Clinical Coordinator jobs at Elara Holdings Inc

The Clinical Specialist reports to the Assistant Manager, Medical Management and provides clinical decision-making support and community resource coordination in support of Community Health Options Medical Management approach. This balances advocacy for the individual based on benefit design with stewardship for the entire individual and group membership through effective utilization management strategies. The incumbent supports Medical Management operational needs to ensure effective and efficient program coordination across the health continuum. The Clinical Specialist employs critical thinking skills to effectively manage complex clinical and psychosocial presentations. This individual is nimble and consistently demonstrates ability to swiftly adapt and flex work assignments based on daily operational priorities to include appropriate referrals to coordinate Member-centric services. Responsible for performing highly complex case reviews including genetics, transplants, oncology, specialty medications, gene therapies and high cost specialty DME (durable medical equipment) requests. Remote work is required. Must provide sufficient internet bandwidth to meet system operational needs and have a home office environment that protects the privacy and integrity of confidential information. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES Consistently exhibits behavior and communication skills that demonstrate Health Options commitment to superior customer service. Efficiently coordinates medical services to facilitate Members receiving the right care, at the right time, in the right setting. Using approved evidence-based clinical criteria, reviews requests to determine if submitted clinical documentation supports medical necessity. Consults with or refers case to Medical Director for complex clinical presentation or medical necessity review. Appropriately identifies and refers cases to claim operations queue (i.e., subrogation, coordination of benefits, clinical research). Collaborates with the Care Management Team and ensures appropriate referrals are placed. Establishes relationships with local providers, health care organizations discharge planners/coordinators, and community resources, as applicable. Completes accurate and timely documentation according to established policies and procedures. Participates in quality improvement activities and professional development such as Interrater Reliability (IRR). Consistently references approved resources and follows established department procedures and workflows. Maintains confidentiality in all aspects of Member and proprietary company information. Ability to effectively deescalate Member and provider emotionally charged situations. Ability to maintain production levels and quality standards with minimal direct supervision. Performs additional duties as assigned. JOB SPECIFIC KEY COMPETENCIES (KSAs) Proficient in English with verbal, written, interpersonal and public communications. Proficient with Microsoft Office products, typing sufficient to, and ability to maintain accurate and timely completion of clinical documentation. DIVERSITY, EQUITY, AND INCLUSION STATEMENT Community Health Options is committed to fostering, cultivating, and preserving a culture of diversity, equity, and inclusion (DEI). Our human capital is the single most valuable asset we have. The collective sum of individual differences, life experiences, knowledge, inventiveness, innovation, self-expression, unique capabilities, and talent our employees invest in their work represents a significant part of not only our culture, but our reputation and achievement as well. Community Health Options DEI initiatives are applicable, but not limited to, our practices and policies on recruitment and selection; compensation and benefits; professional development, and training; promotions; transfers; social and recreational programs, and the ongoing development of a work environment built upon the premise of DEI, which encourages and enforces: Respectful, open communication and cooperation between all employees. Teamwork and participation, encouraging the representation of all groups and employee perspectives. Balanced approach to work culture through flexible schedules to accommodate varying needs of our people. Employer and employee contributions to the communities we serve to promote a greater understanding and respect for each other. QUALIFICATIONS AND CORE REQUIREMENTS Bachelor's degree, preferred. 2+ years of experience in Utilization Management, acute and subacute review/concurrent review required. Unrestricted clinical Maine Registered Nurse license (RN), Maine or compact state required. Experience with MCG Guidelines required. #LI-Remote

We are seeking an MDS Coordinator or Clinical Reimbursement Coordinator (CRC) to join our team! You will work alongside other medical professionals to provide exceptional care to patients. An MDS coordinator (Minimal Data Set) is responsible for gathering information on a healthcare facility's current and future patients for future assessment, including physical and mental states. MDS coordinators assess charts and communicate with health care teams to create applicable clinical care plans for their current and incoming residents. Requirements Responsibilities: Determine potential Patient Driven Payment Method (PDPM) and expense associated with a potential admission Participate in the admission process of prospective residents in terms of their nursing needs and appropriate prospective reimbursement level Complete and assure the accuracy of the MDS process for all residents Maintain current working knowledge of Medicare criteria, serving as a resource for nursing staff and communicate changes in regulations Monitor Case Mix Index (CMI) scores, looking for potential risks and/or changes that may affect Medicaid reimbursement Monitor Medicare assessment schedules and nursing documentation to ensure accuracy and timely submission Assist physicians to provide ongoing patient care Ensure patients maintain physical, mental, and dietary health Communicate patient health status or changes to other medical personnel Provide preventive health care suggestions to patients and interdisciplinary team Participate in standardized health care programs and seminars and education ?Qualifications: Previous experience as a MDS coordinator RAC Certification is a plus Knowledge of Resource Utilization Groups (RUGs), PDPM and Case Mix index Current and valid state Registered Nurse license Ability to build rapport with patients and staff Excellent written and verbal communication skills Ability to thrive in fast-paced environment

