Managed care coordinator jobs near me - 149 jobs

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together The Global insurance Clinical Care Manager - Bilingual Japanese RN will perform prospective, concurrent, and retrospective reviews and non-urgent travel requests for Global Expat members located outside the United States. This is a 24/7 operation, and while your primary schedule will follow the hours listed above, occasional flexibility may be required to support members in Japan. You may need to adjust your schedule to accommodate their time zone, which could include early mornings, late nights, or weekends as business needs arise. These instances are rare and typically involve completing member outreach and any associated case review and documentation. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. This position supports the Eastern time zone (EST) which is 3:00pm-11:00 pm. If you reside in Central time zone (CST) hours would be 2:00pm-10:00pm for Mountain time zone (MST) hours would be 1:00pm-9:00pm, for Pacific time zone (PST) hours are 12:00pm-8:00pm. Monday- Friday with potential to work limited overnight and/or weekend hours based on client or member needs. Primary Responsibilities: A GI CCM must consider both US and international care standards and regulatory guidelines. They must be able to work in multiple platforms and comfortable communicating with members and providers to obtain information needed to perform the clinical review Must also be willing to be cross trained to assist Clinical Health Managers in pre-admission and post-discharge member outreaches The clinical team is also involved in fraud investigations, identifying multiple fraudulent clients and claims You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Registered Nurse with an active unrestricted United States license Must be bilingual in Japanese and English, with strong verbal and written communication skills 3+ years of experience in medical-surgical inpatient acute care Experience with working in collaboration with Medical Director to review care plans make recommendations. Ability to advocate on behalf of the member's needs while considering contractual limitations Proven experience in Clinical Coverage Review, Medical Claim Review or Clinical Appeals Proven communication skills at all levels Proven ability to be flexible and display a positive attitude Proven solid problem-solving, organizational and crisis management skills Proven ability to function confidently and efficiently in fast paced work environment Proven ability to foster team cohesion in an international virtual environment Proven ability to provide empathetic and courteous service while working effectively with co-workers face-to-face or remotely in dynamic and emergent situations Demonstrated cultural competence and awareness of the challenges of healthcare delivery in the global arena and the potential impact on the health and safety of expatriates, business travelers and UHC Global members Proven advanced software skills with ability to work in multiple platforms with clinical case reviews Proven advanced skills with Microsoft Office - Excel, Word Ability to work in the Eastern time zone (EST) which is 3:00pm-11:00 pm. If you reside in Central time zone (CST) hours would be 2:00pm-10:00pm for Mountain time zone (MST) hours would be 1:00pm-9:00pm, for Pacific time zone (PST) hours are 12:00pm-8:00pm. Monday- Friday with potential to work limited overnight and/or weekend hours based on client or member needs Preferred Qualifications: Bachelor's degree 2+ years of experience in utilization management or case management in a managed care or hospital environment Experience in international healthcare and/or air medical transport Experience in discharge planning and/or chart review International travel experience Demonstrated familiarity with InterQual criteria guidelines *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

This role works closely with Care Team Operations, Clinical Operations, Behavioral Health clinicians (LMFT/LCSW/LPCC), Community Health Workers (CHWs), Compliance, Finance (for authorizations), Care Operations Associates, and external partners including hospitals, primary care providers, behavioral health agencies, housing providers, and community-based organizations. Responsibilities Serve as the primary point of contact for assigned members with behavioral health and psychosocial complexity, building trust through consistent, trauma-informed engagement. Conduct comprehensive, holistic assessments addressing behavioral health, substance use, functional status, social determinants of health, safety risks, and care gaps. Develop, implement, and maintain person-centered care plans that integrate behavioral, medical, and social goals; update plans following transitions of care or changes in condition. Coordinate services across the continuum of care, including behavioral health providers, primary care, hospitals, housing supports, transportation, social services, and community-based organizations. Conduct required in-person home or community visits based on acuity, risk stratification, and payer requirements. Support Transitions of Care (TOCs) by completing timely follow-up, coordinating post-discharge services, and reinforcing discharge instructions and medication understanding. Utilize motivational interviewing, behavioral coaching, and health education to promote engagement, adherence, self-management, and long-term member stability. Identify, escalate, and address behavioral health risks, safety concerns, service delays, benefit lapses, and environmental barriers using HHN escalation protocols. Coordinate and track referrals, appointments, transportation, and follow-ups to ensure continuity and timeliness of care. Maintain accurate, timely, and audit-ready documentation of all assessments, encounters, and interventions in eClinicalWorks (ECW) and other HHN systems. Meet or exceed HHN and health plan productivity standards, including outreach cadence, encounter requirements, documentation timeliness, TOC completion, and quality measures. Actively participate in multidisciplinary case reviews, care conferences, team huddles, and escalations with nurses, behavioral health clinicians, CHWs, care operations, and compliance. Assist members with plan navigation, eligibility redeterminations, social service applications, housing resources, and crisis intervention support. Communicate professionally with members and care partners using HHN-approved channels, including phone, RingCentral, secure messaging, and SMS workflows. Contribute to continuous quality improvement efforts by identifying workflow gaps, documenting barriers, and sharing insights to improve care delivery. Uphold confidentiality and comply with all HIPAA, Medi-Cal, ECM, and payer regulatory requirements. Remain flexible and responsive to member needs, including field-based work and engagement in community settings. Skills Required Bilingual (English/Spanish) proficiency required to support member engagement and care coordination. Strong ability to build rapport and trust with diverse, high-need member populations. Proficiency in using eClinicalWorks (ECW), Google Suite (Docs, Sheets, Drive), RingCentral, and virtual communication tools. Ability to interpret and use PowerBI dashboards, reporting tools, and payer portals. Demonstrated skill in conducting holistic assessments and developing person-centered care plans. Experience with motivational interviewing, trauma-informed care, or health coaching. Strong organizational and time-management skills, with the ability to manage a complex caseload. Excellent written and verbal communication skills across in-person, telephonic, and digital channels. Ability to work independently, make sound decisions, and escalate appropriately. Knowledge of Medi-Cal, SDOH, community resources, and social service navigation. High attention to detail and commitment to accurate, audit-ready documentation. Ability to remain calm, patient, and professional while supporting members facing instability or crisis. Comfortable with field-based work, home visits, and interacting in diverse community environments. Cultural humility and demonstrated ability to work effectively across populations with varied lived experiences. Competencies Member Advocacy: Champions member needs with urgency and integrity. Operational Effectiveness: Executes workflows consistently and flags process gaps. Interpersonal Effectiveness: Builds rapport with diverse populations. Collaboration: Works effectively within an interdisciplinary care model. Decision Making: Uses judgment to escalate or intervene appropriately. Problem Solving: Identifies issues and creates practical, timely solutions. Adaptability: Thrives in a fast-growing, startup-style environment with evolving processes. Cultural Competence: Engages members with respect for their lived experiences. Documentation Excellence: Produces accurate, timely, audit-ready notes every time. Strong empathy, cultural competence, and commitment to providing individualized care. Ability to work effectively within a multidisciplinary team environment. Exceptional interpersonal and communication skills, with a focus on building trust and rapport with diverse populations. Job Requirements Education: Bachelor's degree in Social Work, Psychology, Public Health, Human Services, or related field. Licensure: Licensed LMFT, LCSW, LPCC.; certification in care coordination or CHW training is a plus. Experience: 1-3 years of care management or case management experience, preferably with high-need Medi-Cal populations. Experience in community-based work, homelessness services, behavioral health, or SUD settings strongly preferred. Familiarity with Medi-Cal, ECM, and community resource navigation. Travel Requirements: Regular travel for in-person home or community visits (up to 45%). Physical Requirements: Ability to perform home visits, climb stairs, sit/stand for prolonged periods, and lift up to 20 lbs if needed.

