Home Care Coordinator jobs at UnityPoint Health - 343 jobs

UnityPoint Clinic PACE (Program of All-Inclusive Care for the Elderly) Home Care Coordinator Bettendorf, IA Monday-Friday 8:00AM-4:30PM, with rotating weekends/holidays Full Time Benefits Under the supervision of the PACE Clinical Manager, the Home Care Coordinator coordinates home care services (personal care and/or homemaking) schedule to meet participant needs. Serves as a liaison and assists Interdisciplinary team members to ensure participant needs related to home care services are implemented through coordination of care. Why UnityPoint Health? At UnityPoint Health, you matter. We're proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members. Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you're in. Here are just a few: Expect paid time off, parental leave, 401K matching and an employee recognition program. Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members. Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family. With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together. And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience. Find a fulfilling career and make a difference with UnityPoint Health. Responsibilities • Maintains a working knowledge of applicable Federal, State and local laws and regulations, the Compliance Accountability Program, Quality Assessment and Performance Improvement and Code of Ethics, as well as other policies and procedures, in order to assure adherence in a manner that reflects honest, ethical and professional behavior. • Documents all participant care related activities accurately, legibly, and in compliance with PACE policies. • Is knowledgeable of and complies with PACE Safety and Infection Control Policies and Procedures. • Adheres to PACE Participants Rights & Responsibility Policy at all times. • Protects privacy and maintains confidentiality of sensitive participant, employee and agency information. • Works sensitively and effectively with individuals of diverse ethnic and cultural backgrounds. • Performs other duties as assigned. PACE Interdisciplinary Team Member • Representation and participation at interdisciplinary team and care plan meetings. • Identifies individual participant needs to ensure home care needs are met and ensures information is communicated to the PCA staff. • Works to develop and update the participants plan of care related to their home care needs. • Documents participant, caregiver or other interactions and care planning activities • Coordinates PCA schedules in accordance with the participants plan of care. • Collaborates with PACE departments and other contracted providers. • Communicates with participants, families, contracted providers and the public in regard to concerns or complaints related to PACE home care services. • Provides PCA visits as needed for participant coverage. Administrative • Ensures daily PCA responsibilities and schedules are clearly defined and PCA staff receive the information necessary to provide the outlined services. • Problem solves home care scheduling conflicts, changes and updates to the schedule, notifies appropriate staff of changed and provides possible solutions to meet participant needs. • Updates medical record promptly with changes and cancellations and follows documentation guidelines. • Assumes a role of service coordination in the development, implementation and refinement of home care services. • Provides insight related to home care service data, quarterly indicators, financial performance, participant/caregiver satisfaction surveys, annual staff competency and annual staff evaluations. • Provides input for performance improvement related to home care services. Qualifications Education High School Diploma Certification from a nursing assistant training program through classroom and supervised practical; training totaling at least 75 hours with 16 hours devoted to supervised practical training, and/or successful completion of a competency evaluation program License(s)/Certification(s) Maintains current CPR status or acquire within 30 days of hire. Maintains current Mandatory Reporter status or acquire within 30 days of hire. Completes 12 hours of related in-services per calendar year. Valid driver's license when driving any vehicle for work-related reasons. Valid Auto insurance *Specific offers are determined by various factors, such as experience, skills, internal equity, and other business needs. The salary range listed does not include other forms of compensation which may include bonuses/incentive, differential pay, or other forms of compensation or benefits that may be applicable to this role.

Aperion Care International - ** $10,000 Sign On Bonus! ** (SIGN-ON BONUS SUBJECT TO TERMS AND CONDITIONS, AND MUST MEET MINIMUM HOURS WORKED REQUIREMENT) SUMMARY: The MDS Coordinator is responsible for the accurate and timely completion of all Medicare/Medicaid case-mix documents in order to assure appropriate reimbursement for care and services provided within the Facility. Conducts continual Minimum Data Set (MDS) reviews to assure achievement of optimal allowable Resource Utilization Group (RUG) category. Oversees the overall process and tracking of MDS/Prospective Payment System (PPS) documentation and submission. He/she will integrate nursing, dietary, social recreation, restorative, rehabilitation, and physician services to ensure appropriate assessment and reimbursement. ESSENTIAL DUTIES AND RESPONSIBILITIES: Assesses and determines the health status and level of care of all new admissions. Ensures the accurate and timely completion of all MDS Assessments including PPS Medicare, quarterly, annual, and significant change. Communicates level of care for new residents to all disciplines. Coordinates interdisciplinary participation in completing the Minimum Data Set (MDS) for each new admission to the facility according to regulatory time frames. Ensures completeness and thoroughness of documentation as mandated by federal, state, and medical standards. Maintains an accurate schedule of all MDS assessments to include the proper reference dates throughout the resident's stay. Responsible for the data entry function to assure accurate data entry and electronic submission of MDS assessments. Verifies electronic submissions of MDS, performs corrections when necessary, and maintains appropriate records. Coordinates interdisciplinary participation in completing the MDS for each resident according to regulatory time frames. Ensures completeness and thoroughness of documentation as mandated by federal and state standards. Schedules and conducts resident care conferences in compliance with state and federal regulations and ensures completion of all MDS reviews prior to resident care conferences. Assists disciplines in formulating and revising care plans. Ensures that resident's present/potential problems are identified and prioritized; realistic goals are established and nursing intervention is appropriate. Evaluates resident care plans for comprehensiveness and individuality. Assesses the achievement or lack of achievement of desired outcomes. Ensures that the resident's care plan is reassessed and revised appropriately. Responsible for all level of care changes within the facility. Notifies all departments when a level of care change has been made. Generates appropriate forms to complete the level of acuity and changes. Transmits forms to the appropriate agency for processing as required by state law. Other duties as assigned. QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements below are representative of the knowledge, skill, and/or ability required. Registered Nurse with current unencumbered state licensure. Long Term Care Experience preferred. Ability to read, write, speak, and understand the English language. PHYSICAL DEMANDS: The physical demands are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Required to sit, stand, bend, and walk regularly; lift and/or move up to 25 pounds. Visual and auditory ability sufficient for written and verbal communication. The noise level in the work environment is usually moderate. (SIGN-ON BONUS SUBJECT TO TERMS AND CONDITIONS, AND MUST MEET MINIMUM HOURS WORKED REQUIREMENT) APERCHI1

