Medicare Appeals Intake Coordinator
Cypress, CA jobs
is Onsite. Our office is located at 5701 Katella Avenue, Cypress, CA 90630
UnitedHealth Group is a health care and well-being company that's dedicated to improving the health outcomes of millions around the world. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a team that shares your passion for helping others. Join us to start Caring. Connecting. Growing together.
Internal classification of Administrative Law Judge (ALJ) and/or Medicare Appeal Counsel documents with redirection to DDE for documents that belong to another team in ATS and processing of other documents in existing cases to the analysts (i.e., additional information, decisions). Currently, each of the five coordinators is responsible for classifying all documents received on a specific day of the week. If an expedited Part D hearing or decision is received, the coordinator completes all the coordinator tasks in ATS to get to the analyst to meet compliance timeframes.
Monitoring and processing of emails received in ALJ Team Mailbox on the specific day of the week. This includes responding to emails (or coordinating with Manager when needed), manual addition of a document received into ATS (including combining document and email in Adobe), or forwarding to correct individual on ALJ team or another Team for action to be taken.
On the other 4 days of the week, the coordinator will focus on processing Notice of Hearing backlog cases for assignment to analyst and complete any necessary outreach tasks.
Performing external outreaches to the ALJ Office (i.e., clarification questions or confirming potential legal assistant error in which a member is unlocatable in the system and may have been intended for another plan), sending a document request to physician/facilities to obtain medical records for the case file.
This position is full-time (40 hours/week), Monday - Friday. Employees are required to have flexibility to work on any of our 8-hour shift schedules during our normal business hours of 8:00 AM - 5:00 PM PST. It may be necessary, given the business need, to work occasional overtime.
This will be on the job training and the hours during training will be normal business hours, Monday - Friday.
Primary Responsibilities:
Processing ALJ Office On the Record (OTR) requests in ATS in collaboration with the analyst on case. External outreach to the ALJ is required with the plan decision.
Performing internal outreach to obtain Quality Improvement Organization (QIO) case files and/or QIO Determination letters.
Performing external outreach to applicable provider/facility for medical records for analyst and UHC Medical Director review.
Confirming ALJ Team calendar is accurate with case information.
Communication with analysts to determine if a position statement can be submitted when there are no analysts available. This may include additional processing of an amended Response to Notice of hearing document to the ALJ Field Office.
Communicate to management any increased volumes, missed hearings, ALJ decisions indicating plan failed to appear, and/or MAC decisions sent by plan untimely or dismissed.
Effectively communicates any special ALJ request timelines timely to analysts.
Creation of clear and concise notes in ATS system for intake document processing or special instructions.
Processing of required forms externally via ALJ portal or by facsimile.
Working backlog items when needed from SharePoint.
Processing coordinator letters or requests for information from ATS tool via ALJ portal or facsimile.
Keeping track of all items needed from external outreach attempts and/or those needed additional outreach for assigned cases.
Communication of potential defects or issues in ATS so that a ticket can be created.
Possible additional duties:
Printing letters received by analysts, completing mailing for Post Office pick up, and noting ATS
Scanning and processing incoming hard copy mail into ATS and
Processing CD and thumb drive documents into respective cases in ATS.
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
High School Diploma/GED or equivalent work experience
Must be 18 years of age or older
2+ years of experience in a business office environment using telephone and computer as the primary instruments to perform your job duties
Knowledge of Appeals Process
Basic knowledge of ATS
Basic knowledge of GPS
Proficiency in Centers for Medicare & Medicaid Services (CMS) Appeals Process
Experience with Microsoft Word (create/edit documents), Excel (sort/filter, tables), PowerPoint (create/edit presentations), Outlook and Adobe Acrobat
Ability to work full-time (40 hours/week), Monday - Friday. Employees are required to have flexibility to work on any of our 8-hour shift schedules during our normal business hours of 8:00 AM - 5:00 PM PST. It may be necessary, given the business need, to work occasional overtime.
Preferred Qualifications:
Basic knowledge of medical terminology
Soft Skills:
Excellent verbal and written communication skills
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $17.74 - $31.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
#RPO #RED
Auto-ApplyField Care Coordinator/HIDE SNP - Cass County, MI and Surrounding
Dowagiac, MI jobs
$5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts on the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
The Field Care Coordinator- HIDE SNP is an essential element of an Integrated Care Model and is responsible for establishing a set of person-centered goal-oriented, culturally relevant, and logical steps to ensure that the person receiving LTSS receives services in a supportive, effective, efficient, timely and cost-effective manner. Care coordination includes case management, disease management, discharge planning, transition planning, and addressing social determinants of health and integration into the community.
This position is Field Based with a Home-Based office. The expected travel time for member home visits is typically 75% within a 50-mile radius and/or 50-minute drive from your home pending business needs.
If you reside in or near Cass County, MI or surrounding area, you will have the flexibility to telecommute* as you take on some tough challenges.
Primary Responsibilities:
Develop and implement care plan interventions throughout the continuum of care as a single point of contact
Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members
Advocate for persons and families as needed to ensure the patient's needs and choices are fully represented and supported by the health care team
Assess, plan, and implement care strategies that are individualized by the individual and directed toward the most appropriate, least restrictive level of care
Identifies problems/barriers to care and provide appropriate care management interventions
Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services
Provides resource support to members for local resources for services (e.g., Children with Special Health Care Services (CSHCS), employment, housing, independent living, foster care) based on service assessment and plans, as appropriate
Manage the person-centered service/support plan throughout the continuum of care
Conduct home visits in coordination with the person and care team
Conduct in-person visits, which may include nursing homes, assisted living, hospital or home
Gathers, documents, and maintains all member information and care management activities to ensure compliance with current state and federal guidelines
What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:
Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
Medical Plan options along with participation in a Health Spending Account or a Health Saving account
Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
401(k) Savings Plan, Employee Stock Purchase Plan
Education Reimbursement
Employee Discounts
Employee Assistance Program
Employee Referral Bonus Program
Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
More information can be downloaded at: *************************
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
Must possess one of the following:
Current, unrestricted independent licensure as a Registered Nurse (RN) in state of Michigan
Master's degree and current, unrestricted independent licensure as a Social Worker (e.g., LMSW, LCSW, LLMSW)
Bachelor's degree and current, unrestricted independent licensure as a Social Worker (e.g. LLBSW, LBSW)
2+ years of experience working within the community health setting in a healthcare role
1+ years of experience with local behavioral health providers and community support organizations addressing SDoH (e.g., food banks, non-emergent transportation, utility assistance, housing/rapid re-housing assistance, etc.)
