Lead Care Manager remote jobs

**Duties and Responsibilities:** + Advocates, informs, and educates beneficiaries on services, self-management techniques, and health benefits. + Conducts assessments to identify barriers and opportunities for intervention. + Develops care plans that align with the physicians treatment plans and recommends interventions that align with proposed goals. + Generates referrals to providers, community-based resources, and appropriate services and other resources to assist in goal achievement and maintenance of successful health outcomes. + Liaise between service providers such as doctors, social workers, discharge planners, and community-based service providers to ensure care is coordinated and care needs are adequately addressed. + Coordinates and facilitates with the multi-disciplinary health care team as necessary to ensure care plan goals and treatment is person-centered and maximizes member health outcomes. + Assists in identifying opportunities for alternative care options based on member needs and assessments. + Evaluates service authorizations to ensure alignment and execution of the members care and physician treatment plan. + Contributes to corporate goals through ongoing execution of member care plans and member goal achievement. + Documents all encounters with providers, members, and vendors in the appropriate system in accordance with internal and established documentation procedures; follows up as needed; and updates care plans based on member needs, as appropriate. + Occasional overtime as necessary. + Additional duties as assigned. **Minimum Qualifications:** + For Medical Care Management: + NYS RN or + LCSW or LMSW (any state) + Bilingual English and Spanish **Preferred Qualifications:** + Strong interpersonal and assessment skills, especially the ability to relate well with seniors, their families, and community care providers, along with demonstrated ability to handle rapidly changing situations. + Fluency in Spanish, Korean, Mandarin, or Cantonese. + Knowledge and experience with the current community health practices for the frail adult population and cognitive impaired seniors. + Experience managing member information in a shared network environment using paperless database modules and archival systems. + Experience and knowledge of the relevant product line + Relevant work experience preferably as a Care Manager + Demonstrated ability to manage large caseloads and effectively work in a fast-paced environment + Proficient with simultaneously navigating the Internet and multi-tasking with multiple electronic documentation systems + Experience using Microsoft Excel with the ability to edit, search, sort/filter and other Microsoft and PHI systems WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

The Pharmacy Graduate will participate in a 12-month post-PharmD training program. The Graduate will gain clinical perspective of the roles and responsibilities of a leading PBM supporting health plan clients. The program will focus on learning to execute on a health plan's clinical strategic goals, while driving improved clinical and financial outcomes for their members. The graduate will also support clinical strategies for regulated market health plans, tailoring clinical strategy to meet the needs of payers within this complex regulatory environment. Our ESI Health Plan Division (HPD) residency is a holistic program that provides resident a great foundation in managed care, with a focus in clinical strategy within client account management and as a core member of our HPD team. Learning opportunities include: understanding the PBM and health plan relationship, how we service our Health Plan clients, and ways we work together with various cross functional teams in order to meet and exceed our clients' needs and goals. The resident will engage in multiple different projects and presentations that support our clients, account teams, and overall HPD team. The program prepares the resident for success in a client management role post-residency within our HPD team. As a resident you will support the following activities (including but not limited to): Pharmacy and Medical Trend Consultation and Execution Holistic clinical solution opportunities Formulary, Utilization Management, and Rebate opportunities Support of the above across all lines of business for multiple clients Rotations Orientation [focused] Research [longitudinal] Formulary Strategy I - Commercial [focused] Trend Consultation and Clinical Account Management [longitudinal] Clinical Solutions [focused] Medicare 101 [focused] Formulary Strategy II - Medicare [focused] Formulary Strategy III - HIX & Medicaid [focused] Minimum Requirements: 4th year (Graduation year) or PharmD. degree from an ACPE-accredited college or school of pharmacy Pharmacy Licensure in any US State (within 90 days of residency start) Proficiency in Microsoft office, specifically Microsoft excel and PowerPoint Proficiency in written and verbal communications Strong career interest in Managed Care pharmacy Required: Please upload or email per instructions for each: CV - Upload/attach to Workday application. 2 letters of recommendation: 1 from a preceptor and 1 from a supervisor - Upload/attach to Workday application Letter of Intent (max 300 words; Explain why you are interested in our program and managed care) - Upload/attach to Workday application Official Pharmacy School Transcript - Email to ********************************. Please include candidate name in subject line. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an hourly rate of 21 - 36 USD / hourly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

