Medicine and health service manager jobs near me - 134 jobs

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.

The Care Manager plans and manages behavioral and/or physical care with members and works collaboratively with them, their supports, providers, and health care team members. The Care Manager is responsible for applying care management principles when engaging members and addressing coordination of their health care services to provide an excellent member experience, address barriers, and improve their health outcomes. The Care Manager is assigned to a specific product line such as CompleteCare, SNP, Medicaid/Medicare, PHSP, HARP, etc. 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 physician's 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 member's 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) For PEDS positions only: 1 year of pediatric clinical field experience and/or experience with families and child serving systems, including child welfare and/or medically fragile/developmentally disabled populations For Behavioral Health (BH) Care Management: NYS RN or LCSW, LMSW, LMFT, LMHC, LPC, licensed psychologist (any state) 3 years of work experience in a mental/behavioral health or addictions setting For BH PEDS positions only: 1 year of pediatric clinical field experience and/or experience with families and child serving systems, including child welfare and/or medically fragile/developmentally disabled populations 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 Fujianese 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. HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national origin, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as well as any other legally protected basis. HF Management Services, LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified. If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to *********************** or calling ************ . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within HF Management Services, LLC will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with HF Management Services, LLC. Know Your Rights All hiring and recruitment at Healthfirst is transacted with a valid “@healthfirst.org” email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process. Hiring Range*: Greater New York City Area (NY, NJ, CT residents): $81,099 - $116,480 All Other Locations (within approved locations): $71,594 - $106,080 As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision. In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live. *The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.

This position is a temporary role facilitated through one of our contracted agencies and is not a direct employment opportunity with IEHP. The contracted agency offers an assignment length of up to six months, during which the candidate will provide support for IEHP. What you can expect! Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience! Under the direction of department leadership, this position focuses on a person-centered model of care which takes in to account the Member's medical, behavioral, and social needs. This position provides high quality, effective care management to IEHP members ensuring coordinated continuous care. Care Management is broadly defined, and can include outreach and engagement to members, engaging members in skilled therapeutic interactions to promote health behaviors, other behavioral health interventions within scope, coordination of care, resource linkages, working with other professionals and organizations in the community to ensure quality of care for members, seamless transitions of care, and facilitating the right care and the right time for the member. As a licensed clinician, this position provides clinical expertise, clinical leadership, and clinical oversight in a variety of ways within the department. The individual in this position is to utilize their clinical expertise to support and engage Members to promote positive health behaviors, assist with coordination of care, provided resource linkages, and collaborate with other Team Members within their care team, as well as external partners, to ensure a seamless transitions of care experience. This position is expected to model behavioral health principles of relationship-based care, as well engage in promoting education and understanding of Behavioral health and its importance in whole health, to those within IEHP and in the community. Commitment to Quality: The IEHP Team is committed to incorporate IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Education & Requirements * Minimum of three (3) years of experience performing or facilitating Behavioral Health/Medical Social Work services * Experience in motivational interviewing and/or other evidenced-based communication strategies * Experience working successfully within a team, and experience in developing and maintaining effective relationships with both clients and coworkers is mandatory * Master's degree in Social Work or related field from an accredited institution required * Possession of an active, unrestricted, and unencumbered license in a Social Services related field issued by the California Board of Behavioral Sciences required (LCSW or LMFT preferred) Key Qualifications * Must have a valid California Driver's License * Behavioral Health/Medical Social Work services experience in a health clinic psychiatric hospital, medical facility, or health care clinic strongly preferred * Experience in clinical services, both mental health and substance use preferred * Familiarity with providing Behavioral Health Care and discharge planning is required * Knowledgeable and skilled in evidenced-based communication such as Motivational Interviewing, or similar empathy-based communication strategies * Understanding of and sensitivity to multi-cultural communities * Deep understanding and knowledge of mental health and substance use conditions, including both acute and chronic management * Awareness of the impact of unmitigated bias and judgement on health; commitment to addressing both * Must have knowledge of whole health and integrated principles and practices * Bilingual (English/IEHP Threshold Language) - written and verbal is highly preferred * Highly skilled in interpersonal communication, including conflict resolution * Effective written and oral communication skills, as well as reasoning and problem-solving skills * Skillful in informally and formally sharing expertise. Must have the resiliency to tolerate and adapt to a moderate level of change and development around new models of care and care management practices * Proficient in the use of computer software including, but not limited to, Microsoft Word, Excel, PowerPoint * Demonstrated proficiency with all electronic medical management systems (e.g., Cisco, MHK/Care Prominence, MediTrac, SuperSearch and Web Portal) is preferred * Proven ability to: * Sufficiently engage Members and providers on the phone as well as in person * Work as a member of a team, executing job duties and making skillful decisions within one's scope * Establish and maintain a constructive relationship with diverse Members, Leadership, Team Members, external partners, and vendors * Prioritize multiple tasks as well as identify and resolve problems * Have effective time management and the ability to work in a fast-paced environment * Be extremely organized with attention to detail and accuracy of work product * Have timely turnaround of assignments expected * To form cross-functional and interdepartmental relationships Start your journey towards a thriving future with IEHP and apply TODAY! Pay Range * $43.87 USD Hourly - $58.13 USD Hourly

*Candidates must live in one of the following regions: Delaware, Franklin, Madison, Pickaway, Union Lorain, Medina, Wayne, Stark, Summit, Portage, Cuyahoga, Lake, Geauga, Trumbull, Mahoning, Columbiana Fulton, Lucas, Ottawa, Wood Butler, Hamilton, Warren, Clinton, Clermont Clark, Greene, Montgomery JOB DESCRIPTION Job Summary Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Completes comprehensive member assessments within regulated timelines, including in-person home visits as required. • Facilitates comprehensive waiver enrollment and disenrollment processes. • Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate health care professionals and member support network to address the member needs and goals. • Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. • Promotes integration of services for members including behavioral health care and long-term services and supports (LTSS) and home and community resources to enhance continuity of care. • Assesses for medical necessity and authorizes all appropriate waiver services. • Evaluates covered benefits and advises appropriately regarding funding sources. • Facilitates interdisciplinary care team (ICT) meetings for approval or denial of services and informal ICT collaboration. • Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts. • Assesses for barriers to care and provides care coordination and assistance to members to address psycho/social, financial, and medical obstacles concerns. • Identifies critical incidents and develops prevention plans to assure member health and welfare. • May provide consultation, resources and recommendations to peers as needed. • Care manager RNs may be assigned complex member cases and medication regimens. • Care manager RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be required (based upon state/contractual requirements). Required Qualifications • At least 2 years experience in health care, including at least 1 year experience in care management, managed care, and/or experience in a medical or behavioral health setting, and at least 1 year of experience working with persons with disabilities, chronic conditions, substance abuse disorders, and long-term services and supports (LTSS), or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in state of practice. • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law. • Ability to operate proactively and demonstrate detail-oriented work. • Demonstrated knowledge of community resources. • Ability to work within a variety of settings and adjust style as needed - working with diverse populations and various personalities and personal situations. • Ability to work independently, with minimal supervision and demonstrate self-motivation. • Responsiveness in all forms of communication, and ability to remain calm in high-pressure situations. • Ability to develop and maintain professional relationships. • Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change. • Excellent problem-solving and critical-thinking skills. • Strong verbal and written communication skills. • Microsoft Office suite/applicable software program(s) proficiency. • In some states, must have at least one year of experience working directly with individuals with substance use disorders. Preferred Qualifications • Certified Case Manager (CCM). • Experience working with populations that receive waiver services. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Excellent outcomes start with great people, and Armor has an exciting opportunity for a Health Services Administrator - RN to join our team at Franklin County jail in Columbus, Ohio. Why Should You Choose Us? Join an organization with exceptional teamwork and leadership support. Provide patient care in a safe environment and make a difference in someone's life! Access competitive pay, generous education and development support, and a comprehensive benefits package. You'll be eligible for the following: * On-Demand Payment (Make any day payday) * Retirement plans * Health, Dental and Vision Insurance * Short Term Disability and Life coverage * Nursing (RN) school loan repayment assistance * Generous Paid Time Off * Health Savings Account Responsibilities * Direct and manage the administrative function of a correctional facility to include oversight of all facets of facility operation, fiscal responsibility, and day-to-day management of staff. * Directly and administratively supervise facility employees, including final approval of hiring decisions, performance appraisals, scheduling, training, employee development, disciplinary actions, and conflict mediation; determines staff salary levels; develops procedures and assigns work tasks to improve efficiency. * Review, interpret, recommend and implement administrative policies to ensure adherence to contract and regulatory requirements; identify and resolve issues regarding administrative and fiscal matters and regularly evaluate administrative systems and services. * Participate in the design, establishment, and maintenance of the organizational structure and assist in recruiting professional staff and independent contractors as required. * Develop and manage the facility's annual budgets and perform periodic cost and productivity analyses. * Represent the facility externally and internally on committees and at meetings as required. * Oversee and review all external contracts to ensure adequate reimbursement for clinical services and adherence to contract requirements. Qualifications * Bachelor's Degree in Business, Healthcare Administration, Nursing, or Public Administration required * Strong health care administrator background is ideal in this environment. * Willing to travel 10% of the time * Three years of administrative healthcare experience are required. * Excellent interpersonal skills include negotiation and conflict resolution skills. * Solid understanding of data analytics with the ability to generate, analyze and interpret data. * Excellent time management and organizational skills with a proven ability to meet deadlines * Experience leading a team of healthcare professionals * Ability to pass pre-employment Level 2 clearance to include a background check and drug screen At Armor Health, we are raising the standard of care to impact the lives of those we serve by partnering with exceptional correctional organizations to improve health care outcomes. We support patients and foster the holistic wellness and well-being of the lives entrusted in our care. Armor is laser-focused on providing the best-in-class interventions to ensure optimal outcomes. We are a dynamic team that is transforming and revolutionizing correctional healthcare through our core values of embracing change, taking ownership, attention to detail, a sense of urgency, and a results-oriented collaborative environment.