1+ years of experience working with persons with long-term care needs and/or home and community-based services
1+ years of experience working in electronic documentation systems and with MS Office (Outlook, Excel, Word)
Access to reliable transportation and the ability to travel within assigned territory to meet with members and providers up to 75% of the time depending on member and business needs
Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
Ability to travel to Southfield, MI office for quarterly team meetings
Must reside within the state of Michigan
Preferred Qualifications:
RN or LMSW, LLMSW, LCSW
1+ years of medical case management experience
Demonstrated experience/additional training or certifications in Motivational Interviewing, Stages of Change, Trauma-Informed Care, Person-Centered Care
Experience in serving individuals with co-occurring disorders (both mental health and substance use disorders)
Experience with MI Health Link (MMP)
Experience working in Managed Care
Working knowledge of NCQA documentation standards
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
**PLEASE NOTE** The sign-on bonus is only available to external candidates. Candidates who are currently working for UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
#RPO #RED
Auto-ApplyField Care Coordinator (HIDE SNP) - Kalamazoo County, MI and Surrounding
Kalamazoo, MI jobs
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
The Field Care Coordinator- HIDE SNP is an essential element of an Integrated Care Model and is responsible for establishing a set of person-centered goal-oriented, culturally relevant, and logical steps to ensure that the person receiving LTSS receives services in a supportive, effective, efficient, timely and cost-effective manner. Care coordination includes case management, disease management, discharge planning, transition planning, and addressing social determinants of health and integration into the community.
This position is Field Based with a Home-Based office. The expected travel time for member home visits is typically 75% within a 50-mile radius and/or 50-minute drive from your home pending business needs.
If you reside in or near Kalamazoo County, MI or surrounding area, you will have the flexibility to telecommute* as you take on some tough challenges.
Primary Responsibilities:
Develop and implement care plan interventions throughout the continuum of care as a single point of contact
Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members
Advocate for persons and families as needed to ensure the patient's needs and choices are fully represented and supported by the health care team
Assess, plan, and implement care strategies that are individualized by the individual and directed toward the most appropriate, least restrictive level of care
Identifies problems/barriers to care and provide appropriate care management interventions
Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services
Provides resource support to members for local resources for services (e.g., Children with Special Health Care Services (CSHCS), employment, housing, independent living, foster care) based on service assessment and plans, as appropriate
Manage the person-centered service/support plan throughout the continuum of care
Conduct home visits in coordination with the person and care team
Conduct in-person visits, which may include nursing homes, assisted living, hospital or home
Gathers, documents, and maintains all member information and care management activities to ensure compliance with current state and federal guidelines
What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:
Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
Medical Plan options along with participation in a Health Spending Account or a Health Saving account
Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
401(k) Savings Plan, Employee Stock Purchase Plan
Education Reimbursement
Employee Discounts
Employee Assistance Program
Employee Referral Bonus Program
Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
More information can be downloaded at: *************************
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
Must possess one of the following
Current, unrestricted independent licensure as a Registered Nurse (RN) in state of Michigan
Master's degree and current, unrestricted independent licensure as a Social Worker (e.g., LMSW, LCSW, LLMSW)
Bachelor's degree and current, unrestricted independent licensure as a Social Worker (e.g. LLBSW, LBSW)
2+ years of experience working within the community health setting in a healthcare role
1+ years of experience with local behavioral health providers and community support organizations addressing SDoH (e.g., food banks, non-emergent transportation, utility assistance, housing/rapid re-housing assistance, etc.)
1+ years of experience working with persons with long-term care needs and/or home and community-based services
1+ years of experience working in electronic documentation systems and with MS Office (Outlook, Excel, Word)
Access to reliable transportation and the ability to travel within assigned territory to meet with members and providers up to 75% of the time depending on member and business needs
Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
Ability to travel to Southfield, MI office for quarterly team meetings
Must reside within the state of Michigan
Preferred Qualifications:
RN or LMSW, LLMSW, LCSW
1+ years of medical case management experience
Demonstrated experience/additional training or certifications in Motivational Interviewing, Stages of Change, Trauma-Informed Care, Person-Centered Care
Experience in serving individuals with co-occurring disorders (both mental health and substance use disorders)
Experience with MI Health Link (MMP)
Experience working in Managed Care
Working knowledge of NCQA documentation standards
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
#RPO #RED #RPOLinkedin
Auto-ApplyField Care Coordinator/HIDE SNP - Branch County, MI and surrounding
Coldwater, MI jobs
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
The Field Care Coordinator- HIDE SNP is an essential element of an Integrated Care Model and is responsible for establishing a set of person-centered goal-oriented, culturally relevant, and logical steps to ensure that the person receiving LTSS receives services in a supportive, effective, efficient, timely and cost-effective manner. Care coordination includes case management, disease management, discharge planning, transition planning, and addressing social determinants of health and integration into the community.
This position is Field Based with a Home-Based office. The expected travel time for member home visits is typically 75% within a 50-mile radius and/or 50-minute drive from your home pending business needs.
If you reside in or near Branch County, MI or surrounding area, you will have the flexibility to telecommute* as you take on some tough challenges.
Primary Responsibilities:
Develop and implement care plan interventions throughout the continuum of care as a single point of contact
Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members
Advocate for persons and families as needed to ensure the patient's needs and choices are fully represented and supported by the health care team
Assess, plan, and implement care strategies that are individualized by the individual and directed toward the most appropriate, least restrictive level of care
Identifies problems/barriers to care and provide appropriate care management interventions
Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services
Provides resource support to members for local resources for services (e.g., Children with Special Health Care Services (CSHCS), employment, housing, independent living, foster care) based on service assessment and plans, as appropriate
Manage the person-centered service/support plan throughout the continuum of care
Conduct home visits in coordination with the person and care team
Conduct in-person visits, which may include nursing homes, assisted living, hospital or home
Gathers, documents, and maintains all member information and care management activities to ensure compliance with current state and federal guidelines
What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:
Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
Medical Plan options along with participation in a Health Spending Account or a Health Saving account
Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
401(k) Savings Plan, Employee Stock Purchase Plan
Education Reimbursement
Employee Discounts
Employee Assistance Program
Employee Referral Bonus Program
Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
More information can be downloaded at: *************************
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
Must possess one of the following:
Current, unrestricted independent licensure as a Registered Nurse (RN) in state of Michigan
Master's degree and current, unrestricted independent licensure as a Social Worker (e.g., LMSW, LCSW, LLMSW)
Bachelor's degree and current, unrestricted independent licensure as a Social Worker (e.g. LLBSW, LBSW)
2+ years of experience working within the community health setting in a healthcare role
1+ years of experience with local behavioral health providers and community support organizations addressing SDoH (e.g., food banks, non-emergent transportation, utility assistance, housing/rapid re-housing assistance, etc.)
