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Health Information Provider remote jobs

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  • Fully Licensed Mental Health Clinicians (LPC or LCSW) Hybrid (Virtua

    Vbts., PLLC (D.B.A. Atlas Counseling Group-ACG

    Remote job

    Flexible Part-Time or Full-Time ) About Us: Atlas Counseling Group (ACG) is a bilingual, trauma-informed mental health practice serving children, adolescents, adults, and families. We specialize in hybrid service delivery offering both in-person and virtual sessions-we work with state agencies, foster to adopt agencies, to reach underserved populations. Our team is built around clinical integrity, accountability, and meaningful impact. We are currently expanding and looking for fully licensed, experienced clinicians who are passionate about client care and value the freedom of flexible scheduling within a supportive, well-organized environment. Position Overview: We are seeking Licensed Professional Counselors (LPC) and Licensed Clinical Social Workers (LCSW) who are fully licensed in Texas and ready to join a growing practice that values both autonomy and collaboration. This position is ideal for clinicians who enjoy meaningful work with diverse clients, appreciate strong systems, and prefer a part-time or full-time subcontracting model. Key Responsibilities: Provide therapy to individuals and/or families (client population based on your preference and expertise) Conduct intake assessments, develop treatment plans, and complete session documentation per compliance standards Maintain a caseload with the flexibility to grow based on your availability Collaborate with the admin team for scheduling and client coordination Adhere to high standards of ethical, timely, and culturally responsive care Requirements: Active Texas license as LPC or LCSW (Associates/Interns are not eligible for this position) Strong clinical documentation and communication skills Ability to work independently while adhering to agency procedures Comfortable working in a hybrid format (virtual + limited in-person, depending on client needs and your location) Experience with evidence based interventions is a plus but not required as long as candidate is open to learning Bilingual in Spanish is a plus, but not required Position Details: Contract Type: 1099 Subcontractor or Full time Caseload: Flexible and built around your schedule and interests Pay: Competitive per-session rates (based on licensure and experience) Location:722 Pin Oak Rd., STE 220, Katy, Tx 77450. 1 or 2 days a week in office the others virtual. What You Can Expect: Steady referrals and scheduling support Flexible hours and autonomy over your caseload Responsive administrative support and EHR system access A trauma-informed, mission-focused team culture To Apply: Please email your resume and a brief statement of interest to . Applicants must be fully licensed in Texas as an LPC or LCSW. We are hiring on a rolling basis.
    $35k-60k yearly est. 60d+ ago
  • Healthcare Financial Management, Department of Marketing, Management, and Health Care Administration - Adjunct Faculty

    Umgc

    Remote job

    Adjunct Faculty Healthcare Financial Management Department of Marketing, Management, and Health Care Administration UMGC Stateside University of Maryland Global Campus (UMGC) seeks adjunct faculty to teach in the Health Care Administration program remotely. Specifically, we are seeking faculty for the following course(s): Healthcare Financial Management (HMGT 322): An overview of the acquisition, allocation, and management of the financial resources of healthcare organizations. Economic and accounting practices are discussed in terms of budget administration, cost analysis, financial strategies, and internal controls. The goal is to examine financial information and regulatory requirements and policies, identify issues and solve problems, and make sound financial decisions in the healthcare field. Healthcare Economics (HMGT 435): A comprehensive and analytical study of basic economics and its relationship to the delivery of healthcare. The aim is to apply the principles of economics to healthcare management and to anticipate the impact of economics on the outcomes of healthcare management decisions. Topics include the microeconomic aspects of the organization and delivery of healthcare, financing and other major components of the healthcare system, and economic factors that influence the delivery of healthcare. Financial Management for Healthcare Organizations (HCAD 640): An in-depth study of healthcare economics and the financial management of healthcare organizations. The economic principles underlying the American healthcare market and the financial management of health services organizations within that market are examined. Analysis covers healthcare industry regulation, licensure, and certification and various coverage and healthcare payment mechanisms. Topics also include reimbursement mechanisms and their effect on healthcare provider organizations, managed care, capitation, and per case or per diagnosis payment, as well as how these financial strategies are utilized by third-party payers. Focus is on financial challenges, such as uncompensated care, cost increases, increased competition, and increased regulation, and how healthcare providers should respond to them. Ratio analysis, cost analysis, and other financial management techniques are also explored. Strategic Financial Management in Healthcare (HCAD 645): An in-depth study of the concepts and competencies needed to plan the usage and management of enterprise financial resources to achieve long-term organizational objectives and return maximum value in a volatile healthcare finance environment. Emphasis is on identifying and quantifying available or potential resources, devising a plan for utilizing finances and other capital resources to achieve goals, and capital budgeting and management. Topics also include risk analysis, multiple financing methods, supply chain costs, valuation, and mergers and acquisitions. Current accounts and working capital management are explored, as are strategic planning and financial forecasting. Macroeconomic principles are investigated as they relate to the healthcare system. Analysis covers free market and mixed market economies, barriers to free market economies, and the application of macroeconomics as an analytical tool to craft economic and fiscal policy. Required Education and Experience: Master's degree in Healthcare Management, Public Health, Health Admin, or a related field from an accredited institution of higher learning 5 years directly relevant, current and active industry experience in Healthcare. 3 years of experience teaching adult learners online and in higher education. This position is specifically to teach remotely. Preferred Education and Experience: Terminal degree in Healthcare Management, Public Health, Health Admin, or a related field from an accredited institution of higher learning Hold one or more certification such as CPHIMS, CHDA, CHFP, CPA, CPHQ, LSSGB/LSSBB, PMP, FACHE, RHIA/RHIT/CHDA/CHPS/CPHIMS, FACHE/CHFP/CPA, PMP, CISSP Materials needed for submission: Resume/Curriculum Vitae Cover letter highly preferred If selected, candidates with international degrees may be required to submit a translation/degree evaluation from a NACES approved vendor. Who We Are and Who We Serve UMGC-one of 12 degree-granting institutions in the University System of Maryland (USM)-is a mission- driven institution with seven core values that guide us in all we do. At the top of the list is "Students First,” and we strive to do just that for our 90,000 students at home and abroad. From its start in 1947, UMGC has demonstrated its commitment to adult learners. We recognize that adult students need flexibility and options. UMGC is proud to be a global, 24-hour, institution of higher learning. The typical UMGC student is an adult learner juggling a career, family, and other priorities. Roughly 80% work full time, half are parents, and half are minority students. They are continuing their education to better themselves, their families, and their professional opportunities. UMGC is also a leading higher education provider to the U.S. military, enrolling 55,000 active-duty service members, reservists, National Guard members, veterans, and family members annually. We are proud of our military heritage and are committed to this service. The Adjunct Faculty Role at UMGC UMGC is committed to helping students achieve success not only with us, but also in their professional fields. As a result, we actively seek faculty members who are scholar-practitioners: professionals who are actively and successfully engaged in their field who additionally wish to help the next generation of professionals grow in their knowledge and expertise through education. Your role as an adjunct faculty member will be to: Actively engage students though frequent interaction that motivates them to succeed, and conveys a genuine energy and enthusiasm for their learning. Guide students in active collaboration and the application of their learning in problem- and project-based learning demonstrations. Provide rich and regular constructive feedback, utilizing rubrics effectively for the assessment of student work, and acknowledging student accomplishments. Demonstrate relevant and current subject-matter expertise, and help students connect concepts across their academic program. Provide feedback to your program chair on possible curricular improvements. The Healthcare Administration program at UMGC Please visit Online Healthcare Administration Master's Degree | UMGC to learn more about this program, including its description, outcomes, and coursework. Faculty Training at UMGC We are committed to your professional success at UMGC. Each new faculty member is required to successfully complete our online two-week new faculty orientation, FacDev 411, as a condition of hire. Position Available and will Remain Open until Filled Salary Commensurate with Experience All submissions should include a cover letter and resume. The University of Maryland Global Campus (UMGC) is an equal opportunity employer and complies with all applicable federal and state laws regarding nondiscrimination. UMGC is committed to a policy of equal opportunity for all persons and does not discriminate on the basis of race, color, national origin, age, marital status, sex, sexual orientation, gender identity, gender expression, disability, religion, ancestry, political affiliation or veteran status in employment, educational programs and activities, and admissions. Workplace Accommodations: The University of Maryland Global Campus Global Campus (UMGC) is committed to creating and maintaining a welcoming and inclusive working environment for people of all abilities. UMGC is dedicated to the principle that no qualified individual with a disability shall, based on disability, be excluded from participation in or be denied the benefits of the services, programs, or activities of the University, or be subjected to discrimination. For information about UMGC's Reasonable Workplace Accommodation Policy or to request an accommodation, applicants/candidates can contact Employee Accommodations via email at employee-accommodations@umgc.edu. Benefits Package Highlights: Health Coverage: Access to health care, medical with vision, dental, and prescription plans for both individuals and families, effective from the 1st of the month following your hire date. NOTE: Adjuncts are not eligible for the State of Maryland subsidized rates. Adjuncts would be responsible for the total cost if enrolled. Insurance Options: Term Life Insurance and Accidental Death and Dismemberment Insurance. Supplemental Retirement Plans: include 401(k), 403(b), 457(b), and various Roth options. The university does not provide matching funds. For additional information please see: SS Adjunct Faculty_2020.pdf (umgc.edu) Hiring Range by Rank and Degree: Instructor: No Terminal Degree: Step 1 $806 - Step 11 $1,050 per credit hour Assistant Adjunct Professor: No Terminal Degree Step 1 $877 - Step 11 $1,127 per credit hour Assistant Adjunct Professor: Terminal Degree Step 1 $1,023 - Step 11 $1,288 per credit hour Associate Adjunct Professor: No Terminal Degree Step 1 $947 - Step 11 $1,205 per credit hour Associate Adjunct Professor: Terminal Degree Step 1 $1,202 - Step 11 $1,483 per credit hour Adjunct Professor: No Terminal Degree Step 1 $1,023 - Step 11 $1,288 per credit hour Adjunct Professor: Terminal Degree Step 1 $1,347 - Step 11 $1,645 per credit hour
    $56k-81k yearly est. Auto-Apply 28d ago
  • Health Information Operations Manager