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, travel is expected to be up to 10%, and the expected schedule is Monday - Friday 8:00am - 05:00pm central. Independently licensed in TX or MO (LCSW, LPC, LMHC, or LMFT) required. What You'll Do As the Manager, Behavioral Health Longitudinal at Imagine Pediatrics you will manage a team of supervisors overseeing three roles: Behavioral Health Therapists, Behavioral Health Care Managers, and Care Team Assistants who work as an interdisciplinary team to serve a patient population experiencing severe mental illness (SMI). This role oversees a regional behavioral health care team and is responsible for team metrics and program outcomes. 90% of Manager, Behavioral Health, longitudinal role will be administrative inclusive of the following: Manage a team of regional cross functional care team members with the support of supervisors. Provide oversight to a team of supervisors including 1:1 support, quarterly feedback, and typical functions of people management Provide guidance to supervisors regarding performance management of indirect reports. Uphold team members responsible to Imagine specific policies, clinical programming requirements, and utilization targets. Partner with talent acquisition to carry out hiring plans, interviews, and onboard new team members. Assist with strategic planning for expansion into new markets for company growth. Analyze programmatic metrics and individual metrics in order to utilize staff appropriately. Hold the team accountable for working at the top of their license and utilizing team functions as efficiently as possible Identify areas for improvement within team processes, clinical care, and action on projects to make them more efficient. Serve as the Behavioral Health Longitudinal representative in leadership meetings to provide feedback, improve patient experience, and support the development of new programs and services. Acts as the liaison for behavioral health services to all stakeholders taking a lead role in process and performance improvement and the delivery of high-quality services Collaborate with clinical education team for implementation of new trainings in alignment with care team and organizational needs. Create a positive and inclusive culture of teamwork and accountability Assist behavioral health team with navigating new processes, policies, and procedures. 10% of Manager, Behavioral Health - longitudinal role will be clinical and include but are not limited to the following responsibilities. Consult with market leaders on behavioral health cases. Manage patient escalations as needed. Support service recovery calls. 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. A qualified candidate will be empathetic, caring, organized, and has strong relationship-building skills. In this role, you will need: Master's degree in social work, Marriage and Family Therapy, Counseling, or related area Must be licensed to independently practice in TX or MO (LCSW, LPC, LMHC, LMFT), openness to cross-state licensure. 5 years of experience post independent licensure in a behavioral health setting. 3 years of experience in management/supervision of mental health providers (experience in remote/start-ups environments preferred). Experience working with children, adolescents, and their caregivers inclusive of external systems involved in a minor's care. Experience with chart auditing and training to improvement-oriented outcomes. Certification/Training in evidence-based modalities including but not limited to cognitive behavioral therapy and dialectical behavioral therapy preferred Experience working with high-risk behavioral health populations including but not limited to suicidal ideation, homicidal ideation, severe persistent mental illness (SPMI), children in the foster care system. Strong preference and comfortability conducting triage assessments and crisis interventions. Diligent regarding documentation standards and accustomed to using electronic medical records. Experience working with a diverse population or demographics. Telehealth experience Familiarity with technology, Microsoft suites, and documenting in electronic health records. Fully remote with 10% travel for training/education What We Offer (Benefits + Perks) The role offers a base salary range of $88,000 - $107,000 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.

Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: Yes We are seeking a strategic and experienced leader to oversee our Reimbursement Services team. This role is responsible for guiding the planning, analysis, and implementation of reimbursement methodologies for healthcare providers. The ideal candidate will manage both short- and long-term reimbursement initiatives, collaborate with senior leadership to align financial strategies, and lead forecasting efforts to assess the impact of reimbursement changes. Additionally, this position provides daily support for coding and reimbursement needs across negotiations, claims processing, and provider setup. A minimum of one certification is required: CPC, CRC, or RHIT. Job Duties: Oversees the Reimbursement Services team members who lead the planning, analysis, consultation and direction of the reimbursement methodology for healthcare providers. Oversees short and long term reimbursement initiatives with the ability to work closely with senior management to develop strategic goals and implement reimbursement initiatives. Leads the forecasting process related to changes in reimbursement methodology and associated financial impact. Oversees daily coding and reimbursement support to negotiations, claims processors and provider set-up representatives. A minimum of one certification is required: CPC, CRC, or RHIT. Coordinates and provides oversight for the ongoing analysis and planning of industry reimbursement changes. Coordinates ongoing physician fee changes and primary care capitation analysis. Provides impact analysis as fee changes occur. Coordinates the ongoing fee revision process. Ensures efficient and timely processing of problem claims for all lines of business and all markets, including new and expansion markets. Monitors and evaluates provider-specific payment waivers and distinctive edit exclusions negotiated within the provider network. Consultative activities with internal and external customers to assist with the development of reimbursement strategies related to TPA or new market relationships. Provides consultative support on all financial planning issues related to provider reimbursement. Evaluates reimbursement initiatives and changes in payment to control medical expense. Leads implementation of new or existing predictive modeling software tools, as well as, supports the accuracy and integrity of reimbursement related information. Assists with presentations to provider network managers to educate on industry trends in reimbursement, reimbursement changes and tools and templates available for requesting reports on historical provider reimbursement. Ensures that accurate predictive modeling is done by line of business (Medicare versus Commercial). Recommends reimbursement opportunities by utilizing statistical reports, reimbursement summary documents and industry information to conduct review and analysis of coding practices or fee levels. Determines appropriateness of provider coding and charging practices and associated claims processing payment accuracy to validate actual provider payment against contracted payment terms. Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. #LI-REMOTE Position Details: Education: Bachelor's Degree- (Required), Bachelor's Degree-Business Administration/Healthcare Management (Preferred) Experience: Minimum of 3 years-Managing people, processes, or projects (Required) Certification(s) and License(s): Certified Professional Coder - American Academy of Professional Coders (AAPC), Certified Risk Adjustment Coder - American Academy of Professional Coders (AAPC), Registered Health Information Technician (RHIT) - American Health Information Management Association Skills: Builds Relationships, Computer Literacy, Manages Conflict And Crisis, Manages Projects And Functions, Mathematics OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family. We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.

