**RN - Emergency Room ER Registered Nurse -** Health Advocates Network is urgently hiring Emergency Room ER RNs with at least **2 ** years of recent experience!
+ Travel packages up to **$** **2,086 ** **weekly**
+ 12hr NIGHT shifts available
+ 13 week contracts available
+ IMMEDIATE STARTS!
+ Specialty: Emergency Room ER Registered Nurse (RN)
**Requirements:**
+ Active **OH ** State or Compact Registered Nurse License if applicable
+ Valid BLS, ACLS, PALS
+ Graduate of an Accredited School of Nursing
+ Additional certifications may be required
**Benefits We Offer:**
+ Competitive pay rates, Referral Bonus, Medical, Dental and Vision. Travel reimbursement and per diem allowances, Employee discounts, educational opportunities, and more!
To apply for this job now or to find out more about other opportunities with **Health Advocates Network, Inc.** reply to this posting, contact us at travel@hanstaff.com or call/text 551-501-6061. We can provide you unparalleled access to exciting career opportunities.
**Health Advocates Network, Inc** . is an equal opportunity employer. All qualified applicants shall receive consideration for employment without regard to any legally protected basis protected by applicable federal or state law except where a bona fide occupational qualification applies.
**Refer a Registered Nurse for a $1,000.00 bonus opportunity!**
Health Advocates Network, Inc. is an equal opportunity employer. All qualified applicants shall receive consideration for employment without regard to any legally protected basis under applicable federal, state or local law, except where a bona fide occupational qualification applies. EOE including Veterans/Disability
$32k-77k yearly est. 19h ago
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Claims Specialist
Health Advocate West 4.5
Remote Health Advocate West job
Why is Health Advocate a great place to work? For starters, Health Advocate employees enjoy helping people every single day. Employees are given the training they need to do their jobs well, and they work with supervisors and staff who are supportive and friendly. Employees have room to grow, and many of Health Advocate's supervisors are promoted from within the company. Join our award winning team!
2025:
Stevie Awards for Sales & Customer Service: Customer Service Department of the Year - Healthcare, Pharmaceuticals, and Related Industries, Bronze Winner
2024:
Excellence in Customer Service Awards: Organization of the Year (Small)
Stevie Awards for Sales & Customer Service: Customer Service Department of the Year - Healthcare, Pharmaceuticals, and Related Industries, Bronze Winner
Best in Biz Awards: Most Customer-Friendly Company of the Year - Medium and large category (Silver)
As part of Teleperformance in the US, we were also named #95 in the 2024 ‘Fortune 100 Best Companies to Work For ' in the USA by Great Places to Work (GPTW )
Join Us as a Claims Resolution Champion
At Health Advocate, we're on a mission to simplify healthcare and empower our members to navigate their benefits confidently. If you're ready to make a meaningful impact by resolving complex claims and advocating for those who need support, this is your chance to transform lives.
As a Claims Specialist, you'll go beyond solving billing issues-you'll serve as an advocate, educator, and problem-solver for our members. By leveraging your expertise in claims, benefits, and coordination of care, you'll ensure timely resolutions that ease stress and deliver value. In this role, you'll join a team that values collaboration, precision, and compassion.
What You'll Do: Advocate, Resolve, Educate
This role is more than answering questions-it's about being a trusted guide for our members. Here's how you'll make an impact:
Resolve Complex Claims Issues: Investigate billing discrepancies, identify errors, and coordinate resolutions among members, carriers, and providers for timely claim processing.
Coordinate Benefits Across Carriers: Manage cases involving Medicaid, Medicare, motor vehicle claims, and other benefit programs, ensuring proper coordination.
Educate and Empower Members: Help members understand their benefit plans, educate them on coverage details, and guide them through challenging claims scenarios.
Ensure Accuracy: Adhere to internal policies, procedures, and federal regulations to process claims in a precise and timely manner.
Collaborate and Escalate: Partner with team members and escalate unresolved issues to supervisors or carriers when necessary.
Support Team Growth: Mentor new team members, share best practices, and contribute to continuous process improvements.
Who You Are: A Detail-Oriented Advocate
We're looking for someone who's passionate about helping others, thrives on solving challenges, and brings technical expertise to the table.
Experienced Professional: You have at least 2 years of experience in healthcare, customer service, or claims.
Problem-Solver: You excel at analyzing claims, identifying root causes, and proposing practical solutions.
Empathetic Communicator: You possess strong listening skills and the ability to guide members with care and patience, even in complex or emotionally charged situations.
Knowledgeable and Resourceful: Familiarity with plan documents, ACA guidelines, Medicare, COBRA, and benefits such as dental, vision, and behavioral health is a plus.
Tech-Savvy: You're proficient in MS Word and Excel and comfortable using internal databases to document and track cases.
Why Health Advocate?
At Health Advocate, we don't just resolve claims-we build trust and provide peace of mind. Here's what you'll gain by joining us:
Purpose-Driven Work: Be a key player in simplifying healthcare for members and making a real difference in their lives.
Competitive pay: Hourly pay rate starting at $20 per hour.
Tools for Success: Access advanced systems, comprehensive training, and the support of a collaborative team.
Comprehensive Benefits: Enjoy competitive pay, robust medical, dental, and vision coverage, 401(k) with company match, PTO, and more.
A Culture of Care: Join a team that values empathy, innovation, and teamwork.
Your Next Move
Ready to transform challenges into resolutions and make healthcare easier for those we serve? Apply today and take the first step toward a rewarding career with Health Advocate!
Company Overview
Health Advocate is the nation's leading provider of health advocacy, navigation, well-being and integrated benefits programs. For 20 years, Health Advocate has provided expert support to help our members navigate the complexities of healthcare and achieve the best possible health and well-being. Our solutions leverage a unique combination of best-in-class, personalized support with powerful predictive data analytics and a proprietary technology platform to address nearly every clinical, administrative, wellness or behavioral health need. Whether facing common issues or an unprecedented challenge like COVID-19, our team of highly trained, compassionate experts work together to go above and beyond expectations, making healthcare easier for our members and ensuring they get the care they need.
Learn more
Health Advocate https://www.healthadvocate.com/site/
Facebook https://www.facebook.com/healthadvocateinc/
Video https://vimeo.com/386733264/eb447da080
Awards:
2025:
Stevie Awards for Sales & Customer Service: Customer Service Department of the Year - Healthcare, Pharmaceuticals, and Related Industries, Bronze Winner
2024:
Excellence in Customer Service Awards: Organization of the Year (Small)
Stevie Awards for Sales & Customer Service: Customer Service Department of the Year - Healthcare, Pharmaceuticals, and Related Industries, Bronze Winner
Best in Biz Awards: Most Customer-Friendly Company of the Year - Medium and large category (Silver)
2023:
National Customer Service Association All-Stars Award: Service Organization of the Year.
Stevie Awards for Sales & Customer Service: Customer Service Department of the Year - Healthcare, Pharmaceuticals, and Related Industries, Bronze Winner
2022:
Stevie Awards for Sales & Customer Service: Customer Service Department of the Year - Healthcare, Pharmaceuticals, and Related Industries, Bronze Winner
Excellence in Customer Service Awards: Organization of the Year (Small)
Best in Biz Awards: Most Customer-Friendly Company of the Year - Medium and large category (Silver)
2021:
Stevie Awards for Sales & Customer Service: Customer Service Department of the Year - Healthcare, Pharmaceuticals, and Related Industries, Silver Winner
Stevie Awards for Sales & Customer Service: Most Valuable Response by a Customer Service Team (COVID-19). Bronze Winner
Best in Biz Awards: Most Customer-Friendly Company of the Year - Medium and large category (Silver)
2020:
National Customer Service Association All-Stars Award: Organizations of 100 or Greater, Runner-Up
Communicator Award of Distinction: October 2019 Broker News
MarCom Awards: Gold, COVID Staycation Ideas brochure
MarCom Awards: Platinum, 2021 Well-being Calendar
Best in Biz Awards: Most Customer-Friendly Company of the Year - Medium category (Silver)
VEVRAA Federal Contractor requesting appropriate employment service delivery systems, such as state workforce agencies and local employment delivery systems, to provide priority referrals of protected veterans.
PAY TRANSPARENCY NONDISCRIMINATION PROVISION
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-I.35(c)
$20 hourly Auto-Apply 4d ago
Customer Success Manager
Radnet 4.6
Remote or Somerville, MA job
Job Description
Responsibilities
Job Title: Customer Success Manager
Reports to: Commercial Leader
FLSA Status: Exempt
A Customer Success Manager (CSM) is responsible for ensuring customers achieve success and satisfaction with products and services. The CSM provides a voice, support, guidance, and knowledge resources to help customers achieve their business objectives and improve patient care through effective use of our products and services. Our CSMs create and implement customer strategies that work, resulting in high customer satisfaction and retention. The CSM should have extensive product knowledge, problem-solving skills, and the ability to develop trusted relationships. The CSM is also responsible to act as a liaison between the customer and internal teams, advocating for the customer while driving continuous improvement in our offerings.