Aperion Care Lakeshore - MDS COORDINATOR - MUST BE A NURSE SUMMARY: The MDS Coordinator is responsible for the accurate and timely completion of all Medicare/Medicaid case-mix documents in order to assure appropriate reimbursement for care and services provided within the Facility. Conducts continual Minimum Data Set (MDS) reviews to assure achievement of optimal allowable Resource Utilization Group (RUG) category. Oversees the overall process and tracking of MDS/Prospective Payment System (PPS) documentation and submission. He/she will integrate nursing, dietary, social recreation, restorative, rehabilitation and physician services to ensure appropriate assessment and reimbursement. ESSENTIAL DUTIES AND RESPONSIBILITIES: Manager on Call Rotation Assesses and determines the health status and level of care of all new admissions. Ensures the accurate and timely completion of all MDS Assessments including PPS Medicare, quarterly, annual, significant change. Communicates level of care for new resident to all disciplines. Coordinates interdisciplinary participation in completing the Minimum Data Set (MDS) for each new admission to facility according to regulatory time frames. Ensures completeness and thoroughness of documentation as mandated by federal, state and medical standards. Maintains an accurate schedule of all MDS assessments to include the proper reference dates throughout the resident's stay. Responsible for the data entry function to assure accurate data entry and electronic submission of MDS assessments. Verifies electronic submissions of MDS, performs corrections when necessary and maintains appropriate records. Coordinates interdisciplinary participation in completing the MDS for each resident according to regulatory time frames. Ensures completeness and thoroughness of documentation as mandated by federal and state standards. Schedules and conducts resident care conferences in compliance with state and federal regulations and ensures completion of all MDS reviews prior to resident care conference. Assists disciplines in formulating and revising care plans. Ensures that resident's present/potential problems are identified and prioritized; realistic goals are established and nursing intervention is appropriate. Evaluates resident care plans for comprehensiveness and individuality. Assesses the achievement or lack of achievement of desired outcomes. Ensures that resident's care plan is reassessed and revised appropriately. Responsible for all level of care changes within the facility. Notifies all departments when a level of care change has been made. Generates appropriate forms to complete level of acuity and changes. Transmits forms to the appropriate agency for processing as required by state law. Other duties as assigned. QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements below are representative of the knowledge, skill, and/or ability required. Registered Nurse with current unencumbered state licensure. Long Term Care Experience preferred. Ability to read, write, speak and understand the English language. PHYSICAL DEMANDS: The physical demands are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Required to sit, stand, bend and walk regularly; lift and/or move up to 25 Visual and auditory ability sufficient for written and verbal communication. The noise level in the work environment is usually moderate. APERCHI1

Eagle Crest Communities: Eagle Crest South I (La Crosse, WI) RCA Night Supervisor Full-Time: 80 hours per 2 week pay period Available Shifts: These positions participate in an occasional weekend on-call to assist with staffing. NOC: Sunday - Thursday 11 pm - 7 am RCA Night Supervisor Eagle Crest Communities is seeking a Night Supervisor to lead the team at Eagle Crest South. In this role the successful candidate will supervise the overnight care team, ensuring that residents receive proper care and treatment, that their health and safety are protected and promoted, and that their rights are respected. What You'll Do Responsible for the facility during their shift Responsible for the personnel duties of the overnight care team Perform all essential functions and requirements of a Resident Care Assistant Responsible for communicating with care teams, and assisting with coordinating and implementing programs and services provided to individual residents. Uphold the Mission Statement of Bethany Lutheran Homes, Inc. and perform all duties in a manner consistent with Bethany Lutheran Homes, Inc. Core Values. What You'll Need 3 years of Resident Care Assistant experience, preferred Must demonstrate strong communication and interpersonal skills Must possess supervisory/leadership qualities and abilities, time management and assessment abilities Must be at least 21 years of age and exhibit the capacity to respond to the needs of the residents and manage the complexity of the CBRF Must have basic computer skills (e-mail, internet, Microsoft Office), experience with electronic recordkeeping preferred High school diploma or equivalent required Our Wages Our starting wages are between $20.00 - $23.00 per hour, based on your experience and qualifications. Increases upon orientation completion. We also offer a $3.00/hr NOC, Plus weekend shift differential as well as on-call and pick-up incentives. Regular wage reviews - we pay for high performance! Our Benefits Available at 50+ hours/pay period: Health Insurance, Health Reimbursement Account, Dental Insurance, Life and AD&D Insurance, Long Term Disability, Short Term Disability. Available at 20+ hours/pay period: Vision Insurance, Flexible Spending Accounts, Short Term Disability, Accident Insurance, Cancer & Critical Illness Insurance, Hospital & Intensive Care Insurance, Pet Insurance. Available at 18+ hours/pay period: Tuition Investment Program. Available to all: Employee Assistance Program, 401(k). Pre-Employment Information * Background checks will be run after an offer has been made, and offers are contingent upon successfully passing a background check. * Communicable Disease Screening must also be completed if your position requires working within our communities. About Eagle Crest Eagle Crest Communities is the largest not-for-profit senior care provider in Western Wisconsin. With ten communities in the La Crosse, Holmen and Onalaska, WI area, we find success in providing superior service with great attention to ensuring the highest levels of satisfaction to every resident. Great people, great care! Bethany Lutheran Homes Inc is an Equal Opportunity Employer! caregiver rca resident care assistant supervisor nightshift 3rd shift cna certified nursing assistant overnight manager team lead leader lead

Begin a rewarding career-join Tudor Oaks Home Care as a Home Care Caregiver, where your commitment and compassion will directly impact the lives of others! We offer a variety of supportive home care services to those who wish to remain independent in their home. We hire dedicated people who have a passion for helping others and love what they do. Must be able to work with clients within Waukesha and Milwaukee counties, including the Lake Country Area and Eagle/Mukwonago Areas. Apply today and receive a response within 48 hours! Why choose Tudor Oaks Home Care? Great compensation and the opportunity to pursue your passion. Training and resources to keep your career moving forward. Wage Range is $16 - $19/hour |Credit given for experience. How you will make an impact: As a Home Care Caregiver, you will provide essential support and personal care to clients in their homes. The caregiver will assist with daily living activities such as bathing, dressing, grooming, meal preparation, medication reminders, light housekeeping, and companionship. This role is vital in helping clients maintain their independence, dignity, and quality of life in the comfort of their own homes. Schedule: Both full-time and part-time shifts are available-flexible scheduling to meet the needs of caregivers and clients. What you will need: Must be at least 18 years of age. Must have a valid driver's license. Reliable transportation is necessary. Experience with Seniors and Caregiving is preferred. Must be able to work with clients within Waukesha and Milwaukee counties, including the Lake Country Area and Eagle/Mukwonago Areas. To apply, please complete the required questionnaire. We accept applications on a rolling basis. We are an Equal Opportunity Employer and are committed to a diverse and inclusive workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, age, national origin, ancestry, disability, medical condition, genetic information, marital status, veteran or military status, citizenship status, pregnancy (including childbirth, lactation, and related conditions), political affiliation, or any other status protected by applicable federal, state, or local laws. We are committed to providing an inclusive and accessible recruitment process. If you require accommodations during the interview process, please let us know. Reasonable accommodations will be provided upon request to ensure equal opportunity for all applicants. Applicants may be subject to a background check. Employees in this position must be able to satisfactorily perform the essential functions of the position. If requested, this organization will make every effort to provide reasonable accommodations to enable employees with disabilities to perform the position's essential job duties. As markets change and the Organization grows, job descriptions may change over time as requirements and employee skill levels evolve. With this understanding, this organization retains the right to change or assign other duties to this position. Powered by JazzHR