Job DescriptionDescription: We are seeking an MDS Coordinator or Clinical Reimbursement Coordinator (CRC) to join our team! You will work alongside other medical professionals to provide exceptional care to patients. An MDS coordinator (Minimal Data Set) is responsible for gathering information on a healthcare facility's current and future patients for future assessment, including physical and mental states. MDS coordinators assess charts and communicate with health care teams to create applicable clinical care plans for their current and incoming residents. Requirements: Responsibilities: Determine potential Patient Driven Payment Method (PDPM) and expense associated with a potential admission Participate in the admission process of prospective residents in terms of their nursing needs and appropriate prospective reimbursement level Complete and assure the accuracy of the MDS process for all residents Maintain current working knowledge of Medicare criteria, serving as a resource for nursing staff and communicate changes in regulations Monitor Case Mix Index (CMI) scores, looking for potential risks and/or changes that may affect Medicaid reimbursement Monitor Medicare assessment schedules and nursing documentation to ensure accuracy and timely submission Assist physicians to provide ongoing patient care Ensure patients maintain physical, mental, and dietary health Communicate patient health status or changes to other medical personnel Provide preventive health care suggestions to patients and interdisciplinary team Participate in standardized health care programs and seminars and education ?Qualifications: Previous experience as a MDS coordinator RAC Certification is a plus Knowledge of Resource Utilization Groups (RUGs), PDPM and Case Mix index Current and valid state Registered Nurse license Ability to build rapport with patients and staff Excellent written and verbal communication skills Ability to thrive in fast-paced environment

Lockton is currently seeking a Custom Clinical Specialist within its Advanced Medical Advisory Practice. The objective of this role is to provide complex claims management with the focus of identifying opportunities and working collaboratively with key stakeholders to reduce the severity of catastrophic claims while improving the quality of care for client health plan members. Clients include large commercial health plans and employers requiring a high touch approach with both reviews and client interaction and engagement. * Review client's medical and pharmacy claims data to identify opportunities to improve quality of care, enhance health outcomes, improve member experience and/or reduce cost of care. * Review escalated and complex cases to identify and monitor opportunities. * Actively participate in client strategy meetings to discuss high-cost member outlook and potential intervention opportunities. * Interpret and articulate clinical findings to tell the story of the member's health care journey and the impact of interventions recommended to the client. * Explain disease states and associated costs to internal teams and external clients. * Validate cost-of-care estimates used in the risk assessment of stop loss underwriting. * Consult and advise on medical/clinical care approaches. * Serve as a subject matter expert regarding medical necessity issues, current standards of care and analysis for reimbursement of submitted stop loss claims. * Serve in a leadership role for assigned clients. * Lead client and stakeholder calls to review case level details. * Ensure productivity meets practice needs. * Execute opportunities agreed upon with clients and continue to follow up until completion.

We are looking for an Intake Coordinator (working title: Pre-Clinical Coordinator) to join our team! Are you someone who thrives in a fast-paced environment where your time management, attention-to-detail, and communication skills are put to good use? We might have the perfect entry/mid-level opportunity for you. Join our medically-based concierge service and early intervention program and help impact injured workers lives by coordinating services, providing resources to our constituencies, and helping people when they need it most. In this job, you will: Manage and/or assign files to appropriate staff members and initiate appropriate verbal and/or written contacts with employers, clients, claimants, and medical providers. Set up files in all appropriate systems; assign files, when applicable, to the nurse Facilitate and schedule appointments as needed, and keep the Telephonic Nurse Case Manager (TCM), clients, claimants, providers, and employers informed verbally and/or in writing of any changes, delays, updates, or problems Maintain appropriate electronic and paper files Obtain authorization for medical release of information from the adjuster, as necessary, for records acquisition Interface with a variety of inter-disciplinary providers (e.g., PT, diagnostic, psychology, etc.) Identify, maintain, and update participating providers Utilize Share Point tool for evaluating case risk, and input all activities (including verbal and written discussions) into the Ultimate database and customer/client system Answer incoming calls, and direct the call appropriately Process all documents using computer, copier, and scanner Search and copy the appropriate internal criteria guidelines, when appropriate Screen all re-open files (subsequent URs) to determine duplicate requests, vs. an appeal request that is beyond the allotted timeframe, vs. a reconsideration, vs. a new UR Basic invoicing Continually improve job skills and knowledge of all company products and services as well as customer issues and needs, through ongoing training and self-directed research. Adhere to company policies, procedures, and reporting requirements. Requirements Experience in any of the following disciplines a plus - CNA, Medical Assistant, Physical Therapy Aide, Workers' Compensation, Medical Unit Claims Administrator, IME Coordinator, Medical Office Manager Experience with workers' compensation or disability (a plus!) Strong computer and internet skills (will work with programs including MS Word, Outlook, and Excel) Basic knowledge of/ability to read medical reports, or enthusiastic about learning medical terminology The ability to research evidence-based guidelines Proficient verbal/telephone and written communication skills A high level of efficiency, ability to maintain rapid workflow An aptitude for learning, organization skills and the ability to follow systems and procedures A time-management mindset, along with planning, and prioritization skills The ability to multi-task in a fast-paced environment The ability to work independently as well as part of a team The ability to express empathy with injured and/or disabled people Deductive reasoning and think outside the box for creative solutions Independent thinking & problem-solving experience A bachelor's degree, or an Associate's/Certification with professional experience A customer service mindset Benefits Hourly Rate: $19.00-22.00. Profit sharing, 401k matching, generous time off, and career growth opportunities A relaxed, yet upbeat, work environment, with a jeans professional dress code Rising was named a Top Workplace in the healthcare industry for 2023! Check out our profile here: Rising Medical Solutions, Inc Profile (topworkplaces.com) We're on YouTube! Check out our culture at: ***************************************** Want to see more? Check out our: Facebook: *********************************************** LinkedIn: ***************************************************** Glassdoor: ********************************************************************** EI_IE322608.11,35.htm pages If you are ready to join a team of professionals dedicated to making a difference and making lives better, please apply today!