1+ years of experience working with persons with long-term care needs and/or home and community-based services
1+ years of experience working in electronic documentation systems and with MS Office (Outlook, Excel, Word)
Access to reliable transportation and the ability to travel within assigned territory to meet with members and providers up to 75% of the time depending on member and business needs
Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
Ability to travel to Southfield, MI office for quarterly team meetings
Must reside within the state of Michigan
Preferred Qualifications:
RN or LMSW, LLMSW, LCSW
1+ years of medical case management experience
Demonstrated experience/additional training or certifications in Motivational Interviewing, Stages of Change, Trauma-Informed Care, Person-Centered Care
Experience in serving individuals with co-occurring disorders (both mental health and substance use disorders)
Experience with MI Health Link (MMP)
Experience working in Managed Care
Working knowledge of NCQA documentation standards
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
#RPO #RED
Auto-ApplyField Care Coordinator (HIDE SNP) - Wayne County, MI and Surrounding
Detroit, MI jobs
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
The Field Care Coordinator- HIDE SNP is an essential element of an Integrated Care Model and is responsible for establishing a set of person-centered goal-oriented, culturally relevant, and logical steps to ensure that the person receiving LTSS receives services in a supportive, effective, efficient, timely and cost-effective manner. Care coordination includes case management, disease management, discharge planning, transition planning, and addressing social determinants of health and integration into the community.
This position is Field Based with a Home-Based office. The expected travel time for member home visits is typically 75% within a 50-mile radius and/or 50-minute drive from your home pending business needs.
If you reside in or near Wayne County, MI or surrounding area, you will have the flexibility to telecommute* as you take on some tough challenges.
Primary Responsibilities:
Develop and implement care plan interventions throughout the continuum of care as a single point of contact
Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members
Advocate for persons and families as needed to ensure the patient's needs and choices are fully represented and supported by the health care team
Assess, plan, and implement care strategies that are individualized by the individual and directed toward the most appropriate, least restrictive level of care
Identifies problems/barriers to care and provide appropriate care management interventions
Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services
Provides resource support to members for local resources for services (e.g., Children with Special Health Care Services (CSHCS), employment, housing, independent living, foster care) based on service assessment and plans, as appropriate
Manage the person-centered service/support plan throughout the continuum of care
Conduct home visits in coordination with the person and care team
Conduct in-person visits, which may include nursing homes, assisted living, hospital or home
Gathers, documents, and maintains all member information and care management activities to ensure compliance with current state and federal guidelines
What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:
Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
Medical Plan options along with participation in a Health Spending Account or a Health Saving account
Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
401(k) Savings Plan, Employee Stock Purchase Plan
Education Reimbursement
Employee Discounts
Employee Assistance Program
Employee Referral Bonus Program
Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
More information can be downloaded at: *************************
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
Must possess one of the following
Current, unrestricted independent licensure as a Registered Nurse (RN) in state of Michigan
Master's degree and current, unrestricted independent licensure as a Social Worker (e.g., LMSW, LCSW, LLMSW)
Bachelor's degree and current, unrestricted independent licensure as a Social Worker (e.g. LLBSW, LBSW)
2+ years of experience working within the community health setting in a health care role
1+ years of experience with local behavioral health providers and community support organizations addressing SDoH (e.g., food banks, non-emergent transportation, utility assistance, housing/rapid re-housing assistance, etc.)
1+ years of experience working with persons with long-term care needs and/or home and community-based services
1+ year experience working in electronic documentation systems and with MS Office (Outlook, Excel, Word)
Access to reliable transportation and the ability to travel within assigned territory to meet with members and providers up to 75% of the time depending on member and business needs
Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
Ability to travel to Southfield, MI office for quarterly team meetings
Must reside within the state of Michigan
Preferred Qualifications:
RN or LMSW; LCSW, LLMSW
1+ years of medical case management experience
Demonstrated experience/additional training or certifications in Motivational Interviewing, Stages of Change, Trauma-Informed Care, Person-Centered Care
Experience in serving individuals with co-occurring disorders (both mental health and substance use disorders)
Experience with MI Health Link (MMP)
Experience working in Managed Care
Working knowledge of NCQA documentation standards
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
#RPO #RED
Auto-ApplyField Care Coordinator/HIDE SNP - Van Buren County, MI and surrounding
Paw Paw Lake, MI jobs
$5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
The Field Care Coordinator- HIDE SNP is an essential element of an Integrated Care Model and is responsible for establishing a set of person-centered goal-oriented, culturally relevant, and logical steps to ensure that the person receiving LTSS receives services in a supportive, effective, efficient, timely and cost-effective manner. Care coordination includes case management, disease management, discharge planning, transition planning, and addressing social determinants of health and integration into the community.
This position is Field Based with a Home-Based office. The expected travel time for member home visits is typically 75% within a 50-mile radius and/or 50-minute drive from your home pending business needs.
If you reside in or near Van Buren County, MI or surrounding area, you will have the flexibility to telecommute* as you take on some tough challenges.
Primary Responsibilities:
Develop and implement care plan interventions throughout the continuum of care as a single point of contact
Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members
Advocate for persons and families as needed to ensure the patient's needs and choices are fully represented and supported by the health care team
Assess, plan, and implement care strategies that are individualized by the individual and directed toward the most appropriate, least restrictive level of care
Identifies problems/barriers to care and provide appropriate care management interventions
Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services
Provides resource support to members for local resources for services (e.g., Children with Special Health Care Services (CSHCS), employment, housing, independent living, foster care) based on service assessment and plans, as appropriate
Manage the person-centered service/support plan throughout the continuum of care
Conduct home visits in coordination with the person and care team
Conduct in-person visits, which may include nursing homes, assisted living, hospital or home
Gathers, documents, and maintains all member information and care management activities to ensure compliance with current state and federal guidelines
What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:
Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
Medical Plan options along with participation in a Health Spending Account or a Health Saving accountS
Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
401(k) Savings Plan, Employee Stock Purchase Plan
Education Reimbursement
Employee Discounts
Employee Assistance Program
Employee Referral Bonus Program
Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
More information can be downloaded at: *************************
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
Must possess one of the following
Current, unrestricted independent licensure as a Registered Nurse (RN) in state of Michigan
Master's degree and current, unrestricted independent licensure as a Social Worker (e.g., LMSW, LCSW, LLMSW)
Bachelor's degree and current, unrestricted independent licensure as a Social Worker (e.g. LLBSW, LBSW)
2+ years of experience working within the community health setting in a health care role
1+ years of experience with local behavioral health providers and community support organizations addressing SDoH (e.g., food banks, non-emergent transportation, utility assistance, housing/rapid re-housing assistance, etc.)
1+ years of experience working with persons with long-term care needs and/or home and community-based services
1+ year experience working in electronic documentation systems and with MS Office (Outlook, Excel, Word)
Access to reliable transportation and the ability to travel within assigned territory to meet with members and providers up to 75% of the time depending on member and business needs
Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
Ability to travel to Southfield, MI office for quarterly team meetings
Must reside within the state of Michigan
Preferred Qualifications:
RN or LMSW; LCSW, LLMSW
1+ years of medical case management experience
Demonstrated experience/additional training or certifications in Motivational Interviewing, Stages of Change, Trauma-Informed Care, Person-Centered Care
Experience in serving individuals with co-occurring disorders (both mental health and substance use disorders)
Experience with MI Health Link (MMP)
Experience working in Managed Care
Working knowledge of NCQA documentation standards
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
**PLEASE NOTE** The sign-on bonus is only available to external candidates. Candidates who are currently working for UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
#RPO #RED #RPOLinkedin
Auto-ApplyField Care Coordinator/HIDE SNP - Cass County, MI and Surrounding
Niles, MI jobs
$5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts on the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
The Field Care Coordinator- HIDE SNP is an essential element of an Integrated Care Model and is responsible for establishing a set of person-centered goal-oriented, culturally relevant, and logical steps to ensure that the person receiving LTSS receives services in a supportive, effective, efficient, timely and cost-effective manner. Care coordination includes case management, disease management, discharge planning, transition planning, and addressing social determinants of health and integration into the community.