Flexible Independent Contractor (1099) Opportunity Current Unrestricted State Medical License in Minnesota or Oregon Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology-driven utilization management and clinical medical review solutions. We're a leader in Peer and Utilization Reviews, known for excellence and continuous improvement. THE OPPORTUNITY We're seeking Board-Certified physicians in PM&R with a Pain Fellowship with a current MINNESOTA to provide expert Utilization Reviews. This is a flexible, remote opportunity requiring just 1-2 hours per week, could be more if you prefer. ADDITIONAL INFORMATION: Work remotely from anywhere in the US (Per HIPPA Regulations patient records cannot leave the US). Covered under MRIoA's Errors and Omissions policy. Independent Contractor (1099) opportunity. Workers are required to adhere to all applicable HIPAA regulations and company policies and procedures regarding the confidentiality, privacy, and security of sensitive health information. California Consumer Privacy Act (CCPA) Information (California Residents Only): Sensitive Personal Info: MRIoA may collect sensitive personal info such as real name, nickname or alias, postal address, telephone number, email address, Social Security number, signature, online identifier, Internet Protocol address, driver's license number, or state identification card number, and passport number. Data Access and Correction: Applicants can access their data and request corrections. For questions and/or requests to edit, delete, or correct data, please email the Medical Review Institute at ************. Must have a Medical Degree MD or DO Must have a current state medical license in MINNESOTA or OREGON Current Board Certification in PM&R and have a Pain Fellowship Must have 5 years of clinical experience residency to be included Daytime availability is required for peer-to-peer conversations

OUR PURPOSE We are focused on Good Living for the Greater Good. This means providing a true sense of home and belonging for our Neighbors and Prometheans and giving our time and resources to bring positive change locally and beyond. It also means supporting you in your career goals with the very best working experience, and that starts with us having fun in the work we do together. YOUR ROLE AND IMPACT Some companies call them “Property Administrators”, but at Prometheus our Home Base Coordinators do so much more. Our Senior Home Base Coordinators focus on the administration of multiple properties, and your role is a constant blend of: Financial Administration - Whether it is managing rent collections, reviewing ledgers, processing final account statements, or tracking invoices, you are on top if it all. You make every detail count and count every detail. Leasing Administration - You will provide support to the leasing team in qualifying future Neighbors - verifying applications, performing credit investigations, creating all associated documentation accompanying the rental agreements, and recertifications specifically related to Below Market Rate Housing or similar. Customer Service - You are a problem solver that makes renting easy. When Neighbors have questions about policies or deposit charges, you help them find the answers. When the office gets busy, you are the first one to jump in and answer the phones and provide support to the leasing team in qualifying future Neighbors. JOB QUALIFICATIONS Your Experience - Prometheans come from all walks of life and from all over the globe. We're also very diverse in that we hire talent with experience in other industries and who bring different skill sets and ideas to our company. You should bring a passion for working in a customer service, working knowledge of housing rental laws & ordinances, and enjoy solving problems. Your Cultural Traits - Although we're a highly dispersed organization by the nature of our business, our Prometheans are strongly united by our Purpose, Mission and our Cultural Traits. These are the defining characteristics of a Promethean: Team Oriented, Communicator, Entrepreneurial, Passionate, Self-Starter, Creative, Principled, and Brand Ambassador. Your Education - A Bachelor's degree is preferred and a High school diploma or general education degree (GED) is required. COMPENSATION & BENEFITS We offer a variety of benefits that take compensation well beyond a paycheck. This includes traditional benefits and benefits you might not expect or know about. The provided salary range is based on a number of factors, including location, job-related skills, experience and qualifications. Compensation Pay Range: $33.25 to 40.25 per hour Discretionary Semi-Annual Bonus Plan Benefits & Perks Medical; Vision; Dental:100% Company-paid plans (including eligible dependents) and affordable buy-up options Life insurance; Accidental Death & Dismemberment Insurance; Long Term Disability Behavioral Health Program Accessible 24/7 Tax-Free Flexible Spending Accounts 401(K) Retirement Plan with Employer Matching Recognition & Rewards Program (Torch) Vacation: 10 days per year with accrual increasing over time Anniversary Vacation: 40-hour Vacation Granted at Tenured Milestones Sick Leave: 9 days per year 12 paid holidays, including your birthday! Paid Volunteer Time Tenured-based Housing discounts Educational Assistance, Tuition Reimbursement Learn more about these and other perks of being a Promethean by exploring our full Benefits Guide. Prometheus is proud to be an equal opportunity workplace. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, veteran status, or any other status protected under federal, state or local law. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. If you'd like more information about your EEO rights as an applicant under Federal Employment Laws, please check out these FMLA, EEO, and EPPA pages.