Who we are: ManhattanLife Insurance and Annuity Company was founded in 1850, the Company's longevity makes it one of the oldest and most reliable health and life insurance companies in the country. Operating successfully for 175 years is a testimony to ManhattanLife's enduring history, and an indicator of the reliability of our future. ManhattanLife's headquarters are in Houston, TX and the company is continually growing with multiple office locations nation-wide. ManhattanLife offers attractive employee benefits starting day one, including immediate coverage under our health, dental and vision plans. We offer flexible schedules, including shortened hours on Fridays, free parking, company-wide events, professional development (LOMA testing) and a company-wide wellness program. Scope and Purpose: The Operations and Research Coordinator will provide direct administrative support to the Chief of Staff and Vice President of Sales and Account Management. In this role, you will be assisting our Marketing and Operations departments. The ideal candidate will be adaptable, detail oriented, highly organized, and comfortable working in a fast-paced environment. Duties and Responsibilities: Conduct product research and market rate studies in specific regions. Create and modify PowerPoint presentations. Assist with RFP for our Voluntary Benefits department. Coordinate and schedule meetings and projects as requested. Perform various administrative tasks including but not limited to letter writing, spreadsheet creation, report reviews, etc. Collaborate internally with multiple different divisions on projects. Support cross-functional initiatives between sales and operations. Help document process improvements and workflows. Coordinate between departments to ensure smooth project execution. Assist in planning and managing small special projects across departments. Help track timelines, deliverables on projects. Complete ad hoc administrative tasks and other duties as needed. Minimum Qualifications: High School Graduate or equivalent (GED); financial or insurance industry knowledge preferred. Knowledge, Skills and Abilities: Excellent interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community. Ability to coordinate multiple streams of work independently with close attention to detail. Ability to make procedural decisions and judgments on sensitive, confidential issues. Computer literate; demonstrates proficiency in the use of Microsoft Office Suite (Word, Excel, PowerPoint, Outlook). Possess effective time management and prioritization skills. Travel Requirements: This position may require light travel within a ten-mile radius from one office location to another as needed. Professional Development: Establish annual objectives for professional growth. Keep pace with developments in the discipline. Learn and apply technologies that support professional and personal growth. Participate in the evaluation process. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may enable individuals with disabilities to perform essential functions. While performing the duties of this job, the employee is regularly required to stand; walk; use hands to finger, handle or feel objects, type, and use mouse; reach with hands and arms and talk and/or hear. The employee is required to sit for extended periods of time. The position may require lifting, pulling or moving items weighing upwards of 10 pounds as it relates to office or desk supplies. Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. While performing the duties of this job, the employee regularly works in an office environment. This role routinely uses standard office equipment such as computers, phones via WebEx, physical phone while in office, and photocopiers when necessary. Other Duties: Please note this is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to the job at any time without notice. AAP/EEO Statement: ManhattanLife prohibits discrimination based on race, religion, gender, national origin, age, disability, veteran status, marital status, pregnancy, gender expression or identity, sexual orientation, or any other legally protected status. EOE Employer/Vet/Disabled. ManhattanLife values differences. We are committed to fostering an environment that attracts and retains a diverse workforce. With individuals from a variety of backgrounds, ManhattanLife will be better equipped to service our customers, increase innovation, and reduce risks. We encourage the unique perspectives of individuals and are dedicated to creating a respectful and inclusive work environment.

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Long-Term Services and Supports (LTSS) Care Coordinator is responsible for establishing a set of person-centered goal-oriented, culturally relevant, and logical steps to ensure that a person receiving LTSS receives services in a supportive, effective, efficient, timely and cost-effective manner. Care coordination includes case management, disease management, discharge planning, transition planning, and addressing social determinants of health and integration into community. This position is a Field-Based position with a Home-Based office. Expected travelling 2-3 days per week within 30-60-mile radius. If you reside within Douglas County, KS and surrounding counties, you will enjoy the flexibility to telecommute* as you take on some tough challenges. Primary Responsibilities: * Assess, plan, and implement care strategies that are individualized by the individual and directed toward the most appropriate, least restrictive level of care * Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services * Manage the person-centered service/support plan throughout the continuum of care * Communicate with all stakeholders the required health - related information to ensure quality coordinated care and services are provided expeditiously to all persons * Advocate for persons and families as needed to ensure the persons needs and choices are fully represented and supported by the health care team * Conduct home visits in coordination with person and care team, which may include a community service coordinator * Conduct in-person visits which may include nursing homes, assisted living, hospital or home * Serve as a resource for community care coordinator, if applicable What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include: * Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays * Medical Plan options along with participation in a Health Spending Account or a Health Saving account * Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage * 401(k) Savings Plan, Employee Stock Purchase Plan * Education Reimbursement * Employee Discounts * Employee Assistance Program * Employee Referral Bonus Program * Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) * More information can be downloaded at: ************************* You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Bachelor's degree in social work, rehabilitation, nursing, psychology, special education, gerontology, or related human services area * 2+ years of experience working within the community health setting in a healthcare role * 1+ years of experience working with people with long-term care needs * 1+ years of experience working with people receiving services on one of the homes and community-based waivers in KS * 1+ years of experience working with MS Word, Excel and Outlook * Ability to travel in assigned regions to visit Medicaid members in their homes and / or other settings, including community centers, hospitals, or providers' offices Preferred Qualifications: * Licensed Social Worker or clinical degree * Background in managing populations with complex medical or behavioral needs * Experience with electronic charting * Experience with arranging community resources * All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #RED