The Care Manager l - Waiver assures that individuals and families with special health care needs receive integrated whole-person-person centered care management, including coordinating across physical health, behavioral health, pharmacy and unmet health-related resource needs to ensure they are linked to services and supports in an effort to maximize potential outcomes and decrease the unnecessary use of hospitals and emergency services by assuring that appropriate quality care is in place. The Care Manager I focus on a specified population of members utilizing health care services while ensuring all member health needs and referrals are addressed. The Care Manager l will collaborate with other community systems to work in partnership to support the identified population. This position will require extensive travel and may include going into homes of members we serve. Responsibilities & Duties Complete Assessment/Planning Complete comprehensive assessments or Care Needs Screening at enrollment, yearly or at changes in condition Develop Plans of Care derived from the completed assessments Demonstrate commitment to whole person/integrated care Assign interventions/plans of care to applicable Alliance Care Management team member to meet identified member needs, for monitoring, and/or service engagement activities Complete required Screening Tools Retrieve and review historical data to better-understand member's treatment history Submit referrals to the Transition Coordinator when a physical health or behavioral health need indicates medical and/or pharmaceutical complexity Assign Plan of Care activities to Community Health Worker if member has identified Social Determinants of Health (SDOH), disparities and/or complex payer issues Assist individuals/legally responsible persons (LRP) in choosing service providers, ensuring objectivity in the process Consistently evaluate appropriateness of services and ensure implementation of plan of care through information gathering and assessment at defined frequency of contact based on risk stratification Utilize person centered planning, motivational interviewing and historical review of assessments in JIVA to gather information and to identify supports needed for the individual Assist in collecting data to be used to identify and address barriers as well as determine the effectiveness of care management/care coordination in reducing lengths of stay and use of emergency services Actively collaborates with members/legally responsible person, care team, service providers, and identified supports to ensure development of a plan that accurately reflects the individual's needs and desired life goals including collaborating with residential placement search in conjunction with internal team members or external stakeholders as needed Submits required documentation to UM to ensure timely delivery of services - and trouble shoot until authorization is obtained. Notify a member's care team and providers of successful authorization (for residential or waiver related services) For Medicaid C, enlist administrative support to send Level of Care (LOC) and initial Individual Service Plan (ISP) to Department of Social Services (DSS) to turn on special waiver program indicator. Verify that necessary Client, Employer, Group (CEG) enrollments are correct in JIVA, and that Medicaid eligibility is updated in Alliance Claims System Provide Support and Monitoring to Members Schedule initial contact with member for purpose of assessment and engagement Verify accuracy of demographic information with member. Update inaccurate information from the Global Eligibility File following documented protocols Schedule face to face, virtual, and telephonic meeting with member/guardian to provide education about Alliance Health Plan, care teams, resources, and services Provide education and support, to individuals and LRP, in learning about and exercising rights, explanation of the grievance and appeals process, available service options, providers available to meet their needs, and payer requirements that may impact service connection and maintenance Refer members who are in crisis/institutional setting and require assistance with returning to community based services to the Integrated Health Consultant or applicable care team member Recognize and report critical incidents and provider quality concerns to supervisors and Quality Management Department Complete activities in JIVA related to Plans of Care developed from the Care Management Comprehensive Assessment or other assessments as deemed necessary Coordinate with other team members to ensure smooth transition to appropriate level of care when needed Communicate with member to check on status, verify care needs are met and that no new clinical needs warrant a change in condition assessment Provide follow up coordination with key stakeholders to promote engagement Promote customer satisfaction through ongoing communication and timely follow-up on any concerns/issues Verify that ongoing service adherence is maintained through monitoring meetings with member and/or guardian or provider Identify barriers to treatment and assist individuals with arranging appointments or linking to treatment providers Maintain required contacts with member/legally responsible person per state contractual requirements meeting minimum expectations Attend community, provider, stakeholder meetings as needed for member and/or as directed to support the needs of the health plan Coordinate and participate with SIS Team to ensure successful completion of SIS assessment within time frames allotted For facility (ICF, Hospital, PRTF or SDC) discharges, inform SIS Supervisor that an assessment needs to be scheduled Schedule and facilitate the ISP meeting, develop and update ISP Submit requests for services and purchase orders for products, supplies, and services covered under the Innovations waiver Complete check-in/contact with member and/or legally responsible person (LRP) via phone or email Complete Home and Community Based Services (HCBS) Notice of Change Form when arranging new HCBS service placement (for Residential Supports, Day Supports, and Supported Employment) with a new provider and submit to Provider Network department to ensure successful transition to provider Review service utilization and documentation as required by the member's program enrollment to monitor progress toward individualized goals and fulfillment of the intent of the service authorized Proactively respond to an individual's planned movement outside the Alliance MCO geographic area to ensure a smooth transition without lapse in care Engage with Providers Engage with Providers to identify barriers to service delivery at the member level and work toward individualized resolution with both the member and provider Ensure assessments, person-centered plans, discharge plans, and crisis plans are completed and shared with providers with whom the individuals are linked Report changes in member's health status to authorized providers Service Monitoring For Medicaid C services: conduct in-person, field-based observation of the member's experience with service delivery per the frequency and requirements outlined in the Medicaid C waiver and Home and Community-based Services (HCBS) standards For Non-Medicaid C services: complete (a) Provider Engagement Tool to assess provider support needs (to engage member in services) and (b) interventions to resolve administrative barriers to care; Review service utilization and documentation as required by the member's program enrollment to monitor progress toward individualized goals and fulfillment of the intent of the service authorized Complete Documentation Obtain and upload all supporting documentation, Legally Responsible Person (LRP) verification, and release of information that will improve care management activity on behalf of the member Open new episodes in JIVA when needed and schedule initial contact with member to verify accuracy of demographic information and initiate the rapport building process Document all applicable member updates and activities per organizational procedure Escalate complex cases and cases of concern to immediate supervisor. Ensure that service orders/doctor's orders are obtained, as applicable Share appropriate documentation with all involved stakeholders as consent to release is granted Obtain releases/documentation and provide to all stakeholders involved Maintains medical record compliance/quality Proactively respond to an individual's planned movement outside the Alliance geographic area, or other transition need, to ensure a smooth transition without lapse in care Distribute surveys to members in service Ensure clinical documentation (e.g. goals, plans, progress notes, etc.) meets state, agency documentation standards, and Medicaid requirements Compliance with Alliance Policy and Procedure Adheres to all Alliance Organizational Policies and Procedures and Care Management Desk Procedures Travel Travel between Alliance offices, attending meetings on behalf of Alliance, participating in Alliance sponsored events, etc. may be required Travel to meet with members, providers, stakeholders, attend court hearings etc. is required Minimum Requirements Bachelor's degree from an accredited college or university in Human Services field and two (2) years of post-bachelor's degree mh/dd/sa experience with the population served. Experience must include two (2) years IDD, service delivery monitoring, and care management experience. Or Bachelor's degree from an accredited college or university in non-human Services field and four (4) years of post-bachelor's degree mh/dd/sa experience with the population served. Experience must include two (2) years IDD, service delivery monitoring, and care management experience. Or Master's Degree from an accredited college or university in Human Services field and one (1) year of post graduate degree mh/dd/sa experience with the population served. Experience must include two (2) years IDD, service delivery monitoring, and care management experience. Or Fully or Provisionally Licensed in the State of North Carolina as a LCSW, LCMHC, LPA, or LMFT and two (2) years IDD, service delivery monitoring, and care management experience. Or Licensed Registered Nurse (RN) in the State of North Carolina with four (4) years of mh/dd/sa experience with the population served. Experience must include two (2) years IDD, service delivery monitoring, and care management experience. Preferred: NACCM, NADD-Specialist and/or CBIS Certification Knowledge, Skills, & Abilities Person Centered Thinking/planning Knowledge of using assessments to develop plans of care Knowledge of LOC process, SIS for IDD and FASN assessment for TBI Knowledge of Medicaid basic, enhanced MHSUD, and waiver benefits plans Knowledge of and skilled in the use of Motivational Interviewing techniques Strong interpersonal and written/verbal communication skills Conflict management and resolution skills Proficient in Microsoft Office products (such as Word, Excel, Outlook, etc.) High level of diplomacy and discretion is required to effectively negotiate and resolve issues with minimal assistance. Ability to make prompt, independent decisions based upon relevant facts Employment for this position is contingent upon a satisfactory background and MVR (Motor Vehicle Registration) check, which will be performed after acceptance of an offer of employment and prior to the employee's start date. Want to learn more about what it's like work as part of the Care Management Team? Click on our video to learn more: **************************** Salary Range $28.96 - $37.65/ Hourly 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