Who We Are Imagine Pediatrics is a tech enabled, pediatrician led medical group reimagining care for children with special health care needs. We deliver 24/7 virtual first and in home medical, behavioral, and social care, working alongside families, providers, and health plans to break down barriers to quality care. We do not replace existing care teams; we enhance them, providing an extra layer of support with compassion, creativity, and an unwavering commitment to children with medical complexity. The primary location for this role is remote, and expected schedule requirements are Monday to Friday, 8:00am - 5:00pm and 10:30-7:00pm central. What You'll Do As a Behavioral Health Care Manager (BHCM) with Imagine Pediatrics, you will work with the families of medically complex children providing case management services in accordance with Case Management Society of American (CMSA) Standards of Practice for members enrolled in Imagine Pediatrics behavioral health program. You will work alongside pediatricians, nurses, care coordinators, and other healthcare professionals. Your primary responsibilities will include: Monitor high-risk pediatric patients (up to 19 years old), some recently discharged from the hospital, ensuring appropriate follow-up and clinical management, and adjusting care plans as needed. Conduct biopsychosocial assessments to address behavioral, social, emotional, and systemic needs of the patient and family. Create and evaluate the effectiveness of the patient/family's care plan and modify based on families evolving needs and goal progression. Provide intervention that is consistent with the social/emotional/physical needs of patients and caregivers such as mental health crises, behavioral issues, and family conflict. Facilitate case management and support that requires clinical expertise in various systems with focus on helping patients and families negotiate the complexities involved with a mental health diagnosis. Resource validated external services requested by the family to meet behavioral and social needs such as social services agencies and behavioral specialists. Provides interventions in response to crisis to de-escalate and stabilize patient and family members Provides psychoeducation on the nature of mental health diagnosis and progression, the importance of treatment adherence, and related information as appropriate Collaborate with external care team members regularly including school systems, specialists, and DFPS as needed. Participate in ongoing scheduled consultations with an interdisciplinary team to monitor patient progress Represent Imagine Pediatrics commendably to patients, families, providers, and community Performs other duties and assumes other responsibilities as assigned by manager What You Bring & How You Qualify First and foremost, you're passionate and committed to creating the world our sickest children deserve. You want an active role in building a diverse and values-driven culture. Things change quickly in a startup environment; you accept that and are willing to pivot quickly on priorities. In this role, you will need: Masters' degree with major course work in social work or related field required Provisional licenses (LMSW, PLPC, LAMFT) preferred Minimum 3-5 years of post-graduate experience in health care social work/Case management in behavioral health Required. Experience working with pediatric population and family systems required Proficiency in motivational interviewing practices and/or techniques; goal setting and intervention; assessment of needs Knowledge of social work including crisis prevention and intervention Experience with providing telehealth services Knowledge of MS Office Suite and ability to work in online platforms Bilingual Spanish required Strong knowledge of behavioral health principles and practices Proficient in trauma-informed care practices Strong knowledge of mental health common signs and symptoms and able to identify difficulties with coping Role is remote with 10% travel necessary for training/education purposes Ability to work afternoons and evenings What We Offer (Benefits + Perks) The role offers a base salary range of $70,000 - $77,000 in addition to annual bonus incentive, competitive company benefits package and eligibility to participate in an employee equity purchase program (as applicable). When determining compensation, we analyze and carefully consider several factors including job-related knowledge, skills and experience. These considerations may cause your compensation to vary. We provide these additional benefits and perks: Competitive medical, dental, and vision insurance Healthcare and Dependent Care FSA; Company-funded HSA 401(k) with 4% match, vested 100% from day one Employer-paid short and long-term disability Life insurance at 1x annual salary 20 days PTO + 10 Company Holidays & 2 Floating Holidays Paid new parent leave Additional benefits to be detailed in offer What We Live By We're guided by our five core values: Our Values: Children First. We put the best interests of children above all. We know that the right decision is always the one that creates more safe days at home for the children we serve today and in the future. Earn Trust. We listen first, speak second. We build lasting relationships by creating shared understanding and consistently following through on our commitments. Innovate Today. We believe that small improvements lead to big impact. We stay curious by asking questions and leveraging new ideas to learn and scale. Embrace Humanity. We lead with empathy and authenticity, presuming competence and good intentions. When we stumble, we use the opportunity to grow and understand how we can improve. One Team, Diverse Perspectives. We actively seek a range of viewpoints to achieve better outcomes. Even when we see things differently, we stay aligned on our shared mission and support one another to move forward - together. We Value Diversity, Equity, Inclusion and Belonging We believe that creating a world where every child with complex medical conditions gets the care and support, they deserve requires a diverse team with diverse perspectives. We're proud to be an equal opportunity employer. People seeking employment at Imagine Pediatrics are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information, or characteristics (or those of a family member), pregnancy or other status protected by applicable law.