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start **Caring. Connecting. Growing together.** The **Long-Term Services and Supports (LTSS) Care Coordinator** is responsible for establishing a set of person-centered goal-oriented, culturally relevant, and logical steps to ensure that a person receiving LTSS receives services in a supportive, effective, efficient, timely and cost-effective manner. Care coordination includes case management, disease management, discharge planning, transition planning, and addressing social determinants of health and integration into community. This position is a Field-Based position with a Home-Based office. Expected travelling 2-3 days per week within 30-60-mile radius. If you reside within **Douglas County, KS and surrounding counties** , you will enjoy the flexibility to telecommute* as you take on some tough challenges. **Primary Responsibilities:** + Assess, plan, and implement care strategies that are individualized by the individual and directed toward the most appropriate, least restrictive level of care + Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services + Manage the person-centered service/support plan throughout the continuum of care + Communicate with all stakeholders the required health - related information to ensure quality coordinated care and services are provided expeditiously to all persons + Advocate for persons and families as needed to ensure the persons needs and choices are fully represented and supported by the health care team + Conduct home visits in coordination with person and care team, which may include a community service coordinator + Conduct in-person visits which may include nursing homes, assisted living, hospital or home + Serve as a resource for community care coordinator, if applicable **What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:** + Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays + Medical Plan options along with participation in a Health Spending Account or a Health Saving account + Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage + 401(k) Savings Plan, Employee Stock Purchase Plan + Education Reimbursement + Employee Discounts + Employee Assistance Program + Employee Referral Bonus Program + Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) + More information can be downloaded at: ************************* You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + Bachelor's degree in social work, rehabilitation, nursing, psychology, special education, gerontology, or related human services area + 2+ years of experience working within the community health setting in a healthcare role + 1+ years of experience working with people with long-term care needs + 1+ years of experience working with people receiving services on one of the homes and community-based waivers in KS + 1+ years of experience working with MS Word, Excel and Outlook + Ability to travel in assigned regions to visit Medicaid members in their homes and / or other settings, including community centers, hospitals, or providers' offices **Preferred Qualifications:** + Licensed Social Worker or clinical degree + Background in managing populations with complex medical or behavioral needs + Experience with electronic charting + Experience with arranging community resources *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._ \#RPO #RED

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts on the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Long-Term Services and Supports (LTSS) Care Coordinator is responsible for establishing a set of person-centered goal-oriented, culturally relevant, and logical steps to ensure that a person receiving LTSS receives services in a supportive, effective, efficient, timely and cost-effective manner. Care coordination includes case management, disease management, discharge planning, transition planning, and addressing social determinants of health and integration into the community. This position is a Field-Based position with a Home-Based office. Expected travelling 2-3 days per week within 30-60-mile radius. If you reside within Wichita, KS, you will enjoy the flexibility to telecommute* as you take on some tough challenges. Primary Responsibilities: * Assess, plan, and implement care strategies that are individualized by the individual and directed toward the most appropriate, least restrictive level of care * Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services * Manage the person-centered service/support plan throughout the continuum of care * Communicate with all stakeholders the required health - related information to ensure quality coordinated care and services are provided expeditiously to all persons * Advocate for persons and families as needed to ensure the persons needs and choices are fully represented and supported by the health care team * Conduct home visits in coordination with person and the care team, which may include a community service coordinator * Conduct in-person visits which may include nursing homes, assisted living, hospital or home * Serve as a resource for community care coordinator, if applicable You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Bachelor's Degree in Social Work, Rehabilitation, Nursing, Psychology, Special Education, Gerontology or related human services area * 2+ years of experience working within the community health setting in a healthcare role * 1+ years of experience working with people with long-term care needs * 1+ years of experience working with people receiving services on one of the homes and community-based waivers in KS * 1+ years of experience working with MS Word, Excel and Outlook * Ability to travel in assigned regions to visit Medicaid members in their homes and / or other settings, including community centers, hospitals, or providers' offices * Access to reliable transportation and valid US driver's license Preferred Qualifications: * Licensed Social Worker or clinical degree * Experience with electronic charting * Experience with arranging community resources * Background in managing populations with complex medical or behavioral needs * All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #RED

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts on the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start **Caring. Connecting. Growing together.** The **Long-Term Services and Supports (LTSS) Care Coordinator** is responsible for establishing a set of person-centered goal-oriented, culturally relevant, and logical steps to ensure that a person receiving LTSS receives services in a supportive, effective, efficient, timely and cost-effective manner. Care coordination includes case management, disease management, discharge planning, transition planning, and addressing social determinants of health and integration into the community. This position is a Field-Based position with a Home-Based office. Expected travelling 2-3 days per week within 30-60-mile radius. If you reside within **Wichita, KS** , you will enjoy the flexibility to telecommute* as you take on some tough challenges. **Primary Responsibilities:** + Assess, plan, and implement care strategies that are individualized by the individual and directed toward the most appropriate, least restrictive level of care + Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services + Manage the person-centered service/support plan throughout the continuum of care + Communicate with all stakeholders the required health - related information to ensure quality coordinated care and services are provided expeditiously to all persons + Advocate for persons and families as needed to ensure the persons needs and choices are fully represented and supported by the health care team + Conduct home visits in coordination with person and the care team, which may include a community service coordinator + Conduct in-person visits which may include nursing homes, assisted living, hospital or home + Serve as a resource for community care coordinator, if applicable You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + Bachelor's Degree in Social Work, Rehabilitation, Nursing, Psychology, Special Education, Gerontology or related human services area + 2+ years of experience working within the community health setting in a healthcare role + 1+ years of experience working with people with long-term care needs + 1+ years of experience working with people receiving services on one of the homes and community-based waivers in KS + 1+ years of experience working with MS Word, Excel and Outlook + Ability to travel in assigned regions to visit Medicaid members in their homes and / or other settings, including community centers, hospitals, or providers' offices + Access to reliable transportation and valid US driver's license **Preferred Qualifications:** + Licensed Social Worker or clinical degree + Experience with electronic charting + Experience with arranging community resources + Background in managing populations with complex medical or behavioral needs *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._ \#RPO #RED