Essential Duties and Responsibilities
Relationship Management: Build and maintain strong relationships with key stakeholders within customer organizations.
Regularly engage with customers to understand their challenges, goals, and ensure satisfaction.
Presents solutions that meet customer objectives
Provides prospect/client guidance through short- and long-term strategic planning; continuously being mindful of where we may make a contribution to the client's long-term business success.
Product Expertise: Develop a deep understanding of the company's product/service offerings. Use this expertise to provide guidance, best practices, and recommendations to customers.
Customer Advocacy: Act as the voice of the customer within the company. Advocate for customer needs, communicate feedback to relevant internal teams, and work towards solutions that address customer concerns.
Retention and Growth: Proactively identify opportunities for upselling or cross-selling based on the customer's needs and usage patterns. Aim to increase customer retention and expansion of services. Identifies at-risk client relationships and leads the team to correcting any identified issues.
Issue Resolution: Address customer concerns and issues effectively and efficiently. Coordinate with internal teams to provide timely resolutions.
Data Analysis: Utilize customer data, product adoption data, lifecycle stage and feedback to derive insights, identify trends, and suggest improvements to enhance the customer experience.
Manages and documents Quarterly Business Review process and scheduled meetings with customers.
Serve as a communication interface between the client, the sales team, services teams, and any other internal division involved with the accounts under your responsibility.
PLEASE NOTE: This is not an exhaustive list of all duties, responsibilities and requirements of the position described above. Other functions may be assigned and management retains the right to add or change duties at any time.
Minimum Qualifications, Education and Experience
2+ years of experience in a CSM role, especially in an MSP environment, technology, or a health care setting
Bachelor's degree in Healthcare, Business Administration, and/or Marketing and/or a related field medical/pharma/science field (or equivalent level of practical technical experience in radiology)
Proven experience in a customer-facing role, preferably in Customer Success, Account Management, or Sales.
Excellent communication and interpersonal skills.
Strong problem-solving abilities and a customer-centric approach.
Proficiency in CRM and/or CSM software and data analysis tools.
Ability to multitask, prioritize, and manage time effectively.
A minimum of 3 years working experience as a radiographer/application specialist/MRI
specialist or mammographer within a clinical setting.
Strong relationship-building skills
Strong attention to detail.
Ability to work independently (home office) and as a team player.
Proven ability to build and maintain influential customer relationships.
Superb verbal and written presentation and communication skills
Teamwork: Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit.
Time Management: Plans how to achieve key priorities weekly; Reviews results of time plans weekly; Schedules time realistically; Achieves key priorities daily; Balances personal and professional objectives.
Ability to travel national incidentally internationally
Preferred Qualifications:
Experience in Healthcare and/or Healthcare IT.
Understanding of radiology workflow
Familiarity with Salesforce CRM, Google Suite, Microsoft Suite, Healthcare Applications/Products
Physical Demands
This position often requires sitting for long periods of time, standing, walking, bending, twisting, reaching with hands and arms, using hands and fingers, handling, or feeling, speaking, listening, and high-level cognitive thinking. Must be able to use a computer and other office machinery including copiers, scanners and computer software.
Working Environment
Representatives work remotely with the need to travel domestically or internationally 25-50%.
NOTE: This position is not eligible for visa sponsorship
$78k-115k yearly est. 26d ago
Remote Medical Scheduler
Radnet 4.6
Remote or Port Saint Lucie, FL job
Job Description
Responsibilities
Launch Your Healthcare Career with RadNet Virtual Job Fair - Wednesday January 7th, 2026 9:00 AM - 3:00 PM EST
Looking to start a meaningful career in healthcare? Join us at RadNet Radiology's Virtual Job Fair on Wednesday January 7th, 2026, and explore our Remote Medical Scheduler openings.
Position: Scheduler
As a Medical Scheduler, you'll be the first point of contact for patients scheduling important imaging appointments. You'll:
Schedule, reschedule, and manage appointments
Provide friendly and professional customer service
Support patient care across our network of imaging centers
Why RadNet?
$16.00 hourly rate, PLUS monthly incentive/bonus opportunity!
Full benefits: Medical, Dental, Vision, HSA, 401(k) with Match
Free imaging services for you and your immediate family
In-office role with real impact
Room to grow your career in a stable, supportive environment
You Bring:
Strong customer service, communication and phone skills
Strong basic computer and data entry skills
A customer-first attitude and attention to detail
Call Center or Medical Experience a plus!
An ability to work onsite when needed and work remotely
Location Info:
Must be able to train at 1825 SE Tiffany Avenue, Suite 104, Port St Lucie Fl 34952 and reside within 50 miles of our office
Whether you're changing careers or just starting out, this is your chance to join a mission-driven team that values your growth.
Register now to reserve your spot: ***************************************************************************
Take the next step toward a rewarding future in healthcare with RadNet!
$16 hourly 13d ago
Sales Executive, BH/Employer - Remote
Magellan Health 4.8
Remote job
This is a regular full time position. Salary will commensurate with experience with a base salary rate, additionally, will be eligible for a uncapped commission opportunity.
Builds and maintains strong business relationships with new or existing customers to meet or exceed established sales goals, quotas, targets or objectives for assigned area of responsibility. Drives new sales opportunities for growth, while ensuring that customer needs are exceeded. Involved in both pre- and post-sales activities to build strong relationships with customers and drive product adoption, retention, account expansion and renewals.
Identifies and attracts prospective customers to build the Behavioral Health Employer market customer base.
Grows current customer base through product expansion.
Develops and maintains long-term strategic relationships with each customer.
Oversees lead management and tracking.
Grows and maintains a robust pipeline.
Performs territory management and account planning.
Refines and enhances the prospecting process, including segmentation, prioritization, sales plans and collateral.
Executes direct sales presentations and discussions at all levels of prospect organizations, including remote web presentations and onsite discussions.
Collaborates with internal stakeholders on proposals or promotional materials for assigned area of responsibility.
Identifies and recommends to management process improvements that reduce workloads or improve quality for assigned area of responsibility.
Maintains knowledge on current and emerging developments or trends for assigned area of responsibility, assesses the impact, and collaborates with management to incorporate new trends and developments in current and future solutions.
Maintains sales call data in appropriate systems and completes sales reports as directed.
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
Bachelor's Degree required, preferably in a clinical or business discipline or additional sales experience in lieu of degree.
3+ years' experience in complex solution sales.
Healthcare sales experience.
Excellent computer technology knowledge.
A proven track record in exceeding sales targets.
Outstanding interpersonal skills and prior success dealing directly with customers at all levels within an organization.
Ability to successfully handle many parallel customers, each with independent issues and timelines.
Excellent analytical abilities, critical thinking and organizational skills.
Experience in defining and tracking metrics and developing processes to improve department performance.
Experience providing weekly reporting to management, implementing feedback in a timely and quality fashion.
Strong sense of pride in the production of quality products and team efficiencies.
General Job Information
Title
Sales Executive, BH/Employer - Remote
Grade
25
Work Experience - Required
Healthcare, Sales
Work Experience - Preferred
Education - Required
A Combination of Education and Work Experience May Be Considered., Bachelor's
Education - Preferred
License and Certifications - Required
License and Certifications - Preferred
Salary Range
Salary Minimum:
$64,285
Salary Maximum:
$102,855
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.
$64.3k-102.9k yearly Auto-Apply 36d ago
Care Coordinator - Transition of Care
Magellan Health 4.8
Remote job
Coordinate and collaborate with Prison Facilities via in person. Knowledge of community resources that help support incarcerated population.
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 - Transition of Care
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.
$50.2k-75.3k yearly Auto-Apply 60d+ ago
Youth Support Navigator - Certified Youth Peer Support Specialist
Magellan Health 4.8
Remote or Las Cruces, NM job
Work remote from home in the Las Cruces area with extensive community based travel.
This position provides non-clinical, evidence-based peer support services, serves as a youth advocate, shares coping skills, and provides recovery information for youth members ages 14 - 21. This position performs a wide range of tasks designed to assist youth members in developing independence through individual recovery planning, wellness self-management, and strengthening resilience to improve personal health outcomes. This position will role model competency in recovery, resiliency, and wellness practices.
Direct Peer Support & Recovery Planning: Provide one-to-one peer support for youth with mental health or substance use needs. Guide youth in developing wellness plans using an evidence-based framework. Facilitate use of the 8 Dimensions of Wellness to set whole-health goals. Assist with transitions from inpatient, residential, and alternative care settings to community-based recovery supports. Support youth in building empowerment, self-advocacy, and problem-solving skills and maintaining progress toward recovery through community participation and role modeling wellness. (50%)
Administrative Responsibilities: Maintain accurate, timely, and complete documentation to ensure records meet compliance, audit, and reporting requirements. Participate in supervision, training, and ongoing professional development. Travel within the community to meet youth members. (40%)
Engagement & Education: Initiate proactive outreach to youth to build engagement and facilitate successful enrollment into the peer support program. Educate providers, internal staff, and youth on resiliency and recovery practices. (10%)
Other Job Requirements
Responsibilities
Self-identified person in recovery with lived experience of youth/young adult mental health or substance use services.