Bluestone Physician Services delivers great outcomes by bringing exceptional care to patients living with complex, chronic conditions and disabilities. Our unique, robust model of care goes beyond primary care services - our multidisciplinary care teams collaborate with patients, their families and other healthcare providers to deliver care that is preventative, proactive and tailored to their unique needs. Our care teams travel to patients who reside in Assisted Living, Memory Care and Group Home communities throughout Minnesota, Wisconsin and Florida. In addition to primary care, Bluestone has a highly developed care coordination model for more than 14,000 seniors and individuals living with disabilities in Minnesota. Bluestone Care Coordination partners with Minnesota health plans to support their members who receive medical assistance through Minnesota's Special Needs BasicCare (SNBC) & Minnesota Senior Health Options (MSHO) programs. Care Coordinators are registered nurses or licensed social workers who work directly with members to assess their physical, mental and social needs and facilitate services and communication across their care team to support their best interests and close gaps in care. Our success is only possible through the hard work of our employees who bring our core values of Dedication, Excellence, Collaboration and Caring to life every day. Bluestone has been named to the Star Tribune's Top Workplace list for the 13th year in a row! Bluestone also achieved Top Workplace USA 2021-2025! Position Overview: Join our team as a Care Coordinator where you will work with the senior population managing Department of Human Services (DHS) and Center for Medicare/Medicaid Services (CMS) required activities for Minnesota Senior Health Options (MSHO/MSC+) members living in the community and assisted living facilities. In this position, you will work from home, but regularly travel your local area to serve the needs of your members and your community. Schedule: Full time position, day shift hours, no evenings, weekends or holidays. Hours are 8am to 5pm Monday thru Thursday & 8am to 3pm on Fridays. Location: This position is a mix of work from home and field-based. Roughly 50-70% travel throughout the Becker County, including Detroit Lakes, Ogema, Osage areas, and between 30-50% work from home. Salary Range: $65,000 - $75,000 Responsibilities: As a Care Coordinator, you will manage member caseloads within your assigned geographic area. This includes: Coordinating face-to-face visits Managing the Elderly Waiver Conducting annual assessments including Personal Care Assistance (PCA) assessments for community members and customized living tools for members residing in Assisted Livings Reviewing current health needs, identifying goals, and developing individualized care plans Helping connect members with community and state resources and services Completing required documentation Collaborating with medical care teams to ensure health care quality measures are met and use utilization management tools to meet value-based goals Supporting members during transitions of care as well as collaborating with their care team to ensure a safe discharge and follow up plan Qualifications: Education/Certification/Experience Current MN Licensed Social Worker (new grads encouraged to apply) OR Current Minnesota Registered Nurse license One or more years of experience working with the geriatric population in case management/care coordination, Home Care, Nursing Home, TCU or Assisted Living settings preferred Must have a valid driver's license Knowledge/Skills/Abilities Ability to work independently Access to a private and compliant home office space Creative problem-solving skills Appreciation for working with diverse populations Proven ability to communicate effectively with strong verbal skills Excellent interpersonal and customer service skills Demonstrated compatibility with Bluestone's mission and operating philosophies Demonstrated ability to read, write, speak, and understand the English language Bluestone Benefits: Health Insurance Dental Insurance Vision Materials Insurance Company paid Life Insurance Company paid Short and Long-term Disability Health Savings Account (with employer contribution) Flexible Spending Account (FSA) Retirement plan with 4% matching contributions Eight (8) paid holidays for office closures plus two (2) floating holidays Three weeks (15 Days) Paid Time Off (PTO) Mileage reimbursement program for field employees Company sponsored cell phone, laptop and scrubs Regular business hours

The Member Care Coordinator position is a non-clinician role that works in collaboration with the Care Management staff and/or quality improvement staff to support the multi-disciplinary team approach of patient care by meeting key performance indicators (closing care gaps, reducing hospitalizations, readmissions, ED utilization, and PMPM costs) and other organizational mandates as designated. The Member Care Coordinator may work remotely within regions to cover the needs across the state and/or may work on site at CCPN practices. Member Care Coordinators may directly assist members in improving their ability to improve their health outcomes. They also help design and implement systems to ensure the smooth operation of office functions and to support the Care Team. Member Care Coordinators may also work directly with assigned practices to assist them in addressing care gap closure under the direction of Provider Relations Representatives. This is primarily a remote position. Occasional in-person training and travel may be required. Essential Functions Receive and document all referrals from various sources into the Care Management documentation platform Verify eligibility and demographic information May complete Health Risk Screenings as needed Assist with mailing of educational materials, consent forms or other documents to the member as necessary Assist with referrals on behalf of the Care Management team Provide information for access and coordination of resources Assist member with care coordination and health care system navigation Provide culturally appropriate health education and information Provide general education and social support Advocate for members Identify care gaps and perform outreach to members in attempt to close gaps as requested Assist practice to submit supplemental data to health plans to provide documentation of gap closure as requested; assist with scheduling medical appointments and transportation as needed Assist to address with Social Determinants of Health as needed Access multiple EHR's to obtain and upload into the care management platform Access to Hospital/Data or Electronic Medical Record system will be required, as necessary Notify supervisor promptly of any issues with carrying out any duties assigned Adhere to CCNC Privacy and Security policies to ensure that patient and company data is properly safeguarded Abide by department guidelines, company policies, and HIPAA regulations Perform other duties that assist in keeping the operations organized and functional Attend Departmental and corporate meetings, local and regional training, or other events as required Understand and uphold CCNC goals, objectives, and standards Travel using a personal vehicle will be required within the region and/or the State Qualifications High school diploma or GED required; or Licensed Practical Nurse 2-4 years minimum experience in a health care setting required 2- or 4-year degree in health-related field preferred Bilingual preferred Maintain a valid driver's license with current auto liability insurance Knowledge, Skills, and Abilities Knowledge of and experience working in patient or clinical data systems Computer skills required including various office software and the internet; experience with MS Office software preferred Knowledge of state and federal benefits system Excellent communication skills - oral and written Proficient Motivational Interviewing skills Organizational and time management skills Sensitivity to diversity of cultures, language barriers, health literacy and educational levels Knowledge of medical terminology Responds to change with a positive attitude and a willingness to learn new ways to accomplish work activities and objectives Able to shift strategy or approach in response to the demands of a situation Working Conditions The job environment is primarily an office or home environment. Multiple contacts are required with various members, providers, multi-payer systems and community partners to ensure coordination of services; exposure to general office and household conditions, as well as communicable disease could occur Routinely there may be some minor physical inconveniences or discomforts in the work setting, including sitting for moderate periods of time Must be able to utilize office equipment, computer, keyboard and phone with or without assistive devices Repetitive wrist motion and occasional lifting/carrying of up to 25 pounds Travel will be required within the region and/or the State