Cerula Care is the first digital health company focused on providing integrated behavioral health (BH) services to people living with cancer. More than 22M people living with cancer have behavioral health needs such as anxiety, depression, substance use disorder, and PTSD. We integrate with oncology practices and health systems through the Collaborative Care Model (CoCM) to wrap our members with a behavioral health team, care programming, and outcomes analysis. The Collaborative Care Model is an evidence-based clinical model that has been shown to successfully improve mild to moderate behavioral health needs more effectively than the current standard of care. Our care team enhances the traditional CoCM care team by adding a Health Coach (i.e., a health coach focused on holistic behavioral health), given our strong conviction in the benefit of health coaching and wellness in this population. With the right coaching program customized to our members, we will be able to improve our members' behavioral health above and beyond traditional CoCM models. Why Choose Cerula Care We understand choosing a place to work or consult is a really important decision, and we want you to know that we do not take it lightly on your behalf - we welcome all your questions as you go through the decision process! A few things to know about working at Cerula Care: Our culture is very collaborative, transparent, supportive, and feedback-driven. All of us (yes all of us - including and especially our co-founders) are open to receiving and giving feedback in a helpful way to ensure we each grow and learn every day and importantly are always improving for the sake of our members and each other. We have a big mission to accomplish and we want people who believe in that mission to join us. However, in joining our mission, we are not asking you to give up other parts of your life - we all have our lives outside work, and we absolutely respect each other's needs. Behavioral Health Care Manager role: The BHCM is a core member of Cerula Care's collaborative care team. Cerula Care's team includes a BHCM, a Consultative Psychiatrist, and a Health Coach. The BHCM is critical to collaborating between external specialists (e.g., oncologists) and the internal care team; the role is partly clinical and partly operational. Key Traits: Experienced and passionate about interacting with and helping members with cancer; strong ability to engage members through telehealth Exceptionally organized and able to keep track of all care coordination tasks Highly adaptable, with interest or experience in start-up environment Key Responsibilities: Engage in an initial clinical member biopsychosocial intake including a safety screen and administering BH assessments (PHQ-9, GAD-7, etc.) Engage in follow-up visits and asynchronous interactions, including brief interventions (e.g., behavioral activation, mindfulness, psychoeducation, etc.) Be the key care coordinator and act as a liaison between the referring specialist and the practice, ensuring if there is a member question or administrative question, it is answered or triaged to the appropriate team within Cerula Care Lead the interdisciplinary team meetings on a weekly basis with the Consulting Psychiatrist and Health Coach, ensuring all high-risk members are discussed and all new psychiatric recommendations are documented in the chart Communicate closely on an ongoing basis with the Cerula Care behavioral health care team (Coaches and Psychiatrist) Document member progress in a HIPAA-compliant electronic medical record system and client registry provided by Cerula Care Identify patients who are not improving and may need more intensive mental health care and report any concerns to the medical provider and the Consulting Psychiatrist Facilitate referrals for clinically indicated services outside of Cerula Care under the supervision of the BHCM Lead (e.g., SMI). Educational, Certification, and Experience Requirements: Bachelor's Degree Required in nursing, social work, or other health and human services disciplines from an accredited college or university. Experience as a Certified Case Manager (CCM), Community Health Worker (CHW) or Peer Support Specialist (PSS), or Accredited Case Manager (ACM) preferred Qualified applicants must have at least one year of clinical care management experience, with some part of the experience directly working with people with cancer or advanced illness (e.g., Cancer coaching, Palliative Care, etc.) Time Commitment, Start Date, Compensation: Time commitment: Full-time Start date: We are evaluating candidates on a rolling basis Hourly rate: Discussed during interview

The Role Behavioral health care managers play a central role in the collaborative care model. As the main point of contact for each patient and their family, you would both coordinate care and leverage evidence-based behavioral interventions to improve patient outcomes. You would use a process of evidence-based screens, patient education, inquiry, support and personal discovery to build the client's level of awareness and responsibility. In addition, you'd provide the client with structure, support, feedback, resources, and facilitate access to highly trained experts, as needed. Responsibilities include Screening: Clinical screening: evaluate results of clinical screens and adapt coaching approaches and techniques to best support the patient's diagnosis, symptoms and needs. Utilize registry within Triplemoon systems to measure impact over time. Educating: Host regular, virtual, one-on-one sessions with parents and/or pediatric patients to address concerns related to behavioral health, wellbeing and parenting. Establishing goals: Empower families to identify and achieve appropriate goals to address their family or parenting challenges. Listening Empathetically: Listen actively and empathize deeply with members Applying Behavioral Interventions: Engage patients and/or family in treatment. Provide brief behavioral interventions appropriate for pediatric primary care, e.g., Cognitive-Behavioral Therapy (CBT), Motivational Interviewing (MI), Problem Solving, Behavioral Activation (BA) or First Approach Skills Training (FAST) Coordinating: Facilitate ongoing communication with all members of the care team including broader Triplemoon clinical operations team and primary care providers Qualifications Relevant professional background and/or training as a licensed professional counselor, licensed therapist, and/or licensed social worker (prefer 2+ years of experience); active licensure required Experience providing clinical intervention with children ages 0-17 years across a broad range of common pediatric diagnoses and have a strong interest in partnering with parents Comfortable with the pace and style of primary care which includes delivering brief evidence-based interventions and supporting medication management Willing to develop knowledge of developmental pediatrics to support facilitation of appropriate referrals and psychoeducation Willing to learn brief evidence-based behavioral interventions for pediatric populations Can balance the needs of patients and their family(ies) while collaborating with other systems involved in the patients' care Can deliver care with a diversity equity and inclusion (DEI) and trauma-informed lens Strong digital health and telehealth skills Organized and punctual when it comes to logistics, scheduling, and follow-up Strong verbal and written communication skills and willingness to maintain a detailed and accurate patient health record Preferred Skills (a plus, not a requirement!) Experience working alongside medical teams and/or primary care settings Motivational interviewing trained PMADs recognition and intervention Familiarity with CBT (cognitive behavioral therapy) methodology Benefits of Joining the Triplemoon Team Fully remote environment involving some evenings and/or weekend time Opportunity to develop unique skills, training, and experience from experts in the perinatal and parenting fields Mentorship with other members of the team and field experts Opportunity to work with a rapidly growing and entrepreneurial environment where your views and ideas can have real impact Opportunity to directly and positively affect the lives of children and families Ongoing training and development opportunities. You will complete relevant training modules prior to meeting with families covering Triplemoon background and healthcare management overview, skills, Triplemoon curriculum, emergency preparedness, customer success and operations. Full-time salaried position

Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position. Manages, coordinates, and evaluates all elements of financial, material and human resources in the provision of care coordination to assigned group of patients in accordance with the service and missions of the institution. Will have oversight of specific departmental role(s) and will work closely with other Population Health managers to ensure team continuity. MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, EXPERIENCE, AND/OR LICENSURE: 1. Bachelors of Science Degree in a healthcare field EXPERIENCE: 1. Five years of experience in a healthcare setting. PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Certified Case Manager (CCM) credential EXPERIENCE: 1. Three years of care coordination experience. 2. Two years in a leadership role. CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned. 1. Advises the Director on the hiring, retention, interviewing and recruitment of staff. 2. Initiates and maintains appropriate personnel records. 3. Assists in the development and implementation of on-going educational programs for professional and support staff which include new employee orientation, in-service continuing education, and new equipment and/or systems training which enables the staff to perform on the basis of current policy/procedures and state-of-the-art practices. 4. Provides ongoing feedback to employees concerning job performance through goal development, peer evaluation, and performance evaluations. Counsels and disciplines employees, under the direction of the Director. 5. Monitors on a continual basis all personnel and current expense budgets providing information and/or justification of variances to the Director. 6. Makes recommendations for preparation of the budget for cost center annually upon notification of the Director to assure cost effective operations. 7. Communicates effectively with physicians, nurses, and other personnel in problem identification and resolution in a timely manner. 8. Promotes customer satisfaction through response to customer perceptions of services provided in a professional and constructive manner. Ensures the establishment and implementation of a team culture that is patient centered. 9. Participates in various activities (i.e. staff meetings, in-services, etc.) to assist the Director in the dissemination of necessary information to staff, physicians, and others by written and/or verbal means. 10. Monitors current expense and human resource funds for his/her cost center cost effectively. 11. Spends funds in dollar amounts which are congruent with the departments' budget and is reflective of cost containment. 12. Maintains effective communication with fellow managers. Medical Staff, patients, staff, and other departments as necessary to assure identification of problems and provide problem resolution in support of the health system's mission of quality patient care delivery. 13. Facilitates the professional development of personnel. Oversees and participates in the orientation, training, and continuing education of the staff (departmental and interdepartmental) and other health related personnel. 14. Participates in outreach activities in the community in order to educate and/or promote good relationships. PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Office setting 2. Time will be spent traveling to physician practices SKILLS AND ABILITIES: 1. Possesses excellent interpersonal communication and negotiation skills in interactions with patients, families, physicians, and health care team colleagues 2. Ability to work with people of all social, economic, and cultural backgrounds and be flexible, open minded, and adaptable to change 3. Capable of independent judgment and action regarding psychosocial needs of patients. Additional Job Description: **RN PREFERRED This leadership position is responsible for overseeing a team of ambulatory nurse case managers who collaborate closely with Primary Care Physicians, PeakHealth, and a multidisciplinary care team to support patients in achieving their health goals. As Population Health continues to expand and evolve, we are seeking candidates with experience in the following areas: Ambulatory case management Collaboration with or employment within health insurance organizations Development and implementation of policies and procedures Leadership of both remote and on-site teams Familiarity with accreditation standards, including those from NCQA or comparable accrediting bodies Proficiency in EPIC and Compass Rose Scheduled Weekly Hours: 40 Shift: Exempt/Non-Exempt: United States of America (Exempt) Company: SYSTEM West Virginia University Health System Cost Center: 415 POPH Population Health Management

Overview3 Social Workers are needed for a dynamic, fast-paced start-up with an innovative care management position that is transforming the delivery of kidney care. You will be driving to patients' homes who suffer from chronic kidney disease. We are looking for someone who works well with ambiguity, drive time, and telehealth components. Most patients are suffering from chronic kidney disease (CKD) and end-stage renal disease (ESRD). Requirements: Work Monday to Friday 8:00 am to 5:00 pm and occasionally after 5:00 pm You must be mission-driving and willing to deal with underserved populations Master's Degree in Social Work, behavioral sciences, or another related field Currently licensed as an LCSW or LMSW 2+ years of experience working in care management and/or with chronic illness 2+ years of experience working in medical settings such as home health, dialysis, or hospice Tele-health! Ability to take calls remotely on some nights and weekends Self-starter with the ability to work independently with minimal supervision Must show empathy and quickly build relationships with patients and CBOs Excellent verbal communication skills both in person and on the phone Must be fully vaccinated Must be willing to travel to the patient's home Perks: Competitive compensation, of $65,000 Flexible paid leave (PTO), sick days, and vacation policy Full Benefits (Medical, Dental, & Vision) 401K Plan Laptop & Phone Allowance (if applicable details will be discussed) Internal Growth Opportunities Job Descriptions: Lots of driving! This position will cover a two-hour travel radius. Rare domestic travel may be required to headquarters in Nashville, TN Ability to occasionally visit patients or take calls remotely on some nights and weekends Work with Microsoft Office and mobile phone and web-based applications Perform in-home care management visits to assess and impact their social and behavioral status Work closely with Care Team to ensure continual progress on all care management goals Assess social determinants of health needs and develop a plan for addressing them Perform behavioral, environmental, and social support assessments and surveys Deliver individual, family, and group education on living with chronic illness Engage family and social support groups in the education and care of patients Assess patients and refer them to behavioral health specialists for diagnosis and treatment Help patients to understand accept and follow medical and lifestyle recommendations Serve as the point of contact for patient questions regarding social and behavioral Facilitate conversations around and consideration of proactive care decisions, especially relating to transplantation, home modalities, and AV fistula placement Initiate patient relationships through enrollment and onboarding processes Document patient updates and progress in the EMR Identify, vet, and build relationships with local Community-Based Organizations Introduce patients to appropriate resources and act as the patient advocate Serve as subject matter expert on social determinants for other members of the Care Team Interview Process: Brief screening call with a talent advisor Phone Interview with HR Video Zoom interview the operations manager and leadership

Job DescriptionDescription: is remote after 90 days of employment. You will be required to still do home visits. The Care Manager will work closely with the Health Homes Care Management Department, the Department of Health, contracted Care Management Agencies (such as CHHUNY), ancillary providers, youth, and family members to successfully carry out care management tasks that link, advocate, and support the overall health and wellness of youth in our comm unities. The Care Manager is responsible for providing linkage and care management support to the youth and family and will be required to complete multiple assessments as required by CHHUNY and the Department of Health including, but not limited to a Plan of Care, Safety, Crisis, and Emergency Plan, Comprehensive Assessment, CANS-NY Assessment, and facilitation of Interdisciplinary Team Meetings. The Care Manager may be required to evaluate, coordinate, and provide necessary referrals for services and/or treatment as described, complete required assessments, and assist youth and families by helping to articulate goals and providing needed information. This person works closely in partnership with the families, foster families, County workers and other community partners. Primary Job Functions Provide overall support to youth to ensure that they are getting the services need to meet the overall health and wellness goals. Demonstrates understanding of the four dimensions of safety and can identify gaps. Demonstrates and models sensitivity to the cultural background of children, families and co-workers. Assures that job-related activities are in compliance with Glove House policies and procedures, Department of Health, Care Management Agencies, State and Federal regulations, and relevant professional association, ethical standards, accreditation standards, and the law. Perform care management tasks as defined by the Department of Health and contracted Care Management Agencies (i.e. CHHUNY) (may include assessments, goal plans, safety plans, and other assessments). Link, advocate, and support youth and families by identifying current strengths and barriers while providing referrals and other interventions to assist with current needs such as psychosocial supports and linkages with medical, dental, and behavioral health care providers, as well as, educational, employment, transportation community resources. Participate as a team member of Health Homes Department and the Finger Lakes Regional Office, supporting other teams when necessary. Coordinate services with other professionals and paraprofessionals and liaise with outside social service agencies and other organizations, where appropriate. Provide comprehensive, client-centered, trauma-informed, collaborative care planning for the development and management with the youth and parent/guardian to assist in the integration of medical and behavioral health services, and social health services. Build and use effective communications strategies among peers, medical staff, addiction and mental health providers, and other community agencies using electronic assisted devices including Telehealth and other interactive technology. Help improve, measure, monitor, and sustain quality outcomes that focus on clinical indicators/performance measures, patient satisfaction, and plan adherence. Participate in interdisciplinary team meetings and conduct regular face-to-face contact with youth and families. May monitor interns and/or volunteers. Develop and maintain records and program documentation, such as assessments, care plans, visitation plans, progress notes and summaries, according to contract and Glove House standards. Generate and maintain necessary reports and paperwork (i.e., Quality Assurance and program reports). Assures all documentation is completed in a timely fashion (within 48 business hours for contacts) Assures that program staff are up to date with any concerns or needs of your case load. Requirements: Bachelor's degree required, CHUNNY certification preferred Experience Minimum 2+ years' experience working with children and families in residential, group, or counseling child welfare capacity.