This position is Field Based with a Home-Based office. The expected travel time for member home visits is typically 75% within a 50-mile radius and/or 50-minute drive from your home pending business needs.
If you reside in or near Cass County, MI or surrounding area, you will have the flexibility to telecommute* as you take on some tough challenges.
Primary Responsibilities:
Develop and implement care plan interventions throughout the continuum of care as a single point of contact
Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members
Advocate for persons and families as needed to ensure the patient's needs and choices are fully represented and supported by the health care team
Assess, plan, and implement care strategies that are individualized by the individual and directed toward the most appropriate, least restrictive level of care
Identifies problems/barriers to care and provide appropriate care management interventions
Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services
Provides resource support to members for local resources for services (e.g., Children with Special Health Care Services (CSHCS), employment, housing, independent living, foster care) based on service assessment and plans, as appropriate
Manage the person-centered service/support plan throughout the continuum of care
Conduct home visits in coordination with the person and care team
Conduct in-person visits, which may include nursing homes, assisted living, hospital or home
Gathers, documents, and maintains all member information and care management activities to ensure compliance with current state and federal guidelines
What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:
Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
Medical Plan options along with participation in a Health Spending Account or a Health Saving account
Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
401(k) Savings Plan, Employee Stock Purchase Plan
Education Reimbursement
Employee Discounts
Employee Assistance Program
Employee Referral Bonus Program
Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
More information can be downloaded at: *************************
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
Must possess one of the following:
Current, unrestricted independent licensure as a Registered Nurse (RN) in state of Michigan
Master's degree and current, unrestricted independent licensure as a Social Worker (e.g., LMSW, LCSW, LLMSW)
Bachelor's degree and current, unrestricted independent licensure as a Social Worker (e.g. LLBSW, LBSW)
2+ years of experience working within the community health setting in a healthcare role
1+ years of experience with local behavioral health providers and community support organizations addressing SDoH (e.g., food banks, non-emergent transportation, utility assistance, housing/rapid re-housing assistance, etc.)
1+ years of experience working with persons with long-term care needs and/or home and community-based services
1+ years of experience working in electronic documentation systems and with MS Office (Outlook, Excel, Word)
Access to reliable transportation and the ability to travel within assigned territory to meet with members and providers up to 75% of the time depending on member and business needs
Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
Ability to travel to Southfield, MI office for quarterly team meetings
Must reside within the state of Michigan
Preferred Qualifications:
RN or LMSW, LLMSW, LCSW
1+ years of medical case management experience
Demonstrated experience/additional training or certifications in Motivational Interviewing, Stages of Change, Trauma-Informed Care, Person-Centered Care
Experience in serving individuals with co-occurring disorders (both mental health and substance use disorders)
Experience with MI Health Link (MMP)
Experience working in Managed Care
Working knowledge of NCQA documentation standards
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
**PLEASE NOTE** The sign-on bonus is only available to external candidates. Candidates who are currently working for UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
#RPO #RED
Auto-ApplyCase Management Coordinator
Tustin, CA jobs
Job Details Remote - Corp - Tustin, CA Full Time $22.00 - $24.00 Hourly Day
Join Liberty Dental Plan as a Case Management Coordinator, making a real impact in your Arizona community by helping members access the dental care they need. The Case Management Coordinator provides confidential, unbiased assistance to Liberty Dental Plan Medicaid enrollees in need of dental services who also have co-morbid special health care needs. The CMC supports enrollees by facilitating access to dental benefits, resolving barriers to care, and collaborating across divisions and external organizations to ensure holistic, quality service delivery.
📍 Location Requirement:
Candidates must live in Arizona
Essential Duties & Responsibilities
Inform enrollees of available covered dental benefits.
Assist enrollees in resolving conflicts and barriers to obtaining dental care.
Support enrollees in securing dental services and provide education on their rights and responsibilities.
Guide enrollees in accessing Liberty's complaints, appeals, and grievance processes.
Document cases and events accurately in Health Solutions Plus (HSP).
Manage telephone and email inquiries regarding services, dissatisfaction, and second opinions.
Educate enrollees on the Liberty Care Coordination Program.
Research and respond to inquiries, providing comprehensive written responses as needed.
Meet required turnaround times for cases and inquiries through various communication channels.
Collaborate effectively in a remote work environment with internal teams such as Member Services, Provider Relations, Claims, Grievances, Staff Dentists, and Leadership.
Interface with external entities including dental offices, health plan care coordinators, transportation vendors, hospitals, and community organizations.
Perform other duties as assigned.
Education & Experience Requirements
Associate degree or equivalent years of administrative experience required.
2+ years of experience in dental field preferred; insurance experience highly desired.
Registered Dental Hygienist (RDH) or Registered Dental Assistant (RDA) certification is a plus.
Proficient in Microsoft Excel, Word, and Outlook.
Strong verbal and written communication skills with the ability to compose comprehensive responses.
Strong critical thinking and problem-solving skills.
Excellent customer service and interpersonal skills.
Ability to work independently and collaboratively in a remote environment.
Bilingual in Spanish preferred (must be able to pass a dental terminology exam if applicable).
Knowledge of medical terminology preferred.
Location
Our employees are distributed in office locations in multiple markets across the United States. We are unable to hire or allow employees to work outside of the United States.
What Liberty Offers
Happy, healthy employees enhance our ability to assist our members and contribute more actively to their communities. That's why Liberty offers competitive and attractive benefit packages for our employees. We strive to care for employees in ways that promote wellness and productivity.
Our first-class benefits package supports employees and their dependents with:
Competitive pay structure and savings options to help you reach your financial goals.
Excellent 401(k) retirement benefits, including employer match, Roth IRA options, immediate vesting during the Safe Harbor period, and access to professional financial advice through Financial Engines.
Affordable medical insurance, with low-cost premiums for employee-only coverage. Liberty subsidizes the cost for eligible dependents enrolled in the plan.
100% employer-paid dental coverage for employees and eligible dependents.
Vision insurance with low-cost premiums for employee-only coverage and dependents.
Company-paid basic life and AD&D insurance, equal to one times your base salary, with options to purchase additional supplemental coverage.
Flexible Spending Accounts for healthcare and dependent care expenses.