The Member Care Coordinator position is a non-clinician role that works in collaboration with the Care Management staff and/or quality improvement staff to support the multi-disciplinary team approach of patient care by meeting key performance indicators (closing care gaps, reducing hospitalizations, readmissions, ED (Emergency Department) utilization, and PMPM costs) and other organizational mandates as designated. The Member Care Coordinator may work remotely within regions to cover the needs across the state and/or may work on site at CCPN (Community Care Physician Network) practices. Member Care Coordinators may directly assist members by increasing their ability to improve their health outcomes. They also help design and implement systems to ensure the smooth operation of office functions and to support the Care Team. Member Care Coordinators may also work directly with assigned practices to assist them in addressing care gap closure in collaboration with the Provider Relations Representative/QI Team. Essential Functions Receive and document all referrals from various sources into the Care Management documentation platform. Outreach, Engagement, and scheduling of members for Care Managers. Verify eligibility and demographic information. Complete appropriate screenings as needed. Assist with mailing educational materials, consent forms or other documents to the member as necessary. Assist with referrals on behalf of the Care Management or program team. Assist with tasks delegated by the Care Management or program team. Provide information for access and coordination of resources. Assist member with care coordination and health care system navigation. Provide culturally appropriate health education and information. Provide general education and social support. Advocate for members. Identify care gaps and outreach to members to close gaps as requested. Assist practice to submit supplemental data to health plans to provide documentation of gap closure as requested; assist with scheduling medical appointments and transportation as needed. Assist with pulling Care Gap/Recommended Actions/High Risk reports. Assist in addressing Social Determinants of Health as needed. Access multiple EHRs (electronic health records) to obtain and upload documents into the care management platform. Access to Hospital/Data or Electronic Medical Record system will be required, as necessary. Meet productivity and role expectations as defined. Collaborate with the Care Team to address barriers and create efficiency with processes. Adhere to CCNC Privacy and Security policies to ensure that patient and company data is properly safeguarded. Abide by department guidelines, company policies, and HIPAA regulations. Perform all other duties as requested. Attend Departmental and corporate meetings, local and regional trainings, or other events as required. Understand and uphold CCNC goals, objectives, and standards. Qualifications High school diploma or GED required 2-4 years minimum experience in a health care setting required 2 or 4-year degree in health-related field preferred Bilingual preferred Knowledge, Skills, and Abilities Knowledge of and experience working in patient or clinical data systems Computer skills required including various office software and the internet; experience with MS Office software preferred Knowledge of state and federal benefits systems Excellent communication skills - oral and written Proficient Motivational Interviewing Skills Organizational and time management skills Sensitivity to diversity of cultures, language barriers, health literacy and educational levels Knowledge of medical terminology Responds to change with a positive attitude and a willingness to learn new ways to accomplish work activities and objectives Able to shift strategy or approach in response to the demands of a situation Working Conditions The job environment is primarily an office or home environment. Multiple contacts are required with various members, providers, multi-payer systems and community partners to ensure coordination of services; exposure to general office, community, and household conditions, as well as communicable disease could occur. Routinely there may be some minor physical inconveniences or discomforts in the work setting, including sitting for moderate periods of time. Must be able to utilize office equipment, computer, keyboard, and phone with or without assistive devices. Repetitive wrist motion and occasional lifting/carrying of up to 25 pounds. The job environment can be intense as high volume, repetitive work is an expectation. Travel may be required within the region and/or the State.

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

is Remote (US/Canada) No agencies please Maximus (****************************** is a mission-driven consumer performance medicine telehealth company that provides men and women with content, community, and clinical support to optimize their health, wellness, and hormones. Maximus has achieved profitability, 8-figure ARR, and is doubling year over year - with a strong cash position. We have raised $15M from top Silicon Valley VCs such as Founders Fund and 8VC as well as leading angel investors/operators from companies like Bulletproof, Tinder, Coinbase, Daily Stoic, & Shopify. Position Summary In this role as a Care Coordinator supporting Maximus patients, you will be instrumental in delivering a seamless care experience. Your primary responsibilities include managing provider video conferencing schedules, coordinating with lab and pharmacy partners, and overseeing patient messaging queues. You will also serve as a key contributor to our patient concierge experience. The ideal candidate is driven by a passion for lifestyle, wellness, and fitness, constantly seeks innovative approaches to their work, and is eager to shape the overall patient journey. Key Responsibilities Video Conferencing & Scheduling Coordinate and maintain provider schedules for video consultations, ensuring efficient appointment booking and minimizing scheduling conflicts. Monitor upcoming telehealth appointments, confirm patient/provider availability, and troubleshoot any technical issues that may arise. Lab & Pharmacy Coordination Liaise with laboratory partners to manage test orders, track results, and ensure timely communication of lab outcomes to providers and patients. Collaborate with pharmacy partners to facilitate prescription orders, refills, and medication-related inquiries. Messaging Queue Management Oversee and triage patient messages in digital platforms, ensuring inquiries are addressed promptly and directed to the appropriate clinical team member. Escalate urgent or complex issues to the appropriate care team members, keeping patients informed of next steps. Patient Communication & Support Provide friendly and empathetic support to patients, answering questions related to appointments, lab tests, prescriptions, and follow-ups. Educate patients on the use of telehealth platforms, including troubleshooting basic technical issues and sharing best practices for virtual visits. Digital Healthcare Administration Maintain accurate and up-to-date electronic health records (EHR), ensuring data integrity and confidentiality. Identify opportunities to streamline workflows and enhance patient experiences, bringing recommendations to leadership. Quality Assurance & Compliance Ensure compliance with all relevant healthcare regulations and company policies, including HIPAA and data privacy laws. Participate in team meetings to review patient feedback, address operational challenges, and discuss quality improvement initiatives. Qualifications Experience: 1-3 years of experience in a care coordinator, healthcare administration, or telehealth support role. Education: Associate's or Bachelor's degree in Healthcare Administration, Public Health, or a related field preferred. Technical Skills: Familiarity with EHR systems, telehealth platforms, scheduling software, and basic troubleshooting of common technical issues. Communication Skills: Excellent verbal and written communication skills to effectively coordinate with patients, providers, and partners. Organizational Skills: Strong attention to detail and ability to manage multiple tasks efficiently in a fast-paced, digital environment. Interpersonal Skills: Empathetic, patient-focused approach with a commitment to delivering high-quality care and exceptional patient experiences. Compliance Knowledge: Understanding of healthcare regulations, especially HIPAA and data privacy guidelines. What We Offer (Benefits): Full Suite: Medical, Dental, Vision, Life Insurance Flexible vacation/time-off policies Fully remote work environment Maximus is an equal opportunity employer, which not only includes standard protected categories, but the additional freedom from discrimination against your free speech and beliefs, as long as they are aligned with company values. We celebrate intellectual diversity. Note: We utilize AI note-taking technology during our interview sessions to ensure we capture all answers and details accurately. Candidates are also encouraged to use AI note-takers for their own records if they wish.