Who We Are Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We've had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it's at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work. We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about who we are at Point32Health. Job Summary The Care Manager - Nursing Field (RN CM) will ensure that all members receive timely care management (CM) across the continuum, including transitions of care, care coordination and navigation, complex case management, population health and wellness interventions, and disease/chronic condition management per department guidelines. The nurse care manager possesses strong clinical knowledge, critical thinking skills, and ability to facilitate a care plan which ensures quality medical care for the member. The RN CM works closely with the member, the caregiver/authorized representative, and providers to meet the targeted member-specific goals. Based on national standards for CM practice, the RN CM focuses on empowering the member to support optimal wellness and improved self-management. Job Description Key Responsibilities/Duties - what you will be doing Perform telephonic member outreach and/or face-to-face encounter utilizing key motivational interviewing skills to facilitate program enrollment. Perform departmental assessments and evaluate member holistically to identify needs, health goals, and barriers to wellness. Through assessment and collaboration with member/caregiver and providers, develop a member-specific plan of care, implement member-specific care manager interventions, and revise plan of care as needed. Complete documentation in applicable platform according to departmental policy and regulatory standards. Provide targeted health education, proactive strategies for condition management, and communication with key providers and vendors actively involved in the member's care. Collaborate with member/caregiver and the facility care team to coordinate a safe transition to the next level of care, which includes but is not limited to ensure understanding post-hospital discharge instructions, facilitate needed services and follow-up, and implement strategies to prevent re-admission. Collaborates and liaises with the interdisciplinary care team, to improve member outcomes (i.e., Utilization Management, Medical Director, pharmacy, community health workers, dementia care specialists, wellness, and Behavioral Health CM). Attending and presenting (as appropriate) high risk members at interdisciplinary rounds forum. Maintain professional growth and development through self-directed learning activities. Qualifications - what you need to perform the job Certification and Licensure Registered Nurse with current unrestricted license in state of residence May be required to obtain other state licensure in states where Point32Health operates Understand and follow the provisions of state-specific Nurse Practice Act(s) where Point32Health operates National certification in Case Management desirable Education Required (minimum): Bachelor's degree or relevant equivalent experience Preferred: Bachelor's degree in nursing Experience Required (minimum): 5 years' relevant clinical experience Preferred: Experience in home care or case management. Proficiency in a second language desirable. Experience in specialty areas a plus. Skill Requirements Skill and proficiency in Microsoft applications, technical concepts and principles; computer software applications Work cooperatively as a team member across multiple levels within the organization Skilled in assessment, planning, and managing member care Advanced communication and interpersonal skills Independent and autonomous with key job functions Ability to address multiple complex issues Flexibility and adaptability to changing healthcare environment Ability to organize and prioritize work and member needs Demonstration of strong clinical and critical thinking skills Regard for confidential data and adherence to corporate compliance policy Working Conditions and Additional Requirements (include special requirements, e.g., lifting, travel): Must be able to work under normal office conditions and work from remote office as required. Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations. Ability to make face to face visits (member home, provider practices, facilities) as needed to meet the member needs and produce positive outcomes Valid Driver's license and vehicle in good working condition as travel is required May be required to work additional hours beyond standard work schedule. Other duties as assigned and needed by the department COVID Policy Please note: We encourage all Point32Health colleagues to follow CDC guidance about COVID-19 vaccines, boosters, isolation, and masking. Point32Health reserves the right to adjust its requirements in response to COVID-19 trends in the communities we serve. Disclaimer The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position. Management retains the discretion to add to or change the duties of the position at any time. Salary Range $84,238.43 -$126,357.65 Compensation & Total Rewards Overview The annual base salary range provided for this position represents a range of salaries for this role and similar roles across the organization. The actual salary for this position will be determined by several factors, including the scope and complexity of the role; the skills, education, training, credentials, and experience of the candidate; as well as internal equity. As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company's sole discretion, consistent with the law. Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes: Medical, dental and vision coverage Retirement plans Paid time off Employer-paid life and disability insurance with additional buy-up coverage options Tuition program Well-being benefits Full suite of benefits to support career development, individual & family health, and financial health For more details on our total rewards programs, visit *********************************************** We welcome all All applicants are welcome and 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. Scam Alert: Point32Health has recently become aware of job posting scams where unauthorized individuals posing as Point32Health recruiters have placed job advertisements and reached out to potential candidates. These advertisements or individuals may ask the applicant to make a payment. Point32Health would never ask an applicant to make a payment related to a job application or job offer, or to pay for workplace equipment. If you have any concerns about the legitimacy of a job posting or recruiting contact, you may contact TA_****************************

OUR MISSION We exist to create a more connected, compassionate, and confident experience for people with cancer and those who care for them. We make it easier to get answers, access high-quality care quickly, and feel supported throughout treatment and beyond. Today, Thyme Care is a market-leading value-based oncology care enabler, partnering with national and regional health plans, providers, and employers to deliver better outcomes and lower costs for thousands of people across the country. Our model combines high-touch human support with powerful technology and AI to bring together everyone involved in a person's cancer journey: caregivers, oncologists, health plans, and employers. As a tech-native organization, we believe technology should strengthen the human connection at the center of care. Through data science, automation, and AI, we simplify complexity, improve collaboration, and help care teams focus on what matters most: supporting people through cancer. Looking ahead, our vision is bold: to become a household name in cancer care, where every person diagnosed asks for Thyme Care by name. If you're inspired to make cancer care more human and to help reimagine what's possible, we'd love to meet you. Together, we can build a future where every person with cancer feels truly cared for, in every moment that matters. WHAT YOU'LL DO As an Oncology Nurse Manager, you will lead multiple Nurse Team Leads and their nursing teams, ensuring they are equipped to deliver the highest standards of clinical care and to do so with efficiency. Reporting to the Senior Oncology Nurse Manager, you will serve as a leader who drives performance and productivity while fostering a culture of compassion, trust, and growth. In this role, you will coach and mentor Nurse Team Leads - especially those new to leadership - helping them grow into confident, capable people managers. Your guidance will focus on equipping them with the skills to enhance team productivity and efficiency through effective people management, including setting goals, providing constructive feedback, fostering accountability, and addressing performance challenges. You will also design and implement overarching people management strategies that enhance team performance and productivity, creating the framework that becomes the cornerstone for scaling the nursing team. Additionally, you will support the reinforcement of NCQA-compliant workflows and documentation, helping ensure that quality standards and compliance practices are consistently embedded and sustained across teams. To excel in this role, you will: Directly manage Nurse Team Leads, providing coaching, mentorship, and structured performance management strategies to help them become strong and effective leaders. Enable Nurse Team Leads to improve team performance, productivity, and efficiency through people management practices, including clear goal-setting, regular feedback, accountability systems, and engagement strategies. Set and monitor performance metrics across multiple teams, using data to identify trends, address barriers, and implement targeted improvement plans. Serve as an escalation point for complex member and caregiver cases, modeling sound clinical judgment while supporting team confidence. Build strong communication loops across leadership and frontline nurses, ensuring insights from staff and members shape organizational decisions. Champion the adoption and consistency of NCQA-compliant workflows and documentation, ensuring quality standards and compliance practices are understood, integrated, and sustained across teams. Anticipate staffing and leadership needs, support succession planning, and foster career growth pathways for Nurse Team Leads and their teams. Represent nursing leadership in cross-functional forums, advocating for strategies that advance both quality of care and workforce productivity. WHAT LEADS TO SUCCESS People-first. Thyme Care's mission and members matter to you deeply. You must have a Bachelor of Science Degree in Nursing, an unrestricted Registered Nurse (RN) license, and a willingness to obtain additional state licenses, as needed. Nursing Experience. You have at least 8 years of nursing experience, including 2 years as a nurse leader in a remote oncology navigation and/or remote oncology case management environment. You are certified as an Oncology Certified Nurse (OCN), Advanced Oncology Certified Nurse (AOCN), Advanced Oncology Certified Nurse Specialist (AOCNS), or Certified Case Manager (CCM). Prior startup experience is preferred. Coaching and Leadership Experience. You have proven leadership experience with a strong track record of coaching, mentorship, and holding teams accountable to drive results. Additionally, you have demonstrated success in building leaders, particularly through coaching and mentoring emerging leaders in core skills of people management. Scaling Performance and Productivity. You bring hands-on experience designing and implementing structured performance management strategies that improve productivity, efficiency, and engagement across multiple roles and teams in a remote environment. You have applied data-driven approaches in prior roles, using performance metrics and outcomes to measure success, diagnose issues, and lead sustainable improvements. You also have experience aligning leadership development and team performance strategies with organizational goals to deliver measurable impact. You understand how to align team goals with broader population health strategies - including risk stratification, care gap closure, and quality improvement - and can use data to drive this work forward. Comfort with change and ambiguity. You have experience leading teams through organizational change and growth, including restructuring, scaling, or process redesign, while maintaining engagement, morale, and performance. You demonstrate flexibility and resilience by adapting to shifting priorities, unclear situations, or rapidly changing environments, and you know how to guide your teams through ambiguity with steadiness, transparent communication, and a focus on outcomes. Grit. You're never afraid to get your hands dirty, but you can also take a step back and connect the company's strategy to your team's performance and execution. You're always determined to persevere through any challenges or barriers you encounter. A desire to learn how to use new technologies. We are a technology-driven company focused on interacting with folks during the season when they need it most. Experience with video chatting, Google Suite, Slack, electronic health records, or a willingness to learn new technology is essential. Identify priorities and take action. You know how to identify and prioritize your team's needs and take the necessary steps to address urgent and essential issues immediately. Bias to action. You're a self-starter and don't need anyone to tell you when to do something. You're always solving problems and going the extra mile for others. This job description provides a general overview of the position, its responsibilities, and the required qualifications. Thyme Care reserves the right to modify, add, or remove duties as necessary to meet business needs and organizational objectives. OUR VALUES At Thyme Care, our core values guide us in everything we do: Act with our members in mind, Move with purpose, and Seek diverse perspectives. They anchor our business decisions, including how we grow, the products we make, and the paths we choose-or don't choose. This is an exempt, full-time position. The annual pay rate is $110,000 - $120,000. Due to contractual limitations regarding access to PHIs, you must be located within the lower 48 United States to perform this role. Additionally, we acknowledge a history of inequality in healthcare. We're here to challenge these systems with a culture of inclusion through the care we give and the company we build. We embrace and celebrate a diversity of perspectives, reflecting the diversity of our members and the patients our products serve. We are an equal-opportunity employer. Be cautious of recruitment fraud , and always confirm that communications are coming from an official Thyme Care email.