Voluntary benefit programs, including accident, critical illness, and hospital indemnity insurance.
Long-term disability coverage.
Expansive wellness programs, including company-wide wellness challenges, BurnAlong memberships, and gym discounts.
Employee Assistance Program (EAP) to support mental health and well-being.
Generous vacation and sick leave policies, with the ability to roll over unused time.
10 paid company holidays.
Tuition reimbursement for eligible educational expenses.
Remote or hybrid work options available for various positions.
Compensation
In the spirit of pay transparency, the base salary range for this position is $22.00 - $24.00 hourly, not including fringe benefits or potential bonuses. At Liberty, your final base salary will be determined by factors such as geographic location, skills, education, and experience. We are committed to pay equity and also consider the internal equity of our current team members when making final compensation decisions.
Please note that the range listed represents the full base salary range for this role. Typically, offers are not made at the top of the range to allow for future salary growth.
Liberty Dental Plan commits to maintaining a work environment that acknowledges all individuals within the workplace and will continue to engage in practices that are inclusive of all backgrounds, experiences, and perspectives. We strive to have every person within the organization have a sense of belonging while encouraging individuals to unleash their full potential. Liberty will leverage diverse perspectives in building high performance teams and organizational culture.
Liberty Dental Plan will continue to strengthen and develop external partnerships by providing equitable health care access and improving population health in the communities we serve.
We comply with all applicable laws and regulations on non-discrimination in employment, recruitment, promotions, and transfers, as well as work authorization and employment eligibility verification requirements.
Sponsorship and Relocation Specifications
Liberty Dental Plan is an Equal Opportunity Employer / VETS / Disabled.
No relocation assistance or sponsorship available at this time.
ECF CHOICES Support Coordinator ( Shelby County)
Memphis, TN jobs
Join Our Team as a Support Coordinator at ECF Choices!
Are you passionate about empowering individuals to achieve better health and well-being? ECF Choices is seeking a dedicated Support Coordinator to join our team in Shelby County. ECF CHOICES is a program in Tennessee designed to support individuals with intellectual and developmental disabilities (I/DD). The program aims to help these individuals live as independently as possible and become employed within their communities. In this role, you will holistically support our members' physical, behavioral, and social needs, helping them achieve their goals and live their dreams. ECF CHOICES plays a crucial role in the Tennessee community, and you will have the opportunity to positively impact numerous lives.
Key Responsibilities:
Empower members by supporting their health and well-being.
Assist members in finding and maintaining competitive, integrated employment.
Navigate challenging relationships to ensure members receive necessary services.
Perform intake, enrollment, and ongoing assessments.
Develop and maintain Person-Centered Plans.
Monitor and maintain overall service provision.
This role supports the Shelby County area and will require traveling to members' homes (mileage is reimbursed)
Available for an 8:00am - 5:00pm (no on call) schedule.
Must live within 50 miles of Shelby County area; ideal candidates will live within 35 miles.
Job Responsibilities
Partnering with members and families to identify needed supports and direct services to meet personal goals for good health, employment and independent or community living.
Collaborates with a team of clinical and social support colleagues to meet the physical, behavioral health and long term service needs of each member.
Conduct thorough and objective face-to-face visits with and assess each members situation to determine current status and needs, including physical, behavioral, functional, psycho-social, financial, and employment and independent living expectations.
Utilizing criteria for authorizing appropriate home and community based services and confirm those services are being provided and that members needs are being met.
Valid driver's license.
Various immunizations &/or associated medical tests may be required for this position.
Job Qualifications
Education
RN, with a preference that such individuals also have current Certification from the Developmental Disabilities Nurses Association as a Certified Developmental Disabilities Nurse (CDDN) for RNs or a Developmental Disabilities Nurse (DDC) for LPNs, as applicable;
Or B.S. in social work, nursing, education, human service or health care profession or other related field; Licensed Master Social Worker or Licensed Clinical Social Worker Preferred;
Or meet the federal requirements for a Qualified Developmental (or Intellectual) Disabilities Professional (QDDP or QIDP);
Or in lieu of a degree, have 5+ years' experience as an independent Support Coordinator or case manager for service recipients in a 1915(c) HCBS Waiver and have completed Personal Outcome Measures Introduction and Assessment Workshop trainings as established by the Council on Quality and Leadership.
Experience
2 years - Experience in the healthcare industry or in an operations type environment required.
Skills\Certifications
Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability.
Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint)
Capacity to solve problems and manage multiple assignments with critical deadlines
Must be a team player, be organized and have the ability to handle multiple projects
Excellent oral and written communication skills
Strong interpersonal and organizational skills
Be organized, reliable, and able to manage multiple tasks with exceptional work ethic.
Employees who are required to operate either a BCBST-owned vehicle or a personal or rental vehicle for company business on a routine basis* will be automatically enrolled into the BCBST Driver Safety Program. The employee will also be required to adhere to the guidelines set forth through the program. This includes, maintaining a valid driver's license, auto insurance compliance with minimum liability requirements; as defined in the “Use of Non BCBST-Owned Vehicle” Policy (for employees driving personal or rental vehicles only); and maintaining an acceptable motor vehicle record (MVR). *The definition for "routine basis" is defined as daily, weekly or at regularly schedule times.
Number of Openings Available
1
Worker Type:
Employee
Company:
VSHP Volunteer State Health Plan, Inc
Applying for this job indicates your acknowledgement and understanding of the following statements:
BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.
Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:
BCBST's EEO Policies/Notices
BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.
Auto-ApplyECF CHOICES Support Coordinator (Lawrence, Wayne, and Giles County)
Nashville, TN jobs
Join Our Team as a Support Coordinator at ECF Choices!
Are you passionate about empowering individuals to achieve better health and well-being? ECF Choices is seeking a dedicated Support Coordinator to join our team in Lawrenceburg. ECF CHOICES is a program in Tennessee designed to support individuals with intellectual and developmental disabilities (I/DD). The program aims to help these individuals live as independently as possible and become employed within their communities. In this role, you will holistically support our members' physical, behavioral, and social needs, helping them achieve their goals and live their dreams. ECF CHOICES plays a crucial role in the Tennessee community, and you will have the opportunity to positively impact numerous lives.
Key Responsibilities:
Empower members by supporting their health and well-being.
Assist members in finding and maintaining competitive, integrated employment.
Navigate challenging relationships to ensure members receive necessary services.
Perform intake, enrollment, and ongoing assessments.
Develop and maintain Person-Centered Plans.
Monitor and maintain overall service provision.
This role supports the Lawrence, Wayne, and Giles County area and will require traveling to members' homes (mileage is reimbursed)
Available for an 8:00am - 5:00pm (no on call) schedule.
Must live within 50 miles of Lawrenceburg area; ideal candidates will live within 35 miles.
Job Responsibilities
Partnering with members and families to identify needed supports and direct services to meet personal goals for good health, employment and independent or community living.
Collaborates with a team of clinical and social support colleagues to meet the physical, behavioral health and long term service needs of each member.