Join Southern Illinois' leading healthcare organization, with over 350 team members who believe that in taking care of each other and our patients and clients, we create new opportunities for success and bring big dreams to life. Shawnee Health is seeking a Care Coordinator for our Shawnee Health Carterville office, covering Williamson County in Southern Illinois with the option for remote work. This position reports directly to the Care Coordinator Supervisor. Responsibilities * Coordinates services for older adults to remain independent. * Determine eligibility and create care plans for Illinois Department on Aging. * Home visits are required. Assessments are completed in home. * Educate on resources, options and provide case management to older adults and their families Requirements * Requires an RN, or a BSN, or have a BA/BS degree in social science, social work or related field * One year of program experience, which is defined as assessment, provision, and/or authorization of formal services for the elderly, may replace one year of college education up to and including four years of experience replacing a baccalaureate degree * Must have valid driver's license and transportation Starting salary - $43,888.00 salary increase with successful completion of probation Comprehensive Benefits Package * Health Insurance * Dental Insurance * Vision Insurance * Employer and Voluntary Paid Life * Employer Paid Long Term Disability * Voluntary Short-Term Disability * Accident Insurance * Critical Illness Insurance * Flexible Spending Account * Dependent Care Account * 401k Retirement Plan Paid Time Off Call & Incentive Compensation Care Coordinators, Case Manager Assistants, and Adult Protective Services Case Workers and Specialists are eligible for call compensation. Care Coordinators are eligible for incentive compensation. For more information, please visit the below website: **************************************************************

$1,000 Sign on Bonus The Association for Individual Development (AID) is a non-profit organization whose mission is to empower people with physical, developmental, intellectual, mental health challenges; those who have suffered a trauma; and those at risk, to enjoy lives of dignity and purpose. We are looking for a Care Coordinator Tier 2 MHP/QMHP Pathways to Success who demonstrates this mission and wants to work for an organization that makes a difference in the community. Schedule: Monday through Thursday 11:30am - 8pm; Fridays 8am-4:30pm. Case Manager Mental Health Professional: $23.50 Hourly (Bachelor's degree Required) Case Manager Qualified Mental Health Professional: $25.75 Hourly (Master's Degree Required) What you will be doing? Care Coordination and Support: Intensive Care Coordination (CCSI). CCSI is provided to children stratified into Tier 2. Designated CCSI Care Coordinators work with an average of 16 families at a time and are never assigned to work with more than 18 families at once. Care Coordination and Support (CCS) is the foundational service that Care Coordination and Support Organizations provide to Pathways enrolled children and families. It is an evidence-informed, structured approach to care coordination based on the values, principles, and phases of Wraparound. CCS includes a broad set of activities designed to assess, plan, and monitor the service needs of the child and family and includes: Engagement and outreach to children and families, including education on Systems of Care and Wraparound processes; Organization and facilitation of a CFT (Child Family Team) that meets on a regular basis; Reviewing and updating the child's IM+CANS regularly, which includes identifying needs and strengths and the developing a strengths-based service plan; Crisis assessment, safety and prevention planning, and response activities; Coordinating and consulting with MCOs, providers, other child-serving systems, and any other support involved with the child's care. This includes helping transition children from an institutional setting, including from an out-of-state setting to a community-based living arrangement; and, Referring, linking, and following-up with service providers and social service agencies for services recommended by the CFT on the service plan. Documentation of Pathways Program activities, and services provided. This job position may have some work components that can be performed remotely. Remote work arrangements are not a right or entitlement of employment. They are discretionary and subject to demonstrated performance and operational needs. Approval may be rescinded at any time at the management's discretion. Work scheduled hours and be flexible to meet client and program needs, as assigned by Program Manager or Director. Responsible to provide independent program coverage when scheduled. Assure compliance with all agency, state and federal regulations while providing services and completing assignments. Review and follow updated policies and procedures. Facilitate communications and coordination of services with other AID staff and professionals in the community utilizing phone communication and email. Maintain professionalism and good boundaries when working with clients, coworkers and outside agencies. Meet minimum service hour standards (MRO) monthly. Complete all required case management documentation (IM+CANS, consents, program/agency paperwork) on a timely basis. Complete and sign all MRO Documentation within 48 hours using Cx360 Meet with all assigned clients on regular basis depending on program and client needs; submit daily activity logs. Develop, review and revise the IM+CANS and complete corrections within the timeframe allotted. Obtain Input from clients, families, guardians and other staff on how to improve services. Acquire and maintain required trainings and certifications as well as any other trainings assigned by Manager. Obtain and maintain client benefits (Social Security, Medicaid, Link Card, Etc). Assure client records are properly maintained per agency procedures. Complete authorizations, reauthorizations and spend-down paperwork in a timely fashion. Update Cx360 with corrections whenever necessary, but at least annually to ensure accuracy of records. Provide effective services for clients' individual needs and in line with client rights and the Mental Health Recovery Model. Attend monthly clinical supervisions per DHS requirement Attend team meetings and be a positive contributor. Recognize emergency situations and take appropriate action. Contact Manager and Director per procedure. Complete necessary paperwork correctly (incident reports, petitions, encounters). What will we provide Full Time employees. Benefits_Summary.pdf $1000 sign on bonus for full-time 21 Days of Paid Time Off plus 10 Paid Holidays Paid training Tuition reimbursement Benefits including Medical, Dental, Vision, Life, STD, LTD, Critical Illness and accident insurance 401K with a 3.5% company contribution after one year. Qualifications What will you bring to the table? Education: Bachelor's degree in Human Services required or Masters Degree in human services preferred Experience: Experience working in social services required. Physical: Navigation of stairs No lifting restrictions. Ability to provide services in clients' homes. Equipment: Computer including Microsoft Windows applications Copy Machine Telephone with voice mail system Basic household appliances Additional Requirements: The use of personal automobile, a valid driver's license, and the minimum amount of liability insurance as defined by AID's Personnel Policy Drive self and clients in agency or personal vehicle. Must acquire and maintain certifications in First Aid, CPR, Non-violent crisis intervention training, CEU's and other relevant trainings Evening hours may be required Must be able to drive a passenger vehicle Must maintain IM+CANS certification If we seem like a good fit, consider joining our growing team of compassionate, hardworking, and caring individuals, and start your path toward a fulfilling career that you can be proud to possess.