LOCATION: Remote - must live in or near Buncombe County, North Carolina. This position will serve these counties. The person in this position is required to maintain residency in North Carolina or within 40 miles of the NC border. This position requires travel. GENERAL STATEMENT OF JOB Innovations Care Manager (Innovations CM) 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 Innovations CM 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. Innovations CMs 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 Innovations CM also works with other Vaya staff, members, relatives, caregivers/ natural supports, providers, and community stakeholders. As further described below, essential job functions of the Innovations CM 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 Innovations CM 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 Innovations CM, LP and Manager, IDD Care Management, LP or Director, Care Management 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, etc. (i.e. Individual/Family Direction for Innovations participants), processes (e.g., requirements for specific service), etc. Provide information to member/LRP regarding their choice in choosing 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. Update 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. Participate in multidisciplinary huddles including RN, Pharmacist, M.D. and case staffings to present case to address barriers, identify need for specialized services to meet member needs and receive support and feedback regarding interventions for medical, behavioral health, I/DD, medication, and other needs and provide support to other Care Managers. Risk Management- Proactively ensures that individuals identified as a Special Needs enrollee that have treatment needs or require regular monitoring have a Behavioral Health Clinical Home and a Medical Home. 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. Support Monitoring/Coordination, Documentation and Fiscal Accountability: 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 providers, stakeholders and other community supports as appropriate. 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 in partnership with other Vaya departments to identify and address gaps in services/ access to care within Vaya's catchment. Works with Innovations CM, LP and IDD Manager- 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. 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. Ensure that services are monitored (including direct observation of service delivery) in all settings at required frequency and for compliance with standards. Make announced/unannounced monitoring visits, including nights/weekends as applicable. Monitors provision of services to informally measure quality of care delivered by providers and identify potential non-compliance with standards. 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. Educate members/families on methodology for budget development, total dollar value of the budget and mechanisms available to modify the individual budget. Monitor services to ensure that they are delivered as outlined in individualized service plan and address any deviations in service. Ensure that service orders/doctor's orders are obtained, as applicable. Verifies member's continuing eligibility for Medicaid, and proactively responds to a member's planned movement outside Vaya's catchment area to ensure changes in their Medicaid County of eligibility are addressed prior to any loss of service. Alerts supervisor and other appropriate Vaya staff if there is a change in member Medicaid eligibility/status. Proactively and timely creates and monitors documentation within the AHR to ensure completeness, accuracy and follow through on care management tasks. Coordinate Medicaid deductibles, as applicable, with the individual/guardian and provider(s). Proactively monitor own documentation to ensure that issues/errors are resolved as quickly as possible. Ensure accurate/timely submission of Service Authorization Requests (SARS) for all Vaya funded services/supports. Works with Innovations CM, LP and Manager, Innovations Care Management, 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. Alert supervisor and other appropriate Vaya staff if there is a change in member Medicaid eligibility/status. Participates in all required Vaya/ Care Management trainings and maintains all required training proficiencies. Other duties as assigned. KNOWLEDGE, SKILLS, & ABILITIES Ability to express ideas clearly/concisely and communicate in a highly effective manner Ability to drive and sit for extended periods of time (including in rural areas) Effective interpersonal skills and ability to represent Vaya in a professional manner Ability to initiate and build relationships with people in an open, friendly, and accepting manner Attention to detail and satisfactory organizational skills Ability to make prompt independent decisions based upon relevant facts A result and success-oriented mentality, conveying a sense of urgency and driving issues to closure Comfort with adapting and adjusting to multiple demands, shifting priorities, ambiguity, and rapid change Thorough knowledge of standard office practices, procedures, equipment, and techniques and intermediate to advanced proficiency in Microsoft office products (Word, Excel, Power Point, Outlook, Teams, etc.), and Vaya systems, to include the care management platform, data analysis, and secondary research Understanding of the Diagnostic and Statistical Manual of Mental Disorders (current version) within their scope and have considerable knowledge of the MH/SU/IDD/TBI service array provided through the network of Vaya providers. Experience and knowledge of the NC Medicaid program, NC Medicaid Transformation, Tailored Plans, state-funded services, and accreditation requirements are preferred. Ability to complete and maintain all trainings and proficiencies required by Vaya, however delivered, including but not limited to the following: BH I/DD Tailored Plan eligibility and services Whole-person health and unmet resource needs (Adverse Childhood Experiences, Trauma, cultural humility) Community integration (Independent living skills; transition and diversion, supportive housing, employment, etc.) Components of Health Home Care Management (Health Home overview, working in a multidisciplinary care team, etc.) Health promotion (Common physical comorbidities, self-management, use of IT, care planning, ongoing coordination) Other care management skills (Transitional care management, motivational interviewing, Person-centered needs assessment and care planning, etc.) Serving members with I/DD or TBI (Understanding various I/DD and TBI diagnoses, HCBS, Accessing assistive technologies, etc.) Serving children (Child and family centered teams, understanding of the “System of Care” approach) Serving pregnant and postpartum women with Substance Use Disorder (SUD) or with SUD history Serving members with LTSS needs (Coordinating with supported employment resources) Job functions with higher consequences of error may be identified, and proficiency demonstrated and measured through job simulation exercises administered by the supervisor where a minimum threshold is required of the position. EDUCATION & EXPERIENCE REQUIREMENTS Bachelor's degree in a field related to health, psychology, sociology, social work, nursing or another relevant human services. Serving members or recipients with an I/DD or Traumatic Brain Injury (TBI) Two (2) years of experience working directly with individuals with I/DD or TBI Serving members with LTSS needs Minimum requirements defined above Two (2) years of prior Long-tern Services and Supports and/or Home Community Based Services coordination, care delivery monitoring and care management experience. This experience may be concurrent with the two years of experience working directly with individuals with BH conditions, an I/DD, or a TBI, described above --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 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 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 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 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. 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 maintain residency 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.