Completed training and certification as a Youth Peer Support Specialist.
Reliable vehicle and ability to travel in the community.
Working knowledge of Microsoft Office Suite and comfort using mobile apps and web-based platforms.
Strong interpersonal, verbal, and written communication skills.
Ability to document accurately and maintain timely records.
Knowledge of local mental health, substance use and community systems, recovery and resiliency principles, wrapround, and tools such as wellness planning and the 8 dimensions of wellness.
Experience representing member strengths and needs in clinical or interdisciplinary settings.
Ability to analyze complex situations and make independent decisions.
Proven ability to work both independently and as part of a team in a fast-paced environment.
General Job Information
Title
Youth Support Navigator - Certified Youth Peer Support Specialist
Grade
19
Work Experience - Required
Lived Experience With Mental Health/Substance Use Recovery, Peer Specialist
Work Experience - Preferred
Education - Required
GED, High School
Education - Preferred
Associate, Bachelor's
License and Certifications - Required
YPSS - Youth Peer Support Specialist - Care Mgmt
License and Certifications - Preferred
Salary Range
Salary Minimum:
$37,725
Salary Maximum:
$56,595
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.
$37.7k-56.6k yearly Auto-Apply 60d+ ago
Customer Experience Associate- HMSA (Remote, must reside in Hawaii)
Magellan Health 4.8
Remote or Urban Honolulu, HI job
The selected candidate must live in Hawaii
Customer advocate role supporting our members and providers, facilitating care and service. This is a service position providing assistance to Magellan's members, providers, and clients regarding various aspects of our programs, policies, and procedures. Responsibilities include handling incoming/outgoing calls related to healthcare related benefits. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations are to provide outstanding service to internal and external customers and strive to resolve callers' needs on the first call. Performance expectations are to meet and/or exceed customers' expectations and our quality standards.
Researches, articulately communicates medical information regarding a variety of services including: educating providers on claims, member eligibility, benefits, EAP services, claim status, and authorization inquiries to callers while maintaining confidentiality/Protected Health Information (PHI.).
Meets key performance indicators and service standards while showing compassion to members and providers per Magellan's values and mission.
Identifies and responds to crisis calls with appropriate resource.
Facilitates routine referrals and triage decisions not requiring clinical judgment.
Comprehensively assembles and enters patient information into the appropriate delivery system.
Demonstrates flexibility in areas such as job duties and schedule to aid in better serving members and help Magellan achieve its business and operational goals.
Supports team members and participate in activities to help build a high-performance team.
Assumes full responsibility for self-development and career progression; proactively seek and participate in ongoing training sessions (formal and informal).
Responsible for staying abreast of operational changes, updating self to ensure accuracy.
Assists efforts to continuously improve by assuming responsibility for identifying and bringing to the attention of responsible entities operations problems and/or inefficiencies.
Leads or participates in activities as requested that help improve Care Center performance, quality, and culture.
Navigate Magellan's systems, document customers' comments/information and forwards required information.
Responsible for reading and retaining information disseminated through multiple resources, ensuring calls are addressed accurately and appropriately per account information.
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
1- 2 or more years of customer service experience.
Must be able to talk and type simultaneously, with attention to detail.
Must be flexible in scheduling and comfortable with change as customer service is an ever-changing environment.
Responsible for meeting monthly individual call center metrics.
Must agree to recording and evaluations for training and compliance.
Must be proficient with keyboard functions and navigation between multiple computer applications
General Job Information
Title
Customer Experience Associate- HMSA (Remote, must reside in Hawaii)
Grade
17
Work Experience - Required
Customer Service
Work Experience - Preferred
Call Center, Healthcare
Education - Required
GED, High School
Education - Preferred
Associate, Bachelor's
License and Certifications - Required
License and Certifications - Preferred
Salary Range
Salary Minimum:
$31,175
Salary Maximum:
$46,765
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.
$31.2k-46.8k yearly Auto-Apply 20d ago
Health Screener
Health Advocate West 4.5
Remote Health Advocate West job
Why is Health Advocate a great place to work? For starters, Health Advocate employees enjoy helping people every single day. Employees are given the training they need to do their jobs well, and they work with supervisors and staff who are supportive and friendly. Employees have room to grow, and many of Health Advocate's supervisors are promoted from within the company. Join our award winning team!
2025:
Stevie Awards for Sales & Customer Service: Customer Service Department of the Year - Healthcare, Pharmaceuticals, and Related Industries, Bronze Winner
2024:
Excellence in Customer Service Awards: Organization of the Year (Small)
Stevie Awards for Sales & Customer Service: Customer Service Department of the Year - Healthcare, Pharmaceuticals, and Related Industries, Bronze Winner
Best in Biz Awards: Most Customer-Friendly Company of the Year - Medium and large category (Silver)
As part of Teleperformance in the US, we were also named #95 in the 2024 ‘Fortune 100 Best Companies to Work For ' in the USA by Great Places to Work (GPTW )
Position: Health Screener (Casual/PRN)
Location: Onsite Employee Health Screening Events (Various Corporate/Company/Employer locations)
Position Type: Casual, PRN (As Needed)
Schedule: Flexible - Sign up based on your availability. Events can be a few hours up to 8+, ranging from 1 day to multiple day events, but you choose which days you are available for!
Pay: Hourly for events, travel and training. Rates vary based on your role, primary location, and experience. Mileage or personal car reimbursement, car rental options, flights and hotels, all arranged and covered by Health Advocate *Details vary based on event assignments.
Travel Details: Local travel primarily (75%) with the option for longer travel (25%) if accepted.
Job Summary:
We are seeking a professional and detail-oriented Health Screener to conduct biometric health screenings and blood draw screenings at various client worksites. The Health Screener will be responsible for performing clinical assessments, including capillary/ finger stick blood testing, blood pressure measurements, and biometric testing, while maintaining a high standard of patient care and confidentiality. This is a PRN position with flexible scheduling and the opportunity to work across various locations.
Minimum Qualifications:
Current medical certification/ licensure in one of the following:
EMT
Paramedic
Phlebotomist
Medical Assistant (MA)
Not-Listed Health Certification, case by case considerations are made depending on the type and experience.
Licensed Practical Nurse (LPN/LVN)
Registered Nurse (RN or BSN)
At least 1 year of clinical experience in health screenings or a related clinical field.
Proficiency in fingerstick blood collection.
Proficiency in manual blood pressure measurement.
Knowledge of HIPAA and strict adherence to PHI security.
Strong professional presentation and excellent communication skills.
Ability to work effectively as part of a team and independently as needed.
Strong time management skills to ensure efficient event flow.
Preferably CPR Certified
Key Responsibilities *Not an all-inclusive list:
Blood Collection: Perform fingerstick collection using standard clinical methods for analysis. Ensure all blood collection is conducted safely and accurately.
Biometric Assessments: Measure and record height, weight, BMI, and waist circumference for client employees as part of their health screening. Perform manual blood pressure measurement and record results accurately.
Health Documentation and Privacy: Accurately document all health screening results and patient information promptly using electronic documentation on tablet provided for the event. Ensure the confidentiality of Protected Health Information (PHI) and strictly adhere to HIPAA guidelines.
OSHA and Health Standards: Follow all OSHA guidelines for proper biohazard disposal, ensuring all materials and waste are managed in accordance with safety standards. Follow infection control procedures, including wearing appropriate PPE such as gloves and masks, when required/necessary.
Customer Experience: Ensure a positive, efficient, and professional health screening experience for each participant. Address any concerns or questions regarding their results or the screening process.
Escalation and Support: Escalate any issues or concerns to the Onsite Coordinator for timely resolution. Collaborate with other team members to ensure smooth operation of the screening event.
Event Setup and Cleanup: Set up screening stations at the worksite prior to the event and ensure proper layout for efficient workflow. Perform event cleanup after screenings, ensuring the area is left clean, organized, and free of biohazardous materials.
Maintain Availability: Keep your availability updated in the staffing portal to ensure proper scheduling and selection for events.
Follow policy and procedures- Outlined for working events and those in preparation for events, including completing required training and staying in compliance on any required personal professional licensure/certifications.
Communication- Have a professional presenting email address. Most communication is sent to your email, and it is required to review all communication/updates from Health Advocate to stay up to date on job requirements.
Additional Details:
Availability is key; shifts and locations will be assigned based on your schedule and proximity to event locations.