    Datavant

    Remote job

    Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. The Health Information Operations Manager focuses on both front-line People management and leading as account manager at designated sites. The Health Information Operations Manager is responsible for client/customer service and serves as a knowledge expert for the HIS staff. This role may also assist leadership with planning, developing and implementing departmental or regional projects. The Health Information Operations Manager provides support to the VPO. The Health Information Manager will also assist in the new hire process, meeting with clients, and developing staff at multiple sites. You will: Primary Account Manager to Customer Mentor hourly staff and supervisor team for further professional development Responsible for P&L management ($2M+) Oversee the safeguarding of patient records and ensuring compliance with HIPAA standards Own the management of patient health records Participates in project teams and committees to advance operational Strategies and initiatives Lead continuous improvement efforts to better business results What you will bring to the table: Experience in a healthcare environment Passion to identify process improvements and provide solutions Demonstrated ability in leading employees and processes successfully (20+) Coordinates with site management on complex issues Knowledge, experience and/or training in accurate data entry, office equipment and procedures Open to travel up to 50% of the time to multiple sites based on the needs of the region Bonus points if: 2 + years in HIM related experience Provider Care Solution experience ROI exposure RHIT or RHIA Credentials We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. At Datavant our total rewards strategy powers a high-growth, high-performance, health technology company that rewards our employees for transforming health care through creating industry-defining data logistics products and services. The range posted is for a given job title, which can include multiple levels. Individual rates for the same job title may differ based on their level, responsibilities, skills, and experience for a specific job. The estimated total cash compensation range for this role is:$72,000-$78,000 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the ‘Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy.
    $72k-78k yearly Auto-Apply 5d ago
  • HIM Coder Analyst II-REMOTE within State of TX

    Cook Children's Medical Center 4.4company rating

    Remote job

    Department: HIM-Coding Shift: First Shift (United States of America) Standard Weekly Hours: 40 The HIM Coder Analyst II requires advanced knowledge of and skill in applying International Classification of Diseases and Procedures (ICD), and Current Procedural Terminology (CPT) code sets and associated Medicare/Medicaid rules and guidelines. Reviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-10-CM and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for ambulatory surgery, special procedure, observation, emergency department, outpatient ancillary and clinic visit records. Primarily codes complex ambulatory surgery and observation visit medical records. Identifies and abstracts specified information from the patient medical record and enters data into the electronic health record system for billing and use in all types of CCHCS reporting. Assists with coding outpatient ancillary clinic, specialty clinic and emergency room record coding as necessary. Minimum expected accuracy rate for all coding assignments is 95%. Communicates with physicians and other providers regarding documentation requirements and collaborates with Clinical Documentation Specialists on patient cases regarding documentation needs and requirements, and coding assignment accuracy. Maintains current knowledge of coding and documentation changes, rules and guidelines. Education & Experience: High School Diploma or Equivalent required. RHIA, RHIT or CCS with one (1) year minimum current and continuous full-time ICD-10-CM& CPT-4 ambulatory surgery, observation and/or inpatient coding and abstracting experience required. Pediatric coding experience highly desired. Technically competent and fluent knowledge in navigation of electronic health record applications, automated encoders, and other software applications and hardware required for job role required. Experience using Microsoft Office Excel and Word highly desired. Ability to work well independently and productively with minimal guidance and without direct supervision. Must be highly detail oriented, have the ability to remain focused with good organization, interpersonal and communication skills. Ability to maintain confidentiality. Goal oriented, flexible and energetic. Demonstrates coding skills, and critical thinking skills. Ability to solve problems appropriately using job knowledge and current policies and procedures. Demonstrated coding knowledge and proficiency is required through on-site skills assessment with a passing score of 90% prior to hire. Certification/Licensure: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) required. Required to provide current American Health Information Management Association (AHIMA) continuing education certification records. About Us: Cook Children's Medical Center is the cornerstone of Cook Children's, and offers advanced technologies, research and treatments, surgery, rehabilitation and ancillary services all designed to meet children's needs. Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer.
    $50k-61k yearly est. Auto-Apply 60d+ ago
  • HIM Coder-Inpatient