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts on the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Long-Term Services and Supports (LTSS) Care Coordinator is responsible for establishing a set of person-centered goal-oriented, culturally relevant, and logical steps to ensure that a person receiving LTSS receives services in a supportive, effective, efficient, timely and cost-effective manner. Care coordination includes case management, disease management, discharge planning, transition planning, and addressing social determinants of health and integration into the community. This position is a Field-Based position with a Home-Based office. Expected travelling 2-3 days per week within 30-60-mile radius. If you reside within Salina, KS, you will enjoy the flexibility to telecommute* as you take on some tough challenges. Primary Responsibilities: * Assess, plan, and implement care strategies that are individualized by the individual and directed toward the most appropriate, least restrictive level of care * Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services * Manage the person-centered service/support plan throughout the continuum of care * Communicate with all stakeholders the required health - related information to ensure quality coordinated care and services are provided expeditiously to all persons * Advocate for persons and families as needed to ensure the persons needs and choices are fully represented and supported by the health care team * Conduct home visits in coordination with person and the care team, which may include a community service coordinator * Conduct in-person visits which may include nursing homes, assisted living, hospital or home * Serve as a resource for community care coordinator, if applicable You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Bachelor's Degree in Social Work, Rehabilitation, Nursing, Psychology, Special Education, Gerontology or related human services area * 2+ years of experience working within the community health setting in a healthcare role * 1+ years of experience working with people with long-term care needs * 1+ years of experience working with people receiving services on one of the homes and community-based waivers in KS * 1+ years of experience working with MS Word, Excel and Outlook * Ability to travel in assigned regions to visit Medicaid members in their homes and / or other settings, including community centers, hospitals, or providers' offices * Access to reliable transportation and valid US driver's license Preferred Qualifications: * Licensed Social Worker or clinical degree * Experience with electronic charting * Experience with arranging community resources * Background in managing populations with complex medical or behavioral needs * All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #RED

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts on the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start **Caring. Connecting. Growing together.** The **Long-Term Services and Supports (LTSS) Care Coordinator** is responsible for establishing a set of person-centered goal-oriented, culturally relevant, and logical steps to ensure that a person receiving LTSS receives services in a supportive, effective, efficient, timely and cost-effective manner. Care coordination includes case management, disease management, discharge planning, transition planning, and addressing social determinants of health and integration into the community. This position is a Field-Based position with a Home-Based office. Expected travelling 2-3 days per week within 30-60-mile radius. If you reside within **Salina, KS** , you will enjoy the flexibility to telecommute* as you take on some tough challenges. **Primary Responsibilities:** + Assess, plan, and implement care strategies that are individualized by the individual and directed toward the most appropriate, least restrictive level of care + Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services + Manage the person-centered service/support plan throughout the continuum of care + Communicate with all stakeholders the required health - related information to ensure quality coordinated care and services are provided expeditiously to all persons + Advocate for persons and families as needed to ensure the persons needs and choices are fully represented and supported by the health care team + Conduct home visits in coordination with person and the care team, which may include a community service coordinator + Conduct in-person visits which may include nursing homes, assisted living, hospital or home + Serve as a resource for community care coordinator, if applicable You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + Bachelor's Degree in Social Work, Rehabilitation, Nursing, Psychology, Special Education, Gerontology or related human services area + 2+ years of experience working within the community health setting in a healthcare role + 1+ years of experience working with people with long-term care needs + 1+ years of experience working with people receiving services on one of the homes and community-based waivers in KS + 1+ years of experience working with MS Word, Excel and Outlook + Ability to travel in assigned regions to visit Medicaid members in their homes and / or other settings, including community centers, hospitals, or providers' offices + Access to reliable transportation and valid US driver's license **Preferred Qualifications:** + Licensed Social Worker or clinical degree + Experience with electronic charting + Experience with arranging community resources + Background in managing populations with complex medical or behavioral needs *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._ \#RPO #RED