Work Environment: You will be working in dynamic, onsite corporate/business/ employer environments across various locations, collaborating with other health professionals or working independently at smaller events.
Flexibility: This role offers flexible scheduling, making it ideal for someone seeking part-time, on-demand work with the ability to choose shifts based on availability.
Physical Demands:
Ability to lift up to 50 pounds occasionally and assist with setup and cleanup.
Job requires the ability to stand for long periods and bend during testing activities.
Ideal Candidate:
The ideal candidate for this position is a clinically skilled, detail-oriented individual with a passion for improving health and wellness. You should be comfortable working independently or as part of a team, have strong communication skills, and be committed to maintaining the highest standards of patient care, safety, and confidentiality.
If you are an experienced medical professional who enjoys the flexibility of working onsite at health screenings, we encourage you to apply!
Company Overview
Health Advocate is the nation's leading provider of health advocacy, navigation, well-being and integrated benefits programs. For 20 years, Health Advocate has provided expert support to help our members navigate the complexities of healthcare and achieve the best possible health and well-being. Our solutions leverage a unique combination of best-in-class, personalized support with powerful predictive data analytics and a proprietary technology platform to address nearly every clinical, administrative, wellness or behavioral health need. Whether facing common issues or an unprecedented challenge like COVID-19, our team of highly trained, compassionate experts work together to go above and beyond expectations, making healthcare easier for our members and ensuring they get the care they need.
Learn more
Health Advocate https://www.healthadvocate.com/site/
Facebook https://www.facebook.com/healthadvocateinc/
Video https://vimeo.com/386733264/eb447da080
Why is Health Advocate a great place to work? For starters, Health Advocate employees enjoy helping people every single day. Employees are given the training they need to do their jobs well, and they work with supervisors and staff who are supportive and friendly. Employees have room to grow, and many of Health Advocate's supervisors are promoted from within the company. Join our award winning team!
2024:
Excellence in Customer Service Awards: Organization of the Year (Small)
Stevie Awards for Sales & Customer Service: Customer Service Department of the Year - Healthcare, Pharmaceuticals, and Related Industries, Bronze Winner
As part of Teleperformance in the US, we were also named #95 in the 2024 ‘Fortune 100 Best Companies to Work For ' in the USA by Great Places to Work (GPTW )
Awards:
2023:
National Customer Service Association All-Stars Award: Service Organization of the Year.
Stevie Awards for Sales & Customer Service: Customer Service Department of the Year - Healthcare, Pharmaceuticals, and Related Industries, Bronze Winner
2022:
Stevie Awards for Sales & Customer Service: Customer Service Department of the Year - Healthcare, Pharmaceuticals, and Related Industries, Bronze Winner
Excellence in Customer Service Awards: Organization of the Year (Small)
Best in Biz Awards: Most Customer-Friendly Company of the Year - Medium and large category (Silver)
2021:
Stevie Awards for Sales & Customer Service: Customer Service Department of the Year - Healthcare, Pharmaceuticals, and Related Industries, Silver Winner
Stevie Awards for Sales & Customer Service: Most Valuable Response by a Customer Service Team (COVID-19). Bronze Winner
Best in Biz Awards: Most Customer-Friendly Company of the Year - Medium and large category (Silver)
2020:
National Customer Service Association All-Stars Award: Organizations of 100 or Greater, Runner-Up
Communicator Award of Distinction: October 2019 Broker News
MarCom Awards: Gold, COVID Staycation Ideas brochure
MarCom Awards: Platinum, 2021 Well-being Calendar
Best in Biz Awards: Most Customer-Friendly Company of the Year - Medium category (Silver)
Health Advocate is an Equal Opportunity Employer that does not discriminate on the basis of race, color, sex, age, religion, national origin, citizenship status, military service and veteran status, physical or mental disability, or any other factor not related to job requirements. We respect and value diversity, and are committed to the principles of Equal Employment Opportunity.
VEVRAA Federal Contractor requesting appropriate employment service delivery systems, such as state workforce agencies and local employment delivery systems, to provide priority referrals of protected veterans.
PAY TRANSPARENCY NONDISCRIMINATION PROVISION
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-I.35(c)
Company Overview
Health Advocate is the nation's leading provider of health advocacy, navigation, well-being and integrated benefits programs. For 20 years, Health Advocate has provided expert support to help our members navigate the complexities of healthcare and achieve the best possible health and well-being. Our solutions leverage a unique combination of best-in-class, personalized support with powerful predictive data analytics and a proprietary technology platform to address nearly every clinical, administrative, wellness or behavioral health need. Whether facing common issues or an unprecedented challenge like COVID-19, our team of highly trained, compassionate experts work together to go above and beyond expectations, making healthcare easier for our members and ensuring they get the care they need.
Learn more
Health Advocate https://www.healthadvocate.com/site/
Facebook https://www.facebook.com/healthadvocateinc/
Video https://vimeo.com/386733264/eb447da080
Awards:
2025:
Stevie Awards for Sales & Customer Service: Customer Service Department of the Year - Healthcare, Pharmaceuticals, and Related Industries, Bronze Winner
2024:
Excellence in Customer Service Awards: Organization of the Year (Small)
Stevie Awards for Sales & Customer Service: Customer Service Department of the Year - Healthcare, Pharmaceuticals, and Related Industries, Bronze Winner
Best in Biz Awards: Most Customer-Friendly Company of the Year - Medium and large category (Silver)
2023:
National Customer Service Association All-Stars Award: Service Organization of the Year.
Stevie Awards for Sales & Customer Service: Customer Service Department of the Year - Healthcare, Pharmaceuticals, and Related Industries, Bronze Winner
2022:
Stevie Awards for Sales & Customer Service: Customer Service Department of the Year - Healthcare, Pharmaceuticals, and Related Industries, Bronze Winner
Excellence in Customer Service Awards: Organization of the Year (Small)
Best in Biz Awards: Most Customer-Friendly Company of the Year - Medium and large category (Silver)
2021:
Stevie Awards for Sales & Customer Service: Customer Service Department of the Year - Healthcare, Pharmaceuticals, and Related Industries, Silver Winner
Stevie Awards for Sales & Customer Service: Most Valuable Response by a Customer Service Team (COVID-19). Bronze Winner
Best in Biz Awards: Most Customer-Friendly Company of the Year - Medium and large category (Silver)
2020:
National Customer Service Association All-Stars Award: Organizations of 100 or Greater, Runner-Up
Communicator Award of Distinction: October 2019 Broker News
MarCom Awards: Gold, COVID Staycation Ideas brochure
MarCom Awards: Platinum, 2021 Well-being Calendar
Best in Biz Awards: Most Customer-Friendly Company of the Year - Medium category (Silver)
VEVRAA Federal Contractor requesting appropriate employment service delivery systems, such as state workforce agencies and local employment delivery systems, to provide priority referrals of protected veterans.
PAY TRANSPARENCY NONDISCRIMINATION PROVISION
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-I.35(c)
$32k-45k yearly est. Auto-Apply 30d ago
Service Operations Supervisor, Healthcare Claims Department
Health Advocate West 4.5
Remote Health Advocate West job
Why is Health Advocate a great place to work? For starters, Health Advocate employees enjoy helping people every single day. Employees are given the training they need to do their jobs well, and they work with supervisors and staff who are supportive and friendly. Employees have room to grow, and many of Health Advocate's supervisors are promoted from within the company. Join our award winning team!
2025:
Stevie Awards for Sales & Customer Service: Customer Service Department of the Year - Healthcare, Pharmaceuticals, and Related Industries, Bronze Winner
2024:
Excellence in Customer Service Awards: Organization of the Year (Small)
Stevie Awards for Sales & Customer Service: Customer Service Department of the Year - Healthcare, Pharmaceuticals, and Related Industries, Bronze Winner
Best in Biz Awards: Most Customer-Friendly Company of the Year - Medium and large category (Silver)
As part of Teleperformance in the US, we were also named #95 in the 2024 ‘Fortune 100 Best Companies to Work For ' in the USA by Great Places to Work (GPTW )
BASIC FUNCTION
Responsible for overseeing the daily tasks and workflow of assigned team of associates/ specialists by providing direction and structure and aiding to answer questions using knowledge of services and benefits to help guide employees and perform necessary on the job training.
Job Responsibilities:
Responsible for the administrative functions and supervision of an operations unit. This includes backlog and quality management for a team of Operations/Customer Service associates
Provide organization, direction and staffing for all assigned service calls and case load assignments to ensure all calls are answered in accordance with Health Advocate's policies and procedures.
Monitor calls and audit case files daily to ensure the proper target resolution is identified and that, if possible, the case is closed at or near the target resolution.
Ensure assigned staff members meet or exceed the standards, results, and responsibilities of their respective positions.
Coach, mentor, and evaluate the performance of an assigned team.
Assist in the selection, counseling, and discipline of all staff on the team.
