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Managed Care Coordinator jobs at Sea Mar Community Health Centers - 415 jobs

  • Care Coordinator I or II

    Sea Mar Community Health Centers 4.4company rating

    Managed care coordinator job at Sea Mar Community Health Centers

    Job Description Sea Mar Community Health Centers, a Federally Qualified Health Center (FQHC) founded in 1978, is a community-based organization committed to providing quality, comprehensive health, human, housing, educational and cultural services to diverse communities, specializing in service to Latinos in Washington State. Sea Mar proudly serves all persons without regard to race, ethnicity, immigration status, gender, or sexual orientation, and regardless of ability to pay for services. Sea Mar's network of services includes more than 90 medical, dental, and behavioral health clinics and a wide variety of nutritional, social, and educational services. We are recruiting for the following position: Sea Mar is a mandatory COVID-19 and flu vaccine organization Care Coordinator I or II - Posting #27365 Hourly Rate: $21.88 - $22.63 Position Summary: Full-time Care Coordinator position available for our Puyallup Medical Clinic. The Care Coordinator is responsible for being part of a clinical care team and enhancing quality and patient-centered care. This is accomplished by assessing gaps in care for patients with chronic conditions and/or mental health needs and creating a plan with the clinical care team during daily huddles. Will assist patients with medication management, access to insurance, and help identify any other preventive health needs. Will also assist patients with ongoing self-management goal setting utilizing Motivational Interviewing skills. Strong computer skills are necessary to be able to track patient's adherence with their plan of care in electronic charts. This position also requires that the Care Coordinator facilitate team meetings so organization skills and effective communication skills are needed. Duties and Responsibilities: Participate in morning huddles to anticipate the patient's clinical, social and behavioral health needs. Work with the care team to identify gaps in care and work to resolve them using process improvement strategies. Provide brief interventions at point of care to assist patients with management of their chronic illness, address any social needs and link patients to behavioral health. Advocate for patient services with community, social service, and medical providers. Participate and coordinate care transitions for patients who have been seen in an emergency room and/or have been discharged from a hospital/long-term care facility. Track patient's adherence with plan of care in electronic or paper charts and communicate outcomes and recommendations to the primary care provider. Function as a point person within the clinic care team regarding chronic disease management and improvement activities to improve clinical quality measures. Organize monthly Health Home meetings by working with the Clinic Operations Team/Clinic Manager, create the agenda and help facilitate the meeting. Collaborate with clinical care team to improve Patient-Centered Medical Home processes and provide documentation demonstrating performance. Review the medical record for quality and utilization indicators according to the Quality Improvement Plan. Generate reports for care teams to identify areas of improvement and monitor sustainability of each quality measure. Other duties assigned as needed. Qualifications and/or Experience: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Must be able to work independently, prioritize workload, and meet deadlines. Must have critical thinking skills and maintain confidentiality. Excellent organizational skills and ability to handle a variety of tasks simultaneously. Knowledge of medical terminology and/or behavioral health topics. Strong decision making and prioritization skills. Ability to work respectfully and professionally with the community, patients, families and staff. Able to work effectively in a multi-cultural environment with a diverse population. Sympathetic, mature, responsible, and reliable. Strong patient engagement, interpersonal, and communication skills and ability to establish a therapeutic relationship with the patient. Education, Certificates, Licenses, and Registrations For Care Coordinator I, must have Medical Assistant Training with one or more years of experience in a community health setting or family practice, or, one or more years of equivalent experience. Current licensure is not required for this position. For Care Coordinator II, must be an LPN with experience in ambulatory care and/or have a BA/BS/BSW in health-related field with one year of experience working in community health, or, 4 years of equivalent experience. The LPN does not have to have an active license; this is a non-licensed position. This position must obtain CPR within 90 days of hire date and is required to maintain current CPR throughout employment. NCQA (National Committee for Quality Assurance) Certification is a plus. Valid WA State Driver's License and proof of liability insurance. What We Offer: Sea Mar offers talented and motivated people the opportunity to work in a dynamic and growing community health organization. Working at Sea Mar Community Health Centers is more than just a job, it's a fulfilling career with opportunity for advancement. The fringe benefits surpass most companies. For example, Full-time employees working 30 hours or more, receive an excellent benefit package of: Medical Dental Vision Prescription coverage Life Insurance Long Term Disability EAP (Employee Assistance Program) Paid-time-off starting at 24 days per year + 10 paid Holidays. We also offer 401(k)/Retirement options and an exciting opportunity to work in a culturally diverse environment How to Apply: To apply for this position, complete the online application and click SUBMIT or APPLY NOW. If you have any questions regarding the position, email Brenda Solis, HCA, at *************************. Sea Mar is an Equal Opportunity Employer Posted 02/25/2025 External candidates are considered after 02/28/2025 This position is represented by Office and Professional Employees International Union (OPEIU). Please visit our website to learn more about us at *************** You may also apply through our Career page at ***************************************** Powered by JazzHR TxlnUKkPB1
    $21.9-22.6 hourly Easy Apply 28d ago
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  • Clinical Care Coordinator