Conduct thorough and objective face-to-face visits with and assess each members situation to determine current status and needs, including physical, behavioral, functional, psycho-social, financial, and employment and independent living expectations.
Utilizing criteria for authorizing appropriate home and community based services and confirm those services are being provided and that members needs are being met.
Valid driver's license.
Various immunizations &/or associated medical tests may be required for this position.
Job Qualifications
Education
RN, with a preference that such individuals also have current Certification from the Developmental Disabilities Nurses Association as a Certified Developmental Disabilities Nurse (CDDN) for RNs or a Developmental Disabilities Nurse (DDC) for LPNs, as applicable;
Or B.S. in social work, nursing, education, human service or health care profession or other related field; Licensed Master Social Worker or Licensed Clinical Social Worker Preferred;
Or meet the federal requirements for a Qualified Developmental (or Intellectual) Disabilities Professional (QDDP or QIDP);
Or in lieu of a degree, have 5+ years' experience as an independent Support Coordinator or case manager for service recipients in a 1915(c) HCBS Waiver and have completed Personal Outcome Measures Introduction and Assessment Workshop trainings as established by the Council on Quality and Leadership.
Experience
2 years - Experience in the healthcare industry or in an operations type environment required.
Skills\Certifications
Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability.
Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint)
Capacity to solve problems and manage multiple assignments with critical deadlines
Must be a team player, be organized and have the ability to handle multiple projects
Excellent oral and written communication skills
Strong interpersonal and organizational skills
Be organized, reliable, and able to manage multiple tasks with exceptional work ethic.
Grade 10
BBEX
Incentive Plan AEP
Number of Openings Available
1
Worker Type:
Employee
Company:
VSHP Volunteer State Health Plan, Inc
Applying for this job indicates your acknowledgement and understanding of the following statements:
BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.
Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:
BCBST's EEO Policies/Notices
BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.
Auto-ApplyField Support Coordinator
Chicago, IL jobs
The Field Support Coordinator (FSC) is responsible for the day-to-day activities related to sales support, operations, and education/training for the assigned Zone and its Markets. In addition, the coordinator manages assigned national programs and processes to maximize the sales force effectiveness and productivity, particularly with supporting activities related to compensation, onboarding, incentives, reporting & analytics, and asset management.
At the market level, the FSC supports sales leaders (Agency Directors and Agency Leaders) with business performance management, business quality, and persistency and assists with local event management and office management functions.
In partnership with sales leaders within the Zone(s), Field Development team, the Zone HR Business Partner, and home office resources, the coordinator helps execute support activities of the field (Independent Agents and Captive employees) consistent with national direction.
Drives efforts to influence the sales practices and metrics related to quality business, including persistency and cancellations
Promotes best practices and leads ongoing agent education related to Quality Business, agent compensation, and other topics
Analyzes available data and reports to identify trends and make recommendations to Sales leadership on opportunities to improve business and sourcing results
Responsible for coding commission rates on all worksite cases. Works collaboratively across functions to research and resolve disputes and discrepancies
Provides meetings and event management support, including securing locations, development of agenda and content, event and vendor coordination, setup including managing costs to budget, and coordinating vendor payments
Monitors worksite cases submissions to ensure sales completion of all activities to successfully implement cases and leads efforts to resolve issues
Partners with the Zone and Sales leaders to support budgeting and expense management activities
Monitors the metrics of the new Independent Agent experience. Partners with colleagues in sales management and other support functions, formulating recommendations to address and improve results
Provides support for compliance with sales hardware (e.g., iPads, laptops, phones), and works to troubleshoot and resolve operational issues. Assists home office resources in collecting and returning equipment from terminated employees
Oversees execution of sales incentive programs within the Zone, including promotional efforts and monitoring, as well as the approval, ordering and distribution of awards and recognition
Assists with office and facility management functions within the Zone, including liaising with corporate real estate functions for any broader facility needs and maintaining inventory of sales collateral and supplies
Proposes process changes to support greater efficiencies for future rollout of new initiatives
Establishes, reports, and monitors key success measures
Must be able to tailor and adjust approach and engagement with both the captive and independent agent markets appropriately
Technology proficiency - PCs, iPads, PowerPoint, Excel, Word
Ability to learn and navigate internal systems
Good verbal and written skills
Successful and stable work history
Detail oriented, planning, and organizational skills. Able to manage multiple priorities.
Must be willing and able to travel of up to 15%-20% as directed
Bilingual English/Spanish preferred
Bachelor's degree or equivalent work experience
4+ years of hands-on administrative support experience in a fast paced, sales-oriented environment
Preferred experience with captive and independent agents' training, onboarding, and issue resolution
Auto-ApplyField Support Coordinator
California jobs
The Field Support Coordinator (FSC) is responsible for the day-to-day activities related to sales support, operations, and education/training for the assigned Zone and its Markets. In addition, the coordinator manages assigned national programs and processes to maximize the sales force effectiveness and productivity, particularly with supporting activities related to compensation, onboarding, incentives, reporting & analytics, and asset management.
At the market level, the FSC supports sales leaders (Agency Directors and Agency Leaders) with business performance management, business quality, and persistency and assists with local event management and office management functions.
In partnership with sales leaders within the Zone(s), Field Development team, the Zone HR Business Partner, and home office resources, the coordinator helps execute support activities of the field (Independent Agents and Captive employees) consistent with national direction.
Drives efforts to influence the sales practices and metrics related to quality business, including persistency and cancellations
Promotes best practices and leads ongoing agent education related to Quality Business, agent compensation, and other topics
Analyzes available data and reports to identify trends and make recommendations to Sales leadership on opportunities to improve business and sourcing results
Responsible for coding commission rates on all worksite cases. Works collaboratively across functions to research and resolve disputes and discrepancies
Provides meetings and event management support, including securing locations, development of agenda and content, event and vendor coordination, setup including managing costs to budget, and coordinating vendor payments
Monitors worksite cases submissions to ensure sales completion of all activities to successfully implement cases and leads efforts to resolve issues
Partners with the Zone and Sales leaders to support budgeting and expense management activities
Monitors the metrics of the new Independent Agent experience. Partners with colleagues in sales management and other support functions, formulating recommendations to address and improve results
Provides support for compliance with sales hardware (e.g., iPads, laptops, phones), and works to troubleshoot and resolve operational issues. Assists home office resources in collecting and returning equipment from terminated employees
Oversees execution of sales incentive programs within the Zone, including promotional efforts and monitoring, as well as the approval, ordering and distribution of awards and recognition
Assists with office and facility management functions within the Zone, including liaising with corporate real estate functions for any broader facility needs and maintaining inventory of sales collateral and supplies
Proposes process changes to support greater efficiencies for future rollout of new initiatives
Establishes, reports, and monitors key success measures
Must be able to tailor and adjust approach and engagement with both the captive and independent agent markets appropriately
Technology proficiency - PCs, iPads, PowerPoint, Excel, Word
Ability to learn and navigate internal systems
Good verbal and written skills
Successful and stable work history
Detail oriented, planning, and organizational skills. Able to manage multiple priorities.