Provide oversight and direction to staff for assigned cases.
Responsible for problem-solving issues and coordinating efforts with internal departments and subject matter experts.
Provide healthcare benefit and claims consultation and support when appropriate to all internal departments.
Routinely evaluate and monitor service calls and case management procedures to recommend any necessary changes to the Operations Manager.
Escalate cases through the appropriate channels in accordance with Health Advocate's policies and procedures.
Team Interfaces/Customer Service - Establish and maintain a professional relationship with internal/external customers, team members and department contacts
* Cooperate with team members to meet goals or to complete tasks
* Provide quality customer service that exceeds customer expectations and improves level of service being provided
* Treat all internal/external customers, team members, and department contacts with dignity/respect
* Escalate to supervisor any situation outside the employee's control that could adversely impact the services being provided
Mental and Physical Requirements
*This position will be exposed mainly to an indoor office environment and will be expected to work near or around computers, telephones, and printers
*The nature of the work in this position is sedentary and the incumbent will be sitting most of the time.
*Essential physical functions of the job include fingering, grasping, pulling hand over hand, and repetitive motions to utilize general computer software/hardware continuously throughout the work day
*Essential mental functions of this position include concentrating on tasks, reading information, and verbal/written communication to others continuously throughout the work day
Related Duties as Assigned -
* The job description documents the general nature and level of work but is not intended to be a comprehensive list of all activities, duties, and responsibilities required of job incumbents
* Consequently, job incumbents may be asked to perform other duties as required
* Also note, that reasonable accommodations may be made to enable individuals with disabilities to perform the functions outlined above
* Please contact your local Employee Relations representative to request a review of any such accommodations
Minimum Qualifications
Call center experience preferred
Management or supervisory experience in healthcare benefits or claims processing preferred
Strong leadership skills and the ability to build effective teams
Effective communication skills to interact with members, physicians, and insurance carrier representatives, with an emphasis on ability to communicate both verbally and in writing
Assertive, self-confident, and resilient
Basic computer skills
Ability to search and identify resources through the internet
Demonstrated ability to communicate concepts, strategies and plans in terminology understood by business professionals
Education
Bachelor's Degree or applicable work experience
Other
* Basic knowledge of MS Word and Excel required
* Must score acceptably on job related testing
* Ability to pass standardized interview
* Based on assignment may need to be bilingual in English, Spanish, etc.
* Knowledge of the following is preferred:
COBRA
Medicare A, B, MediGap, Supplement plans, Medicare Advantage, Medicare Part D plans
High deductible health plans including Health Reimbursement Accounts (HRAs) and Health Saving Accounts (HSAs)
Flex Spending Accounts (FSA) , including limited FSAs
Coordination of benefits and which plan is primary - simple cases (commercial plans, Medicare plans)
Summary Plan Documents (SPDs) and Certificates of Coverage (COCs)
Government programs, resources and legislation and mandates including but not limited to Affordable Care Act, FMLA, Medicaid, CHIP
Group Health Plans (fully insured and self-insured)
Pharmacy benefits including injectable medications
Individual Health Plans and Marketplace/Exchanges plans
A successful incumbent in the job will be able to demonstrate the following skills and abilities:
Strong communication skills and phone etiquette
Ability to explain complex issues to members
Highly effective listening skills
Strong problems solving/issue resolution skills
Excellent customer service and customer resolution skills
Strong Organizational and administrative skills
Ability to work in a team environment
Why Health Advocate?
At Health Advocate, we don't just resolve claims-we build trust and provide peace of mind. Here's what you'll gain by joining us:
Purpose-Driven Work: Be a key player in simplifying healthcare for members and making a real difference in their lives.
Tools for Success: Access advanced systems, comprehensive training, and the support of a collaborative team.
Competitive Pay: Annual salary starting at $55,000
Comprehensive Benefits: Enjoy competitive pay, robust medical, dental, and vision coverage, 401(k) with company match, PTO, and more.
A Culture of Care: Join a team that values empathy, innovation, and teamwork.
Your Next Move
Ready to transform challenges into resolutions and make healthcare easier for those we serve? Apply today and take the first step toward a rewarding career with Health Advocate!
Physical Requirements:
This position is primarily sedentary, requiring prolonged sitting while performing administrative tasks. The role involves extensive use of a computer for typing, mouse navigation, and reading information on a screen for extended periods. Frequent phone use is required for communication with team members, clients, or external parties. Essential physical functions include fingering, grasping, pulling hand-over-hand, and repetitive motions necessary for navigating software, entering data, and interacting with electronic documents.
Mental and Cognitive Requirements:
The role requires strong concentration, attention to detail, and the ability to complete tasks accurately. Critical thinking and problem-solving skills are essential to address issues that may arise in day-to-day duties. Effective verbal and written communication skills are needed for responding to inquiries and collaborating with others.
Work Environment:
This position is fully remote and requires a home office environment with appropriate lighting, a computer, and phone access. The workspace should be free from distractions to ensure effective focus and productivity during work hours.
Company Overview
Health Advocate is the nation's leading provider of health advocacy, navigation, well-being and integrated benefits programs. For 20 years, Health Advocate has provided expert support to help our members navigate the complexities of healthcare and achieve the best possible health and well-being. Our solutions leverage a unique combination of best-in-class, personalized support with powerful predictive data analytics and a proprietary technology platform to address nearly every clinical, administrative, wellness or behavioral health need. Whether facing common issues or an unprecedented challenge like COVID-19, our team of highly trained, compassionate experts work together to go above and beyond expectations, making healthcare easier for our members and ensuring they get the care they need.
Learn more
Health Advocate https://www.healthadvocate.com/site/
Facebook https://www.facebook.com/healthadvocateinc/
Video https://vimeo.com/386733264/eb447da080
Awards:
2025:
Stevie Awards for Sales & Customer Service: Customer Service Department of the Year - Healthcare, Pharmaceuticals, and Related Industries, Bronze Winner
2024:
Excellence in Customer Service Awards: Organization of the Year (Small)
Stevie Awards for Sales & Customer Service: Customer Service Department of the Year - Healthcare, Pharmaceuticals, and Related Industries, Bronze Winner
Best in Biz Awards: Most Customer-Friendly Company of the Year - Medium and large category (Silver)
2023:
National Customer Service Association All-Stars Award: Service Organization of the Year.
Stevie Awards for Sales & Customer Service: Customer Service Department of the Year - Healthcare, Pharmaceuticals, and Related Industries, Bronze Winner
2022:
Stevie Awards for Sales & Customer Service: Customer Service Department of the Year - Healthcare, Pharmaceuticals, and Related Industries, Bronze Winner
Excellence in Customer Service Awards: Organization of the Year (Small)
Best in Biz Awards: Most Customer-Friendly Company of the Year - Medium and large category (Silver)
2021:
Stevie Awards for Sales & Customer Service: Customer Service Department of the Year - Healthcare, Pharmaceuticals, and Related Industries, Silver Winner
Stevie Awards for Sales & Customer Service: Most Valuable Response by a Customer Service Team (COVID-19). Bronze Winner
Best in Biz Awards: Most Customer-Friendly Company of the Year - Medium and large category (Silver)
2020:
National Customer Service Association All-Stars Award: Organizations of 100 or Greater, Runner-Up
Communicator Award of Distinction: October 2019 Broker News
MarCom Awards: Gold, COVID Staycation Ideas brochure
MarCom Awards: Platinum, 2021 Well-being Calendar
Best in Biz Awards: Most Customer-Friendly Company of the Year - Medium category (Silver)
VEVRAA Federal Contractor requesting appropriate employment service delivery systems, such as state workforce agencies and local employment delivery systems, to provide priority referrals of protected veterans.
PAY TRANSPARENCY NONDISCRIMINATION PROVISION
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-I.35(c)
This is a remote position working part time /20hrs per week, therefore the compensation range would be an hourly rate based on .5 /half of the anticipated base salary range listed below.
Work schedule is: Monday through Friday 8:30AM-12:30PM EST.
Flexibility is preferred for a few events and other requests throughout the year. Need to reside near/around the Yardley, PA area.
***Website design experience is preferred to manage weekly responsibilities for website design and updates.
This position works closely with and assists leadership in marketing, social and communications strategy, planning and execution to achieve agreed upon goals. Works across a wide range of internal and external constituents. Provides team coordination support.
Provides support and assistance in planning, developing, producing, and delivering marketing programs and projects.
Collaborates with other departments and engages with key vendors in the development, production, and distribution of promotional and collateral materials
Participates in research on key topics, stakeholders and best practices and makes recommendations
Develops clear, concise and compelling content targeting a variety of audiences through Magellan`s key channels.
Proofreads content for accuracy, branding and compliance.
Supports the coordination of team activities including management of the editorial calendar to help ensure appropriate amplification and timely execution of programs and initiatives
Coordinates key team activities and provides support with scheduling meetings, calendars, travel arrangements and other general departmental administrative support as needed.
