate meaningful, productive, mutually beneficial relationships internally and externally by gaining the confidence and trust of key stakeholders through honesty, integrity and reliability. Educate and consistently advance the knowledge of pharmacy within the Cigna Medical sales organization. This includes deep dives on our products and services, as well as championing an understanding of the clinical integration points across benefits. Communicate effectively, delivering multi-modal messages that convey a clear understanding of the unique needs of the different audiences requiring interaction. Proactively anticipates communication needs in order to remove ambiguity. Actively participate in finalist meetings for existing business where necessary. Gather and share relevant competitive intelligence in support of retention and new sales efforts. Acts as the clinical subject matter expert supporting medical sales team or the pharmacy Implementation team with escalated pharmacy benefit issues, when necessary. Manages complexity, by analyzing and making sense of a considerable volume of sometimes contradictory information to effectively solve problems. Asks the right questions and attentively listens to others. Stays abreast of clinical pharmacy practice guidelines, including the new drug pipeline, biosimilars, gene therapies, upcoming patent expirations, etc. Additional Responsibilities: Facilitate meetings with clients and brokers to resolve service concerns; act as the escalated issue contact for pharmacy issues when contacted by the medical sales teams. Support detailed ad-hoc analysis of pharmacy claims utilization in order to provide clients with proactive consultation, as well as manage follow-up questions that may arise. Provide executive support for pricing, audit, and contract questions, as requested by internal partners managing these efforts. Translate pharmacy coverage rules and formulary decisions based on Cigna policies with support from Clinical program development partners. Any other tasks as defined by management and/or client needs not named above, as required to support our internal and external stakeholders, clients, and partners. Qualifications: Clinical pharmacy background required; R.Ph. or Pharm.D. 5 years or more of Pharmacy Benefit Management (PBM) experience supporting client expectations Mid to Large Employer account management experience preferred Experience with consultative client management methodologies Proven ability to manage thru a renewal independently with minimal supervision Ability to work through the organizational processes needed to support clients (especially those that are clinical in nature, considering exceptions, etc.) A self-motivated individual displaying ownership, accountability and responsibility Operational understanding and competence with PBM business model Understanding the financial and pricing strategy of PBM Technical skills using all Microsoft programs Ability to travel up to 50% of the time depending on candidate's location with little or no advance notice Competencies: Clinical understanding of PBM space Customer Focus Organizational Agility Network Building Verbal & Written Communication Skills Presentation Skills Financial Acumen Negotiation skills Executive presence If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an annual salary of 107,000 - 178,300 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group. About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Care Coordinators are responsible for performing care management services in order to support members who require assistance in navigating their health care system. The Care Coordinator supports various teams to provide excellent customer service to our NorthStar Members. This position is 100% Remote **Prefer Bilingual Spanish or Bilingual Mandarin/Cantonese Duties and Responsibilities: Receive incoming calls from members regarding benefit questions/issues, care coordination, program inquiries, connecting to their care manager, and screening assessments to identify risk factors requiring medical intervention Contemporaneously and accurately documents call in designated PHI system. Manages an assigned member caseload who require short term care coordination and health navigation Works within the interdisciplinary care team to support timely communication of member issues or needs and monitors screening of members effectively to improve quality and cost outcomes Performs outreach calls to members to confirm services are in place Additional duties as assigned Minimum Qualifications: Certified Medical Assistant (CMA) or Certified Nursing Assistant (CNA) or Registered Medical Assistant (RMA) or previous relevant medical training or work experience HS diploma/GED Work experience requiring effective communication verbally and in writing while demonstrating good grammar, spelling, and punctuation skills Experience working in a fast-paced environment that requires handling multiple priorities simultaneously Preferred Qualifications: Associate's degree Prior work experience in a call center, care management, or healthcare environment or familiarity with medical terminology, Medicaid & Child health plus benefit products. Bilingual Spanish or Bilingual Mandarin/Cantonese Excellent telephone, organizational, and customer service skills Team player who is organized and detail-oriented Hiring Range*: Greater New York City Area (NY, NJ, CT residents): $47,403 - $62,400 All Other Locations (within approved locations): $41,101 - $60,320 As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision. In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live. *The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role. WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national origin, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as well as any other legally protected basis. HF Management Services, LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified. If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to *********************** or calling ************ . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within HF Management Services, LLC will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with HF Management Services, LLC. Know Your Rights All hiring and recruitment at Healthfirst is transacted with a valid “@healthfirst.org” email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process. Hiring Range*: Greater New York City Area (NY, NJ, CT residents): $48,600 - $65,960 All Other Locations (within approved locations): $42,200 - $62,400 As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision. In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live. *The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.