Omatochi is actively seeking a compassionate and detail-oriented Care Manager to join our team. In this non-medical role, you will play a crucial part in coordinating and overseeing support services for our clients. The Care Manager will work closely with various stakeholders to ensure our clients receive the assistance and resources needed to improve their quality of life. The ideal candidate for this position is empathetic, organized, and possesses excellent communication skills. Responsibilities: Client Assessment and Support Planning: Conduct thorough assessments of clients' needs, considering their personal, social, and emotional requirements. Develop tailored support plans in collaboration with clients, their families, and relevant agencies. Coordinate with community resources to provide clients with appropriate services and assistance. Care Coordination and Advocacy: Serve as the main point of contact for clients, connecting them with relevant services and programs. Advocate for clients' needs, ensuring they receive timely and adequate support from various organizations and service providers. Monitor the progress of support plans and adjust them as necessary to meet clients' changing requirements. Client and Family Education: Educate clients and their families about available support services, community resources, and self-help techniques. Provide guidance on effective coping strategies and assist in developing life skills. Address clients' concerns and queries, building a trusting and supportive relationship. Documentation and Reporting: Maintain accurate records of client assessments, support plans, and interactions. Generate detailed reports on client outcomes, program effectiveness, and areas for improvement. Ensure compliance with organizational protocols and reporting requirements. Collaboration and Professional Development: Collaborate closely with community organizations, social workers, and relevant agencies to enhance the overall quality of client support. Participate in regular team meetings, training sessions, and workshops to stay informed about the latest developments in social services and care management. Pursue continuous professional development, seeking opportunities to expand knowledge and skills in the field of care management. Qualifications: Bachelor's degree in Social Work, Psychology, Counseling, Human Services, or a related field. Proven experience in non-medical care management, case management, or social services. Strong understanding of social service regulations, policies, and procedures. Excellent interpersonal skills, including active listening and empathy. Ability to work independently, prioritize tasks, and manage time efficiently. Proficiency in using case management software and other relevant tools. Benefits: Competitive salary and performance-based incentives. Comprehensive benefits package, including health, dental, and vision insurance. Generous paid time off, including vacation, personal days, and holidays. Ongoing professional development opportunities. Region and Travel: This is a position with a strong field-based component. While the incumbent will have flexibility to work from home, they are expected to travel extensively-approximately 50% to 80% of the time-within Santa Cruz County. This role requires a high level of mobility and availability to attend in-person visits, community events, and other field-based responsibilities throughout the geographic area of responsibility. Mileage Reimbursement / Vehicle Allowance: Travel-related expenses are reimbursed and whether a monthly stipend is provided for vehicle use. Scheduling Flexibility: Incumbent has autonomy over scheduling and is responsible for balancing field and administrative work. Omatochi is committed to creating an inclusive and diverse work environment. We encourage applications from candidates of all backgrounds and experiences.

ICON plc is a world-leading healthcare intelligence and clinical research organization. We're proud to foster an inclusive environment driving innovation and excellence, and we welcome you to join us on our mission to shape the future of clinical development. **What you will be doing:** **Study Manager Support** + Assists the SM Study Lead and study team with the operational conduct of clinical studies (e.g., CTT minutes, clinical supplies planning/tracking, lab specimen tracking, imaging data reconciliation, status update reports, study closeout activities) + May support a single study or multiple studies + May lead a study with limited scope (e.g., Survival Follow-up) + May be responsible for tracking study timelines and will be proficient in project management tools + May interact with internal and external stakeholders (study sites, vendors, committees, etc.) in support of clinical study objectives **What you need to have:** **Educational Requirements** + BS/BA/MS/PhD with 2+ yrs clinical research experience **Minimum Years of Experience** + Pharmaceutical and/or clinical drug development experience beneficial but not required + Experience (study management) in Oncology. + Demonstrated oral and written communication skills + Excel and PP experience required + To qualify, applicants must be legally authorized to work in the United States or Canada, and should not require, now or in the future, sponsorship for employment visa status **What ICON can offer you:** Our success depends on the quality of our people. That's why we've made it a priority to build a diverse culture that rewards high performance and nurtures talent. In addition to your competitive salary, ICON offers a range of additional benefits. Our benefits are designed to be competitive within each country and are focused on well-being and work life balance opportunities for you and your family. Our benefits examples include: + Various annual leave entitlements + A range of health insurance offerings to suit you and your family's needs. + Competitive retirement planning offerings to maximize savings and plan with confidence for the years ahead. + Global Employee Assistance Programme, LifeWorks, offering 24-hour access to a global network of over 80,000 independent specialized professionals who are there to support you and your family's well-being. + Life assurance + Flexible country-specific optional benefits, including childcare vouchers, bike purchase schemes, discounted gym memberships, subsidized travel passes, health assessments, among others. Visit our careers site (************************************* to read more about the benefits ICON offers. At ICON, inclusion & belonging are fundamental to our culture and values. We're dedicated to providing an inclusive and accessible environment for all candidates. ICON is committed to providing a workplace free of discrimination and harassment. All qualified applicants will receive equal consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. If, because of a medical condition or disability, you need a reasonable accommodation for any part of the application process, or in order to perform the essential functions of a position, please let us know or submit a request here (****************************************************** Interested in the role, but unsure if you meet all of the requirements? We would encourage you to apply regardless - there's every chance you're exactly what we're looking for here at ICON whether it is for this or other roles. Are you a current ICON Employee? Please click here (****************************************************** to apply

ICON plc is a world-leading healthcare intelligence and clinical research organization. We're proud to foster an inclusive environment driving innovation and excellence, and we welcome you to join us on our mission to shape the future of clinical development. What you will be doing: Study Manager Support * Assists the SM Study Lead and study team with the operational conduct of clinical studies (e.g., CTT minutes, clinical supplies planning/tracking, lab specimen tracking, imaging data reconciliation, status update reports, study closeout activities) * May support a single study or multiple studies * May lead a study with limited scope (e.g., Survival Follow-up) * May be responsible for tracking study timelines and will be proficient in project management tools * May interact with internal and external stakeholders (study sites, vendors, committees, etc.) in support of clinical study objectives What you need to have: Educational Requirements * BS/BA/MS/PhD with 2+ yrs clinical research experience Minimum Years of Experience * Pharmaceutical and/or clinical drug development experience beneficial but not required * Experience (study management) in Oncology. * Demonstrated oral and written communication skills * Excel and PP experience required * To qualify, applicants must be legally authorized to work in the United States or Canada, and should not require, now or in the future, sponsorship for employment visa status What ICON can offer you: Our success depends on the quality of our people. That's why we've made it a priority to build a diverse culture that rewards high performance and nurtures talent. In addition to your competitive salary, ICON offers a range of additional benefits. Our benefits are designed to be competitive within each country and are focused on well-being and work life balance opportunities for you and your family. Our benefits examples include: * Various annual leave entitlements * A range of health insurance offerings to suit you and your family's needs. * Competitive retirement planning offerings to maximize savings and plan with confidence for the years ahead. * Global Employee Assistance Programme, LifeWorks, offering 24-hour access to a global network of over 80,000 independent specialized professionals who are there to support you and your family's well-being. * Life assurance * Flexible country-specific optional benefits, including childcare vouchers, bike purchase schemes, discounted gym memberships, subsidized travel passes, health assessments, among others. Visit our careers site to read more about the benefits ICON offers. At ICON, inclusion & belonging are fundamental to our culture and values. We're dedicated to providing an inclusive and accessible environment for all candidates. ICON is committed to providing a workplace free of discrimination and harassment. All qualified applicants will receive equal consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. If, because of a medical condition or disability, you need a reasonable accommodation for any part of the application process, or in order to perform the essential functions of a position, please let us know or submit a request here Interested in the role, but unsure if you meet all of the requirements? We would encourage you to apply regardless - there's every chance you're exactly what we're looking for here at ICON whether it is for this or other roles. Are you a current ICON Employee? Please click here to apply