A well\-established facility near Columbus, NE is seeking a Home Health Coordinator to join their Home Health and Hospice team! Registered Nurses with experience in home health and care coordination are encouraged to apply! $5,000 Signing Bonus! Relocation assistance available! Pay Range: $36\-$44\/hr (based on experience) Home Health Coordinator Opportunity: Part\-time, Permanent opportunity Schedule: Day Shift; 32 hours a week Home Health Coordinator oversees and maintains clinical quality, compliance, and documentation to ensure CMS\/Joint Commission readiness Provide care and education to patients \- patient care can include but is not limited to assessments, Wound Care, IV Therapy Support field nursing staff and coordination of care by managing schedules, on\-call coverage Home Health Coordinator Qualifications: Unrestricted RN license in the state of NE 2 or more years of home health and hospice experience with case management and quality\/risk assessment preferred About the Community: Affordable cost of living with access to quality schools, healthcare, and community amenities Safe, family\-friendly environment with a welcoming small\-town feel Excellent location with easy access to larger cities while enjoying the pace of a smaller community Wide range of recreational options, including parks, trails, sports complexes, and cultural events "}}],"is Mobile":false,"iframe":"true","job Type":"Full time","apply Name":"Apply Now","zsoid":"638996929","FontFamily":"Verdana, Geneva, sans\-serif","job OtherDetails":[{"field Label":"Industry","uitype":2,"value":"Health Care"},{"field Label":"City","uitype":1,"value":"Columbus"},{"field Label":"State\/Province","uitype":1,"value":"Nebraska"},{"field Label":"Zip\/Postal Code","uitype":1,"value":"68601"}],"header Name":"Home Health Coordinator","widget Id":"37**********072311","is JobBoard":"false","user Id":"37**********131003","attach Arr":[],"custom Template":"3","is CandidateLoginEnabled":true,"job Id":"37**********623319","FontSize":"12","google IndexUrl":"https:\/\/ironsidehr.zohorecruit.com\/recruit\/ViewJob.na?digest=2S5uYv@iyf HXsmzr8lnIp@0YZdLvMGr19SMHRcQZibI\-&embedsource=Google","location":"Columbus","embedsource":"CareerSite","indeed CallBackUrl":"https:\/\/recruit.zoho.com\/recruit\/JBApplyAuth.do","logo Id":"cg4zc0772ab34facb4006a1e02c407b76dcff"}

Job Title: Work From Home-Online Hotel Coordinator-Entry Level About Destination Knot:Destination Knot is a travel planning company dedicated to creating unforgettable experiences for every type of traveler. From romantic getaways and family vacations to group trips and business stays, we provide personalized hotel and resort booking services with care and attention to detail. Position Overview: We're looking for a motivated and detail-oriented Online Hotel Coordinator to join our remote team. This is an entry-level role ideal for someone eager to begin a career in the travel industry. You'll help match clients with the perfect hotel accommodations, manage bookings, and provide outstanding customer support throughout the planning process. Key Responsibilities:Assist clients in researching and booking hotel and resort accommodations Respond to inquiries via email, phone, or chat in a timely, professional manner Review client preferences to recommend suitable lodging options based on budget, location, and travel dates Manage reservation details and updates using booking tools and systems Maintain accurate client records and documentation Support post-booking needs such as changes, special requests, or follow-up questions Stay informed on current travel trends, hotel promotions, and destination offerings Qualifications:No prior travel industry experience required-training provided Strong communication and customer service skills Organized, dependable, and detail-oriented Comfortable working remotely and managing tasks independently Tech-savvy with basic knowledge of online platforms (booking systems a plus) Must be 18 years or older with reliable internet access and a computer Passion for travel and helping others plan great experiences What We Offer:Remote, flexible work environment Entry-level onboarding and continuous training Supportive team and professional development opportunities Access to industry tools and hotel booking platforms Travel perks and performance-based incentives Work Environment: This is a remote position with flexible hours. It's perfect for individuals who are self-motivated, enthusiastic, and ready to start a fulfilling path in the travel and hospitality industry.$40,000 - $60,000 a year 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.