JOB PURPOSE AND REPORTING STRUCTURE: Under the direction of the CCS Program Manager & Clinical Coordinator, the Care Coordinator, assists individuals diagnosed with a mental illness and/or substance use disorders to live independently in the community, in accordance with agency policies and procedures. The Care Coordinator will assist individuals to utilize professional, community, and natural supports to address their needs both at home and in the community on their path to recovery. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. Completes the MH/AODA Functional Screen online training and 20 hours (or 40 depending on prior social service experience) of training provided by Milwaukee County CARS or in the community within 90-days of hire as outlined by DHS 36. MH/AODA Certification must be renewed every two years. Interviews clients to complete the Mental Health/AODA functional screen and develop an individual recovery plan, to include case planning, obtaining and referrals for services, on- going monitoring, modeling, and service coordination. Assist clients developing client centered goals and services such as: medical and mental health assistance, obtaining legal assistance and benefits, medication management, in finding employment, training and education, financial management and budgeting, ADL assistance, development of social support systems, AODA services and support, etc. Manage caseloads to provide supportive contacts and assist clients in navigating through the community. Assess clients needs and complete referrals and meet clients where they are in the community, to include hospitals within established guidelines. Provides services such as care coordination as outlined by DHS 36 and Forward Health. Assist clients with developing life skills helpful for independent living. Completes discharge paperwork if client meets predetermined discharge criteria. Transfer clients when services are no longer required or if more services are needed. Attend CCS Operation meetings for transfers or discharge of clients. Coordinate/provide transportation for clients to and from appointments, to include medical and mental health, shopping, housing, etc. Attend and actively participate in departmental meetings and treatment team meetings with other service agencies/supports. Complete regular billing/documentation for T-19 reimbursement of services provided to each client. Perform on-call coverage as scheduled. Complete special projects as assigned. Maintain technical competency and remain current in technology and changes in the industry. Complete and maintain all required paperwork, records, documents, etc. Follow and comply with all safety and work rules and regulations. Maintain departmental housekeeping standards. EDUCATION and/or EXPERIENCE: Minimum Associate's degree in Psychology, Sociology, Social Work or other job related major with one to two years of related experience. Bachelor's or Master's degree strongly preferred. Knowledge of mental health Dx and symptoms, and AODA assessments highly preferred. Outreach Community Health Centers, Inc. is an Equal Opportunity Employer

LOCATION: Remote - the is a home-based, virtual position that operates Monday - Friday from 8:30am-5:00pm (EST). The person in this position must live in North Carolina or within 40 miles of the NC border. GENERAL STATEMENT OF JOB The Care Coordinator is responsible for providing proactive intervention and telephonic coordination of care to eligible members to ensure that they receive appropriate screening, assessment, services, and care transitions. Responsibilities include administering screenings and assessments, developing care plans to achieve a member's health goals, and managing discharges/transitions between care settings. Care coordinators possess customer service and active listening skills needed to guide individuals of varying backgrounds towards their goals for whole person health. Care Coordinators perform telephonic outreach and engagement activities for members who are eligible for Tailored Care Management and also provide care coordination for members who qualify for supportive Social Determinants of Health services. Note: This position requires access to, and use of confidential healthcare information or protected health information (PHI) as described in laws addressing patient confidentiality, including, but not limited to, the federal HIPAA law, the Confidentiality of Alcohol and Substance Abuse Patient Records law, 42 CFR Part 2, and various state laws. As such, the individual filling this position shall be required to be trained regarding such laws and shall be required to observe those laws in his/her capacity as an employee of Vaya Health. The individual filling this position shall also sign a confidentiality statement as an employee of Vaya Health. ESSENTIAL JOB FUNCTIONS Outreach and Engagement: Telephonic outreach and engagement for members eligible for plan-based Tailored Care Management (TCM). Referring members who opt in to TCM for assignment to a care manager. Provide telephonic outreach and administration of Care Needs Screenings to all Vaya Medicaid plan members. Provide telephonic outreach and engagement to members eligible for care coordination. Conducting the above activities according to applicable rules, regulations, and contract requirements as outlined in Vaya policy and procedure Documenting above activities in designated software platforms according to Vaya policy and procedure Care Coordination and Transition of Care Management : Provide telephonic assessment and person-centered care planning for members who opt in to Care Coordination. Link members to appropriate care to meet their care plan goals, coordinate member care including locating appropriate providers and services, assisting with appointment reminders, and providing education about relevant health topics and recommended screenings and immunizations Manage transitions of care between settings ensuring that members receive appropriate discharge planning and follow up with discharge appointments Assessing eligibility for the NC Healthy Opportunities Pilot and linking eligible members to these services using the NCCARE360 software platform Conducting above activities in the designated software platform according to Vaya policy and procedure. Other duties as assigned. KNOWLEDGE, SKILLS, & ABILITIES A high level of diplomacy and discretion is required to effectively negotiate and resolve issues with minimal assistance. Exceptional interpersonal skills, effective oral and written communication skills, and the ability to make prompt independent decisions based upon relevant facts Problem solving, negotiation, and conflict resolution skills are essential to balance the needs of both internal and external customers. The employee must be detail oriented, able to organize multiple tasks and priorities, and to effectively manage projects from start to finish. Work activities quickly change according to mandated changes and changing priorities. The employee must be able to shift focus to meet changing priorities. Knowledge of Behavioral Health/I/DD Tailored Plan (Tailored Plan) eligibility and services Working understanding of the concepts of whole-person health and health-related resource needs (formerly known as social determinants of health) Community integration (Independent living skills; transition and diversion, supportive housing, employment, etc.) Health promotion (Common physical comorbidities, self-management, use of IT, care planning, ongoing coordination) Person-centered needs assessment and care planning, etc. Serving pregnant and postpartum women with SUD or with SUD history Thorough knowledge of standard office practices, procedures, equipment, and techniques and have intermediate to advanced proficiency in Microsoft Office products (Word, Excel, Power Point, Outlook, Teams, etc.) EDUCATION & EXPERIENCE REQUIREMENTS Bachelor's Degree in Human Services and at least two (2) years of progressive experience providing similar services to the population served. OR Bachelor's Degree in a field other than Human Services and at least four (4) years of progressive experience providing similar services to the population served. To meet federal requirements for Care Coordination, the incumbent must be qualified as a Qualified Professional according to 10A NCAC 27G .0104. Preferred work experience: Call Center (inbound/outbound) experience Tailored Care Management experience Care Coordination experience SDoH experience Medical Administration or Assessment Customer Success At least four (4) years of post-degree experience in customer success management, communications, and/or administrative care) PHYSICAL REQUIREMENTS Close visual acuity to perform activities such as preparation and analysis of documents; viewing a computer terminal; and extensive reading. Physical activity in this position includes crouching, reaching, walking, talking, hearing and repetitive motion of hands, wrists and fingers. Sedentary work with lifting requirements up to 10 pounds, sitting for extended periods of time. Mental concentration is required in all aspects of work. RESIDENCY REQUIREMENT: The person in this position is required to reside in North Carolina or within 40 miles of the North Carolina border. SALARY: Depending on qualifications & experience of candidate. This position is non-exempt and is eligible for overtime compensation. DEADLINE FOR APPLICATION: Open Until Filled APPLY: Vaya Health accepts online applications in our Career Center, please visit ****************************************** Vaya Health is an equal opportunity employer.