Benefits: Job you will love Fulfilling work Rewarding Career Supportive Environment Make a difference for your clients In Demand The Care Manager is responsible for providing quality professional care management services to all clients and their responsible parties. Our objective is to assist our clients in managing and navigating challenges in aging as well as Adults with physical and mental disabilities and providing the highest quality of life. This includes: Care Coordination Managing home health aides Medical oversight Interfacing with medical personnel Advocacy, information and referrals Qualifications: Professional and positive approach, commitment to customer service Self-motivated and work with own initiative Strong in building relationships, team player and able to communicate at all levels Recognizes industry trends and problem solves Respectful of company and client confidentiality; any violation of company or client confidence is immediate grounds for dismissal. Personalized and compassionate service - focusing on the individual client's wants and needs. Ability to provide non-directive guidance and facilitate constructive relationships. Ability to ensure inappropriate placements, duplication of services, and unnecessary hospitalizations are avoided. Manage time efficiently. Ability to provide coordinated communication between family members, doctors and other professionals, and service providers. This is a remote position. Aging Life Care Professionals offer a holistic, client-centered approach to caring for older adults or others facing ongoing health challenges. Working with families, the expertise of Aging Life Care Professionals provides the answers at a time of uncertainty. Their guidance leads families to the actions and decisions that ensure quality care and an optimal life for those they love, thus reducing worry, stress and time off of work for family caregivers through: Assessment and monitoring Planning and problem-solving Education and advocacy Family caregiver coaching This business is independently owned and operated. Your application will go directly to the business, and all hiring decisions will be made by the management. All inquiries about employment at this business should be made directly and not to Aging Life Care Association.

Freedom Financial Network is a family of companies that takes a people-first approach to financial services, using technology to empower consumers to overcome debt and create a brighter financial future. The company was founded in 2002 by Brad Stroh and Andrew Housser on the belief that by staying committed to helping people, you can ensure better financial outcomes for both the customer and the business. This Heart + $ philosophy still guides the vision of our growing company, which has helped millions of people find solutions for their financial needs. What began with 2 people in a spare bedroom has now rapidly expanded to a vibrant business that employs over 2,300 employees (known internally as The Freedom Family) in two locations: San Mateo, CA and Tempe, AZ. When you visit either of our offices, you'll understand why our employees have voted us the Best Place to Work for the last several years. It's a place where the Heart + $ philosophy continues to thrive, where we believe that success is only achieved by doing what's right for our customers, our employees, and our communities. In order to create brighter futures for our clients, employees, and businesses, Freedom Financial Network holds itself to four core values that have grown out of our Heart + $ philosophy: to care for everyone around us, act with integrity every time, collaborate with everybody we work with, and get better at what we do every day. Job Description The Opportunity: We're growing and making a real difference in people's lives every day. Are your talents being leveraged to their fullest? Do you have the autonomy to build a truly impactful recruiting function? If not, consider joining us out as we continue to build the most innovative technology teams in the Fintech space! This is truly a unique opportunity to make your mark and the impact you've always known you could! In this position, the Manager, Talent Acquisition (TA) is responsible for driving the overall strategy and day-to-day recruiting operations supporting a variety of technical teams that may include Engineering, Product, Information Technology, Digital Marketing and Data/Strategy as well as other teams as needed. You will leverage your leadership, collaboration and influencing skills to ensure we capture the highest quality candidates through passive talent sourcing, and that we are thoroughly screening, interviewing and on-boarding with the highest sense of urgency, quality and continuous improvement. Reporting to the Vice President of Talent Acquisition, you will play an integral role in the design, deployment and execution of recruiting initiatives, tools and technology, training and development of the recruiting team, and continuous improvement of our processes. The day-to-day duties include coaching, leading and developing a team of Recruiters and Sourcing Specialists to ensure we deliver on our promise of bringing the very best talent into the company in the shortest timeframe possible. Acting as an expert resource for our Recruiters as they continue their evolution into becoming “Talent Advisors”, you will drive new and innovative talent sourcing strategies, provide expert guidance on selection strategies and building strong relationships with all stakeholders while ensuring a “best in class” candidate and hiring manager experience. Role location is preferred in Phoenix but will consider remote locations in CA, TX, NV, WA, CO, OR, and UT. RESPONSIBILITIES: Leads a team of 4-6 Recruiters who are based in various locations across the US. Identifies and implements new, creative strategies to locate and “win” top tech talent in this highly competitive market. Leverage metrics and data to drive performance, continuous improvement and quality talent outcomes for the team, our business groups and the company as a whole. With clear performance expectations in place, you will coach and guide the recruiters on a daily basis providing support, sourcing and selection strategy assistance, and on-going process improvement. Builds strong relationships with key stakeholders at all levels from senior staff to VPs to understand talent needs now and in the future. Exceptional influencing skills are key. Identifies and builds relationships with key external recruiting firms to leverage as needed. Personally manages the search for executive level openings as needed. Identify opportunities and participate in the execution of process improvement initiatives. Collaborate with business leaders, HRBP's and other peers to ensure the best possible recruiting outcomes, candidate experience and new hire retention. Become a subject matter expert in the utilization and optimization of the ATS and other tools leveraged in the recruiting process. Qualifications Minimum QUALIFICATIONS: · Bachelor's degree highly preferred. · 5+ years of overall experience in recruiting with at least 4 years in high growth mode corporate setting required. · 2+ years' experience leading highly successful recruiting teams · 3+ years of experience recruiting in the technology space (Engineering, Product, BI/Data, etc.) at all levels up to VP. · Strong analytical and quantitative skills and experience required. · Proven experience building effective relationships and partnerships across various levels of an organization. · Talent Advisor certification preferred. · Advanced talent sourcing certification(s) preferred. · Proficiency in MS-office necessary; advanced capabilities in Excel, and PowerPoint a strong plus. Additional Information All your information will be kept confidential according to EEO guidelines.