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

inst ED provides patient-centered, high-quality acute care in place to adults with complex medical needs. Reporting to the Manager, Network Delivery, the inst ED Mobile Health Coordinator (MHC) is the first point of contact for patients who are seeking an inst ED visit. The Mobile Health Coordinator warmly greets all callers and completes a thorough and accurate intake for callers requesting a referral for an inst ED visit. The MHC assigns the visit to one of inst ED's paramedic partners based on geography and availability and monitors the physician assignment algorithm. In addition, the MHC monitors visit progression to ensure timely service delivery. Finally, the MHC assists the nursing team with non-clinical administrative support and serves as the main point of contact for paramedic partner dispatchers, paramedics, and the inst ED Virtual Medical Control (VMC) team for all non-clinical issues. Essential Functions: Answer incoming phone calls in a timely manner using a cloud-based platform. Collect accurate patient information and document in the inst ED NOW platform and Athena medical record to process an inst ED referral. Collect, review, and accept written consent from patients, upload consents from paramedics. Verify patient eligibility using inst ED NOW, Athena, or external payor portals. Collect payment(s) from patients (e.g., copay, co-insurance). Assign visits to one of inst ED's ambulance partners based on geography and availability; collaborate with nursing staff to prioritize high acuity patients. Communicate with the dispatchers from the ambulance partners to facilitate throughput of inst ED visits; convey clinical concerns/questions to the nursing team. Maintain awareness of all ambulance partner vehicle's status and location. Call patients if mobile health providers are unable to reach patients with an updated ETA; escalate to the nursing team when patients cannot be reached via phone. Make recommendations to improve the inst ED NOW platform. Monitor that VMC providers are checked in and out of inst ED NOW in a timely manner and outreach to them if this does not occur. Monitor VMC auto-assignments and manually re-assign if needed when a VMC provider is nearing the end of shift and cannot complete a visit. Complete an end of shift report before logging off at the end of a shift. Ensure that mobile health providers have completed all documentation by the end of their shift and outreach to the paramedic partner when there is outstanding documentation. Perform any other job related duties as requested. Education and Experience: High School or GED required Associates degree preferred Five (5) years professional work experience in a healthcare setting with at least one (1) year of remote work experience required Customer service experience via phone communications, preferably in a health care call center setting interacting with patients required Process improvement experience required Experience working closely with colleagues at all levels of a company including front-line staff to senior leaders required Medical assistant, or other related experience in an urgent care, emergency or home care setting preferred Administrative support to clinicians in healthcare setting preferred 911 Telecommunicator or Emergency Medical Dispatcher Certification preferred Mobile integrated health experience preferred Competencies, Knowledge and Skills: Ability to communicate effectively without judgment to a diverse patient population while demonstrating empathy Highly adaptable to frequent workflow changes in a fast-paced environment Willing to learn and utilize several different software applications (e.g., proprietary inst ED NOW platform, Teams, etc.) Proficient with Microsoft Outlook Superb verbal communication skills and strong written communication skills Computer and phone system proficiency (e.g., Ring Central or other cloud communications platform) Power BI or other business intelligence software knowledge preferred Proficient in Excel preferred Process improvement training (e.g., lean, six sigma, etc.) preferred Medical terminology preferred Athena (electronic medical record) knowledge preferred Bilingual (Spanish), bicultural preferred Licensure and Certification: None Working Conditions: General office environment; may be required to sit or stand for extended periods of time Must be willing to work weekends, evenings, and holidays Travel is not typically required Compensation Range: $41,200.00 - $66,000.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package. Compensation Type (hourly/salary): Hourly Organization Level Competencies Fostering a Collaborative Workplace Culture Cultivate Partnerships Develop Self and Others Drive Execution Influence Others Pursue Personal Excellence Understand the Business This is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

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

Job DescriptionDescription: Health Coach Care Coordinator Team Lead (Columbus, OH) - Prescribe FIT LLC Engaging with our clients' life story begins with their healthcare provider. Prescribe FIT virtually connects orthopedic physician's patients with Prescribe FIT Care Coordinators (CCs) to decrease weight, reduce pain, and improve mobility through simple changes to nutrition, physical activity, and lifestyle. Our innovative mobile app delivers end-to-end solutions including remote patient monitoring (RPM), remote therapeutic monitoring (RTM), and on-demand coaches to provide more comprehensive and consistent musculoskeletal (MSK) care focused on root cause medicine and whole person health. Role Description: We are seeking to fill the role of a Health Coach Care Coordinator Team Lead. The role will support and engage with patients to help them achieve an optimal level of health and maintain wellness in light of new or existing chronic conditions. The ideal candidate will provide thorough education about the patient's disease process, self-management strategies, lifestyle changes, diet and exercise, and work with the patient to overcome roadblocks. All activities are completed with the patient virtually via our software. Candidates with an upbeat, positive, and hardworking personality will fit with our culture. The desire to help patients succeed with their goals and show empathy throughout the healthcare journey with patients is vital to this role. Must have a strong ability to solve problems. Managing patients is approximately 40% of the job. The role will primarily involve managing and overseeing the success of an assigned Care Coordinator team (6-8 CCs). Managing and overseeing the assigned CC Team is approximately 60% of the job. The CC Team Lead will ensure all new Care Coordinators are properly trained and understand their role and the goals of Prescribe FIT. The role requires great communication skills and the capability to lead a team effectively. The CC Team is expected to manage and assist their assigned CC Team to progress from CC level 1 to CC level 2 to CC level 3 and in some cases assist a CC with being promoted to a CC Team Lead. Managing a team of Care Coordinators requires the ability to provide honest and accurate feedback and positive direction. The CC Team Lead must be responsive to the needs of the Care Coordinators and their patients. What You will Do: General Charting and documenting patient interventions, provider interactions, and general clinical notes. Being responsive to patient communications - digital, phone, voice, video, and text. Provide thorough and personalized patient support Be a team player and seek information when necessary Be open to improvement and direction Actively participate in CC Team leadership meetings Assess patient compliance with weigh ins each day Maintain patient load of 30 patients Address concerns from Care Coordinator and patients and if needed escalate to RN Supervisor Relay any tech issues to software development team Monitor educational pathway completion Monitor notes and nutritional tracking for patients Monitor care plans and ensure care plans are up to date Assess patients that need to have care plans ended (non-compliance to both weight and health coaching calls) Other responsibilities and duties as needed Lifestyle Coaching Help patients make small incremental changes to their lifestyle to decrease weight, reduce pain and increase mobility Educate patients on physical activity, nutrition and other lifestyle choices leading to better lifestyle management Direct patients to relevant resources available Comfortable engaging with patients on a routine basis via virtual or telephonic methods Ability to facilitate difficult conversations Addresses concerns and answers questions sufficiently Identifies important discussion points based on a patient's medical history Use Motivational Interviewing (MI) to address issues Leadership Complete required workflow assessments and phone audits on each assigned Care Coordinator each month Manage and approve your assigned teams' timecards daily Promote core values and drive meaningful results amongst your team Manage PTO/Flex Time Requests within your assigned team and manage CC call-offs appropriately Consistent support, guidance (feedback), monitoring performance/metrics and addressing concerns to assigned Care Coordinators Care Coordinator feedback should include things the CC is doing well AND areas to improve Assist with PTO coverage as needed Monitor team's performance and follow Corrective Action/PIP process when applicable Communicate company updates to your team in a timely manner Motivate associates, foster a positive work environment, and provide weekly recognition Address CC concerns and resolve conflicts professionally and in a timely manner Address patient concerns and resolve conflicts professionally and in a timely manner Complete and deliver 90-day reviews and yearly performance reviews for your assigned team Strong Knowledge in Technology (Required) Must live a fit lifestyle yourself. Employment Details: Monday through Friday 8:00am to 4:30pm Ability and willingness to take On Call as rotation needs Responsiveness to calls outside of set hours as needed Full time in Office Job Type: Full-time Requirements: Qualifications: LPN Supervisor experience (Required) Associates of Nursing (Required) Health Coaching/Consultation experience preferred. Health Coaching certification strongly preferred, or desire to obtain one upon employment. (Company Paid) (Required)