At Elara Caring, we have a unique opportunity to play a huge role in the growth of an entire home care industry. Here, each employee has the chance to make a real difference by carrying out our mission every day. Join our elite team of healthcare professionals, providing the Right Care, at the Right Time, in the Right Place. : Engage Clinical Care Specialist The Engage Clinical Care Specialist is part of the ElaraConnect suite of patient engagement programs that aims to improve patient outcomes on-service. The Engage Clinical Care Specialist supports the PCS Engage and PCS Branches, acting as a liaison for patients to ensure the patient's needs are appropriately addressed. Engage Clinical Care Specialist are responsible for following up on change in condition responses from PCS caregivers, coordinating care with patient/caregiver/physician, working with insurance providers to ensure adequate Plan of Care is in place, educating patient/caregivers r/t change in condition and referring to appropriate service lines as needed. Engage Clinical Care Specialist are assigned a market territory to support and assist potential patients. Engage Patient Care Specialists conduct remote assessments and coordinate care in collaboration with PCS caregivers and PCS branch staff. At Elara Caring, we care where you are and believe the best place for your care is where you live. We know there's no place like home, and that's why our teams continue to provide high-quality care to more than 60,000 patients each day in their preferred home setting. Wherever our patients call home and wherever they are on their health journey, we care. Each team member has a part to play in this mission. This means you have countless ways to make a difference as a Clinical Care Specialist by providing quality care. Being a part of something this great starts by carrying out our mission every day through your true calling: being an outstanding Clinical Care Specialist. To continue to be an industry pioneer delivering unparalleled care, we need a Clinical Care Specialist with commitment and compassion. Are you one of them? If so, apply today! As an Elara Caring Clinical Care Specialist, you'll contribute to our success in the following ways: Receives and maintains program referrals for assigned market (states or branch groups) identified by ElaraConnect program(s), ensuring appropriate and adequate documentation for reporting and compliance needs Reviews all available patient notes and summaries to ensure personalized customer service and care coordination. Suggests revisions to the plan of care in response to identified patient care issues and notifies the Insurance plan and local PCS Branch team as appropriate. Implements all available actions to prevent avoidable hospitalizations and ER visits. Why Join the Elara Caring mission? Work autonomy and flexible schedules 1:1 patient care Supportive and collaborative environment Competitive compensation package Tuition reimbursement for full-time staff and continuing education opportunities for all employees Comprehensive insurance plans for medical, dental, and vision benefits 401(K) with employer match Paid time off, paid holidays, family and pet bereavement Pet insurance What is Required? Graduate of an accredited school of professional nursing Current Certified Licensed Vocational/Practical Nurse (LVN/LPN) Minimum of two (2) years of active experience as a Licensed Practical Nurse Experience in Medicare/Medicaid home health care benefits, policies and procedures preferred. Reliable transportation for in-office meetings or other reasonable requests to be in office for daily tasks Advanced nursing skills as defined by accepted nursing standards, including ability to manage patient needs, knowledge of medical terminology, clinical evaluations, and recommendation for appropriate care Advanced time management, planning and organizational skills - Ability to set timeframes, match resources to tasks, and plan ahead Advanced customer service skills - Ability to seek patient feedback, advocate for patient, understanding of patient needs, and managing patient expectations You will report to the Clinical Program Supervisor. We value the unique skills of veterans and military spouses. We encourage applications from military veterans and their families. Elara Caring provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to sex (including pregnancy, childbirth or related medical conditions), race, color, age (40 and older), national origin, religion, disability, genetic information, marital status, sexual orientation, gender identity, gender reassignment, protected veteran status, or any other basis prohibited under applicable federal, state or local law. Elara Caring participates in E-Verify and we will provide the Federal Government with your Form I-9 information to confirm that you are authorized to work in the United States. Employers like Elara Caring can only use E-Verify once you have accepted the job offer and completed the Form I-9. At Elara Caring, pay and compensation are determined by a variety of factors, including education, job-related knowledge, skills, training, and experience. Our compensation structure reflects the cost of labor across different U.S. geographic markets, and may vary based on location. This is not a comprehensive list of all job responsibilities and requirements; upon request, a job description can be provided. If you are an individual with a disability and are unable or limited in your ability to use or access our career site as a result of your disability, you may request reasonable accommodations by reaching out to ********************.

Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the meaning behind Caring. Connecting. Growing together. The LVN Health Coach is responsible for successfully supporting Disease Management/Chronic Care Program requirements for medical group/health plan members. The Health Coach acts as an educator, resource, and advocate for members and their families to ensure a maximum level of independence. The LVN Health Coach will interact and collaborate with multidisciplinary care teams, which include physicians, nurses, pharmacists, laboratory technologists, social workers, and other educators. The LVN Health Coach will assist in providing patient empowerment through the use of motivational interviewing skills, problem solving, and self-management goal setting. Primary Responsibilities: * Works with the PCP and clinic staff to identify patients with high risk diagnoses such as CHF, IHD, COPD/asthma and diabetes and ensures clinical guidelines are being followed * Contacts and performs initial interviews with patients who are in need of health coaching programs * Conducts Chronic Care Model visits and reviews the patient's informal and formal support systems, focusing on what patients want to improve and educating them about their chronic disease * Provide necessary coaching to reduce or eliminate behaviors that are considered high-risk * Identify the required goals that each patient must fulfill and advice feasible options for achieving goal * Ensure that patients are made aware of health issues, concerns and the way in which one could combat them * Must raise awareness about the different available exercises, weight loss programs and other dietary requirements necessary for a healthy lifestyle * Utilizes appropriate motivational interviewing techniques necessary for coaching and assisting the patient to complete a self-management goal/action plan * Must be able to provide a chart of habits and lifestyle changes that are imperative for the improvement of the concerned patient's health * Enters timely and accurate data into the electronic medical record to communicate patient needs and to ensure complete documentation of patient visits and phone calls. Tracks self-management goal outcomes and documents in electronic medical record * Maintains current knowledge regarding CHF, IHD, COPD/asthma and diabetes as well as related treatments and complex medications * Assists, initiates referrals, and coordinates transitions of car regarding hospitalization follow-up, palliative care, hospice, etc. * Establishes a trusting relationship with identified patients, caregivers, clinic staff members and physicians * Attends educational offerings to keep abreast of change and complies with licensing requirements, ensures all patient educational materials are up-to-date, and maintains knowledge of specialty and ancillary provider contract contents, to include exclusions and contract terms * Conducts clinic one-on-one visits with Disease Management Chronic Care Program participants, utilizing the Chronic Care Model, to assess patient needs for DME, home health, value-added services and any other necessary resources. Communicates these needs to the appropriate person (i.e. Social Worker, clinic staff, etc.) or addresses them per process * Collaborates with the nurse manager to recommend policies, procedures and standards which affect the care of the patient with high-risk chronic disease diagnoses such as CHF, IHD, COPD/asthma and diabetes * Performs all other related duties as assigned. i.e. IV Insertion with hydration fluid administration, wound care, dressing changes, suture removal, insertion and removal of urinary catheters, and etc. This is a clinic base position located in Dallas, TX at White Rock. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * High school diploma or GED * Licensed Vocational Nurse with a current license to practice in the state of employment * 2+ years of experience in a physician's office, clinical or hospital setting * Cardiac, medical-surgical and/or critical care experience * Experience related to patient education and/or motivational interviewing skills and self-management goal setting * Proficient knowledge of chronic diseases, especially COPD/asthma, diabetes, CHF and IHD * Proficient computer skills, including Microsoft Word, Excel, Access and Outlook * Proven excellent verbal and written skills * Proven ability to interact productively with individuals and with multidisciplinary teams * Proven excellent organizational and prioritization skills * This position requires Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination, or a doctor's diagnosis of disease Preferred Qualifications: * 5+ years of experience in a physician's office, clinical or hospital setting * Knowledge of managed care, referral processes, claims and ICD-9 and CPT coding Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 to $35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