Regularly communicates status updates to Marketing and Communications leadership.
Completes special projects as assigned.
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
Bachelor's degree in marketing, communications or related field.
Creative, quick thinker with strong writing, verbal and interpersonal communication skills.
Excellent project management and organizational skills.
Ability to multitask and prioritize accordingly.
Proactive and flexible self-starter with impeccable attention to detail.
Willingness to jump in and assist where needed.
Comfortable with Microsoft Office software programs and tools.
General Job Information
Title
Marketing & Communications Coordinator - Remote PA,
Grade
21
Work Experience - Required
Communications, Public Relations or Related Field, Marketing
Work Experience - Preferred
Education - Required
A Combination of Education and Work Experience May Be Considered., Bachelor's
Education - Preferred
License and Certifications - Required
License and Certifications - Preferred
Salary Range
Salary Minimum:
$45,655
Salary Maximum:
$68,485
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.
$45.7k-68.5k yearly Auto-Apply 35d ago
Behavioral Health Assistant
Health Advocates Network 4.5
Health Advocates Network job in Olde West Chester, OH
Benefits We Offer: + Comprehensive health, prescription, dental, vision, life, and disability plans + Competitive pay rates + Referral opportunities ? Refer a friend & Cash in! + Travel reimbursement and per diem allowances + Employee discounts + Educational opportunities
Health Advocates Network was founded based on a shared aspiration to improve the way healthcare staffing is done. We are a company founded by healthcare professionals and built for healthcare professionals. As your true advocates, we will always help you thrive and pave the path forward in your career. Our talented staffing team is committed to providing exceptional customer service, great opportunities with top pay and benefits.
From Per Diem to Travel Contracts, miles away or local to you, Health Advocates Network can find you just what you are looking for. Allow us to get you to you next adventure!
Health Advocates Network, Inc. is an equal opportunity employer. All qualified applicants shall receive consideration for employment without regard to any legally protected basis under applicable federal, state or local law, except where a bona fide occupational qualification applies. EOE including Veterans/Disability
$31k-39k yearly est. 12d ago
Military and Family Life Counselor - Short Term Assignments or On Demand for On Site
Magellan Health 4.8
Remote job
The Assignment Ready Counselor (ARC) will provide coverage in short-term, surge and on demand situations resulting from the Military needs such as a post-deployment event or to cover an existing assignment for counselors who are absent. The Summer ARC counselor position covers assignments during the May 15th through September 15th time period, coinciding with the school summer break. With minimal guidance and oversight, provides the full breadth of Adult or Child and Youth Behavioral (CYB) counseling services to military service members and their families at military installations. These services may include non- medical counseling, training/health and wellness presentations, consultation with parents, personnel at child daycare centers and schools, and consultation to installation command regarding behavioral health issues affecting military personnel and their family members. ARC CYB counselors may be assigned to DoDEA schools and community schools and will need to have experience working in a school setting to qualify for ARC role in backing up a school position. CYB counselors may also be assigned to youth programs, summer camps, and on demand assignments. ARC adult counselors may be assigned to support MFLC services in a variety of military community and readiness centers, as well as on-demand and surge assignments. The counselors work closely with the installation and military branch Points of Contact (POC) to assure that the program is provided within scope and meets the needs of the installation.
Provides non-medical, short term, solution focused, counseling directly to adults, children, and youth of service members. Services include assessment, brief counseling and consultation, action planning, referral to resources (assuring linkage as appropriate), and follow-up as indicated.
CYB counselors will also have a focus on supporting the staff and personnel of CDCs, DoDEA and community schools, youth programs and summer camps as well as providing parent training and guidance.
Provides training and health and wellness presentations, participate in health fairs and other base/installation activities.
Enters counselor activity data daily through smart phone or web application assure that reporting is accurate from assigned installation while maintaining confidentiality and anonymity of service / family member.
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
Master's Degree from an accredited graduate program in a mental health related field, or social work.
With short notice, willing to accept assignments of undefined periods to include weekends.
Can cover, on a full-time basis, assignments of varying length from a weekend to two weeks.
Quickly builds rapport with service personnel clients, family members, students, parents and co-workers.
Adaptable to new working conditions, varying location rules, etc.; adjusts working style to align with each work environment.
Able to work effectively with minimal instruction and guidance.
Listens carefully to instructions provided.
With minimal notice, participates in regular in-services/training, Quality Improvement committees or other contract activities as assigned.
Requires ability to quickly engage and communicate with military members, spouses or children as assigned, in order to accomplish job functions, and to respond quickly to emergent situations in any physical location on a military installation and/or within a school setting, which includes the need to traverse short and/or long distances within the base to both indoor and outdoor locations, to maneuver through rugged, outdoor or uneven locations (e.g., steep inclines, stairs, grass), and work in outdoor weather and other military base conditions. Due to the nature of working on military installations or related worksites, counselors may need to comply with various site-specific requirements to work at designated locations. For example, for some assignments, counselors will need to have certain current immunizations or vaccinations and provide record of receipt.
Ability to prove US Citizenship and must be fluent in English.
Advanced knowledge of brief therapy and solution-focused counseling methods.
Prior military service/military family member and/or strong familiarity with military culture desired.
For CYB positions must meet the Magellan MFLC CYB criteria for experience with children and youth and specialty in child and adolescent development/psychology.
Creates a presence on the installation in which the service and family members feel comfortable approaching the counselor and recognize the program to be confidential; for CYB counselors -- creates a presence in child and youth settings, is available to children, youth, and staff. When working with children, counselor must abide by line of site protocol.
Establishes and maintains working relationships with community resources and provides appropriate linkages.
Partners with POC to provide Adult and CYB services in a manner that addresses the needs of the installation/facility. Develops an excellent working relationship with the installation/facility POC.
Manages duty to warn and restricted reporting situations according to DoD protocol and staffs the cases with Regional Supervisor/Regional Director.
Communicates with Regional Supervisors and participate in regular individual and group supervision, sharing information regarding trends and issues on the installations and in facilities to which they are assigned for substitute or on call services.
Responds to critical incidents and special requests as directed by the POC and approved by the OSD program manager.
General Job Information
Title
Military and Family Life Counselor - Short Term Assignments or On Demand for On Site
Grade
MFLC ARC
Work Experience - Required
Clinical
Work Experience - Preferred
Education - Required
Master's - Behavioral Health, Master's - Social Work
Education - Preferred
License and Certifications - Required
Current licensure required for this position that meets State, Commonwealth or customer-specific requirements - Care MgmtCare Mgmt, DL - Driver License, Valid In State - OtherOther, LPC - Licensed Professional Counselor - Care MgmtCare Mgmt, Must be an independently licensed behavioral health clinician - Care MgmtCare Mgmt
License and Certifications - Preferred
Salary Range
Salary Minimum: $59,922
Salary Maximum: $100,280
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.
The Network Contract Specialist will be responsible for creating and maintaining behavioral health provider contracts across the New Mexico territory for Presbyterian Health Plan with Medicaid, Medicare, and Commercial lines of business. This role includes managing provider contracting activities in coordination with the Network team and processing all necessary contract-related updates. Key responsibilities include handling contract changes, Statements of Work, amendments, rate updates, Letters of Direction, and other required modifications. The specialist will also ensure all contract updates are compliant with internal policies and New Mexico-specific regulatory requirements. Strong collaboration with internal departments is essential to maintain network accuracy, provider data integrity, and overall operational efficiency. Detailed tracking and documentation of all contract activities and provider communications are critical components of this role.
Support and maintain behavioral health provider contracts for Medicaid, Medicare, and Commercial lines of business across the New Mexico territory
Perform provider contracting functions in collaboration with the Network team
Process contract-related updates including:
Exhibits
Contract changes
SOS
Amendments
Rate updates
Letters of Direction (LODs)
NCQA/CAQH
Ensure compliance with internal standards and state-specific requirements
Collaborate with internal departments to support network accuracy, provider data integrity, and operational efficiency
Maintain thorough documentation and tracking of all contract activity and communications
This position is responsible for the support of all activities related to developing and maintaining the physician, practitioner, group, and/or facility, MPPS and organization services delivery system in small to mid-size market defined by membership, number of providers in delivery system, number of business operating units and lines of business. Interacts with all areas of organization to coordinate network management and network administration responsibilities.
Assesses network needs, analyzes network composition, and using organization databases, application of regulatory requirements, accreditation entities and other resources, recruits individual, group and/or organizational providers to meet network adequacy standards and assure quality network.
Conducts and coordinates contracting and amendment initiatives.
Provides issue resolution and complex trouble shooting for providers.
Conducts provider education and provider relation activities, providing necessary written materials.
Conducts administrative provider site visits and coordinates report development and completion according to contractual requirements or ad hoc requests.