Part-time Description We're pleased to announce an opportunity for the position of Health Home Care Coordinator within the Community Based Teams Department. The Health Home Care Coordinator provides comprehensive care coordination services to eligible individuals and their families. This role involves assessing member needs, developing and monitoring individualized service plans, making appropriate referrals, and advocating on behalf of members with other service providers. Care Coordinators maintain a dedicated caseload and ensure consistent monthly engagement with assigned members across various settings. Health Home Care Coordinator's support members in identifying and accessing resources, delivering health education, and applying motivational interviewing techniques to foster goal achievement, resilience, and healthy lifestyle choices. The Care Coordinator promotes wellness through coaching and awareness of chronic health conditions, aiming to reduce emergency service usage and prevent hospital readmissions. *Prefer that the candidate resides in Whitman County, WA (or nearby) to provide in-person support as needed. Position is primarily remote but includes local travel (Whitman County) for member meetings. Benefits Information Medical and Dental insurance options for employees and families Vision and Life insurance as well as other auxiliary insurance options 403(b) retirement plan with up to 6% matching contribution Health Savings Account and Flexible Spending Account options Paid vacation earned on a pro-rated basis according to worked/paid leave hours Paid Sick leave earned on a pro-rated basis according to actual hours worked Eleven paid holidays per year on a pro-rated basis according to hours worked *Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Salary Description Offered At: $21.65 - $23.42 per/hr.

At St. Vincent Family Services, it is our job to help families build bright futures. Make it your job too! We offer competitive wages, comprehensive benefits, 401K matching & a generous PTO package. These benefits are just a few reasons to join our team. SUMMARY We are currently looking for someone skilled at engaging and working with children, youth, and families with significant behavioral health needs to be a Care Coordinator. PRIMARY DUTIES AND RESPONSIBILITIES Coordinates services as the lead member of the care team by coordinating, attending and actively facilitating team meetings to monitor/assess case progress, appropriateness of services, and meet the safety and treatment needs of the child, youth and family. Identifies cultural factors that influence strengths, functioning, and family interaction styles to ensure ongoing engagement and success in care planning. Coordinates family-based-services for children, youth, and families in their home, school, and community. Link service to families and support appropriate referrals to local community services and resources. Provides crisis response by phone and linkage to appropriate resources as part of an On-Call Rotation after regular business hours. Completes training in High Fidelity Wraparound and skills-based training to provide ICC and/or MCC and ensures maintenance of training and certification requirements. Utilizes Assessment, Care Planning and Coordination through the High-Fidelity Wraparound model to match the intensity of services to the needs of the children, youth and families. Ensures the utilization of the CANS for ongoing assessment to inform care planning and coordination and review care plan in accordance with coordination activities (OAC 5160-59-03.2). Updates services in care plan as children, youth, and family's needs change pertinent to care plans and CANS assessments. Plans visits and attends scheduled meetings around family's needs (i.e., work schedules, school activities, etc.). Develops collaborative relationships with partners and community resources tailored to meet the needs of culturally diverse healthcare consumers and family. Maintains fluency in systems and software pertinent to completion of required documentation and submission of required documentation. Participates in ongoing fidelity review and monitoring system focused on consistent application of system of care principles, adherence to ICC/MCC planning process and service components. Participates in staff and team meetings for the schools and agency, staff development and in-service training, planning interventions and regular supervisory conferences. EDUCATION & EXPERIENCE Background in children's behavioral health, child welfare, developmental disabilities, juvenile justice, or a related public sector human services or behavioral healthcare field. Experience providing community-based services to children, youth, and their family or caregivers, family systems, community systems and resources, case management, child and family counseling or therapy, child protection or child development. Three years relevant experience with a high school diploma or equivalent; or Two years relevant experience with an associate's degree or bachelor's degree; or One-year relevant experience with a master's degree or higher. SKILLS & ABILITIES Reasoning Ability Ability to maintain a high degree of empathy and compassion in meeting the needs of agency clients and client families. Ability to build strong bonds with employees to foster open, honest and candid communication. Ability to multi-task and maintain organization in a fast paced, changing environment. Ability to manage change in an organization reengineering its culture and approach to workload management. Ability to successfully operate with ambiguous guidelines where ethical decision will be required. Ability to create and maintain highest levels of confidentiality when dealing with client information, SVFS proprietary information and sensitive situations. Language Skills Ability to effectively communicate plans, goals, directives and diagnosis information between clinician and clients. Technology Skills Computer skills, Word, Outlook, GPS systems, and phone skills needed. ADDITIONAL Applicants will occasionally be asked to work evening and/or weekend hours due to the service delivery and administrative needs of SVFS clients and families. Applicants must have received or be willing to receive the COVID-19 vaccine by date of hire to be considered for employment. A Valid Driver's License and Proof of Auto Liability Insurance with required limits needed. ADA The above statements cover what are believed to be the principal and essential functions of this job. Specific circumstances may allow or require some associates assigned to the job to perform different combinations of duties.