    Rush University Medical Center

    Remote job

    Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Medical Records **Work Type:** Full Time (Total FTE 1.0) **Shift:** Shift 1 **Work Schedule:** 8 Hr (8:00:00 AM - 4:30:00 AM) Rush offers exceptional rewards and benefits learn more at our Rush benefits page (***************************************************** **Pay Range:** $29.36 - $47.79 per hour Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush's anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case. **Summary:** Accurately and independently makes decisions based on specialized knowledge and standard protocol. This includes, but is not limited to coding inpatient and outpatient. Exemplifies the Rush mission, vision, and values, and acts in accordance with Rush policies and procedures. **Other information:** Knowledge, Skills, and Abilities: High School (GED) required RHIA, RHIT, and/or CCS Certification required Minimum 3 years experience in medical record coding required Knowledge of medical terminology and anatomy and physiology required Windows applications, Outlook, WebEx and other apps as needed to perform role Cooperates well with others Competent attention to detail and accuracy Proficient with computer use and software applications Ability to concentrate on task at hand in open distracting environment independent manner; minimizing distractions in private work-from-home space Ability to apply local, state, and federal coding guidelines with attention to detail. **Responsibilities:** - Assigns ICD-10-CM-PCS and/or CPT-4 diagnostic and procedure codes to patient charts with accuracy and attention to detail - Abstracts selected data items and enters in 3M encoder/Epic software with accuracy and attention to detail - Completes UHDDS data abstraction as required - Maintains a log of work performed - Completes other assigned duties as directed by management Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics. **Position** HIM Coder-Inpatient **Location** US:IL:Chicago **Req ID** 18359
    $29.4-47.8 hourly 58d ago
  • Coordinator, Managed Care I - Behavioral Health/ Substance Abuse focused

    Palmetto GBA 4.5company rating

    Remote job

    Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and established clinical criteria to service requests. Utilizes clinical proficiency and claims knowledge/analysis to assess, plan, implement, coordinate, monitor, and evaluate medical necessity and/or care plan compliance, options, and services required to support members in managing their health, chronic illness, or acute illness. Utilizes available resources to promote quality, cost effective outcomes. Description Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies, allowing us to build on various business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team! Position Purpose: Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and established clinical criteria to service requests. Utilizes clinical proficiency and claims knowledge/analysis to assess, plan, implement, coordinate, monitor, and evaluate medical necessity and/or care plan compliance, options, and services required to support members in managing their health, chronic illness, or acute illness. Utilizes available resources to promote quality, cost effective outcomes. Location: This is a remote position. What You'll Do: Performs medical or behavioral review/authorization process. Ensures coverage for appropriate services within benefit and medical necessity guidelines. Evaluates outcomes of plans, eligibility, level of benefits, place of service, length of stay, and medical necessity regarding requested services and benefit exceptions. May initiate/coordinate discharge planning or alternative treatment plans as necessary and appropriate. Ensures accurate documentation of clinical information to support and determine medical necessity criteria and contract benefits. Utilizes allocated resources to back up review determinations. Identifies and makes referrals to appropriate staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of Care Referrals, etc.). Participates in data collection/input into system for clinical information flow and proper claims adjudication. Demonstrates compliance with all applicable legislation and guidelines for all regulatory bodies, which may include but is not limited to ERISA, NCQA, URAC, DOI (State), and DOL (Federal). 1Provides patient education with members and providers regarding health care delivery system, utilization on networks and benefit plans. Serves as member advocate through continued communication and education. Promotes enrollment in care management programs and/or health and disease management programs. Maintains current knowledge of contracts and network status of all service providers and applies appropriately. Assists with claims information, discussion, and/or resolution and refers to appropriate internal support areas to ensure proper processing of authorized or unauthorized services. Provides appropriate communications (written, telephone) regarding requested services to both health care providers and members. To Qualify For This Position, You'll Need The Following: Required Education: Associate's in a job related field. Degree Equivalency: Graduate of Accredited School of Nursing or 2 years job related work experience . Required Work Experience: 2 years clinical experience. Required Skills and Abilities: Working knowledge of word processing software. Ability to work independently, prioritize effectively, and make sound decisions. Good judgment skills. Demonstrated customer service, organizational, and presentation skills. Demonstrated proficiency in typing, spelling, punctuation, and grammar skills. Demonstrated oral and written communication skills. Ability to persuade, negotiate, or influence others. Analytical or critical thinking skills. Ability to handle confidential or sensitive information with discretion. Required Software and Tools: Microsoft Office. Required Licenses and Certificates: Active, unrestricted RN licensure from the United States and in the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC), OR, active, unrestricted LMSW (Licensed Master of Social Work) licensure from the United States and in the state of hire, OR active, unrestricted licensure as Counselor, or Psychologist from the United States and in the state of hire. We Prefer That You Have The Following: Preferred Education: Bachelor's degree- Nursing. Preferred Work Experience: work experience in healthcare program management, utilization review, or clinical experience in defined specialty. Specialty areas are oncology, cardiology, neonatology, maternity, rehabilitation services, mental health/chemical dependency, orthopedic, general medicine/surgery. Preferred Skills and Abilities: Working knowledge of spreadsheet, database software. Knowledge of contract language and application. Thorough knowledge/understanding of claims/coding analysis/requirements/processes. Our Comprehensive Benefits Package Includes The Following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment. Subsidized health plans, dental and vision coverage 401k retirement savings plan with company match Life Insurance Paid Time Off (PTO) On-site cafeterias and fitness centers in major locations Education Assistance Service Recognition National discounts to movies, theaters, zoos, theme parks and more What We Can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company. What To Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email ************************ or call ************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information.
    $37k-53k yearly est. Auto-Apply 3d ago
  • Behavioral Health Care Coordinator

    Imagine Pediatrics

    Remote job

    Who We Are Imagine Pediatrics is a tech enabled, pediatrician led medical group reimagining care for children with special health care needs. We deliver 24/7 virtual first and in home medical, behavioral, and social care, working alongside families, providers, and health plans to break down barriers to quality care. We do not replace existing care teams; we enhance them, providing an extra layer of support with compassion, creativity, and an unwavering commitment to children with medical complexity. The primary location for this role is remote, and expected schedule requirements are Monday to Friday, 8:00am - 5:00pm central. What You'll Do As a Behavioral Health Care Manager (BHCM) with Imagine Pediatrics, you will work with the families of medically complex children providing case management services in accordance with Case Management Society of American (CMSA) Standards of Practice for members enrolled in Imagine Pediatrics behavioral health program. You will work alongside pediatricians, nurses, care coordinators, and other healthcare professionals. Your primary responsibilities will include: Monitor high-risk pediatric patients (up to 19 years old), some recently discharged from the hospital, ensuring appropriate follow-up and clinical management, and adjusting care plans as needed. Conduct biopsychosocial assessments to address behavioral, social, emotional, and systemic needs of the patient and family. Create and evaluate the effectiveness of the patient/family's care plan and modify based on families evolving needs and goal progression. Provide intervention that is consistent with the social/emotional/physical needs of patients and caregivers such as mental health crises, behavioral issues, and family conflict. Facilitate case management and support that requires clinical expertise in various systems with focus on helping patients and families negotiate the complexities involved with a mental health diagnosis. Resource validated external services requested by the family to meet behavioral and social needs such as social services agencies and behavioral specialists. Provides interventions in response to crisis to de-escalate and stabilize patient and family members Provides psychoeducation on the nature of mental health diagnosis and progression, the importance of treatment adherence, and related information as appropriate Collaborate with external care team members regularly including school systems, specialists, and DFPS as needed. Participate in ongoing scheduled consultations with an interdisciplinary team to monitor patient progress Represent Imagine Pediatrics commendably to patients, families, providers, and community Performs other duties and assumes other responsibilities as assigned by manager What You Bring & How You Qualify First and foremost, you're passionate and committed to creating the world our sickest children deserve. You want an active role in building a diverse and values-driven culture. Things change quickly in a startup environment; you accept that and are willing to pivot quickly on priorities. In this role, you will need: Masters' degree with major course work in social work or related field required Provisional licenses (LMSW, PLPC, LAMFT) preferred Minimum 3-5 years of post-graduate experience in health care social work/Case management in behavioral health Required. Experience working with pediatric population and family systems required Proficiency in motivational interviewing practices and/or techniques; goal setting and intervention; assessment of needs Knowledge of social work including crisis prevention and intervention Experience with providing telehealth services Knowledge of MS Office Suite and ability to work in online platforms Bilingual Spanish required Strong knowledge of behavioral health principles and practices Proficient in trauma-informed care practices Strong knowledge of mental health common signs and symptoms and able to identify difficulties with coping Role is remote with 10% travel necessary for training/education purposes Ability to work afternoons and evenings What We Offer (Benefits + Perks) The role offers a base salary range of $70,000 - $77,000 in addition to annual bonus incentive, competitive company benefits package and eligibility to participate in an employee equity purchase program (as applicable). When determining compensation, we analyze and carefully consider several factors including job-related knowledge, skills and experience. These considerations may cause your compensation to vary. We provide these additional benefits and perks: Competitive medical, dental, and vision insurance Healthcare and Dependent Care FSA; Company-funded HSA 401(k) with 4% match, vested 100% from day one Employer-paid short and long-term disability Life insurance at 1x annual salary 20 days PTO + 10 Company Holidays & 2 Floating Holidays Paid new parent leave Additional benefits to be detailed in offer What We Live By We're guided by our five core values: Our Values: Children First. We put the best interests of children above all. We know that the right decision is always the one that creates more safe days at home for the children we serve today and in the future. Earn Trust. We listen first, speak second. We build lasting relationships by creating shared understanding and consistently following through on our commitments. Innovate Today. We believe that small improvements lead to big impact. We stay curious by asking questions and leveraging new ideas to learn and scale. Embrace Humanity. We lead with empathy and authenticity, presuming competence and good intentions. When we stumble, we use the opportunity to grow and understand how we can improve. One Team, Diverse Perspectives. We actively seek a range of viewpoints to achieve better outcomes. Even when we see things differently, we stay aligned on our shared mission and support one another to move forward - together. We Value Diversity, Equity, Inclusion and Belonging We believe that creating a world where every child with complex medical conditions gets the care and support, they deserve requires a diverse team with diverse perspectives. We're proud to be an equal opportunity employer. People seeking employment at Imagine Pediatrics are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information, or characteristics (or those of a family member), pregnancy or other status protected by applicable law.
    $70k-77k yearly Auto-Apply 16d ago
  • Care Coordinator (Bilingual Preferred)