Must be willing and able to travel of up to 15%-20% as directed
Bilingual English/Spanish preferred
Bachelor's degree or equivalent work experience
4+ years of hands-on administrative support experience in a fast paced, sales-oriented environment
Preferred experience with captive and independent agents' training, onboarding, and issue resolution
Auto-ApplyField Support Coordinator
Clay, CA jobs
The Field Support Coordinator (FSC) is responsible for the day-to-day activities related to sales support, operations, and education/training for the assigned Zone and its Markets. In addition, the coordinator manages assigned national programs and processes to maximize the sales force effectiveness and productivity, particularly with supporting activities related to compensation, onboarding, incentives, reporting & analytics, and asset management.
At the market level, the FSC supports sales leaders (Agency Directors and Agency Leaders) with business performance management, business quality, and persistency and assists with local event management and office management functions.
In partnership with sales leaders within the Zone(s), Field Development team, the Zone HR Business Partner, and home office resources, the coordinator helps execute support activities of the field (Independent Agents and Captive employees) consistent with national direction.
* Drives efforts to influence the sales practices and metrics related to quality business, including persistency and cancellations
* Promotes best practices and leads ongoing agent education related to Quality Business, agent compensation, and other topics
* Analyzes available data and reports to identify trends and make recommendations to Sales leadership on opportunities to improve business and sourcing results
* Responsible for coding commission rates on all worksite cases. Works collaboratively across functions to research and resolve disputes and discrepancies
* Provides meetings and event management support, including securing locations, development of agenda and content, event and vendor coordination, setup including managing costs to budget, and coordinating vendor payments
* Monitors worksite cases submissions to ensure sales completion of all activities to successfully implement cases and leads efforts to resolve issues
* Partners with the Zone and Sales leaders to support budgeting and expense management activities
* Monitors the metrics of the new Independent Agent experience. Partners with colleagues in sales management and other support functions, formulating recommendations to address and improve results
* Provides support for compliance with sales hardware (e.g., iPads, laptops, phones), and works to troubleshoot and resolve operational issues. Assists home office resources in collecting and returning equipment from terminated employees
* Oversees execution of sales incentive programs within the Zone, including promotional efforts and monitoring, as well as the approval, ordering and distribution of awards and recognition
* Assists with office and facility management functions within the Zone, including liaising with corporate real estate functions for any broader facility needs and maintaining inventory of sales collateral and supplies
* Proposes process changes to support greater efficiencies for future rollout of new initiatives
* Establishes, reports, and monitors key success measures
* Must be able to tailor and adjust approach and engagement with both the captive and independent agent markets appropriately
* Technology proficiency - PCs, iPads, PowerPoint, Excel, Word
* Ability to learn and navigate internal systems
* Good verbal and written skills
* Successful and stable work history
* Detail oriented, planning, and organizational skills. Able to manage multiple priorities.
* Must be willing and able to travel of up to 15%-20% as directed
* Bilingual English/Spanish preferred
* Bachelor's degree or equivalent work experience
* 4+ years of hands-on administrative support experience in a fast paced, sales-oriented environment
* Preferred experience with captive and independent agents' training, onboarding, and issue resolution
Auto-ApplyRIA Support Coordinator
Nashville, TN jobs
If you are an internal associate, please login to Workday and apply through Jobs Hub.
Job PurposeThe RIA Support Coordinator provides comprehensive administrative and data management support for writing agents on the RIA Support Desk (RSD) team. The Coordinator maintains accurate client and case records; coordinates documentation; manages CRM updates; and facilitates communication between internal stakeholders, external partners, and advisors. The RIA Support Coordinator ensures smooth operational processes and timely follow-up on case activities, contributing to an efficient and professional experience for all parties involved.Essential Responsibilities
Supports the creation, maintenance, and accuracy of CRM and client records in accordance with FINRA standards related to client and case management.
Updates and tracks case statuses, monitoring potential and realized interruptions in service and ensuring timely follow-up on outstanding requirements and documentation.
Prepares and organizes client and advisor documentation, including letters, memoranda, reports, and summaries, ensuring completeness and compliance with company standards.
Monitors and follows up with ceding carriers to obtain status updates on in-flight cases awaiting funds.
Works with the Sr. Coordinator to schedule and maintain calendars for writing agents and related stakeholders using Outlook and CRM tools.
Provides periodic reports and communications regarding required deadlines and outstanding items.
Establishes, maintains, and updates files and records to ensure data integrity and accessibility.
Other Duties
Performs other duties and/or projects as assigned.
Knowledge, Skills and Abilities
Strong verbal and written communication skills.
Strong organization, project coordination, and problem-solving skills with an ability to coordinate multiple projects simultaneously.
Strong interpersonal, relationship management, and customer service skills.
Ability to work in a deadline driven environment with a willingness to be part of a fast-paced, dynamic team.
Proficient in all Microsoft Office applications, including Word, Excel, PowerPoint, and Outlook.
Proficient with Adobe Acrobat suite.
Ability to create and modify CRM platform dashboards and reports at an intermediate level.
Comprehensive understanding of compliance policies and FINRA records standards.
Ability to work independently or collaboratively in a team-oriented environment.
Qualifications
H.S. Diploma or equivalent (GED) required.
Associate's Degree preferred.
2+ years of experience in an administrative role preferred.
Experience with CRM platforms preferred.
Jackson is proud to be an equal opportunity workplace. The Company subscribes to and endorses federal and state laws and regulations relating to equal employment opportunity for all persons without regard to race, color, religion, gender, age, national origin, legally-recognized disability, marital status, legally-protected medical condition, citizenship, ancestry, height, weight, sexual orientation, veteran status, or any other factor not related to the needs of the job. The Company is committed to a policy of equal opportunity. Company facilities and campuses are tobacco-free environments.
Auto-ApplyCopy of Case Coordinator
Irvine, CA jobs
Job DescriptionDescription:
About Us: Allcare Homecare is committed to providing exceptional care and support to individuals in need. We believe in empowering lives through compassion, dedication, and community-driven service. Our team is dedicated to ensuring the highest quality of care for those we serve, and we are looking for a motivated and empathetic Case Coordinator to join our mission.
Position Summary:
The Case Coordinator is responsible for managing and coordinating care plans, communicating with service providers, and ensuring the well-being of the individuals under our care. This role involves collaboration with medical professionals, families, and internal teams to create and maintain detailed care plans that meet the specific needs of each person served.
Key Responsibilities:
Develop, implement, and monitor care plans for individuals served, ensuring all medical, social, and emotional needs are addressed.
Coordinate with healthcare providers, social workers, and other stakeholders to facilitate comprehensive care.
Maintain accurate and up-to-date records, including medical information, service schedules, and care documentation.