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

Mission 💪 Our mission is to ensure that no one in the world has to suffer from a treatable skin disease because of an access issue ever again. 👋 Honeydew is building a platform for hundreds of millions of people globally to access expertise and science-backed skin treatments, from prescription to retail. Our tech-forward dermatology experience helps people with chronic skin conditions access licensed specialists, FDA-approved treatment, and ongoing support in record time (24 hours vs an industry average of 6 months). Honeydew is the future of skin health - digitally native, scientifically rooted, integrated end-to-end (evaluation + treatments + lab tests), and powered by AI. About the Role Start Being The Reason Someone Finally Feels Seen. As a Care Coordinator at Honeydew, you'll be the thoughtful voice during someone's treatment - the person who crafts messages that make patients feel heard, supported, and confident in their skincare journey. This isn't just customer service, it's healthcare. You know that feeling when someone actually listens to your healthcare concerns? When you're not just another ticket number or appointment slot? That's what you'll create every single day at Honeydew - one message at a time. If you join us, you'll be central to our mission as a trusted guide helping people navigate one of the most frustrating parts of modern life: getting healthcare that works. Your Day-to-Day You'll be the empathetic problem-solver behind the screen: Master the art of written communication - crafting clear, warm, professional messages via app chat that make patients feel supported (this is 99% of your patient interaction) Turn healthcare chaos into clarity through thoughtful, detailed written responses that anticipate questions before they're asked Coordinate directly with pharmacies and labs via phone to troubleshoot prescription issues, insurance hiccups, and delivery problems Connect with dermatology providers as needed to ensure care plans stay on track Keep meticulous records because details matter when it's someone's health on the line Bridge the gap between patients, providers, and insurance companies through strategic communication across channels Partner with medical teams to communicate care plans that actually fit into people's real lives Monitor patient progress through ongoing messaging, troubleshoot obstacles, and celebrate wins along their journey Important to Keep in Mind about the Schedule Honeydew is open, serving patients between 9am and 10pm Eastern every day, and Care Coordinators can choose the structure of their workday on their own. However, Care Coordinators have a responsibility to respond to patients within 4 hours on weekdays and within 6 hours on weekends. Abiding by these response times is crucial to success. As part of the initial onboarding and training process, Care Coordinators are expected to be available 7 days a week in order to ramp up to a full-time (35+ hours/week) schedule. You Might Be Our Person If… You genuinely like people, even when they're frustrated and it's coming through in ALL CAPS You're comfortable with async communication You can read tone and emotion in written messages and respond appropriately You find satisfaction in solving problems that don't have obvious solutions You like to be proactive in offering advice, rather than just following a template You believe healthcare should be accessible to everyone, not just the privileged few You find joy in doing work that matters What We're Looking For... The Non-Negotiables: High school diploma or equivalent You're an exceptional writer and speaker - clear, warm, professional across every channel You type at least 40 WPM You're comfortable with Gmail and Chrome (or similar) Rock-solid internet and a private workspace - HIPAA compliance isn't optional, and dropped connections aren't an option You have a customer service mentality but understand healthcare isn't retail - empathy and professionalism are your baseline, not your ceiling You thrive working independently - no one's looking over your shoulder, and you don't need them to You're coachable and collaborative - you take feedback as fuel, not criticism, and communicate openly with the team We're Looking For At Least Two Of These: Customer service experience - you've turned "difficult customers" into your happiest ones Healthcare or clinical support background - you speak the language and understand the stakes Remote work experience - you've already figured out how to stay focused when Netflix is two clicks away The Nice-to-Haves (But Honestly, You'll Pick These Up Fast): Comfortable with Slack and Zoom - if you're not, no stress, you'll be fluent in a week What You Get Full remote flexibility Direct impact you can measure Ability to grow within the company $100 monthly tech stipend Free Honeydew membership Direct access to new dermatology treatments 20% off Honeydew products Bi-monthly get togethers Peer-to-peer recognition through Motivosity Full-time employees also get: Health insurance & HSA match 401(k) retirement savings with employer match Unlimited time off Hourly pay: $15/hour (or the applicable state or local minimum wage, if higher) Our Process Application Skills assessment (async) - max 30 minutes Screening interview - 20-30 minutes Team Lead interview - 30 minutes CEO interview - 30 minutes Offer Candidates must be authorized to work for any employer in the US. This role is not eligible for visa sponsorship. Candidates residing in the following states will be considered for this role: AL, AZ, DC, FL, GA, ID, MD, MI, MO, NJ, NY, NC, OH, PA, TX, UT, VA, WA, WI

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

The Receptionist/Care Coordinator is responsible for coordinating and scheduling appointments for clients, providing excellent customer service, and collaborating closely with other scheduling staff. The Receptionist/Care Coordinator will be responsible for answering telephones, scheduling client services, performing insurance verification, confirming and rescheduling client appointments, greeting and assisting client during check-in, and obtaining client documentation. Duties and Responsibilities Welcomes and greets all clients as they arrive and notifies providers of client arrival. Checks client in for appointment and scans all client-completed paperwork/updates to the electronic health record. Verifies client insurance and collecting co-pay during time of arrival and when scheduling via phone. Schedules new clients for intake appointments; provides explanation to client of what to bring, what to expect at first appointment, and collects payment/insurance information. Orients client to the space and providing company information such as patient rights information, privacy information, and other required notifications. Answers all incoming calls in an efficient, pleasant, and professional manner and answer inquiries related to appointments, services, and general information. Confirms client's appointment and information to update systems to reflect any changes such as phone number, address, insurance, and other pertinent file information. Schedules client's return appointment and checks client out at end of visit and send client satisfaction survey after visit. Works with clients to address concerns promptly and professionally. Also, work with client and billing to resolve any client insurance issues that impacts client's ability to receive treatment. Assists in gathering client information to assist billing department in the event of a coding denial. Maintains professional relationship with clients and vendors as the face of Anew Behavioral Health for the client's care experiences. Maintains medical records and correspondence files by recording cancellations, rescheduling, and appointments. Manages correspondence delivered to worksite. Attends all required company education seminars/trainings and participates in team/company meetings. Other duties as assigned.