    Kooth

    Remote job

    About Us: At Kooth, our mission is to create a welcoming space for effective personalized digital mental health care that is available to all. We do this by leveraging an early intervention model and theory of change that empowers young people (13-25 years old) to overcome challenges, unlock their full potential, and lead fulfilling lives. We're not just a service; we're a culture of care - committed to inclusivity, innovation, and impact. Our culture is driven by our values - Alongside You, Flexible, Compassionate, Committed, and Safe. These values are present in the work that we do, the environment in which we do it, and in the relationships we have with our service users, peers, and leaders. With Kooth, you will be a part of something bigger than yourself. We offer more than just a job. We offer you the chance to positively impact one of the greatest challenges of our time. What We're Looking For: Responsible for providing support within Kooth's Contact Center and Care Coordination Services, the Care Coordinator will play a dual role. They will handle inbound calls in the Contact Center while also supporting Care Coordination for our service users. Responsibilities include responding to inquiries about the Kooth platform, assisting with account creation, and scheduling coaching sessions with Kooth practitioners. Additionally, the Care Coordinator will coordinate appointments or services with external agencies and providers to ensure that Kooth service users receive the care and support they need. What You'll Do:Main responsibilities: Call Center Support: Memorize scripts for products and services, and refer to them during calls Build positive service user experience by going above and beyond with customer service, answering questions, providing support, and ensuring schedules, cancellations, and appointment confirmations are handled appropriately Provide helpful solutions to service user needs or concerns Meet SLA targets and achieve all objectives for service, productivity, and quality Create and maintain record of daily problems and remedial actions taken Care Coordination: Build a positive service user experience by going above and beyond to support the service user in coordination with the practitioners. Develop and maintain relationships with external organizations, including relationships with affiliate network providers. Communicate with service users and external resources/providers as appropriate in order to provide a seamless transition/ care experience Contact insurance carriers to verify a patient's insurance eligibility, benefits, and requirements Clearly document all communications and contacts with referral partners and service users in standardized documentation and messaging Handle practitioner referrals and service user outreach; maintain clear and concise communications with service users and service agencies Scheduling with Kooth Practitioners: Understand practitioner schedules and schedule according to availability Successfully connect calls between the Kooth service user and the translation vendor in support of coaching and telecoaching sessions Deliver Superior Service User Experience: Deliver an extremely high degree of compassion, motivation, and commitment related to support for service users Provide exceptional customer service and build rapport with service users Professional and courteous demeanor in all forms of communication Takes ownership and applies rigor to all tasks assigned and understands the direct impact this role has on business operations and service delivery. Must have a quiet work environment to take and make phone calls Requirements What You'll Bring: 6 months or more of experience with healthcare referrals /care coordination Experience with inbound call center Experience within a physician practice or large health system is strongly preferred Bilingual English and Spanish (preferred) Benefits What You'll Get: Compensation: This role offers an hourly rate of $23-$25, based on experience. We're committed to transparency and value our candidates time, which is why we share salary ranges in all states-regardless of local requirements. Final compensation will be based on a variety of factors, including your education, experience, skills, and overall alignment with the role. Kooth offers a competitive base salary, employee equity program, and comprehensive benefits including: Excellent Medical, Dental, and Vision Coverage 401(K) Retirement Plan with company match Generous Paid Time Off and paid holidays Remote-first flexibility and work-from-home support Paid parental leave Learning & development opportunities Equal Employment Opportunity: Kooth is committed to creating an inclusive workplace and provides equal employment opportunities to all individuals regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law. All employment decisions are based on merit, qualifications, and business needs. Reasonable Accommodations: Kooth is committed to providing reasonable accommodations for candidates with disabilities, sincerely held religious beliefs, or other protected reasons under applicable law. If you require accommodations during the application or interview process, please contact our HR team. Ready to Join Us? If you're ready to make a meaningful impact and be part of a team that values purpose-driven work, apply today. Together, we're shaping the future of digital mental health care.
    $23-25 hourly Auto-Apply 20d ago
  • Care Coordinator