The Pharmacy Graduate will participate in a 12-month post-PharmD training program with a primary focus on Physician Engagement, including but not limited to; the use of digital applications, data, and insights to enable informed provider decisions. The Physician Engagement Pharmacy Resident will gain managed care proficiency through in-depth longitudinal rotations and as well as enterprise-wide exploratory rotations, while delivering clinical support to the Provider Engagement, Data and Analytics, and Physician Innovation teams. LOCATION: VIRTUAL RESPONSIBILITIES Recommend medications, including initiation, continuation, discontinuation, and alternative therapies based upon established protocols. Utilize Express Scripts' multiple data analytics programs and tools to monitor and analyze trends in providers prescribing patterns. Collaborates with client, client's Express Scripts' account team and others to optimize opportunities to inform and influence providers. The goal is to improve clinical and financial outcomes and support trend management including appropriate promotion of generic and formulary prescribing toward client and Express Scripts' strategic goals. Provide clinical support for Physician Innovation teams' research and development efforts, predictive capabilities, and reporting and outcomes processes. Activities and discussions to gain knowledge of Pharmacy Benefit Management (PBM) services, including claims processing, coverage reviews, pharmacy networks, formulary management, and client management. Effectively participate in and contribute to staff meetings, committees and departmental work groups to share best practices, improve processes and/or other items relating to provider engagement. Provide patient and health care professional education and medication information. Design and present education and/or training activities via newsletter publications, clinical journal clubs, and department in-service opportunities. Minimum Requirements: 4th year (Graduation year) or PharmD. degree from an ACPE-accredited college or school of pharmacy Pharmacy Licensure in any US State (within 90 days of residency start) Proficiency in Microsoft office, specifically Microsoft excel and PowerPoint Proficiency in written and verbal communications Strong career interest in Managed Care pharmacy Required: Please upload or email per instructions for each: CV - Upload/attach to Workday application. Letter of Intent (max 300 words; Explain why you are interested in our program and managed care) - Upload/attach to Workday application. Any recommendation letters - Upload/attach to Workday application Deadline for application for this program is 12/31/2025 If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an hourly rate of 21 - 36 USD / hourly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Salvo is looking for an experienced Nurse to support our chronic disease patients. In this role, you'll be a key contributor to the management and delivery of our care program, working closely with our patients, registered dietitians, and partner physicians to provide best-in-class care. You'll use your medical knowledge and product expertise to help our members navigate Salvo Health, assisting in medical and administrative tasks to keep the member moving through the program. Additionally, you'll help shape how we build and scale our product and process. Our ideal candidate is someone who enjoys the challenges of an early-stage start up, is eager to learn, process oriented, and has a patient-first mindset. What You Will do: Provide exceptional care, disease management and health education to patients Support goal setting for individual patients asynchronously to help them better manage their chronic conditions Create personalized action plans with guidelines to reduce or eliminate unwanted behaviors Help clients understand their motivations and create behavior change plans Conduct regular outreach to patients, based on their needs and preferences, to support engagement and elicit behavior change Coordinate with other clinical team members to provide an exceptional patient experience Develop and maintain professional, support-oriented working relationships with patients and team members Create and distribute health education materials to individual members as necessary Work with a cross-functional product team to develop and constantly improve our in-app patient experience Qualifications: 2+ year of experience as Licensed Practical Nurse or any Nursing license 2+ years of experience in patient-facing or customer-facing roles Compact state license required, additional licensing may be needed Bilingual (spanish speaking) a plus Excellent customer relation skills, as well as written and verbal communication skills Knowledge of medical terminology and proficiency of general medical office procedures Familiarity with digital applications like Slack, Coda, Google Workspace, etc. Strong analytical and proactive problem solving skills Self-motivated, results-oriented and strategic thinker Personal passion for health and wellness topics Must be authorized to work in the United States Experience working in telehealth or healthcare startup environment preferred Bonus: Experience working in GI, weight management, and/or with anti-obesity medications such as GLP-1s Salvo is a new approach to help millions of Americans facing chronic health conditions, centered on chronic gut health and metabolic conditions from IBS to obesity. Our patients are assigned a “whole patient” care team and have seven day a week access to app-based care, using Remote Patient Monitoring (“RPM”) to bill under the patient's insurance. This is a major step forward to go beyond episodic appointments to continuous care at home, and deliver interdisciplinary wraparound care in partnership with the patient's existing local doctor. Salvo is backed by leading health care investors from innovators like Livongo, Ro, Ginger, Forward, Brightline, Tia, and others. Salvo care draws on expertise from Board-certified specialty physicians, registered dietitians, nurses, psychologists, and therapists who have developed our evidence-based protocols, for a personalized, multi-month journey to better health. Salvo is the first to bring a scalable and tech-enabled, more integrative approach to these chronic conditions, going beyond treating only the symptoms in order to identify and address the root causes of chronic illness. Salvo offers a competitive salary and health benefits, a remote work environment, flexible time-off, a larger sense of mission, and professional development and entrepreneurial opportunities. Working alongside a bunch of super talented and friendly people, in a culture that likes to drive constant innovation, and marked by relentless curiosity and a sense of empathy. Salvo is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

AO Globe Life is one of the largest providers of supplemental coverage to labor unions, credit unions, and associations. We are licensed in 49 states, the District of Columbia, Canada, and New Zealand. A wholly owned subsidiary of Globe Life which is a S&P 500 company traded on the New York Stock Exchange under the symbol GL. In this role, you will assume a vital position in securing families' financial well-being.Typical day-to-day tasks include:• Conducting virtual consultations with clients.• Assessing clients' needs and imparting knowledge on solutions.• Cultivating lasting client relationships through consistent, periodic check-ins.• Completing related administrative tasks (like note taking, appointment setting, etc.) as needed. Incentives include but not limited to:• No cold calling• Qualified lead program (no cost to you) - We have relationships with 30,000+ Groups nationwide with millions of members needing our services• Conventions and incentive trips• Production awards• Advancement based on performance• Weekly advance and bonuses• Lifetime renewals• Benefits (Health Insurance, Life Insurance)• Union backed contract• Mentorship and complete training• Industry leading tools and technology access• Work from home (web conference-based presentations) Looking for candidates who hold the below characteristics: Passionate. Competitive. Motivated. Dependable. Hardworking. Adaptable. Flexible, Trainable. Our team consists of all backgrounds and levels of education. We are previous high school graduates, administrative assistants, laborers, veterans, accountants, and so much more! If you are a hard-working, motivated team player, this may be an opportunity for you! *All interviews will be conducted via Zoom video conferencing We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