Care Coordinator Positions within Licking and Knox Counties Available Duties: In this role, you provide care coordination services to adult clients with mental health and substance abuse issues. Implements monitoring system, determines client needs and ensures delivery of needed treatment. The Organization: Since 1955, Behavioral Health Care Partners (Formally known as Moundbuilders Guidance Center) has been providing integrated mental health and addiction treatment services for youth, adults and families. In addition, we offer: Exceptional pay Great benefits including health, dental, vision, life insurance and Employee Assistance Program with Mental Health Counseling 403b retirement plan with matching funds CEUs, Licensure/Certification Reimbursements, Multiple Student Loan Forgiveness Programs, and employee discounts Accrued paid time off including 2 weeks' vacation, 12 sick days per year, and 10 paid holidays Flexible schedule/Potential Hybrid Model 40 hours per week Sign on bonuses available Our Location: Our offices are located at 65 Messimer Drive in Newark, Ohio or 8402 Blackjack Road in Mount Vernon. Both are a short 30-minute scenic commute from Columbus, Zanesville, and Lancaster. Qualifications: Candidates must possess strong written and oral communication skills and the ability to collaborate with other service providers. High School Diploma with one to three years of care coordination experience for individuals with mental health or substance abuse issues. Preferred Associates Degree in Human Services or related field. Qualified Mental Health Specialist (QMHS). Licensed Social Worker (LSW) or Licensed Professional Counselor (LPC) preferred. State of Ohio Driver's License. BLS/CPR certification required. Basic computer, phone and typing skills are necessary for all positions. To Apply: Online at *************************** BHP is an EEO and ADA compliant organization.

Job Description We are seeking a Care Coordinator! Perry County, OH Join our team! Integrated Services for Behavioral Health (ISBH) is a community-minded, forward-thinking behavioral health organization helping people along the road to health and well-being. We meet people in their homes and communities and help connect them to their needed resources. We serve Southeastern and Central Ohio with a comprehensive array of behavioral health and other services - working with local partners to promote healthy people and strong communities. Our services are intended to be collaborative and personalized for the individual. The Care Coordinator's job responsibilities involve service linkage and care coordination, engaging and working with children, youth, and families with significant behavioral health needs. Care Coordination team members should have a thorough understanding of local communities, be skilled at developing working relationships with community agencies, and identify potential community supports for development to assist families/caregivers working collaboratively with Child and Family Teams. Care Coordination staff ensure children, youth, and families have a voice and choice in all coordinated care and services provided. The pay range for this position is $20.19 - $25.03 per hour based on experience, education, and/or licensure. Essential Functions: Joins with family to identify care coordination needs/services in line with service delivery standards and program outcomes to ensure the best outcomes for children, youth, and families. Works with families to define cultural factors that influence strengths, functioning, and family interaction styles to ensure ongoing engagement and success in care planning. Identifies strengths of children, youth, and families for utilization in care coordination engagement and supporting healthy outcomes. Coordinates family-based services for children, youth, and families in their home, school, and community. Ensures with family that services identified on care plans are the most appropriate, least restrictive, and meet the safety and treatment needs of the child, youth, and family. Engages and builds positive relationships with children, youth, and families in coordination with child and family teams to support the successful integration of team members and care plans. Develop collaborative and creative partnerships with community resources to meet the diverse needs of youth and families. Maintains necessary documentation, participates in program evaluation, attends team and program planning meetings, cross-systems training, and acquires knowledge of community resources. Remains current with all training requirements, including but not limited to High Fidelity Wraparound, MI, Cultural Humility, etc. All other duties as assigned. Minimum Requirements: Experience providing services and/or support to children and families connected to behavioral health, child welfare, developmental disabilities, juvenile justice, or a related public sector human services or behavioral healthcare field: three years with a high school diploma or equivalent; or two years with an associate degree or bachelor's degree; or one year with a master's degree or higher Knowledge and experience in Hi-Fidelity Wraparound preferred (Certification provided at time of employment). Two years of experience in a coordinated supportive services or care coordination role preferred. Experience working with people with autism spectrum disorders and developmental disabilities preferred. Experience in one or more of the following areas: family systems community systems and resources case management child and family counseling or therapy child protection child development Be culturally humble or responsive with training and experience to manage complex cases Have the qualifications and experience needed to work with children and families who are experiencing serious emotional disturbance (SED), trauma, co-occurring behavioral health disorders, and who are engaged with one or more child-serving systems (e.g., child welfare, intellectual and developmental disabilities, juvenile justice, education) Excellent organizational skills with the ability to stay focused and prioritize multiple tasks Demonstrates a high degree of cultural awareness. Experience with multi-need individuals and families. Broad knowledge of community service systems. Willing to participate in and lead cross-systems care coordination. Able to effectively communicate through verbal/written expression. Must be able to operate in an Internet-based, automated office environment. Valid Driver's License required Enjoy a great work environment with an excellent salary, generous paid time off, and a strong benefits package! Benefits include: Medical Dental Vision Short-term Disability Long-term Disability 401K w/ Employer Match Employee Assistance Program (EAP) provides support and resources to help you and your family with a range of issues. To learn more about our organization: ***************** OUR MISSION Delivering exceptional care through connection OUR VALUES Dignity - We meet people where they are on their journey with respect and hope Collaboration - We listen to understand and ask how we can best support the people and communities we serve Wellbeing - We celebrate one another's strengths, and we support one another in being well Excellence - We demand high-quality care for those we serve, and are a leader in how we care for one another as a team Innovation - We deeply value a range of perspectives and experiences, knowing it is what inspires us to stretch past where we are and reach towards what we know is possible We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.