    Two Chairs

    Remote job

    Two Chairs is building a new kind of mental health system based on the idea that the status quo isn't good enough. Industry-best clinician experiences, better client outcomes, groundbreaking innovation, and access to the highest quality care are how we'll raise the bar for the entire industry. With that, we're excited and honored to have been recognized as a 2025 Great Place to Work, 2025 Fortune's Best Workplaces in Healthcare, and 2024 Inc.'s Best in Business One of our company values is "Embrace Differences" and diversity, equity, inclusion, and belonging are the principles guiding how we build our business and teams. We encourage interested candidates from all backgrounds to apply even if they don't think they meet some expectations of the role. About the role Care Coordination is part of our Care Operations team, which supports the operational processes needed to deliver exceptional mental healthcare. Care Coordination is a customer support team whose mission is to deliver and facilitate a best-in-class experience to our clients and to our clinical team. Care Coordination operates at the juncture of many functions and collaborates with Product & Engineering, Clinical Care, Care Operations, Marketing, and Business Development. You'll be responsible for supporting our prospective and active clients throughout their care journey at Two Chairs. Core Areas of Responsibility Client Communications Support our clients via phone and email in 8 hour shifts between 9am - 5pm PST/EST. Serve as an empathetic point of contact for clients as they navigate care at Two Chairs. Explain basic insurance benefits and Two Chairs billing & insurance processes to prospective clients and/or clients actively in care. Continue to support clients throughout their care journey by answering questions related to care logistics and billing and insurance. Clinician Communications Support our clinical team with various operational workflows such as scheduling logistics and refund requests. Help redirect clinician questions to the right team when necessary. Impact and Success Indicators Where you'll make an impact in the first 90 days: Onboard into Care Coordinator workflows Begin to work independently on basic client and clinician communications Where you'll make an impact in the first year: Remove common barriers to seeking mental healthcare by providing accessible, supportive, and informative support to our clients Support with onboarding new Care Coordinators Be a key contributor to company priorities by helping ease processes for our clients and clinicians. You'll be successful if you are: Comfortable speaking on the phone with a diverse range of clients Excited about communicating efficiently, clearly, and comprehensively Knowledgeable or interested in learning about health insurance and claims submission Detail-oriented and excited about problem-solving to get the job done Comfortable working in a metrics-based environment Excited about navigating a growing, rapidly changing, and sometimes ambiguous environment Compensation & Benefits The offer range is dependent on qualifications and experience. New hires can reasonably expect an offer between $47,005 and $55,300. The full salary range for this full-time, non-exempt role is $47,005 - $61,295. Equity in a high-growth start-up Paid time off, including nine paid holidays and an additional Winter Office Closure from Christmas Day (Observed) through New Year's Day Comprehensive medical, dental, and vision coverage 401(k) Retirement savings options One-time $200 Work from Home reimbursement Annual $1,000 Productivity & Wellness Stipend to support your personal and professional goals Annual $500 subsidized company contribution to your healthcare FSA or HSA Paid parental leave Outreach Notice to Applicants We are thrilled that you're interested in joining our team! To ensure a consistent and equitable hiring process for all candidates, we kindly ask that you refrain from reaching out to current employees regarding the role, your application, or the interview process. Our talent acquisition team is committed to carefully reviewing all applications and will reach out directly if they decide to move forward. All applicants must be authorized to work for ANY employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.
    $47k-61.3k yearly Auto-Apply 60d ago
  • Remote Primary Care Coordinator (Medical Assistant) Days/Nights

    Pine Park Health 3.6company rating

    Remote job

    ***This role is for the shift Mon/Tues/Wed (8:30am-5:00pm or 12:30pm-9:00pm) and Thurs/Fri 12:30pm-9:00pm PST*** Welcome to Pine Park Health! About Us Pine Park Health is a value-based primary care practice that is redesigning how residents of senior living communities get or stay healthy and lead a life they love. We're on a mission to dramatically improve healthcare for seniors by building a new model of care that's designed around everyone involved - patients, families, community staff members, providers, and payers. We've started by providing regular prevention and screening, care for chronic conditions, lab work, and diagnostic testing to patients in their apartments. We visit each community frequently to see patients and collaborate on patient health needs with staff. We also make it easier for patients to get care urgently with same-day or next-day care, helping them avoid unnecessary trips to the ER or hospital. Over 185 communities across Arizona, California, and Nevada work with Pine Park Health today and we're growing quickly to expand our reach and impact. Investors include First Round Capital, Google's AI fund, Canvas Ventures, Foundation Capital, Y Combinator, and Susa. If you're a determined and mission-oriented person who is looking to build the future of healthcare for seniors, join us! The Opportunity The Primary Care Coordinator serves as the central point of contact for our primary care geriatric care team, managing 500-600 patients alongside nurses and Primary Care Providers. The role focuses on coordinating patient care, maintaining relationships with senior living facilities, and ensuring excellent healthcare delivery through effective communication and documentation. ***This role is for the shift Mon/Tues/Wed (8:30am-5:00pm or 12:30pm-9:00pm) and Thurs/Fri 12:30pm-9:00pm PST*** Key Responsibilities: - Serve as primary contact for patients, families, and providers - Schedule and coordinate medical appointments - Manage patient documentation and EMR updates - Process urgent care calls and STAT tasks - Participate in mandatory after-hours shift rotation - Handle communications via phone, email, text, and fax - Coordinate with community partners and specialty providers - Facilitate new patient onboarding Key Evaluation Metrics: Success will be measured in the following focus areas: Inbound Phone Calls: -Answer 95% of inbound calls within 60 seconds and expect ~30 inbound calls / day -Aim for an average wait time of less than 30 seconds -Ensure caller wait times do not exceed 2 minutes Task Completion: -Messages and Clinical Emails: Address 95% within 2 hours -Complete routine tasks within 7 days; STAT tasks completed within 24 hours -Proactively contact all newly enrolled patients within 24 hours to schedule a welcome visit -Complete 100% of visit reminder calls each day and expect to make ~20 reminder calls / day Voicemails: -Close/resolve all urgent voicemails within 1 hour -Return non-urgent voicemails within 1 business day -Ensure after-hours voicemails are addressed within first 2 hours of next business day Patient Care Management: -Ensure accurate logging of all patient encounters for chronic care management -Log 6 hours per day of care coordination using our custom logging software -Assist with improvement projects related to quality and efficiency -Achieve a patient satisfaction survey score of 8.5/10 or higher Requirements: - Shift hours M-F 12:30am-9:00pm PST - High School Diploma (some college preferred) - Basic understanding of Primary Care Operations - Medical Assistant Certification preferred - Reliable internet and HIPAA-compliant workspace - Comfort with healthcare technology platforms - Ability to thrive in a fast-paced, changing environment - Attendance is critical in this role to ensure quality patient care - Must be able to work ~5 on call overnights and/or weekends - Ongoing Regulatory Requirement: Must not be on any exclusion or debarment from participation in Federal Health Care Programs at any time and must remain in good standing with government regulators such as the OIG, CMS, etc. Benefits Designed For You and Yours Stock Option Plan Paid Parental Leave Medical, Vision, and Dental Insurance 401K Retirement Plan Mileage and Cell Phone Reimbursement Annual Wellness Allowance Professional and Personal Development Annual Allowance FSA and Dependent Care FSA 10 Paid Holidays Paid Time Off Paid Sick days Physical Requirements: - Ability to remain seated for extended periods - High proficiency with computers and mobile devices This is not necessarily an all-inclusive list of job-related responsibilities, duties, skills, efforts, requirements, or working conditions. While this is intended to be an accurate reflection of the current job, the Company reserves the right to revise the job or to require that other or different tasks be performed as assigned. All job requirements are subject to possible revision to reflect changes in the position requirements or to reasonably accommodate individuals with disabilities. This job description in no way states or implies that these are the only duties to which will be required in this position, employees may be required to follow other job-related duties as requested by their supervisor/manager (within guidelines and compliance with Federal and State Laws). Continued employment remains on an “at-will” basis.
    $30k-39k yearly est. Auto-Apply 22d ago
  • Home Health and Hospice Coder