ESSENTIAL DUTIES & RESPONSIBILITIES * Prepare data and documentation and have charts prepped for all applicable Case Management sessions; completes all duties delegated by site Perinatal Care Manager related to case management * Assists patients in scheduling and completing perinatal appointments at PCC and associated referrals as needed by coordinating between the patient, provider(s), and the referral source * Advocate on patient's behalf if needed to ensure completion of referrals * Conduct outreach for missed appointments, due, and overdue perinatal care per the high-risk patient protocol * Decrease barriers to care, increase motivation, and foster open communication. Including assisting patients with scheduling transportation for medical needs, scheduling specialty or imaging care as directed by PCP or Perinatal Care Manager, and identifying resources to address patients' health-related social needs; includes educating patients on completing these tasks directly. * Contact referral sources when reports/results are outstanding, request results/reports not automatically received by PCC * Contribute to patient education materials and strategies to support care coordination * Work with manager and team to create flow charts, workflows and document tracking process as needed * Follow guidelines to enhance care coordination for high-need, high-risk patients, tracking of high-risk areas as needed * Develop supportive services and tools to address common barriers to care for PCC patients; integrate these with other initiatives for health promotion/education and access to care * Provides excellent customer service to internal and external customers * Regularly attend and participate in monthly site team meetings * Engages patients as active participants in their care * According to manager discretion, supports various program areas, including but not limited to: * Reach Out and Read * Lead Exposure Follow-up Care Coordination * Illinois Breast & Cervical Cancer Prevention * Referral prior authorization * Collaborates with site Perinatal Care Manager to address abnormal newborn screens and outstanding newborn hearing screens * Other duties as assigned

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

ESSENTIAL DUTIES & RESPONSIBILITIES Prepare data and documentation and have charts prepped for all applicable Case Management sessions; completes all duties delegated by site Perinatal Care Manager related to case management Assists patients in scheduling and completing perinatal appointments at PCC and associated referrals as needed by coordinating between the patient, provider(s), and the referral source Advocate on patient's behalf if needed to ensure completion of referrals Conduct outreach for missed appointments, due, and overdue perinatal care per the high-risk patient protocol Decrease barriers to care, increase motivation, and foster open communication. Including assisting patients with scheduling transportation for medical needs, scheduling specialty or imaging care as directed by PCP or Perinatal Care Manager, and identifying resources to address patients' health-related social needs; includes educating patients on completing these tasks directly. Contact referral sources when reports/results are outstanding, request results/reports not automatically received by PCC Contribute to patient education materials and strategies to support care coordination Work with manager and team to create flow charts, workflows and document tracking process as needed Follow guidelines to enhance care coordination for high-need, high-risk patients, tracking of high-risk areas as needed Develop supportive services and tools to address common barriers to care for PCC patients; integrate these with other initiatives for health promotion/education and access to care Provides excellent customer service to internal and external customers Regularly attend and participate in monthly site team meetings Engages patients as active participants in their care According to manager discretion, supports various program areas, including but not limited to: Reach Out and Read Lead Exposure Follow-up Care Coordination Illinois Breast & Cervical Cancer Prevention Referral prior authorization Collaborates with site Perinatal Care Manager to address abnormal newborn screens and outstanding newborn hearing screens Other duties as assigned Qualifications BASIC QUALIFICATIONS Knowledge of: Knowledge or experience with Microsoft Office Knowledge or experience with electronic health record software Ability to: Follow-through, assume responsibility and use good judgment. Ability to work at a computer terminal for extended periods of time on a daily basis. Maintain professionalism under stressful situations. Excellent customer service and telephone skills. Self motivated and directed with the ability to prioritize and work efficiently under pressure. Effective and creative problem solving. Ability to understand and follow verbal and written communication. Organized and able to manage competing priorities a must. Resourcefulness in problem solving. Experience/Training: High School Diploma or GED equivalent, Associates or Bachelor's degree preferred Constantly communicates with patients, families, and other healthcare providers. Must be able to exchange accurate information in these situations. PERSONAL CHARACTERISTICS Detail oriented with the ability to work with minimal/no supervision. Willingness to be part of a team-unit and cooperate in the accomplishment of departmental goals and objectives. Language Skills: Bilingual in English/Spanish required.