Job Title: Clinical Care Coordinator (Remote) - Text-Based APCM Program Department: Clinical Operations Position Type: Full-Time Our team is growing! Jaan Health is seeking dynamic and motivated Licensed Practical Nurses (LPNs) Clinical Care Coordinators to join our care team and will report to the Clinical Operations Manager. This role requires strong clinical knowledge, adaptability, and the ability to thrive in a fast-paced, patient-centered environment. The LPN will support chronic care management (CCM) and advanced primary care models (APCM) by providing direct patient engagement, care plan support, and clinical triage. This position is remote and offers health benefits as well as a retirement plan and paid days off. Our company serves 90+ clients who care for over 50,000 patients. We are a rapid-growth B2b SaaS company that offers our clients a software platform called Phamily (********************* to provide connected care management to their patients. Phamily keeps patients in contact with their care manager, who regularly checks up on them and acts as a resource for any concerns they might have about their health in order to keep them happier and healthier for longer. About the Role We are seeking a compassionate, organized, and tech-savvy Clinical Care Coordinator to support patients with chronic conditions in our text-based Advanced Primary Care Management (APCM) program. This remote role focuses on delivering proactive, high-quality care through digital communication tools, driving better health outcomes for Medicare and older adult populations. This position is ideal for healthcare professionals who thrive in a virtual care setting, value patient engagement, and are skilled in critical thinking and care coordination. Candidates in other locations may apply, but applications will be held until there are additional resources needed outside of the initial target areas. Key Responsibilities Serve as the first line of communication for patients via a secure, text-based platform Monitor and respond to patient messages and check-ins in a timely, compassionate, and professional manner Identify, assess, and triage clinical concerns, SDOH needs, and care coordination barriers Develop and update personalized care plans for patients with chronic conditions (e.g., hypertension, diabetes, COPD) Develop, implement, and revise care coordination workflows or protocols to support the evolution of the care model to improve efficiency and scalability Analyze patient data or trends to identify care gaps or improve outcomes Independently making decisions on patient outreach priorities, resource allocation, or escalation paths Lead quality improvement initiatives or case review meetings Serve as a liaison for payer utilization management, interpreting policy, and advising on compliance Track engagement, log care time, and document all communication per HIPAA and program guidelines Identify and troubleshoot issues that arise during new program iterations, escalating to leadership when there are critical impacts or opportunities for system-wide improvements Collaborate with RNs, NPs, and Social Workers to ensure timely escalation and follow-through Key Skills & Qualifications 2+ years of experience in a clinical or care coordination role (primary care, chronic care management, home health, etc.) LPN w/ compact license strongly preferred Strong critical thinking and problem-solving skills in a fast-paced environment Ability to independently manage a digital patient panel and prioritize escalations effectively Excellent written communication and documentation skills Comfort using EMRs, care coordination platforms, and digital messaging tools Knowledge of Medicare CCM/APCM programs a plus Bilingual (Spanish) is a bonus but not required Must be located within the continental United States and have access to reliable internet and ability to work in a specified time zone - either CST, EST, or PST depending on client and candidate location Access to Internet 5G Schedule & Work Environment Full-time, Monday-Friday Flexible remote schedule across CST, EST, or PST time zones 1-hour lunch break, daily huddles with manager/team Ongoing support from a multidisciplinary care team Why Join Us? Mission-driven organization focused on health equity and innovative digital care Collaborative, diverse, and growth-focused culture Opportunities for professional development and internal promotion Competitive compensation and benefits package Be part of redefining how care is delivered-one text at a time

OUR MISSION Calibrate is on a mission to change the way the world treats weight by redefining obesity care as a matter of biology, not willpower. Designed by world leaders in metabolic health, our program combines clinical research, personalized coaching, and lifestyle intervention to deliver lasting weight loss and improved metabolic outcomes. With obesity as America's largest chronic condition, impacting 175mm adults in a $600B market, we're closing the care gap by offering the first value-based model in obesity treatment. Since launching DTC in 2020, we've expanded into enterprise channels to improve access, and our app-based experience supports members with coaching, tailored education, daily tracking, and community engagement across the four pillars of metabolic health: food, sleep, exercise, and emotional wellbeing. ABOUT THIS ROLE A Member Care Coordinator sits at the intersection of Member Experience and Clinical Operations. The role of a Member Care Coordinator is to ensure that members receive timely, coordinated, and high quality care; acting as the “glue” between the Clinical, Coaching, and