Who We Are At Lucet, we are industry leaders in behavioral health, dedicated to helping people live healthy, balanced lives. Our purpose is to advocate for and improve the overall well-being of those we serve, through balanced treatment of the mind and body. When you join Lucet, you become a valued member of our team, serving more than 15 million people across the U.S. Our employees have a passion for helping others - and it shows. From entry-level employees to senior leaders, we are inspired by our members, putting them first in everything we do. From day one, you'll see firsthand the impact you have on our members, knowing you can make a true difference in their lives. Why join our team at Lucet? We are a team of collaborative and hard-working professionals working to improve behavioral health outcomes working in a fast-paced and changing environment. At Lucet, no two days are the same. If you find joy in meaningful work and delivering excellent results, we encourage you to apply! We are looking for top-tier skills and experience in our remote-work environment and that's because we offer top-tier compensation and benefits, which include: Annual compensation between $65,000 - $75,000, PLUS an annual performance-based, discretionary incentive. Compensation is dependent on non-discriminatory factors including but not limited to an applicant's skills, education/degrees, certifications, prior experience, market data, and other relevant factors. Full Health Benefits - Medical, Dental, and Vision 401(k) with competitive employer match Company paid life and disability insurance, wellbeing incentives, and parental leave Professional development opportunities and tuition reimbursement Paid time off including paid time off for volunteering Opportunity for meaningful growth, both personally and professionally, where your unique background and experience is welcomed and valued. What You Will Do - Essential Functions The Care Manager is responsible for providing case management and support activities for Lucet members who have been: discharged from inpatient or residential treatment settings, need assistance during a signification treatment transitions, or have co-occurring medical and behavioral health conditions and who meet the Lucet eligibility criteria for integrated case management. This includes significant coordination with all departments within Lucet, health plans, facilities and providers to promote effective, efficient and quality care for Lucet members. Comprehensive Case Management and Clinical Coordination: Utilizes the full case management process, including assessment, care planning, implementation, and outcome evaluation. Conducts telephonic and on-site assessments, engages with members and their support systems, and facilitates care coordination and transitions. Member Engagement, Quality Service, and Integrated Care: Builds trusting relationships using motivational interviewing to support member engagement and progress. Promotes quality service delivery and effective transitions to optimize health outcomes. Coordinates with medical management, primary care providers, and community resources to ensure integrated, member-centered care. Documentation, Compliance, and Professional Development: Completes documentation in compliance with regulatory and accreditation standards, using appropriate tools and models. Supports ongoing education, adheres to case management policies, and recommends system enhancements to improve outcomes and efficiency. Who You Are Required Qualifications Current, unrestricted state license issued by a state or territory of the United States to practice independently as a Clinical Social Worker, Marriage and Family Therapist, Professional Counselor, Clinical Psychologist or Registered Nurse in the state in which the business operation is located and/or other states as required by law, regulation or contract. Strong clinical and case management skills Minimum of 3-5 years of direct clinical care experience with patients in facility-based and/or outpatient psychiatric or chemical dependency treatment Excellent verbal and written communication and interpersonal skills Strong computer and keyboarding skills (Microsoft Outlook and Word), including the ability to document while simultaneously while taking information over the phone Ability to comprehend medical policy and criteria to clearly articulate health information Valid driver's license and proof of insurance mandatory for positions which require driving. Someone who embodies our values by: Serving everyone with compassion and leading with empathy. Stepping up and creating value by taking charge and acting when there is an opportunity. Adapting in a changing world by recognizing our responsibility to be agile and respond quickly. Nurturing growth and belonging by respecting and celebrating everyone for who they are. Competencies Self-motivated and the ability to assume a role in ensuring that all objectives are met Ability to work independently to meet case load requirements and team objectives/goals Proven interest in professional development through specialization, certification, and/or advanced degree Maintains curiosity and an eagerness to explore new knowledge and try new ideas and approaches to case management Professional demeanor in response to all situations regardless of the nature or circumstances of the situation Able to manage multiple tasks in a fast-paced, changing environment Ability to work within a collaborative, team-oriented environment Working Conditions: Work is performed indoors in a remote, home setting or typical office environment- not substantially exposed to adverse environmental conditions and onsite at assigned facilities. Frequent exposure to VDT screen. Frequent use of office machines to include telephone, copier, computer, and fax machine. Must be able to constantly remain in a stationary position, communicate and exchange information with others, inspect information, perform repetitive motions with arms and fingers, interpret data, problem solve, make decisions, organize and plan, and maintain a positive and professional attitude in all situations. We encourage applicants with a range of experiences who can demonstrate how their qualifications and skills align with the requirements of this role. This position will accept and review new applications and resumes no less than 5 business days after the original posting date and may remain open an extended period of time with no set end date based on the level of interest.

AO Globe Life is one of the largest providers of supplemental coverage to labor unions, credit unions, and associations. We are licensed in 49 states, the District of Columbia, Canada, and New Zealand. A wholly owned subsidiary of Globe Life which is a S&P 500 company traded on the New York Stock Exchange under the symbol GL. In this role, you will assume a vital position in securing families' financial well-being. Typical day-to-day tasks include:• Conducting virtual consultations with clients.• Assessing clients' needs and imparting knowledge on solutions.• Cultivating lasting client relationships through consistent, periodic check-ins.• Completing related administrative tasks (like note taking, appointment setting, etc.) as needed. Incentives include but not limited to:• No cold calling• Qualified lead program (no cost to you) - We have relationships with 30,000+ groups nationwide with millions of members needing our services• Conventions and incentive trips• Production awards• Advancement based on performance• Weekly advance and bonuses• Lifetime renewals• Benefits (Health Insurance, Life Insurance)• Union backed contract• Mentorship and complete training• Industry leading tools and technology access• Work from home (web conference-based presentations) Looking for candidates who hold the below characteristics:Passionate. Competitive. Motivated. Dependable. Hardworking. Adaptable. Flexible. Coachable. Our team consists of all backgrounds and levels of education. We are previous high school graduates, administrative assistants, laborers, veterans, accountants, and so much more! If you are a hard-working, motivated team player, this may be an opportunity for you! *All interviews will be conducted via Zoom video conferencing

Provides leadership and subject matter expertise in care coordination, clinical program concepts, methods, and activities for unlicensed teams. Builds successful relationships with behavioral health providers, physical health partners, community services and agencies. Manage team members` performance through the review of qualitative and quantitative performance results on a regular and ongoing basis. Provide constructive feedback and set improvement milestones when indicated. Regularly assess the clinical performance of staff via documentation audits, live service observations and other performance management tools. Set clear performance expectations with team and communicate how performance goals are linked to organizational goals and values. Motivate and encourage team members to excel. Create a team environment that contributes to a high degree of employee satisfaction. Monitor individual team member reliability patterns and take corrective steps when indicated. Utilize the workforce management system to monitor schedule adherence and other work habits. Recruit, interview, and select qualified clinical and nonclinical team members, take corrective action for team members who do not meet expectations. Lead the clinical team in monitoring and managing care coordination for those members meeting level II or level III behavioral health needs. Oversee program functions such as timeliness of followup from the Health Reimbursement Agreement (HRA). Completion and timeliness of the comprehensive needs assessment and the development and implementation of the treatment plan, including collaboration and sharing information with providers as needed for joint treatment planning and for transitions in care. Use of reporting to monitor the TAT and completion of duties to meet the contractual requirements. Ensures appropriate clinical supervision and case consultation for clinical staff. Assists, on an as needed basis, in response to peak work periods. Other duties as assigned. The job duties listed above are representative and not intended to be all-inclusive of what may be expected of an employee assigned to this job. A leader may assign additional or other duties which would align with the intent of this job, without revision to the job description. Other Job Requirements Responsibilities Associates level degree in mental health or related field. 5 years post degree experience in a behavioral healthcare setting. Ability to function independently and as a team member, analyze specific utilization problems, plan and implement care coordination solutions while maintaining a good rapport and relationship with mental health and substance abuse providers. Considerable skill in interpreting clinical records, treatment information and making appropriate referral and triage decisions. Working knowledge Microsoft Office Suite. General Job Information Title Supervisor, Care Coordination Grade 24 Work Experience - Required Clinical, Supervisory Work Experience - Preferred Education - Required A Combination of Education and Work Experience May Be Considered., Associate Education - Preferred License and Certifications - Required License and Certifications - Preferred RN - Registered Nurse, State and/or Compact State Licensure - Care MgmtCare Mgmt Salary Range Salary Minimum: $58,440 Salary Maximum: $93,500 This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing. Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled. Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.