Eagle Crest Communities: Eagle Crest South I (La Crosse, WI) RCA Night Supervisor Full-Time: 80 hours per 2 week pay period Available Shifts: These positions participate in an occasional weekend on-call to assist with staffing. NOC: Sunday - Thursday 11 pm - 7 am RCA Night Supervisor Eagle Crest Communities is seeking a Night Supervisor to lead the team at Eagle Crest South. In this role the successful candidate will supervise the overnight care team, ensuring that residents receive proper care and treatment, that their health and safety are protected and promoted, and that their rights are respected. What You'll Do Responsible for the facility during their shift Responsible for the personnel duties of the overnight care team Perform all essential functions and requirements of a Resident Care Assistant Responsible for communicating with care teams, and assisting with coordinating and implementing programs and services provided to individual residents. Uphold the Mission Statement of Bethany Lutheran Homes, Inc. and perform all duties in a manner consistent with Bethany Lutheran Homes, Inc. Core Values. What You'll Need 3 years of Resident Care Assistant experience, preferred Must demonstrate strong communication and interpersonal skills Must possess supervisory/leadership qualities and abilities, time management and assessment abilities Must be at least 21 years of age and exhibit the capacity to respond to the needs of the residents and manage the complexity of the CBRF Must have basic computer skills (e-mail, internet, Microsoft Office), experience with electronic recordkeeping preferred High school diploma or equivalent required Our Wages Our starting wages are between $20.00 - $23.00 per hour, based on your experience and qualifications. Increases upon orientation completion. We also offer a $3.00/hr NOC, Plus weekend shift differential as well as on-call and pick-up incentives. Regular wage reviews - we pay for high performance! Our Benefits Available at 50+ hours/pay period: Health Insurance, Health Reimbursement Account, Dental Insurance, Life and AD&D Insurance, Long Term Disability, Short Term Disability. Available at 20+ hours/pay period: Vision Insurance, Flexible Spending Accounts, Short Term Disability, Accident Insurance, Cancer & Critical Illness Insurance, Hospital & Intensive Care Insurance, Pet Insurance. Available at 18+ hours/pay period: Tuition Investment Program. Available to all: Employee Assistance Program, 401(k). Pre-Employment Information Background checks will be run after an offer has been made, and offers are contingent upon successfully passing a background check. Communicable Disease Screening must also be completed if your position requires working within our communities. About Eagle Crest Eagle Crest Communities is the largest not-for-profit senior care provider in Western Wisconsin. With ten communities in the La Crosse, Holmen and Onalaska, WI area, we find success in providing superior service with great attention to ensuring the highest levels of satisfaction to every resident. Great people, great care! Bethany Lutheran Homes Inc is an Equal Opportunity Employer! caregiver rca resident care assistant supervisor nightshift 3rd shift cna certified nursing assistant overnight manager team lead leader lead

Job Title: Care Coordinator Reports To: Associate VP of Shelter Programs FLSA Status: Full-time, Non-exempt The Care Coordinator is a role responsible for supporting clients through the development of person-centered service plans, completing intake assessments, maintaining client files, and assisting with basic care coordination activities. This position ensures clients receive consistent communication, clear next steps, and linkage to community resources while progressing toward permanent housing goals. Essential Duties and Responsibilities Resident Engagement & Person-Centered Planning Assist residents in developing a person-centered plan based on their individual needs, preferences, and strengths. Discuss permanent housing goals upon admission and ensure these are incorporated into the resident's service plan. Conduct intake assessments, gather required documentation, and establish initial contact with internal and external providers. Maintain complete, organized, and up-to-date resident files in alignment with program, county, and contractual requirements. Care Coordination & Follow-Up Support Act as the primary communication point for case managers, residents, and internal team members regarding basic coordination needs. Maintain regular individual contact with residents to monitor goal progress, identify barriers, and encourage engagement in services. Support residents with follow-through on action steps, including connecting to benefits, medical care, mental health services, employment supports, or housing resources. For individuals without an assigned community case manager, provide basic care coordination and assist in securing appropriate ongoing services. Collaboration & Communication Attend and contribute to Utilization Review meetings, resident case discussions, and team meetings with Milwaukee County Housing Services and Adult Protective Services. Organize resident meetings to facilitate communication, strengthen engagement, and help identify program or individual needs. When concerns arise that cannot be resolved directly, notify Milwaukee County Housing Services and/or Adult Protective Services to determine next steps. Documentation & Compliance Complete case notes, assessments, service plans, and follow-up documentation in a timely, clear, and professional manner. Maintain required documentation in accordance with agency policies, county guidelines, funder expectations, and confidentiality requirements. Track resident contacts, progress, incidents, and referrals accurately. Program & Team Support Support Care Specialists and program leadership with communication follow-up, resource coordination, and resident engagement activities. Participate in required trainings, supervision, team meetings, and quality improvement initiatives. Perform other duties as assigned to ensure smooth program operations. Qualifications High School Diploma or GED (County minimum). At least 2 years of experience working with individuals experiencing mental illness, substance use challenges, and/or homelessness. Strong interpersonal and communication skills, with the ability to build rapport and maintain professional boundaries. Ability to maintain organized, detailed documentation and manage multiple follow-up tasks. Demonstrated cultural competence and ability to work respectfully with individuals from diverse backgrounds. Preferred Associate or Bachelor's degree in Social Work, Psychology, Human Services, or related field. Experience in shelter, housing, or community-based human services. Familiarity with trauma-informed care, Housing First principles, motivational interviewing, or supportive services frameworks. Experience with case management or electronic documentation systems (e.g., Clarity, Mission Tracker). CPR/First Aid and Crisis Prevention & Intervention training. Competencies Communication: Communicates clearly and professionally; maintains accurate documentation and keeps supervisors informed. Resident Engagement: Builds rapport, listens actively, and supports residents through a strengths-based and person-centered approach. Organization & Attention to Detail: Maintains thorough and accurate records; manages multiple follow-up tasks and deadlines effectively. Problem-Solving: Identifies issues early and seeks appropriate guidance; escalates concerns when they exceed the scope of the role. Collaboration: Works effectively with internal teams, community partners, and county agencies. Adaptability: Responds constructively to shifting resident needs, program demands, and county expectations. Professionalism: Consistently models ethical behavior, reliability, confidentiality, and respect. Work Environment This job description outlines the general nature and essential functions of the role and is not an exhaustive list of all responsibilities. Work is performed in a homeless shelter environment, which can be fast-paced and unpredictable. Staff may encounter: Individuals experiencing medical, behavioral, substance-use-related, or mental health crises Exposure to bodily fluids, infectious diseases, and other biohazards consistent with congregate care settings The presence of pests (such as bed bugs, lice, or rodents) due to the nature of emergency and transitional housing Fluctuating noise or activity levels and occasional disruptive behaviors Indoor and outdoor environments, including varying temperatures during support tasks Essential functions may require standing or walking for extended periods; moving throughout multiple buildings; assisting with client needs; and lifting, pushing, or pulling up to 25 pounds. Additional safety procedures and personal protective equipment (PPE) may be required based on situational risk. The physical and environmental demands described are representative of those necessary to perform the essential functions of the position. In accordance with the Americans with Disabilities Act (ADA), reasonable accommodations will be considered for qualified individuals with disabilities, provided such accommodations do not remove essential job duties or impose an undue hardship on the organization.