Operational teams. They ensure smooth handoffs between teams, including but not limited to, tracking lab results, medication approvals, and any necessary clinical follow up to ensure members proceed through their journey seamlessly. KEY RESPONSIBILITIES Execute critical clinical administrative workflows focusing on resolving readiness barriers to accelerate members toward provider review and medication access. Facilitate provider workflow efficiency by preparing clinical documents and proactively triaging member needs for specialty support. Facilitate structured handoffs of critical information to Clinical and Coaching teams to ensure timely follow-up regarding changes in medication, denials, or approved exception paths. Engage in cross-functional meetings and work collaboratively with others departments to improve and maintain a high level of member care. Identify and formally report recurring systemic issues, submission errors, or trends that contribute to operational friction. Manage the end-to-end medication access workflow with complete ownership, including the proactive gathering of relevant clinical data, coordinating with clinicians for additional necessary information, complex Prior Authorization (PA) submission, denial investigation, appeal documentation, final determination and overrides when applicable. Proactively contact members via phone and secure message to request necessary information (e.g., previous prescription history, documentation) and deliver clarity regarding complex PA status changes or delays. Conduct outbound calls to insurance carriers, PBMs, and pharmacies to obtain specific case statuses, track documentation, and secure approvals. Ensure all communication, investigation notes, and PA statuses are accurately logged in the case management system (e.g., Zendesk, MJD) to maintain a complete and auditable member record. Initiate and resolve pharmacy-level rejections (e.g., refill too soon, insurance coding errors, wrong dose dispensed) by conducting outbound calls to dispensing pharmacies and PBM help desks. Troubleshoot technical or administrative insurance issues that prevent successful claims processing. BACKGROUND AND EXPERIENCE Completion of a formal medical assisting program is highly valued. Preference will be given to candidates who hold a national certification, such as Certified Medical Assistant (CMA) awarded by the AAMA or Registered Medical Assistant (RMA) awarded by the AMT. Familiarity with case management systems (e.g., Zendesk), Electronic Health Records (EHR), and PA/e-prescribing platforms is highly desirable. 2+ years of high-volume customer service, call center, or patient advocacy experience, preferably in a healthcare, pharmacy, or PBM setting. Demonstrated track record of managing complex, multi-step processes where follow-up and persistence are critical to success (i.e., comfortable making multiple calls to solve a single problem). Exceptional verbal and written communication skills with the proven ability to handle challenging, escalated calls/messages with professionalism and empathy. Demonstrated proficiency in medical terminology and clinical documentation to accurately interpret patient charts, understand treatment plans, and effectively communicate with clinical providers and payers. Strong organizational skills and meticulous attention to detail in documentation. Proficiency in interpreting and translating complex insurance terminology for the member. Proactive problem solver with a self-starter mentality. Ability to work independently and manage case load effectively. The rate for this role is $20-$22 per hour. OUR VALUES We're in it together: We have an audacious mission, and we're building a lot of things for the first time - from the first DTC pharma business within the healthcare ecosystem to the data infrastructure for providing real-world evidence in the largest category of chronic disease. It takes superpowers to build something simple and intuitive within the complex healthcare market, so we identify and work as a team from our individual points of strength. Not everyone has to be good at everything, but we know that when we harness what we're each great at, we're unstoppable. Small wins create big wins: We ground every experience in optimism, recognizing and celebrating successes along the way. We break projects down into smaller components. And we focus on where we have momentum. We always plan for larger goals with the knowledge that our plans will evolve as we achieve smaller milestones. You're in control: We don't let location stand in the way of the best talent - and from coaches to engineers, we are a remote-first team. Our business is multi-faceted, so each Calibrater is hired to be an expert in their piece of it - in control of their own initiatives, in control of their own impact, and in control of driving their own (real) results. Real results matter: We're obsessed with outcomes because when our members win, we win, and the data proves that we've built the best metabolic health program on the market. We're purposeful, optimistic, and relentlessly confident that we can solve the biggest medical issue of the 21st century. Calibrate is proud to be an equal opportunity workplace, providing equal employment and advancement opportunities to all team members. To achieve our mission of changing the way the world treats weight, we are building an environment where every Calibrater can thrive, feel a sense of belonging, and do the best work of their careers. We value diversity and recruit, hire, and promote individuals solely based on talent, qualifications, competence, and merit. We evaluate candidates without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics as required by law and as a matter of our company values. #LI-REMOTE