Looking to join and lead a dynamic team at Ohio State University Physicians where excellence meets compassion? Who we are With over 100 cutting-edge outpatient center locations, dedicated to providing exceptional patient care while fostering a collaborative work environment, our buckeye team includes more than 1,800 nurses, medical assistants, physicians, advanced practice providers, administrative support staff, IT specialists, financial specialists and leaders that all play an important part. As an employee of Ohio State University Physicians (OSUP), you'll be an integral part of a team committed to advancing healthcare, education, and professional growth. Our culture At OSUP, we foster a culture grounded in the values of inclusion, empathy, sincerity, and determination. We meet our teams where they are, coming together to serve each other and our community. Our benefits We know that having options and robust benefit plans are important to you. OSUP prioritizes the wellbeing of our team and that's why we offer our employees a flexible, competitive benefit package. In addition to medical, dental, vision, health reimbursement accounts, flexible spending accounts, and retirement, we also offer an employee assistance program, paid time off, holidays, and a wellness program designed to support our employees so they can live their best lives. As an OSUP employee, you will be eligible for these various benefits depending on your employment status. Responsibilities What will you do? The Nurse Manager is responsible for direction and supervision of daily patient care activities in the ambulatory setting or other equivalent care setting. Additional responsibilities include: Assisting with development of protocols and policies governing infection control, quality management and improvement, sedation, orientation, continuing education and performance management. Ensuring staff work within their respective scope of practice when delivering care in accordance with internal and external standards, protocols and policies. Demonstrate leadership ability and clinical competency in nursing care in an ambulatory setting. Demonstrate a high level of professional integrity and interpersonal skills to handle sensitive and confidential situations. Qualifications What are we looking for in our next new hire? A Bachelor's degree or an equivalent combination of education and relevant experience. Graduate of an approved program of nursing, from a CCNE (Commission on Collegiate Nursing Education) or Accreditation Commission for Education in Nursing (ACEN) accredited nursing program. Valid license to practice as a nurse in Ohio. Strong interpersonal, organizational, communication, leadership and customer service skills. Ability to interact, communicate, and follow-up with individuals at all levels of the organization in a timely manner with poise, tact and diplomacy. Strong organizational, communication, leadership and patient experience skills. Ability to work independently in a fast-paced, dynamic environment. Proficient in word processing and spreadsheet software. Knowledge of medical office operations and systems; familiar with guidelines regarding patient confidentiality issues, OSHA, customer service, and knowledge regarding the clinical operations and needs of a medical facility. Preferences: Previous supervisory experience, experience with medical billing and coding, knowledge of human resource practices, and knowledge of third party reimbursements, manage care contracts, and regulatory compliance. Bachelor's Degree in Nursing. BLS and ACLS certifications. Familiarity with Joint Commission AAAHC. Previously worked in a procedural area. Pay Range USD $94,739.05 - USD $157,898.39 /Yr.

Who You Are You're a collaborative professional, driven by the potential to make a meaningful impact in healthcare. The challenges of healthcare don't deter you-instead, you see them as opportunities to find innovative solutions that benefit the partners, people, and communities we serve. Honest Health's commitment to purpose, innovation, communities, and kindness resonates with you, inspiring you to bring commitment, creativity, and compassion into your work. You're ready to join a team focused on reimagining primary care for a healthier future that benefits all. Does this sound like you? If so, we should talk. Who We Are At Honest Health, we believe in purpose and partnership to lead the transformation in primary care. Our team of healthcare experts and clinicians collaborates with a range of stakeholders-from health systems, physician organizations, and payers to providers, practices, and patients - to deliver innovative solutions that elevate care, control costs, and support long-term health. Guided by our core values, we're creating a value-driven model that creates lasting benefits for everyone, now and into the future. For us, that's just an Honest day's work. Your Role You will manage patients' specialized needs based on their individual condition(s) and/or reason for recent utilization in collaboration with physicians, advanced practice providers, and care coordination team members. Your job duties will include taking full ownership of assigned patients with complex chronic conditions, serious illness, advanced frailty, or recent healthcare utilization with the goal of avoiding preventable admissions, reducing unnecessary healthcare use, and optimizing patient outcomes. Through standardized assessments and workflows you will work with the patient to identify needs based on their values, goals and preferences. From this assessment, in partnership with the patient, you will develop an effective, and comprehensive plan of care for each member. Care plans will be used to coordinate patient care delivery with Honest clinicians, network providers, contracted vendors, and community-based services. This work takes place remotely, but you must be licensed in the state or states where the role is based (Michigan and/or New York). Primary Functions Include: Quickly build empathetic relationships with patients and families. Evaluate and identify patients' needs based on their respective values, goals, and preferences, then translate these needs into clinical needs. Interface with primary care physicians, advanced practice providers (APP), specialists, and various disciplines on the development of case management plans/programs. In conjunction with the physician/APP, implement care/treatment plans by coordinating access to health services across multiple providers/ disciplines. Refer patients to internal Honest team members for care management activities as outlined by defined procedures. Monitor care and identify cost-effective measures, including recommendations for alternative levels of care and utilization of resources. In partnership with Honest team members, effectively coordinate patient admissions and discharges from hospitals or skilled nursing facilities via coordination with respective facility clinicians and case managers. Build relationships across network hospitals, SNFs, home health companies, and DME vendors within the respective community. Monitor and evaluate the effectiveness of the case management plans based on quality and cost drivers and modify as necessary. Coordinate the interdisciplinary approach to providing continuity of care, including transfer coordination, discharge planning and obtaining all authorizations/approvals/transfers as needed for outside services for patients/families. Act as a patient advocate and educator to assure that the patient has the knowledge to care for his/her condition and patient is educated and empowered to be responsible for participating in the plan of care. Develop individualized patient/family education plan focused on self-management and deliver patient/family education specific to a disease state. Engage internal resources to identify and respond to social determinants of health such as lack of transportation, stable housing, or food resources. Participate in data collection and analysis of clinical outcomes of care and customer satisfaction standards. Participate in the formulation and implementation and monitoring of action strategies and outcomes of care or customer service. Ensure that accurate records are maintained of the care associated with each patient. Actively participate in huddles, interdisciplinary team (IDT) sessions, and patient case conferences. Commendably represents Honest to patients, their families, and the community. Perform other related responsibilities as assigned. How You Qualify You reviewed the Who You Are section of this job posting and immediately felt the need to read on. This makes you a match for our innovative culture. You accept things change quickly in a startup environment and are willing to pivot quickly on priorities. Must have reliable access to high-speed internet to ensure seamless remote work communication and productivity Current Registered Nurse license is required in the state or states where the role is based (Michigan and/or New York) Willing and able to obtain additional state nursing license(s) if needed, and with the support of Honest leadership. Bachelor's of Science in Nursing preferred. Certified Case Manager (CCM) credential preferred 3+ years of clinical practice in a hospital, clinic, home care, or nursing home setting highly preferred Case management experience with a senior population preferred Disease management and/or physician office experience highly preferred Prior experience with electronic health records or health registries required Microsoft Office skills, including Excel, Word, PowerPoint, Outlook required. Experience with PowerPoint preferred The base pay range for this role is $76,600.00 - $88,000.00. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, and organizational needs. Base pay is just one piece of the total rewards program offered by Honest. Eligible roles also qualify for short-term incentives and a comprehensive benefits package How You are Supported Full time team members may be eligible for: Competitive Compensation Attractive base salary with performance-based bonuses and rewards 401(k) plan with a generous company match, fully vested from day one Comprehensive Health and Wellness Benefits Flexible health, dental, and vision insurance options tailored to your needs Company contribution towards health savings accounts (HSA) for high-deductible health plan (HDHP) participants 100% company-paid short-term disability and life insurance Wellness programs and resources to support your physical and mental health Work-Life Balance Generous paid time off, including vacation, sick leave, and paid holidays annually Two paid volunteer days to support causes you're passionate about Flexible work arrangements to accommodate your lifestyle Professional Development Robust onboarding program and ongoing training opportunities Reimbursement for role-related continuing education and certifications Family-Friendly Policies Paid parental leave for new parents Dependent care flexible spending accounts Support for work-life integration Collaborative and Purpose-Driven Environment Work alongside professionals who share your commitment to Honest's high-quality, value-based care model Opportunities to contribute to meaningful projects and initiatives Additional Perks Team member recognition programs Team-building events and social activities Join us and experience a rewarding career where your contributions are valued and your growth is supported. Honest Health is committed to ensuring fairness, opportunity, strong teams, and full integration of team members into the organization. We take proactive steps to ensure all applicants are considered for employment based on merit, without regard to race, color, religion, sex, national origin, disability, Veteran status, or other legally-protected characteristics. Honest Health is committed to working with and providing reasonable accommodations to job applicants with physical or mental disabilities. Applicants with a disability who require a reasonable accommodation for any part of the application or hiring process should email *********************** for assistance. Reasonable accommodation will be determined on a case-by-case basis. Honest Health values a secure and transparent recruitment process. We contact candidates through our official recruiting platform, email, or text message. When working directly with candidates, Honest Health will always use an HonestHealth.com email address. Our hiring process includes a live phone call or in-person interview before any formal offer is extended. To safeguard your personal information, Honest Health will never ask for confidential details-such as social security numbers, bank accounts, or routing numbers-before making a formal offer. We will also never request financial transactions, PINs, passwords, or security access details through email, text, Venmo, or any social media platform. We encourage all candidates to verify the contact information of individuals they interact with during the recruitment process. If you have any questions about the authenticity of a communication, please reach out to our team at ***********************.