    Lorian Health 3.9company rating

    Remote job

    Job Details LHSD - SAN DIEGO, CA Fully Remote $27.00 - $31.00 HourlyDescription Who We Are: Lorian Health is a home health and hospice agency seeking energetic candidates to join our team of skilled professionals. Come join a home health agency that is thoughtful, generous, and family-oriented, placing focus on taking the best care of our patients and our employees! Lorian Health sets the highest quality standards for home health services in existence today. Foremost of these, is our belief in equanimity in regard to the treatment of all our patients. Lorian Health is committed to fostering a socially responsible environment within our organization and community and is determined to provide the highest caliber of health care for our patients and their families. What We Offer: We offer a comprehensive employee benefits package that includes, but is not limited to: Health, Dental, Vision, 401K with company match Competitive pay Paid vacation, holidays, and sick leave Full time includes company paid health insurance, dental insurance, vision insurance, paid life insurance, supplemental insurance and 401(k) plan with 4% match, as well as annual accrual of 10 vacation days,10 sick days, 9 holidays. Join our innovative team to help patients empower themselves to improve self-care. Qualifications Requirements: Must live in Pacific, Mountain or Central Time Zones Completion of coding specific coursework Current ICD-10 Coding Certification (HCS-D, BCHH-C, or HCS-H) Minimum of 1 year previous experience with Home Health ICD-10 coding with verified employment/experience are required. Minimum of 1 year previous experience with Hospice ICD-10 coding with verified employment/experience are required. Knowledge of and ability to follow appropriate skilled documentation under Medicare guidelines and conditions of participation. Knowledge of Patient Driven Grouping Models (PDGM) Knowledge of insurance reimbursement procedure. Ability to maintain confidentiality of records and information. Ability to be flexible, follow verbal and written instruction while working in a team oriented environment. Detail oriented with critical thinking and strong clinical judgement and analytical skills. Ability to demonstrate flexibility in response to unexpected changes in work volume and work schedule. Excellent interpersonal relation skills including active listening, conflict resolution, and team building. Communicates effectively with the clinical and office staff involved in any given case in a constructive, goal directed, and professional manner Excellent computer skills to include Microsoft applications (i.e. Word/Excel) and ability to type at least 40 wpm Preferred: OASIS certification (COS-C, HCS-O) Background on OASIS E Graduate of Bachelor is Science in health field Experience with HCHB software
    $55k-68k yearly est. 60d+ ago
  • Care Coordinator

    Sales Match

    Remote job

    Job Title: Remote Care Coordinator Hourly Pay: $18 - $24/hour We are seeking a compassionate Care Coordinator to assist clients in navigating their healthcare, social services, and community needs. You will develop and manage individualized care plans, ensuring clients have access to the services required for their well-being. If you're passionate about making a difference and have a background in social services or healthcare, we encourage you to apply. Key Responsibilities: Develop and manage care plans for clients, ensuring necessary services are in place Act as a liaison between clients and healthcare providers, ensuring coordinated care Monitor client progress and assist with access barriers to services Coordinate with family members, social workers, and healthcare professionals to ensure comprehensive care Educate clients and families about available services, resources, and rights Advocate for clients to ensure quality, timely care Maintain accurate case records in compliance with confidentiality standards Provide crisis support and connect clients with needed resources during emergencies Qualifications: Bachelor's degree in Social Work, Nursing, or related field 1-3 years of experience in case management, care coordination, or a related field Understanding of healthcare systems, social services, and community-based resources Strong communication, organizational, and interpersonal skills Ability to manage a caseload and handle multiple tasks Empathetic and compassionate, with a focus on client support Valid state licensure or certification as required Perks & Benefits: Competitive hourly pay: $18 - $24 Flexible work schedule and remote work options Health, dental, and vision insurance plans Paid time off, sick leave, and holidays Opportunities for professional development and training Supportive work culture focusing on work-life balance
    $18-24 hourly 60d+ ago
  • Pharmacy Care Coordinator - Engagement Specialist

    Stellus Rx

    Remote job

    We're opening eyes, hearts, and minds to the impact that a pharmacy team can have in changing lives. As part of Catalyst Health Group, Stellus Rx improves ease and outcomes in every moment that matters, along every health journey. Join our group of talented, committed team members-pharmacists, pharmacy care coordinators, technologists, product strategists and more-to create and expand the delivery of personalized health support that people didn't even know could be possible. The Pharmacy Care Coordinator - Engagement Specialist help our communities thrive by helping connect newly-referred patients to our Stellus Engage pharmacy team. The Pharmacy Care Coordinator - Engagement Specialist assists the Account Management team under the direction and supervision of the Clinical Pharmacy Specialists and Clinical Client Liaisons by providing support in identifying, outreaching, and educating patients about Stellus engage services through various communication channels. You will work closely with Stellus Rx leaders and across the organization, as we work collaboratively to unlock the health of millions of Americans by turning "use as prescribed" into a guarantee, not a direction. We are a culture that is unabashedly driven by purpose. We are making a difference to our patients and team members while growing at an accelerated rate. If you love serving others and would like to make a material difference in an industry‐transforming organization, then we invite you to apply to this role. Learn more about us at stellusrx.com. Accountabilities: This individual will need a broad working knowledge of the Stellus Engage service model or similar pharmacy-support services to drive enrollment growth and stellar patient satisfaction. You will develop superior customer experience knowledge and effectively educate and engage patients about the positive clinical impact pharmacy services can provide for them. Roles and Responsibilities: Assumes responsibility for a broad range of activities in the patient engagement workflow from patient outreach through scheduling Acts as a liaison for the patient between the referring physician or employer group and Engage pharmacist team Complete patient outreach via phone call and text message (SMS) to connect with referred patients about Stellus Engage services Confidently educate patients on Stellus Engage services and connection back to the PCP referral or employer group benefits Coordinate scheduling of patients with respective Engage pharmacist for CMA/IMA Professionally interact with patients on phone calls and text messages (SMS) Monitor referral queue and workflow for new patient referral funnel and support in referral entry from Leading Reach or other defined referral channel into Engage platform Support in UAT for application needs related to Account Management team sign off Understand confidentiality with respect to patient/client care; complying with all federal and state laws applicable to the confidentiality of protected health information (PHI) and electronic protected health information (EPHI); and follow HIPAA guidelines regarding readily identifiable protected health information. Complete tasks as assigned, related to the referral workflow and Account Management in general Accessing, inputting, and retrieving information through the Pharmacy's computer network to maintain accurate records. Comply with established procedures, rules, and regulations. Completes clear and concise documentation in Care Management programs. Promoting teamwork, professional services and clear communication Minimum Qualifications and Requirements: High school diploma or equivalent. Pharmacy technician license or pharmacy technician trainee license from the Texas State Board. Strong communication and customer service skills. Ability to read and transcribe pharmaceutical information. Sit for long periods of time, stand for intermittent periods of time. Flexibility to work from home.. PC literate, including Microsoft Office products. Analytical and interpretive skills. Strong organizational skills. Excellent interpersonal skills. Ability to work in a team environment. In-depth knowledge of patient servicing. Ability to handle conflict and confront challenging issues in a fast work environment. Ability to meet or exceed Performance Competencies. Able to influence and motivate others through persuasive points-of-view.
    $34k-47k yearly est. 60d+ ago
  • Bilingual Behavioral Health Crisis Clinician (Full-time, Remote, North Carolina Based)