Coordinates care of individual clients with application to identified populations using assessment, care planning, implementations, coordination, monitoring and evaluation for cost effective and quality outcomes. Duties are typically performed during face-to-face home visits. Promotes the appropriate use of clinical and financial resources in order to improve the quality of care and member satisfaction. Assists with orientation and mentoring of new team members as appropriate. Provides care coordination to members with behavioral health conditions identified and assessed as requiring intensive interventions and oversight including multiple, clinical, social and community resources. Conducts in depth health risk assessment and/or comprehensive needs assessment which includes, but is not limited to psycho-social, physical, medical, behavioral, environmental, and financial parameters. Communicates and develops the care plan and serves as point of contact to ensure services are rendered appropriately, (i.e. during transition to home care, back up plans, community based services). Implements, coordinates, and monitors strategies for members and families to improve health and quality of life outcomes. Develops, documents and implements plan which provides appropriate resources to address social, physical, mental, emotional, spiritual and supportive needs. Acts as an advocate for member`s care needs by identifying and addressing gaps in care. Performs ongoing monitoring of the plan of care to evaluate effectiveness. Measures the effectiveness of interventions as identified in the members care plan. Assesses and reviews plan of care regularly to identify gaps in care, trends to improve health and quality of life outcomes. Collects clinical path variance data that indicates potential areas for improvement of case and services provided. Works with members and the interdisciplinary care plan team to adjust plan of care, when necessary. Educates providers, supporting staff, members and families regarding care coordination role and health strategies with a focus on member-focused approach to care. Facilitates a team approach to the coordination and cost effective delivery to quality care and services. Facilitates a team approach, including the Interdisciplinary Care Plan team, to ensure appropriate interventions, cost effective delivery of quality care and services across the continuum. Collaborates with the interdisciplinary care plan team which may include member, caregivers, member`s legal representative, physician, care providers, and ancillary support services to address care issues, specific member needs and disease processes whether, medical, behavioral, social, community based or long term care services. Utilizes licensed care coordination staff as appropriate for complex cases. Provides assistance to members with questions and concerns regarding care, providers or delivery system. Maintains professional relationship with external stakeholders, such as inpatient, outpatient and community resources. Generates reports in accordance with care coordination goal. The job duties listed above are representative and not intended to be all-inclusive of what may be expected of an employee assigned to this job. A leader may assign additional or other duties which would align with the intent of this job, without revision to the job description. Other Job Requirements Responsibilities 3-5 years experience in Social Work, Nursing, or Healthcare-related field, or relevant experience in lieu of degree., Experience in utilization management, quality assurance, home or facility care, community health, long term care or occupational health required. Experience in analyzing trends based on decision support systems. Business management skills to include, but not limited to, cost/benefit analysis, negotiation, and cost containment. Knowledge of referral coordination to community and private/public resources. Requires detailed knowledge of cost-effective coordination of care in terms of what and how work is to be done as well as why it is done, this level include interpretation of data. Ability to make decisions that require significant analysis and investigation with solutions requiring significant original thinking. Ability to determine appropriate courses of action in more complex situations that may not be addressed by existing policies or protocols. Decisions include such matters as changing in staffing levels, order in which work is done, and application of established procedures. Ability to maintain complete and accurate enrollee records. Effective verbal and written communication skills. Ability to work well with clinicians, hospital officials and service agency contacts. General Job Information Title Care Coordinator- CISC Grade 22 Work Experience - Required Clinical, Quality Work Experience - Preferred Education - Required GED, High School Education - Preferred Associate, Bachelor's License and Certifications - Required DL - Driver License, Valid In State - OtherOther License and Certifications - Preferred CCM - Certified Case Manager - Care MgmtCare Mgmt, LCSW - Licensed Clinical Social Worker - Care MgmtCare Mgmt, RN - Registered Nurse, State and/or Compact State Licensure - Care MgmtCare Mgmt Salary Range Salary Minimum: $50,225 Salary Maximum: $75,335 This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing. Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled. Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.