Communicate regularly with families and guardians to provide updates and address concerns.
Ensure compliance with state and federal regulations, as well as company policies.
Conduct routine assessments and adjust care plans as necessary based on changes in condition or needs.
Support the onboarding and training of staff members as it pertains to care delivery.
Participate in audits, quality assurance measures, and continuous improvement initiatives.
Qualifications:
Bachelor's degree in Social Work, Healthcare Administration, or a related field preferred. (perfered not needed)
2+ years of experience in case management, healthcare, or social services.
Strong understanding of care planning, medical terminology, and state regulations.
Excellent communication, organizational, and problem-solving skills.
Ability to work both independently and collaboratively in a team environment.
Proficiency in Microsoft Office Suite and care management software (e.g., Axis Care).
Requirements:
CPR FIRST AID
Live Scan
NEG TB TEST WITHIN LAST TWO YEAR
Territory Support Coordinator - 100% Commission (TSG-5008)
Birmingham, AL jobs
Job DescriptionAbout The Strickland Group The Strickland Group is a family-driven, vision-first agency backed by a major national carrier. We combine modern tech, AI-assisted systems, and human connection to change how families protect their future. Our mission is simple: serve people and leave them better than we found them. Why this role is different This isn't a corporate seat - it's a pathway to ownership. You'll build your own business & develop a book of business, lead a team, and scale your income based on performance. No cold calls. No chasing. You'll work warm, qualified clients who've already requested help. What you'll do Master our systems and product suite to deliver first-class client experiences. Follow up with warm leads and prior client inquiries (we provide high-quality leads). Meet clients virtually (Zoom / phone) and guide them through the protections that build generational wealth. Manage your client communication and relationship lifecycle. Build a personal brand and scale your book - recruit and lead a team when ready. Hit performance goals to unlock promotions, leadership roles, and revenue-share opportunities. Maintain licensing, contracting, and compliance for your market. Attend weekly virtual training and leadership development. Who you are You want to build and own something - not just collect a paycheck. Entrepreneurial mindset: you plan, execute, iterate, and refuse to be average. Strong communicator - phone and video-first comfort. Organized, self-motivated, and tech-savvy. Preferably 2+ years in sales, service, or business ownership - but grit and results matter more. Requirements Reliable phone, data, and Wi-Fi. Must pass background check and carrier contracting. Active Life & Health license, or willingness to get licensed (we'll help you in 7-10 days). Compensation & growth Uncapped commission structure + performance bonuses and incentives. Clear path to leadership / territory ownership / revenue-share for top performers. Many of our highest-performing partners create a significant, scalable income by building teams and recurring revenue streams. 100% Commission Perks Remote, flexible schedule (evenings/weekends as client needs require). Comprehensive training and a proven playbook to build your business. Annual all-expense-paid trips for top producers. Discounted health and life coverage options. Leadership development and agent-to-owner transition support.
Client Growth Coordinator - 100% Commission (TSG-5055)
Macon, GA jobs
Job DescriptionAbout The Strickland Group The Strickland Group is a family-driven, vision-first agency backed by a major national carrier. We combine modern tech, AI-assisted systems, and human connection to change how families protect their future. Our mission is simple: serve people and leave them better than we found them. Why this role is different This isn't a corporate seat - it's a pathway to ownership. You'll build your own business & develop a book of business, lead a team, and scale your income based on performance. No cold calls. No chasing. You'll work warm, qualified clients who've already requested help. What you'll do Master our systems and product suite to deliver first-class client experiences. Follow up with warm leads and prior client inquiries (we provide high-quality leads). Meet clients virtually (Zoom / phone) and guide them through the protections that build generational wealth. Manage your client communication and relationship lifecycle. Build a personal brand and scale your book - recruit and lead a team when ready. Hit performance goals to unlock promotions, leadership roles, and revenue-share opportunities. Maintain licensing, contracting, and compliance for your market. Attend weekly virtual training and leadership development. Who you are You want to build and own something - not just collect a paycheck. Entrepreneurial mindset: you plan, execute, iterate, and refuse to be average. Strong communicator - phone and video-first comfort. Organized, self-motivated, and tech-savvy. Preferably 2+ years in sales, service, or business ownership - but grit and results matter more. Requirements Reliable phone, data, and Wi-Fi. Must pass background check and carrier contracting. Active Life & Health license, or willingness to get licensed (we'll help you in 7-10 days). Compensation & growth Uncapped commission structure + performance bonuses and incentives. Clear path to leadership / territory ownership / revenue-share for top performers. Many of our highest-performing partners create a significant, scalable income by building teams and recurring revenue streams. 100% Commission Perks Remote, flexible schedule (evenings/weekends as client needs require). Comprehensive training and a proven playbook to build your business. Annual all-expense-paid trips for top producers. Discounted health and life coverage options. Leadership development and agent-to-owner transition support.
Client Success Coordinator - 100% Commission | Austin, TX (TSG-20251201-043)
Austin, TX jobs
Job DescriptionAbout The Strickland Group: The Strickland Group is a family-driven, vision-first financial services agency helping families protect and build wealth through life insurance and retirement solutions. This is a 100% commission, remote role with flexible hours, mentorship, and a clear path to agency ownership. You'll meet with warm leads, uncover needs, present options, and help clients put protection in place. Training is provided; no experience required, but strong work ethic, coachability, and a desire to grow are musts.
Client Relationship Coordinator - 100% Commission | Waco, TX (TSG-20251201-050)
Waco, TX jobs
Job DescriptionAbout The Strickland Group: The Strickland Group is a family-driven, vision-first financial services agency helping families protect and build wealth through life insurance and retirement solutions. This is a 100% commission, remote role with flexible hours, mentorship, and a clear path to agency ownership. You'll meet with warm leads, uncover needs, present options, and help clients put protection in place. Training is provided; no experience required, but strong work ethic, coachability, and a desire to grow are musts.
Client Solutions Coordinator - 100% Commission | Athens, GA (SG-447415)
Athens, GA jobs
Job DescriptionAbout The Strickland Group The Strickland Group is a family-driven, vision-first agency backed by a major national carrier. We combine modern tech, AI-assisted systems, and human connection to change how families protect their future. Our mission is simple: serve people and leave them better than we found them. Why this role is different This isn't a corporate seat - it's a pathway to ownership. You'll build your own business while helping families protect their income, eliminate debt, and create generational wealth. We train you, support you, and help you win - whether part-time or full-time. What You'll Do • Contact warm leads (no cold calling) • Help families find the best protection plans • Develop leadership skills • Build a business with unlimited earning potential What We Look For • Coachable individuals hungry for growth • People who want time, freedom, and purpose • Strong communicators • No experience required (training provided) Earning Potential This is a 100% commission opportunity. Part-time: $35K-$75K. Full-time: $85K-$250K+. Top earners exceed $400K+. We hire nationwide, full-time and part-time. If you're ready to build something meaningful, apply today.