After a record breaking year with $2.3 million in sales and 46% growth year over year we have decided to open up additional positions for 2022. If you are hard-working, motivated, and a team player then we have a position for you! Experience in our industry is not required as we have industry-leading training and support to provide you the tools to be successful and achieve your professional and personal dreams. At last, we now have the ability to work from home virtually so we can hire candidates and service customers from all over the country! Company Accolades: Forbes Top 24 Happiest Companies To Work For 2017, 2018, 2019, 2020 Fortune 500 Company Rated A+ Superior on AM best for financial strength What We Offer: Full training provided A fun, energetic and positive team environment Rapid career growth and advancement opportunities Weekly pay and bonuses Virtual Work-From-Home setting Benefit Reimbursement program after 90 days Residual Income Ability to qualify for an all-expenses-paid yearly office trips to exciting and exotic locations (2016 Puerto Rico, 2017 Cancun, 2018 Disney, 2019 Vegas, 2020 Bar Mar Bahamas) Job Duties: Inbound and outbound calling Scheduling appointments with clients who request our benefits Presenting and explaining insurance products and benefits packages over Zoom video call Sell and up sell insurance to new and existing clients Completing applications for insurance products Report daily numbers Attend optional training classes Completing tasks that an underwriter requires to get the client approved for the coverage Apply now to learn more about what we do and how you can be a part of our team today!

PURPOSE: The Attendant Care Department Manager provides support to company leadership, ensures compliance with applicable regulations and policies, and promotes quality service delivery. This role requires adept management of remote and traveling employees, oversight of an administrative team, and coordination with field staff to meet in-person service requirements. The Manager embraces a systems-oriented approach, continuous improvement mindset, and coaching leadership style. MINIMUM QUALIFICATIONS Bachelor's degree or a combination of 5 years' experience and education in the field of education, social work, disability services, or a related field Minimum 3-5 years' relevant work experience, preferably in a Human Services field Experience supervising remote and/or field-based employees. Satisfactory background check Ability to obtain DPS fingerprint clearance card Proficient in Microsoft Office (Word, Excel, Outlook) and comfortable working with internal databases and large data sets. Familiarity with state and federal regulations related to attendant care services, including AHCCCS and DDD requirements. Key Competencies Strong leadership and team coordination, including support for remote and field staff Ability to manage complex systems, priorities, and workflows Clear, professional communication with teams and stakeholders Highly organized with strong accountability and follow-through Skilled in analyzing reports and large data sets to ensure compliance Strong critical thinking and problem-solving abilities Commitment to continuous improvement and process efficiency Self-directed and reliable in remote settings, with flexibility to travel Essential Job Functions Manage ATC Monitor schedules and ensure timely completion of required visits. Oversee staff hiring, training, supervision, and certification compliance. Coordinate payroll processes, incentive payments, and caseload assignments. Monitor visit quality, vehicle compliance, and staff adherence to policies. Lead department meetings and support communication across teams. Maintain accurate records and respond to audits or compliance requests. Ensure confidentiality, safety, and adherence to all organizational and regulatory standards EQUIPMENT Computer Internet Multi-functional printer/scanner Cell Phone May require the use of vehicle WORK ENVIRONMENT This job operates as a remote telecommuting position, as Arion Care Solutions does not provide a separate workplace at a corporate location. Working from home requires a high degree of discipline and the ability to have a space dedicated to work in the home and provision for childcare if appropriate. This position may require travel to different locations and in-person meetings. Arion Care Solutions, LLC is an equal opportunity employer.

Hello, how are you? Are you a LPN that is looking to improve the health of patients that have complex conditions? Do you live within a reasonable driving distance to St. Joseph, MO? Would you like to work from home and travel for the training/occasional meetings? If you answered yes to the above and have/are: Savvy with basic software/services such as email, word, excel, etc. Detail oriented to the point of annoying people because you pick up on things that others don't. Partial to helping people that are unappreciated, overlooked, and may not have any other types of support. A solid home/office environment that enables you to get the job done correctly whenever it needs to be done. Naturally competitive and want to win. YOU want to be the best and enjoy working with others who are the same. An active LPN license that is in good standing. ****1000 imaginary bonus points if you have long-term care, skilled nursing, assisted living, care management, or other experience working with patients who have chronic conditions.**** At SparroWell, we want to win by helping others get the best care possible. Our awesome team works with physicians, nurse practitioners, and other clinical team members that specialize in taking care of people with chronic illnesses. Our advanced care team also supports patients, families, as well as their caregivers to provide additional resources whenever needed. On any given day, our team is coordinating care, reviewing medications, auditing charts like a BOSS, collaborating with medical providers, and ultimately making a difference in the lives of patients we serve. We work from home but do occasionally meet in person for meetings and training on the latest requirements/guidelines. Go ahead, start the conversation by sending us your resume today. We will consider all applicants even though we prefer to work with nurses that have long-term care or post-acute experience. If you would like to learn more about our company, please visit us at **************************** Thank you for reviewing our opportunity and we look forward to hearing from you.

LOCATION: Remote - must live in or near Caldwell County, North Carolina. The person in this position must maintain residency in North Carolina or within 40 miles of the North Carolina border. This position requires travel. GENERAL STATEMENT OF JOB The Care Manager 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. The Care Manager works with the member and care team to alleviate inappropriate levels of care or care gaps through assessment, multidisciplinary team care planning, linkage and/or coordination of services needed by the member across 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 networks. Care Managers 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 Manager 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 Manager 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 Health Risk Assessments (HRA): a comprehensive bio-psycho-social assessment addressing social determinants of health, mental health history and needs, physical health history and needs, activities of daily living, access to resources, and other areas to ensure a whole person approach to care 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”). This position is required to live in or near the counties served to effectively deliver in-person contacts with members and their care teams. ESSENTIAL JOB FUNCTIONS Assessment, Care Planning, and Interdisciplinary Care Team: Ensures identification, assessment, and appropriate person-centered care planning for members. Links members with appropriate and necessary formal/ informal services and supports across all health domains (i.e., medical, and behavioral health home) Meets with members to conduct the HRA and gather information on their overall health, including behavioral health, developmental, medical, and social needs. Administer the PHQ-9, GAD, CRAFT, ACES, LOCUS/CALOCUS, and other screenings within their scope based on member's needs. The Care Manager uses these screenings to provide specific education and self-management strategies as well as linkage to appropriate therapeutic supports. The assessment process includes reviewing and transcribing member's current medication and entering information into Vaya's Care Management platform, which triggers the creation of a multisource medication list that is shared back with prescribers to promote integrated care. 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 to address mental health, substance use, 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 Care Manager - LP and Care Manager Embedded - LP 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 monitor progress Ensures that the assessment, Care Plan, and other relevant information is provided to the care team Reviews assessments conducted by providers and consults with clinical staff as needed to ensure all areas of the member's needs are addressed Updates Care Plans and Care Management assessment at a minimum of annually or when there is a significant life change for the member Supports and assists with education and referral to prevention and population health management programs. Works with the member/LRP and care team to ensure the development of a Care Management Crisis Plan for the member that is tailored to their needs and desires, which is separate and complementary to the behavioral health provider's crisis plan. Provides crisis intervention, coordination, and care management if needed while with members in the community. Supports Transitional Care Management responsibilities for members transitioning between levels of care Coordinates Diversion efforts for members at risk of requiring care in an institutional setting Consults with care management licensed professionals, care management supervisors, and other colleagues as needed to support effective and appropriate member care. Collaboration, Coordination, Documentation: Serves as a collaborative partner in identifying system barriers through work with community stakeholders. Manages and facilitates Child/Adult High-Risk Team meetings in collaboration with DSS, DJJ, CCNC, school systems, and other community stakeholders as appropriate. 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 Care Manager - LP and Care Manager Embedded - LP in participating in other 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. 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. 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. Proactively and timely creates and monitors documentation within the AHR to ensure completeness, accuracy and follow through on care management tasks. Maintains electronic AHR compliance and quality according to Vaya policy. Works with Care Manager - LP and Care Manager Embedded - LP 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. Well-developed capabilities in problem solving, negotiation, arbitration, and conflict resolution, including a high level of diplomacy and discretion to effectively negotiate and resolve issues with minimal assistance. 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 (ACEs, trauma-informed care, 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 the “System of Care” approach) Serving pregnant and postpartum women with 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 required, preferably in a field related to health, psychology, sociology, social work, nursing or another relevant human services area. Serving members with BH conditions: Two (2) years of experience working directly with individuals with BH conditions Serving members with LTSS needs Two (2) years of prior Long-term Services and Supports (LTSS) and/or Home Community Based Services (HCBS) 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 --If graduate of a college or university with a Bachelor's degree in Human Services, then incumbent must have two years of full-time accumulated experience in mental health with population served. --If graduate of a college or university with a Bachelor's degree is in field other than Human Services, then incumbent must have four years of full-time accumulated experience in mental health with population served. --If a graduate of a college or university with a Bachelor's Degree in Nursing and licensed as RN, then incumbent must have four years of full-time accumulated experience in mental health with population served. Experience can be before or after obtaining RN licensure. --If graduate of a college or university with a Master's level degree in Human Services, although only one year of experience is needed to reach QP status, the incumbent must still have at least two years of full-time accumulated experience in mental health 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 Incumbent has a Bachelor's degree in nursing and RN, incumbent must be licensed by the North Carolina Board of Nursing to practice in the State of North Carolina. Preferred work experience: Experience working directly with individuals with I/DD or TBI 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.