**Opportunities at WellMed** , part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the meaning behind **Caring. Connecting. Growing together. ** The LVN Health Coach is responsible for successfully supporting Disease Management/Chronic Care Program requirements for medical group/health plan members. The Health Coach acts as an educator, resource, and advocate for members and their families to ensure a maximum level of independence. The LVN Health Coach will interact and collaborate with multidisciplinary care teams, which include physicians, nurses, pharmacists, laboratory technologists, social workers, and other educators. The LVN Health Coach will assist in providing patient empowerment through the use of motivational interviewing skills, problem solving, and self-management goal setting. **Primary Responsibilities:** + Works with the PCP and clinic staff to identify patients with high risk diagnoses such as CHF, IHD, COPD/asthma and diabetes and ensures clinical guidelines are being followed + Contacts and performs initial interviews with patients who are in need of health coaching programs + Conducts Chronic Care Model visits and reviews the patient's informal and formal support systems, focusing on what patients want to improve and educating them about their chronic disease + Provide necessary coaching to reduce or eliminate behaviors that are considered high-risk + Identify the required goals that each patient must fulfill and advice feasible options for achieving goal + Ensure that patients are made aware of health issues, concerns and the way in which one could combat them + Must raise awareness about the different available exercises, weight loss programs and other dietary requirements necessary for a healthy lifestyle + Utilizes appropriate motivational interviewing techniques necessary for coaching and assisting the patient to complete a self-management goal/action plan + Must be able to provide a chart of habits and lifestyle changes that are imperative for the improvement of the concerned patient's health + Enters timely and accurate data into the electronic medical record to communicate patient needs and to ensure complete documentation of patient visits and phone calls. Tracks self-management goal outcomes and documents in electronic medical record + Maintains current knowledge regarding CHF, IHD, COPD/asthma and diabetes as well as related treatments and complex medications + Assists, initiates referrals, and coordinates transitions of car regarding hospitalization follow-up, palliative care, hospice, etc. + Establishes a trusting relationship with identified patients, caregivers, clinic staff members and physicians + Attends educational offerings to keep abreast of change and complies with licensing requirements, ensures all patient educational materials are up-to-date, and maintains knowledge of specialty and ancillary provider contract contents, to include exclusions and contract terms + Conducts clinic one-on-one visits with Disease Management Chronic Care Program participants, utilizing the Chronic Care Model, to assess patient needs for DME, home health, value-added services and any other necessary resources.Communicates these needs to the appropriate person (i.e. Social Worker, clinic staff, etc.) or addresses them per process + Collaborates with the nurse manager to recommend policies, procedures and standards which affect the care of the patient with high-risk chronic disease diagnoses such as CHF, IHD, COPD/asthma and diabetes + Performs all other related duties as assigned. i.e. IV Insertion with hydration fluid administration, wound care, dressing changes, suture removal, insertion and removal of urinary catheters, and etc. This is a clinic base position located in Dallas, TX at White Rock. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + High school diploma or GED + Licensed Vocational Nurse with a current license to practice in the state of employment + 2+ years of experience in a physician's office, clinical or hospital setting + Cardiac, medical-surgical and/or critical care experience + Experience related to patient education and/or motivational interviewing skills and self-management goal setting + Proficient knowledge of chronic diseases, especially COPD/asthma, diabetes, CHF and IHD + Proficient computer skills, including Microsoft Word, Excel, Access and Outlook + Proven excellent verbal and written skills + Proven ability to interact productively with individuals and with multidisciplinary teams + Proven excellent organizational and prioritization skills + This position requires Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination, or a doctor's diagnosis of disease **Preferred Qualifications:** + 5+ years of experience in a physician's office, clinical or hospital setting + Knowledge of managed care, referral processes, claims and ICD-9 and CPT coding Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 to $35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._

Job DescriptionAbout The Strickland Group The Strickland Group is a family-driven, vision-first agency backed by a major national carrier. We combine modern tech, AI-assisted systems, and human connection to change how families protect their future. Our mission is simple: serve people and leave them better than we found them. Why this role is different This isn't a corporate seat - it's a pathway to ownership. You'll build your own business while helping families protect their income, eliminate debt, and create generational wealth. We train you, support you, and help you win - whether part-time or full-time. What You'll Do • Contact warm leads (no cold calling) • Help families find the best protection plans • Develop leadership skills • Build a business with unlimited earning potential What We Look For • Coachable individuals hungry for growth • People who want time, freedom, and purpose • Strong communicators • No experience required (training provided) Earning Potential This is a 100% commission opportunity. Part-time: $35K-$75K. Full-time: $85K-$250K+. Top earners exceed $400K+. We hire nationwide, full-time and part-time. If you're ready to build something meaningful, apply today.