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

Are you a skilled, compassionate nurse looking for flexible work in clinical research? As a Clinical Research Nurse - Home Visits (PRN), you'll provide high-quality nursing care directly in patients' homes while supporting important research studies. This role is ideal for nurses who value flexibility, independence, enjoy local travel, and want to supplement their income with meaningful work. Key Points to Know: • You'll use your own vehicle to visit patients in their homes, typically within 1-2 hours of your location. • Shifts are PRN / per diem, meaning you'll work only when projects are available in your area; project frequency may vary. • Orientation, training, and project-specific instructions are provided before each assignment. • You will be compensated for all time spent on training, travel, and patient visits, including documentation. Position: Clinical Research Nurse - Home Visits (PRN) Job Type: Contract, PRN, Per Diem Hourly Rate: $65/hr onsite and $50/hr travel time Work Location: Los Angeles, California; Drive up to 1-2 hours to patient homes in your area (travel time compensated!) Job Description: As a Clinical Research Nurse - Home Visits (PRN), you will play a crucial role in ensuring the successful execution of research studies in patient homes. You will be responsible for administering investigational medications/products, conducting patient assessments, collecting vital information, and adhering to study protocols with utmost accuracy and ethics. Your expertise and caring nature will help us maintain compliance with each study's protocol and safeguard the well-being of study patients. Principal Duties and Responsibilities: Deliver competent, high-quality nursing care to study patients in their homes. Accountable for the competent and confident delivery of high-quality clinical care to patients/participants. Ensure compliance with each study's protocol by providing thorough review and documentation at each subject study visit. Administer investigational medications/products as needed; Perform patient assessments to determine presence of side effects; notify Principal Investigator of findings/issues. Perform medical tests as outlined in protocol, including, but not limited to: vital signs, specimen collection, electrocardiograms; Process specimens and ship specimens per protocol. Provide patient education and medical information to study patients to ensure understanding of proper medication dosage, administration, and disease treatment. Responsible for adherence to clinical research policies to ensure ethical conduct and protect vulnerable populations. Communicate effectively, promoting open and trusting relationships. Qualifications: Relevant Nurse Licensure CH-GCP Certificate Graduate from an accredited BSN or Associate Degree in Nursing or Nursing Diploma program Minimum 2 years' post qualification acute care experience Clinical Research experience preferred BLS certification required Experience and knowledge of working in clinical research trials with ICH-GCP (Good Clinical Practice) Certification - (training can be provided) Good basic IT skills, utilizing mobile devices and Microsoft systems Trained in Handling and Transport of Hazardous Substances (training can be provided) A flexible schedule is essential Unencumbered driver's license, reliable car Benefits: Competitive hourly pay rate, including compensation for travel time. Flexible schedule to maintain work-life balance. Mileage reimbursement for travel expenses. Ongoing training and support to growth your clinical research skills Opportunity to make a meaning impact on patients' lives while contributing to cutting-edge medical research. Join our team and contribute to groundbreaking medical advancements through clinical research!