Coordinates Public Policy Research Center (PPRC) activities to assure maintenance of current credentialing status, and evaluation and appropriate actions of quality of care issues and complaints against providers.
Conducts and manages ongoing audits of provider compliance with Magellan policies and procedures as well as contractual obligations for multiple customers. Develops work plans to address audit requirements.
Works with management to draft, clarify and recommend changes to policies which impact network management.
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
Knowledge of National Committee for Quality Assurance (NCQA) requirements.
Ability to work independently and prioritize activities.
Intermediate knowledge of Microsoft Office Suite, specifically Excel.
Strong presentations skills using PowerPoint.
Minimum of 1 year experience in related position/field.
General Job Information
Title
Network Management Specialist (Contract Specialist)
Grade
21
Work Experience - Required
Network
Work Experience - Preferred
Education - Required
Education - Preferred
Bachelor's
License and Certifications - Required
License and Certifications - Preferred
Salary Range
Salary Minimum:
$45,655
Salary Maximum:
$68,485
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.
$45.7k-68.5k yearly Auto-Apply 60d+ ago
Director, Clinical Care Services - New Mexico, Remote
Magellan Health 4.8
Remote job
This is a remote position supporting New Mexico. Candidate needs to be licensed in the State where they reside.
Maintains accountability for medical management functions to achieve the business and clinical outcomes for the health plan, meeting contract requirements, National Committee of Quality Assurance (NCQA) accreditation standards, and supporting initiatives with providers and members to manage cost of care. Oversees utilization management and criteria-based reviews of care, clinical appeals regarding medical necessity, and the interaction with claims payment policies and processes. Also oversees the health plans 24/7 Nurse Line program and the clinical management of crisis calls. Depending on SBU/product supported, supports goals, contracts, and accreditation requirements of health plan in conducting reviews of clinical interactions and clinical documentation including reviews of case management, utilization management, vendor, and provider records. Collects data following established procedures and analyzes findings for purposes of continuous quality improvement and for internal and external reporting. Interacts with multiple stakeholders internally and externally. Conduct staff audits, process audits and pre-delegation and delegation activities. Reviews audit results with appropriate stakeholder and manages trainings in conjunction with the trainer for individual and/or for unit learning gaps.
Directs, coordinates and evaluates efficiency and productivity of utilization management functions. Works closely with SBU and vendors to assure integration, oversight, and efficiency of utilization management and appeals processes and for delegated functions. In collaboration with the national clinical team, assures that all utilization management-related activities meet the standards required for the state contract and NCQA.
Leads and organizes the ongoing evaluation of the utilization management program against quality and utilization benchmarks and targets. Identifies opportunities for improvement; organizes and manages cost of care initiatives. Collaborates with local and national leaders including Quality Improvement, Analytics, Finance, Network, and other areas to assure a comprehensive approach to managing quality of care, service, and cost of care. Provides expert input to Finance regarding patterns of utilization and cost and high cost cases.
Assures staff selection, training, and evaluation to promote the development of a high quality team and effective transitions of care with the clinical care teams.
Works closely with and provides input to national health plan clinical team on program design, policies, procedures, workflows, and correspondence.
Collaborates with Network leaders to design and implement successful methods for working with hospitals, home health, and other services providers. Ensures integration and efficiency of Network strategy and vendor relationships with utilization management and claims processes. Works closely with network on the training and evaluation of providers as well in resolving provider related issues.
Directs staff who assure quality, inter-rater reliability and standards are met in daily operations. Responsible for resolution and communication of utilization management issues and concerns and corrective action plan activities and reporting.
Participates as a member of health plan Quality Insurance Committee and co-chair health plan Utilization Management Committee.
Collects, analyzes and prepares record/documents information for projects related to assessing the efficiency, effectiveness and quality of the delivery of managed care services. Prepares monthly performance reports with audit results. Presents findings at provider, customer, UM and CM meetings as needed.
Audits and reviews case manager, Health guide, UM staff, vendor, and provider documentation and telephone interactions against health services quality monitoring standards, regulations, accreditation standards and contract requirements. Reviews vendor and/or provider records against clinical and procedural established standards and contract requirements.
Leads and conducts ongoing activities which monitor established quality of care standards in the participating provider network, vendors, UM staff, Health Guides, and for case managers.
Assists in the planning and implementation of activities to improve delivery of services and quality of care including the development and coordination of in-service education programs for vendors, providers, UM staff, and case managers. Makes recommendations as to required training based upon audit results.
Responsible for monitoring and validating internal audit results and/or corrective action plans.
Other duties as assigned.
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+ years in utilization management operations.
5+ years in health care quality improvement.
Licensure is required for this position, specifically a current license that meets State, Commonwealth or customer-specific requirements. One or more of the following current, active licenses are required: BCBA, LCMFT, LCSW, LMHP, LPC, LPT, LOT or RN.
Must have experience overseeing contractual performance standards.
Experience with reporting and analyzing managed care utilization data.
Strong verbal and written communications skills.
General Job Information
Title
Director, Clinical Care Services - New Mexico, Remote
Grade
30
Work Experience - Required
Clinical, Management/Leadership, Quality, Utilization Management
Work Experience - Preferred
Education - Required
Bachelor's - Nursing, Bachelor's - Occupational Therapy, Bachelor's - Physical Therapy, Master's - Behavioral Health
Education - Preferred
License and Certifications - Required
BCBA - Board Certified Behavior Analyst - Care MgmtCare Mgmt, LCMFT - Licensed Clinical Marriage and Family Therapist - Care MgmtCare Mgmt, LCSW - Licensed Clinical Social Worker - Care MgmtCare Mgmt, LMFT - Licensed Marital and Family Therapist - Care MgmtCare Mgmt, LMHP - Licensed Mental Health Professional - Care MgmtCare Mgmt, LPC - Licensed Professional Counselor - Care MgmtCare Mgmt, OT - Occupational Therapist, State Licensure - Care MgmtCare Mgmt, PT - Physical Therapist, State Licensure - Care MgmtCare Mgmt, RN - Registered Nurse, State and/or Compact State Licensure - Care MgmtCare Mgmt
License and Certifications - Preferred
Salary Range
Salary Minimum:
$105,230
Salary Maximum:
$178,890
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.
$105.2k-178.9k yearly Auto-Apply 5d ago
Dietitian
Health Advocates Network 4.5
Health Advocates Network job in Port Clinton, OH
Benefits We Offer: + Comprehensive health, prescription, dental, vision, life, and disability plans + Competitive pay rates + Referral opportunities ? Refer a friend & Cash in! + Travel reimbursement and per diem allowances + Employee discounts + Educational opportunities
Health Advocates Network was founded based on a shared aspiration to improve the way healthcare staffing is done. We are a company founded by healthcare professionals and built for healthcare professionals. As your true advocates, we will always help you thrive and pave the path forward in your career. Our talented staffing team is committed to providing exceptional customer service, great opportunities with top pay and benefits.
From Per Diem to Travel Contracts, miles away or local to you, Health Advocates Network can find you just what you are looking for. Allow us to get you to you next adventure!
Health Advocates Network, Inc. is an equal opportunity employer. All qualified applicants shall receive consideration for employment without regard to any legally protected basis under applicable federal, state or local law, except where a bona fide occupational qualification applies. EOE including Veterans/Disability
$56k-75k yearly est. 55d ago
Family Support Navigator
Magellan Health 4.8
Remote job
This position provides non-clinical, evidence-based peer support services and serves as a member and family advocate. The FSN brings their life experiences and skills to deliver assistance to the family as they explore the goals they would like to achieve and offers interventions to the family to increase engagement and empowerment within a variety of service delivery systems.
Provides peer support to family/caregivers of children with mental health and substance use conditions identified as requiring intensive wellness support and recovery-oriented interventions.
Guides families in creating Wellness Recovery Action Plans (WRAP ) for themselves and their family to recognize strengths and identify wellness self-management and crisis prevention strategies.
Utilizes the 8 dimensions of wellness to help parents/caregivers identify their social determinants of health needs, determine their whole health goals and objectives in order to address their own challenges and those of their child.
Guides and empowers family members to understand and participate in all decisions related to the treatment process, the support plan, service choices, and transitions in care.
Coaches and role-models regarding a parent's perspective and lessons learned from life experience.
Facilitates support and education to families who have questions, concerns or specific needs related to mental health or substance use and their relationship to Magellan and child serving agencies.
Strategically shares their lived experience to inspire hope, empowerment, and positive action.
Performs ongoing interventions to engage families and members in traditional and nontraditional health services and supports, as well as community and social support networks including community-based peer, parent, and family support services.
Facilitates a team approach to member care including with the Magellan care coordination team.
Implements, coordinates, and monitors strategies for members and families to improve health and quality of life outcomes.
Acts as an advocate for family and member`s needs by identifying and addressing gaps in services and supports.