Please note that this job posting is for an evergreen position and does not represent an active or current vacancy within our organization. We continuously accept applications for this role to build a talent pool for future opportunities. While there may not be an immediate opening, we encourage qualified candidates to submit their resumes for consideration when a suitable position becomes available. Chronic Care Manager Location: Remote Join our mission to help transform healthcare delivery from reactive, episodic care to proactively managed patient care that prevents live-changing problems before they happen for patients with two or more chronic conditions. We believe every patient with chronic disease deserves consistent check-ins, follow-up, and support. The position of the Nurse Chronic Care Coordinator, Remote will perform telephonic encounters with patients on behalf of our partners each month and develops detailed care plans within our care plan templates in the electronic health record. This begins as an Independent 1099 Contractor position but offers the potential to reach full-time W2 employment (with employee benefits). Harris CCM is seeking Nurses to work part-time from their home office while complying with HIPAA privacy laws. You will set your own hours and will not be held to a daily work hour schedule. You will be contracted to work a minimum of 20hrs/wk. Harris CCM wants its team members to have the flexibility to balance their work-life with their home life. Part-time team members will typically need to dedicate an average of 20-30 hours per week to care for their assigned patients. This unique business model allows you to choose what days and what hours of the day you dedicate to care for your patients. The Care Coordinator will be assigned a patient panel based on skill and efficiency level and is expected to carry a patient panel of a minimum of 100 patients per calendar month. Care Coordinators will be expected to complete encounters on 90 percent of the patients they are assigned. Harris CCM utilizes a productivity-based pay structure and pays $10.00 per completed patient encounter up to 99 encounters/month, $10.25/encounter from 100-149 encounters/month, $12/encounter from 150-199 encounters/month, $14/encounter from 200-249 encounters/month, and $16/encounter for >250 encounters/month. Payment tier increases require 3 months consistency to achieve. A patient encounter will take a minimum of 20 minutes (time is cumulative). What your impact will be: The role of the Care Coordinator is to abide by the plan of care and orders of the practice. Ability to provide prevention and intervention for multiple disease conditions through motivational coaching. Develops a positive interaction with patients on behalf of our practices. Improve revenue by creating billable CCM episodes, increasing visits for management of chronic conditions. Develops detailed care plans for both the doctors and patients. The care plans exist for prevention and intervention purposes. Understand health care goals associated with chronic disease management provided by the practice. Attend regularly scheduled meetings (i.e., Bi-Monthly Staff Meetings, monthly one on one's, etc.). These “mandatory” meetings will be important to define the current scope of work. What we are looking for: Graduate from an accredited School of Nursing. (LPN, LVN, RN, BSN, etc.) Current COMPACT license to practice as an RN/ LVN/LPN held in current state of residence with no disciplinary actions noted A minimum of two (2) years of clinical experience in a Med/Surg, Case Management, and/or home health care. Hands-on experience with Electronic Medical Records as well as an understanding of Windows desktop and applications (MIcrosoft Office 365, Teams, Excel, etc), also while being in a HIPAA compliant area in home to conduct Chronic Care Management duties. Ability to exercise initiative, judgment, organization, time-management, problem-solving, and decision-making skills. Skilled in using various computer programs (If you don't love computers, you won't love this position!) High Speed Internet and Desktop or Laptop computer (Has to be operation system of Windows or Mac) NO Chromebooks Excellent verbal, written and listening skills are a must. What will make you stand out: Quickly recognize condition-related warning signs. Organized, thorough documentation skills. Self-directed. Ability to prioritize responsibilities. Demonstrated time management skills. Clear diction. Applies exemplary phone etiquette to every call. Committed to excellence in patient care and customer service. What we offer: Contract position with opportunity to become a full-time position, to include benefit options (Medical, Dental, Vision, 401K, Life). Streamline designed technology for your Chronic Care operations Established and secure company since 1976, providing critical software solutions for many verticals in countries ranging from North America, Europe, Asia, and Australia. Core Values that unite and guide us Autonomous and Flexible Work Environments Opportunities to learn and grow Community Involvement and Social Responsibility About us: For over 20 years GEMMS has been the leader in Cardiology Specific EHR technology. The product was developed in a “living laboratory” of a large Cardiology Enterprise with over 40 physicians in 28 locations. For single physician offices to large cardiovascular centers that include a diagnostic centers, ambulatory surgical center, and peripheral vascular offerings. When physicians and Administrators evaluate GEMMS ONE, they are often impressed with the vast clinical cardiovascular knowledge content and operational aspects found in GEMMS ONE. GEMMS ONE EHR provides a rich array of functionality spanning the entire cycle of patient care. With everything from a patient portal to e-prescribing to clinical documentation to practice management including cardiovascular specific quality measurements and MIPS patient dashboard. GEMMS ONE EHR System provides all the medical records software tools needed to complete your daily tasks in the most efficient way possible. GEMMS ONE is a fully interoperable and integrated application that allows “real time” merging of clinical processes and revenue cycle management. It also can seamlessly connect to external revenue cycle management programs that might be used in larger enterprises so that you can get the efficiency of Cardiovascular Clinical workflow while supporting the revenue cycle requirements of larger enterprises. Complying with governmental regulations and payer requirements will be simplified, while enhancing your operational and financial performance.