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start **Caring. Connecting. Growing together.** The **Field HSS Clinical Coordinator** is responsible for establishing a set of person-centered goal-oriented, culturally relevant, and logical steps to ensure that a person receiving LTSS receives services in a supportive, effective, efficient, timely and cost-effective manner. Care coordination includes case management, disease management, discharge planning, transition planning, and addressing social determinants of health and integration into the community. This position is a Field-Based position with a Home-Based office. Expected travelling 2-3 days per week within 30-60-mile radius. If you reside within **Southeast Kansas area (** **Cherokee, Crawford, Bourbon, Neosho, Labette, Montgomery, Wilson Counties)** , you will enjoy the flexibility to telecommute* as you take on some tough challenges. **Primary Responsibilities:** + Assess, plan, and implement care strategies that are individualized by the individual and directed toward the most appropriate, least restrictive level of care + Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services + Manage the person-centered service/support plan throughout the continuum of care + Communicate with all stakeholders the required health - related information to ensure quality coordinated care and services are provided expeditiously to all persons + Advocate for persons and families as needed to ensure the persons needs and choices are fully represented and supported by the health care team + Conduct home visits in coordination with person and care team, which may include a community service coordinator + Conduct in-person visits which may include nursing homes, assisted living, hospital or home + Serve as a resource for community care coordinator, if applicable **What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:** + Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays + Medical Plan options along with participation in a Health Spending Account or a Health Saving account + Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage + 401(k) Savings Plan, Employee Stock Purchase Plan + Education Reimbursement + Employee Discounts + Employee Assistance Program + Employee Referral Bonus Program + Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) + More information can be downloaded at: ************************* You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + Bachelor's degree in social work, rehabilitation, nursing, psychology, special education, gerontology, or related human services area + 2+ years of experience working within the community health setting in a healthcare role + 1+ years of experience working with people with long-term care needs + 1+ years of experience working with people receiving services on one of the homes and community-based waivers in KS + 1+ years of experience working with MS Word, Excel and Outlook + Ability to travel in assigned regions to visit Medicaid members in their homes and / or other settings, including community centers, hospitals, or providers' offices + Access to reliable transportation & valid US driver's license **Preferred Qualifications:** + Licensed Social Worker or clinical degree + Registered Nurse + Background in managing populations with complex medical or behavioral needs + Experience with electronic charting + Experience with arranging community resources *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._ \#RPO #RED

Explore opportunities with CPS, part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind Caring. Connecting. Growing together As a Clinical Coordinator you'll be responsible for leading clinical pharmacy programs and services at the site level as well as staffing duties. Primary Responsibilities: * Serve as a clinical resource for the provision of pharmaceutical care and clinical pharmacy services at both Methodist Hospital sites * Build effective relationships with other healthcare professionals and departments within the hospital and company * Promote clinically rational drug therapy and sound pharmaceutical care through the development of new (or expansion of existing) pharmacy practice programs, drug therapy policies, and other programs * Provides training, education and orientation to various health care providers regarding medication use and safety * Precepts pharmacy students on clinical rotations * Participate and assist the Pharmacy Management in all activities as assigned including assisting with IV pump management, formulary management and medication guidelines Pharmacy location: Located within Marietta Memorial Hospital, 401 Matthew Street, Marietta, OH 45750 Hours: Open 24/7 You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Graduate of an accredited PharmD program * Active applicable state Pharmacist license in good standing * Completion of a PGY1 OR 2 years recent clinical work experience working in a hospital setting required * 1+ years of experience as a supervisory pharmacist involved with program development Hospital Requirements: (may be required) * (PPD) TB Skin Test - Proof of negative TB skin test within the last 12 months * (MMR) Measles, Mumps and Rubella or A Blood Titer proving immunity * Varicella - (2) documented doses or A Blood Titer proving * Hep B3 Series (or declination) * (Flu) Influenza-required for hire between Oct 1st-April 30th * COVID Vaccine Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

**Explore opportunities with CPS,** part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind **Caring. Connecting. Growing together** As a **Clinical Coordinator** you'll be responsible for leading clinical pharmacy programs and services at the site level as well as staffing duties. **Primary Responsibilities:** + Serve as a clinical resource for the provision of pharmaceutical care and clinical pharmacy services at both Methodist Hospital sites + Build effective relationships with other healthcare professionals and departments within the hospital and company + Promote clinically rational drug therapy and sound pharmaceutical care through the development of new (or expansion of existing) pharmacy practice programs, drug therapy policies, and other programs + Provides training, education and orientation to various health care providers regarding medication use and safety + Precepts pharmacy students on clinical rotations + Participate and assist the Pharmacy Management in all activities as assigned including assisting with IV pump management, formulary management and medication guidelines **Pharmacy location:** Located within Marietta Memorial Hospital, 401 Matthew Street, Marietta, OH 45750 **Hours:** Open 24/7 You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + Graduate of an accredited PharmD program + Active applicable state Pharmacist license in good standing + Completion of a PGY1 OR 2 years recent clinical work experience working in a hospital setting required + 1+ years of experience as a supervisory pharmacist involved with program development **Hospital Requirements: (may be required)** + (PPD) TB Skin Test - Proof of negative TB skin test within the last 12 months + (MMR) Measles, Mumps and Rubella or A Blood Titer proving immunity + Varicella - (2) documented doses or A Blood Titer proving + Hep B3 Series (or declination) + (Flu) Influenza-required for hire between Oct 1st-April 30th + COVID Vaccine Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._