Educates providers, supporting staff, members, and families on resiliency and recovery-oriented principles, practices, strategies, and tools.
Documents all interactions according to company standards.
Maintains professional responsibility to maximize supervision, respond appropriately to personal stressors that impact ability to perform job duties, and recognize crisis situations or risks to the member's safety and respond appropriately.
Travels to meet families within the community.
Other duties as assigned.
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
2+ years' experience working as a family peer specialist.
Peer Specialist certification as required by the state.
CFPS/National Peer Support Credential required within one year of hire.
Must be or have been a parent or caregiver of a child who is or who has in the past received services from a child-serving agency for mental health related issues.
Applicants must be able to draw from their own personal experience of parenting or caregiving for a child or youth with significant mental health or substance use challenges; negotiating services and supports for their child and family; be familiar with key resources for children, youth and families in the community; be able to transcend personal events to provide unconditional support and assistance to families.
Positive attitude that communicates hope and a recovery and resiliency orientation; approachable and empathetic; strong people skills.
Must have a vehicle in good, working condition with the ability to travel within the community regularly.
Working knowledge of Microsoft Office Product Suite.
Ability to make decisions that require significant analysis of solutions, and quick, original, and independent thinking.
Ability to determine appropriate courses of action in complex situations that may not be addressed by existing policies or protocols.
Knowledge of local mental health, substance use, and community systems; wellness strategies, resiliency and recovery principles, practices, and tools, such as system of care, Wellness Recovery Action Plans (WRAP), wraparound process, and community-based peer, family and parent support organizations and services.
Strong interpersonal and organizational skills and effective verbal and written communication skills.
Ability to represent strengths and needs of families and members in clinical settings.
Ability to summarize and document findings and maintain complete and accurate records.
Must be able to work effectively, independently and in a team, and prioritize in a fast-paced environment to meet the demands of the organization.
General Job Information
Title
Family Support Navigator
Grade
19
Work Experience - Required
Lived experience as parent/caregiver of a child with mental health challenges, Peer Specialist
Work Experience - Preferred
Education - Required
Education - Preferred
Associate
License and Certifications - Required
CPRS/CPS/CPSS/CRPS/PRSS, Peer Specialist, State Requirements - Care MgmtCare Mgmt, DL - Driver License, Valid In State - OtherOther
License and Certifications - Preferred
NCPS - National Certified Peer Specialist - Care MgmtCare Mgmt
Salary Range
Salary Minimum:
$37,725
Salary Maximum:
$56,595
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.
$37.7k-56.6k yearly Auto-Apply 60d+ ago
CISC Care Coordinator, Licensed
Magellan Health 4.8
Remote job
Independently 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 performed are either during face-to-face home visits or facility based depending on the assignment. 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. May act as a team lead for non-licensed care coordinators.
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 (e.g., 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 members' 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 goals.
Other Job Requirements
Responsibilities
Associate's Degree in Nursing required for RNs, or Master's Degree in Social Work or Healthcare-related field, with an independent license, for Social Workers.
Licensed in State that Services are performed and meets Magellan Credentialing criteria.
2+ years' post-licensure clinical experience.
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 establish strong working relationships with clinicians, hospital officials and service agency contacts. Computer literacy desired.
Ability to maintain complete and accurate enrollee records. Effective verbal and written communication skills.
General Job Information
Title
CISC Care Coordinator, Licensed
Grade
24
Work Experience - Required
Clinical
Work Experience - Preferred
Education - Required
Associate - Nursing, Master's - Social Work
Education - Preferred
License and Certifications - Required
DL - Driver License, Valid In State - Other, LISW - Licensed Independent Social Worker - Care Mgmt, LMHC - Licensed Mental Health Counselor - Care Mgmt, LMSW - Licensed Master Social Worker - Care Mgmt, LPCC - Licensed Professional Clinical Counselor - Care Mgmt, LPN - Licensed Practical Nurse - Care Mgmt, PSY - Psychologist - Care Mgmt, RN - Registered Nurse, State and/or Compact State Licensure - Care Mgmt
License and Certifications - Preferred
Salary Range
Salary Minimum:
$58,440
Salary Maximum:
$93,500
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.
$58.4k-93.5k yearly Auto-Apply 60d+ ago
Telecom Senior Software Engineer
Magellan Health 4.8
Remote job
Telecom Senior Software Engineer will design, build, and maintain software and systems for communication networks, focusing on coding, testing, integrating, and optimizing network performance, security, and user experience, working with API's, protocols, hardware, and cross-functional teams to ensure reliable, efficient data exchange. Key responsibilities include developing applications, automating tasks, troubleshooting, and documenting specifications for complex systems.
Key Responsibilities
Software Development: Code, test, and maintain telecom applications, focusing on Genesys Cloud UCaaS and CCaaS, VoIP, chat and email, and data services.
Performance Optimization: Enhance network efficiency, reliability, and security.
Protocol Implementation: Work with networking protocols and standards.
Collaboration: Partner with network engineers, architects, and other teams.
Troubleshooting & Maintenance: Debug issues and ensure smooth operation.
Documentation: Create technical specifications, network diagrams, and system documentation.
Essential Skills & Qualifications
Education: Degree in Electrical Engineering, Computer Science, or related field.
Technical Skills: Strong programming, knowledge of telecom standards, networking frameworks, RESTful web service structure and utilization, and specific technologies (e.g., Genesys Cloud UCaaS and CCaaS, VoIP).
Soft Skills: Problem-solving, attention to detail, analytical thinking, teamwork.
This position services as an expert technical and industry resource to management, clients and development staff in new uses of information technology and in all phases of major system and subsystem development. Provides consultation on internal and industry IT technical and business process capabilities including leadership in the identification and recommendation of new IT opportunities. Formulates, contributes to, and directs task identification, work effort estimates, and work schedules for research, prototype, and proof-of-concept IT activities. Directs and participates in software/hardware releases and installation tasks.
Analyzes problems and program in two or more programming language/platforms.
Understands and develops functional and non-functional requirements for a system.
Works with multiple programming frameworks.
Develops, tests and maintains code using software development methodology and appropriate technologies for the system being used.
Integrates systems to databases and other applications using middleware such as SnapLogic and consume or produce SOAP or REST based services, etc.
Agile, DevOPS and Cloud:
Possesses proficiency in automated testing strategies, including TDD.
Understands advanced concepts of Containers, Micro-Services, Continuous Integration.
Understands Cloud computing concepts and how to build Cloud deployable application.
Performs load and performance testing on the application and do regular performance tuning.
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
2+ years of programming experience.
Strong working knowledge of modern programming languages including JavaScript, Java, Swift etc.
Critical thinker.
Demonstrated problem solving techniques.
Strong verbal and written communication skills.
General Job Information
Title
Telecom Senior Software Engineer
Grade
27
Work Experience - Required
IT
Work Experience - Preferred
Education - Required
A Combination of Education and Work Experience May Be Considered., Bachelor's, Bachelor's - Computer and Information Science
Education - Preferred
License and Certifications - Required
License and Certifications - Preferred
Salary Range
Salary Minimum:
$77,785
Salary Maximum:
$124,455
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.
$77.8k-124.5k yearly Auto-Apply 11d ago
Xray Tech
Health Advocates Network 4.5
Health Advocates Network job in Elyria, OH
Benefits We Offer: + Comprehensive health, prescription, dental, vision, life, and disability plans + Competitive pay rates + Referral opportunities ? Refer a friend & Cash in! + Travel reimbursement and per diem allowances + Employee discounts + Educational opportunities
Health Advocates Network was founded based on a shared aspiration to improve the way healthcare staffing is done. We are a company founded by healthcare professionals and built for healthcare professionals. As your true advocates, we will always help you thrive and pave the path forward in your career. Our talented staffing team is committed to providing exceptional customer service, great opportunities with top pay and benefits.
From Per Diem to Travel Contracts, miles away or local to you, Health Advocates Network can find you just what you are looking for. Allow us to get you to you next adventure!
Health Advocates Network, Inc. is an equal opportunity employer. All qualified applicants shall receive consideration for employment without regard to any legally protected basis under applicable federal, state or local law, except where a bona fide occupational qualification applies. EOE including Veterans/Disability
Zippia gives an in-depth look into the details of Health Advocates, including salaries, political affiliations, employee data, and more, in order to inform job seekers about Health Advocates. The employee data is based on information from people who have self-reported their past or current employments at Health Advocates. The data on this page is also based on data sources collected from public and open data sources on the Internet and other locations, as well as proprietary data we licensed from other companies. Sources of data may include, but are not limited to, the BLS, company filings, estimates based on those filings, H1B filings, and other public and private datasets. While we have made attempts to ensure that the information displayed are correct, Zippia is not responsible for any errors or omissions or for the results obtained from the use of this information. None of the information on this page has been provided or approved by Health Advocates. The data presented on this page does not represent the view of Health Advocates and its employees or that of Zippia.