    Alliance 4.8company rating

    Remote job

    The Behavioral Health Crisis Clinician is primarily responsible for conducting telephonic screening, triage and referral functions for individuals seeking services. The Clinician ensures that individuals calling with service needs are safely linked in a timely fashion with available services and/or community resources. The Clinician may also provide crisis service authorizations for both state and Medicaid funded emergency type services. This position is full-time remote. Selected candidate must reside in North Carolina. This position will be equipped with all supplies and technologies to be able to work from home. The selected candidate will be required to attend an initial 6 to 8- week virtual training period, Monday-Friday, between 9a.m. to 5p.m. Transition to permanent schedule to follow a successful training period. Some holiday hours are required. Work Schedule: Monday, Wednesday, Thursday and Friday 8:30am - 6:30pm Responsibilities & Duties Conduct Initial Screenings, Assessments, and Reviews, and make referrals Receive escalated calls from Member & Recipient Service Representatives who identified callers during initial screening that have urgent or emergent needs. Callers may be actively psychotic, actively suicidal, actively homicidal, intoxicated, in active withdrawal and/or experiencing a medical emergency Make clinical triage decisions based on often limited information obtained during telephonic screening Ensure individuals receive a comprehensive screening and appropriate referral that matches level of service needed Maintain safety of all callers, which may include contacting and mobilizing community first respdnders, (EMS, CIT officers, police, mobile crisis teams) Engage Decision to Warn when working with callers with active homicidal ideation, according to policy Report to Child Protective Services and Adult Protective Services, when warranted Identify high risk/special health care needs populations and refer to Care Coordination Review caller history, when available, in the client management system to help determine most appropriate referral option Use electronic scheduling system to schedule and secure assessment appointments with contracted providers based on consumer's choice of service providers - considering consumer's needs, location, and other provider characteristics Complete specialized screening documentation for all service-related calls; document all incoming call activity in MCO tracking system Simultaneously operate and navigate a multi-function phone system with multiple software programs while managing caller needs; serially operate and navigate multiple software programs in course of all duties Engage in follow-up activities to ensure consumers were seen for scheduled assessments and crisis follow-up appointments Route incoming calls to appropriate MCO departments when inquiries cannot be adequately addressed at the Call Center level Work independently to prioritize tasks and maintain idle status in call queue during high call volume and/or low staffing periods Simultaneous to other tasks, monitor incoming fax system and overflow vendor reports to ensure written referrals receive appropriate attention within expected time frames Provide Support, Consultation, & Leadership Interact with community emergency services orally while receiving information orally and in writing via IM Engage interpreter services when needed and adjust communication accordingly Provide oversight and clinical review of calls managed by overflow vendor Assist callers with addressing obstacles to accessing care and identify available resources Provide consultation and support to non-licensed Call Center staff Thoroughly train incoming staff to job duties and provide additional training to staff throughout clinical operations in the functions of the call center Compliance & Reporting Read, integrate, and adapt procedural tasks in a rapidly changing, paperless work environment Recognize and report quality concerns to supervisor and Provider Network Department Report patterns of atypical call and service-seeking patterns to supervisor Minimum Requirements Education & Experience Master's degree in Human Services field and minimum of three (3) years post degree experience in a community, business or governmental program that delivers mental health support services (e.g., adults with mental illness, children with severe emotional disturbance, and persons with developmental disabilities, adults, and children with substance abuse disorders) Special Requirements Requires individual to be Bilingual (clinically fluent) in Spanish and English. Testing before hire will be required. Current, active, and unrestricted behavioral license issued by a North Carolina Professional Board, (LCSW, LCMHC, LCAS, LPA, LMFT) Knowledge, Skills, & Abilities Fluent in both Spanish and English for conversational and clinical language Knowledge of relevant state and federal laws (i.e., protection of client rights, mandatory reporting, and confidentiality). Knowledge of treatment modalities (i.e., Crisis Intervention, Motivational Interviewing, and Systems Theory). Knowledge of culturally competent practices. Knowledge of diagnostic and Statistical Manual of Mental disorders 5th edition. Thorough knowledge of the operation of MCO/LME structure within the North Carolina mental health system. Thorough knowledge of ASAM Criteria and resources in identified catchment area. Skill in the use of multiple software platforms and strong keyboarding skills to complete referral process. Skill troubleshooting minor technological issues independently. Considerable skill in identifying appropriate level of care based on information provided during time limited telephonic assessment. Ability to assess clinical level of need telephonically. Ability to multi-task and focus in a distracting environment. Ability to read, analyze, interpret, and implement regulations, policies, and procedures; transfer verbal information into written documentation, and the reverse; simultaneously incorporate written and oral information while speaking and typing. Ability to provide crisis response and deescalate difficult callers. Ability to coordinate effectively with staff from various agencies. Ability to manage time, problem solve, and prioritize work independently. Demonstrate flexibility and ability to work cohesively in a team. Ability to remain composed during high-stress, crisis-related calls. Ability to express ideas clearly and concisely orally and in written documents. Salary Range $68,227 to $86,990/Annually Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity. An excellent fringe benefit package accompanies the salary, which includes: Medical, Dental, Vision, Life, Long Term Disability Generous retirement savings plan Flexible work schedules including hybrid/remote options Paid time off including vacation, sick leave, holiday, management leave Dress flexibility
    $68.2k-87k yearly 60d+ ago
  • Sr Coordinator, Individualized Care (Reimbursement Coordinator)

    Cardinal Health 4.4company rating

    Remote job

    Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products. **_Responsibilities_** + Investigate and resolve patient/physician inquiries and concerns in a timely manner + Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalate + Proactive follow-up with various contacts to ensure patient access to therapy + Demonstrate superior customer support talents + Prioritize multiple, concurrent assignments and work with a sense of urgency + Must communicate clearly and effectively in both a written and verbal format + Must demonstrate a superior willingness to help external and internal customers + Working alongside teammates to best support the needs of the patient population or will transfer caller to appropriate team member (when applicable) + Maintain accurate and detailed notations for every interaction using the appropriate database for the inquiry + Must self-audit intake activities to ensure accuracy and efficiency for the program + Make outbound calls to patient and/or provider to discuss any missing information as applicable + Assess patient's financial ability to afford therapy and provide hand on guidance to appropriate financial assistance + Documentation must be clear and accurate and stored in the appropriate sections of the database + Must track any payer/plan issues and report any changes, updates, or trends to management + Handle escalations and ensure proper communication of the resolution within required timeframe agreed upon by the client + Ability to effectively mediate situations in which parties are in disagreement to facilitate a positive outcome + Concurrently handle multiple outstanding issues and ensure all items are resolved in a timely manner to the satisfaction of all parties + Support team with call overflow and intake when needed + Proactively following up with various partners including the insurance payers, specialty pharmacies, support organizations, and the patient/physician to facilitate coverage and delivery of product in a timely manner. **_Qualifications_** + 3-6 years of experience, preferred + High School Diploma, GED or technical certification in related field or equivalent experience preferred **_What is expected of you and others at this level_** + Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments + In-depth knowledge in technical or specialty area + Applies advanced skills to resolve complex problems independently + May modify process to resolve situations + Works independently within established procedures; may receive general guidance on new assignments + May provide general guidance or technical assistance to less experienced team members **TRAINING AND WORK SCHEDULES:** Your new hire training will take place 8:00am-5:00pm CT, mandatory attendance is required. This position is full-time (40 hours/week). Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CT. **REMOTE DETAILS:** You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following: Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. **Dial-up, satellite, WIFI, Cellular connections are NOT acceptable** . Download speed of 15Mbps (megabyte per second) + Upload speed of 5Mbps (megabyte per second) + Ping Rate Maximum of 30ms (milliseconds) + Hardwired to the router + Surge protector with Network Line Protection for CAH issued equipment **Anticipated hourly range:** $21.50 per hour - $30.70 per hour **Bonus eligible:** No **Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan + Access to wages before pay day with my FlexPay + Flexible spending accounts (FSAs) + Short- and long-term disability coverage + Work-Life resources + Paid parental leave + Healthy lifestyle programs **Application window anticipated to close:** 2/11/2026 *if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity. _Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._ _Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._ _To read and review this privacy notice click_ here (***************************************************************************************************************************
    $21.5-30.7 hourly 4d ago
  • REMOTE Licensed Mental Health Clinician (LMHC, LADC, LICSW, or LMFT) Must have 5+ Years Experience