RN Supervisor- ICF Program A Great Opportunity / Full Time/ Central, Ohio (Assigned areas of Columbus, Pataskala, Mansfield ) $75,000~$80,000 per year We provide quality support and services to individuals with developmental disabilities in our Intermediate Care Facilities (ICF). Apply today and make a difference in the lives of the clients we serve! Responsibilities may include: Provide guidance and oversight for IDD nurses as assigned. Coordination of all health and medical services provided to the individuals served Oversight of administration of prescribed medications and medical treatments per physician order. Communication with team members, physicians, and others as needed. Oversee proper administration of any medications and/or treatments given by employees, as applicable (delegated nursing). Monitor all documentation systems in the service site to ensure accuracy, thoroughness, and timeliness. Monitor documentation of medications/treatments administered by direct care staff, as applicable. Assist the Regional and Program Directors in maintaining consistency in the provision of supports and services to the individuals. Requirements for this position include: Graduate of an accredited nursing program. RN license. Experience working with individuals with developmental disabilities. Willingness to travel throughout assigned service area. Ability to make sound judgments when given guidance and priorities. What ViaQuest can offer you: Paid training. Benefit package for full-time employees (including medical, vision, dental, disability and life insurance and a 401k). Employee discount program. Paid-time off. Employee referral bonus program. Earn up to $300 bonus per month About ViaQuest Residential Services To learn more about ViaQuest Residential Services please visit ********************************************************************* From Our Employees To You ********************************************************** Would you like to refer someone else to this job and earn a bonus? Participate in our referral program! ************************************************************** Do you have questions? Email us at ***********************

“After spending 14 years in healthcare, I finally found my home with Arrow Senior Living. It's home-like environment is not just for the residents but for the team members as well. From day one you embrace the core values, and you see how they impact residents' quality of life. Arrow is a great company to grow with-it promotes within and the employee appreciation, incentives, and benefits are just a bonus on top of making residents and team members smile. I have become lifelong friends with this team, and I can happily say I love my job and enjoy coming to work.” -Arrow Team Member Position-Wellness Nurse Manager Position Type: PRN Location: Hilliard, Ohio Our starting wage for Wellness Nurse Manager is: $32-$35 per hour! Shift Schedule- As Needed Come join our team at Carriage Court Senior Living located at 3570 Heritage Club Dr. Hilliard, Ohio 43026! We are looking for someone (like you): ● To be a Superior Supervisor: In the absence of department heads, this position is in charge of the building. Be active in the department, assisting and leading the Wellness team and other departments in ensuring quick, reliable, and person-centered care is provided. ● To be a Force on the Floor: A good leader sets a good example: Be available to help with call lights, requests for assistance from the team, and demonstrate a sense of urgency that puts the needs, great or small, of a resident first. ● To be a Diligent Documenter: Resident assessments, medical records, and internal documents should be completed accurately and efficiently, and filed correctly. ● To be a Compassionate Caregiver: Exemplify the core values at the heart of Arrow, ensuring each interaction with a resident is professional, caring, and ends with the resident feeling safe and cared for. What are we looking for? ● You must have current Licensed Practical Nurse (LPN) or Registered Nurse (RN) license in good standing within state of employment ● You will have thorough working knowledge of current care standards and regulations ● You will have comprehensive working knowledge of current medication regulation and law ● You will have knowledge of the requirements for providing care and supervision appropriate to the residents. ● You may have experience in hands-on care of memory impaired residents is preferred, but not required. ● You may have experience with an Electronic Medical Record (EMR) as it is preferred, but not required. ● You can read, write, understand and communicate in English with our Residents! ● You will have a positive and energetic attitude who will LOVE our Residents! ● You must be active as this role requires standing, walking, bending, kneeling, and stooping all day. ● You must have the ability to frequently lift and/or move items up to 50 pounds and perform two-person transfers. ● You must be able to assist residents with sitting, standing and walking, as well as assisting persons after a fall. ● You must be criminally cleared. Employment Benefits (We value our benefits): ● Company Match 401(k) with 100% match up to the first 3% and fully vested upon enrollment ● Medical, Dental, Vision insurance (1st of the month following 60 days of employment-Full Time) ● Disability insurance (Full Time) ● Employee assistance program ● Weekly Employee Recognition Program ● Life insurance (Full Time) ● Paid time off (Full Time employees accrue up to 115 hours each year and Part Time accrue up to 30 hours each year) ● Tuition Reimbursement (after 90 days for FT AND PT employees) ● Employee Referral Program (FT, PT, and PRN) ● Complimentary meal each shift (FT, PT, and PRN) ● Daily Pay Option ● Direct Deposit ● Did we mention that we PROMOTE FROM WITHIN? Do you want to see how much fun we are at Carriage Court Senior Living? Please visit us via Facebook: ************************************************************ Or, take a look at our website: ********************************** Have questions? Want to speak to someone directly? Reach out by calling/texting your own recruiter, Kayla Moore at ************. Click here to hear about Arrow's Core Values! About the company Arrow Senior Living manages a collection of senior living communities that offer varying levels of care including independent living, assisted living, and memory care in 25 properties currently in 5 states (Missouri, Iowa, Illinois, Ohio, Indiana) and employs nearly 1,400 employees! Arrow Senior Living YouTube-Click Here Arrow Senior Living serves and employs individuals of all faiths, regardless of race, color, gender, sexual orientation, national origin, age or handicap, except as limited by state and federal law. Keywords: hiring immediately, assisted living, nursing home, LPN, Licensed Practical Nurse, wellness, RN, registered nurse, wellness nurse