    K.A. Recruiting

    Remote job

    REMOTE Licensed Mental Health Clinician | Southern-Central Vermont Join a well-established, community-focused healthcare network providing integrated primary care, behavioral health, and wellness services. We're seeking a Licensed Mental Health Clinician (LMHC, LADC, LICSW, or LMFT) to deliver compassionate, evidence-based care to children and adults. In This Role, You Will: Provide individual, family, and group therapy using evidence-based techniques Collaborate with a multidisciplinary team to develop and adjust treatment plans Conduct assessments and screenings to support accurate diagnosis and care Maintain detailed, organized documentation and progress notes Facilitate referrals and participate in team-based care coordination What You Bring: Master's degree in Social Work, Counseling, Psychology, or related field Current state license (LMHC, LADC, LICSW, or LMFT) Strong empathy, communication, and collaboration skills Commitment to client-centered, recovery-oriented care What's Offered: Competitive pay and comprehensive benefits Generous PTO and CME allowance (1 week + up to $1,500) 403(b) with employer match Health, dental, vision, and HSA options Loan repayment eligibility Supportive, team-oriented work environment Interested!? Apply today! You can also... Call or text Olivia Sloane from KA Recruiting at 617-746-2743 Email your resume to olivia@ka-recruiting.com with your contact info and availability
    $44k-67k yearly est. 22d ago
  • Licensed Mental Health Clinician for ADHD - Diagnosis and Ongoing Therapy Treatment

    Mechanism Ventures

    Remote job

    Department Clinical Employment Type Freelance Location Remote - United States Workplace type Fully remote Compensation $120.00 / hour What Will You Do? Requirements Benefits About Receptive Our fast-growing, remote-first startup is revolutionizing mental health care with the support of significant seed funding. We're not only dedicated to providing accessible and effective services, but we're also committed to healthcare compliance - so you can feel good about what you're working on. With a relentless focus on patient wellness, we're on track to become a leading provider of mental health care through our cutting-edge digital product.
    $44k-67k yearly est. 60d+ ago
  • General Interest - Mental Health Clinician

    Daybreak Health

    Remote job

    Make an impact on the youth of today by joining Daybreak Health. We're urgently hiring dedicated psychotherapists to work via telehealth with clients ages 10-19 and help us fill the growing demand for youth mental health services. Positions Include: Intake therapist (100% telehealth) Clinical therapist (100% telehealth) States include: California Minnesota North Carolina Oregon Texas Utah Washington Since we are growing rapidly, we are accepting applications from providers in other states! Key Highlights: Reliable pay-even for late cancellations Exceptional income potential No administrative tasks-focus solely on client care Work from the comfort of your home Be surrounded by top-tier colleagues Who We Are: Fresh off our Series B funding, we're expanding fast. With a 5-star Glassdoor rating, Daybreak Health is a mission-driven mental health organization. What You'll Do: Provide ongoing teletherapy sessions to students. Our secure EHR platform and well-trained support staff make this a seamless for you and clients. What We Offer: Competitive hourly rates Paid training and CEUs Tailored EHR system for teletherapy Supervision for all license types Join Us: Be part of a community of over 100 providers who trust Daybreak to manage their practice efficiently. Requirements: Must hold an active independent license or associate license in the state. For our vision and mission, hear from our Co-Founder/CEO, Alex. Apply today and become part of a mission that matters!
    $44k-67k yearly est. Auto-Apply 60d+ ago
  • Health Information Management -HIM - Coder - Inpatient -REMOTE

    Rome Health 4.4company rating

    Remote job

    Health Information Management - HIM - Coder - Inpatient The Inpatient Coder is responsible for coding discharged inpatient encounters. May work in collaboration with Clinical Documentation Improvement nurses. Utilizes Clintegrity encoder for DRG assignment. Submits coding queries as necessary for appropriate provider clarification. Maintains coding knowledge and certifications. Maintains working knowledge of Medicare rules and regulations. Understands importance coding plays in the revenue cycle process Meets or exceeds coding productivity and quality standards Assists with DRG appeals as necessary Assists Coding Manager with identifying problems or trends that need immediate attention Adheres to all department and hospital policies and procedures High School diploma required. Associates or bachelors degree preferred. Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Coding Associate (CCA), or Certified Professional Coder (CPC) required. KNOWLEDGE AND SKILLS REQUIRED: Must possess critical thinking and analytical skills. Knowledgeable in medical terminology, anatomy and physiology, ICD-10 and PCS coding guidelines, CPT, HCPCS, and basic coding principles according to whether assigned to inpatient or outpatient duties. About Rome Health Rome Health is a non-profit health care system based in Rome, N.Y., providing services to patients throughout Central New York. From primary and specialty care to long-term care, Rome Health delivers quality, compassionate medical care for every stage of life. We are a comprehensive health care system that connects you to the best clinicians and the latest technologies so they are easily accessible to you and your family. Rome Health is an affiliate of St. Joseph's Health and an affiliated clinical site of New York Medical College. The best care out there. Here.
    $40k-52k yearly est. 60d+ ago
  • Children's Home-Based/Infant Mental Health (IMH) Clinician

    Onpoint 4.2company rating

    Remote job

    Children's Home-Based/Infant Mental Health (IMH) Clinician: OnPoint is seeking an energetic, organized, and committed professional to fill a full-time Children's Home-Based/IMH Clinician position. As a Children's Home-Based/IMH Clinician, you will be responsible to provide community/home-based Infant Mental Health services to pregnant individuals as well as to youth (up to age 6) and their caregivers with an emphasis on attachment and the development of secure relationships. Individuals may have a wide range of diagnoses and challenges ranging from moderate to severe emotional disturbance. PAY RANGE/BENEFIT PACKAGE: Salary: starting at $60,844.37 up to $83,965.23 annually - placement above minimum salary is based on experience. OnPoint Benefits: 401(a) retirement: employer matching 457 retirement Paid holidays Benefits effective date of hire: Medical insurance Dental insurance Vision Coverage Employer funding of Health Savings Account (up to elected deductible amount) Employer Paid benefits: Disability insurance Life insurance (up to $50,000) Paid Time Off REQUIRED QUALIFICATIONS: Master's degree in discipline that supports public and third-party reimbursement. State of Michigan professional license or eligibility at the master's level Minimum of one year of professional experience working with children and families. Be working toward, or willing to begin working toward, Infant Family Specialist level endorsement (or higher) with MI-AIMH. PREFERRED QUALIFICATIONS: LMSW or LPC Infant Family Specialist (or higher) endorsement with MI-AIMH Public behavioral health system experience. Professional experience working with children with severe emotional disturbance. Three years' experience as a master's level clinician with children and families. Lived experiences with mental illness/developmental disabilities/co-occurring disorders/substance use disorders. GENERAL RESPONSIBILITIES: Provide home/community-based assessment, service planning, and therapy for target population and their families, according to accreditation, funding, regulatory and best practice standards. Develop measurable person-centered plans of service in partnership with children and their families, assuring a trauma-informed and strength-based approach. Utilize evidence-based practices in provision of individual, family, and group therapy. Document services according to funding, regulatory, and best practice standards. Participate in utilization management and quality improvement processes. Actively engage in supervision and weekly team meetings. Coordinate services with schools, probation/community justice, healthcare providers and others identified by the child and their family. May also occasionally provide community/home-based services to other youth (up to age 21) and their families, based on team need. Performs other duties as assigned. EQUIPMENT/TECHNOLOGY KNOWLEDGE: Basic iPhone Knowledge Office 365 Skills POSITIONS TO BE FILLED: One full time positions (40 hours/week)
    $50k-84k yearly Auto-Apply 49d ago

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