    Trinity Health Senior Communities 3.3company rating

    Clinton, IA jobs

    *Employment Type:* Full time *Shift:* Day Shift *Description:* Are you ready to take charge and lead a team of talented individuals? Look no further! We are seeking an enthusiastic and skilled Clinical Care Coordinator to join our vibrant team at The Alverno in Clinton, IA. If you're and RN with a passion for healthcare and knack for making work fun, this is the opportunity for you! *Responsibilities: * * Lead and manage a team of dedicated healthcare professionals * Develop and implement nursing policies and procedures * Oversee the delivery of high-quality patient care * Collaborate with other departments to ensure smooth operations * Foster a positive and engaging work environment * Infection control & wound care *Requirements* * Valid RN license in the state of Iowa - BSN preferred * Proven experience in a nursing leadership role- preferred * Strong organizational and communication skills * Ability to inspire and motivate a team * A sense of humor and a passion for making work fun! *Why Choose Us:* * *Great Team Environment:* At our facility, we believe in the power of teamwork. We foster a supportive and collaborative atmosphere where you can thrive and make a real impact on patient care. * *Excellent Benefits DAY ONE BENEFITS:* We value our employees and offer a comprehensive benefits package that includes competitive pay, healthcare coverage, retirement plans, tuition reimbursement, plus more. Your well-being is our priority. If you are ready to make a difference apply now! We can't wait to meet you and welcome you to our amazing team at The Alverno in Clinton, IA. *Our Commitment * Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
    $32k-41k yearly est. 6d ago
  • Neurosurgery NP/PA: Advanced Patient Care Leader

    Yale Newhaven Health 4.1company rating

    Bridgeport, CT jobs

    A prominent healthcare organization in Bridgeport, Connecticut, is seeking a dedicated Nurse Practitioner or Physician Assistant to provide clinical care and patient education. This role involves ensuring compliance with healthcare standards and supporting professional development initiatives. The ideal candidate will possess an accredited qualification and active certification. Join a team that emphasizes patient-centered care and community support while enjoying competitive salary and benefits. #J-18808-Ljbffr
    $63k-88k yearly est. 1d ago
  • Behavioral Health Care Manager

    Cross Country Healthcare 4.4company rating

    Seattle, WA jobs

    Join our Seattle, WA team! Behavioral Health (LCSW) Supervisor - Healthy Aging & Wellness Program (HAWP) | Salary: $77,792 - $113,895 annually Requirements to apply • Master's degree in Social Work from an accredited program • Active Washington State Licensed Independent Clinical Social Worker (LICSW) • Minimum of 3 years of experience in behavioral health services delivery • Meets Washington State requirements as an approved clinical supervisor • Valid Washington State Driver's License and proof of insurance Full-time, mission-driven behavioral health leadership role supporting older adults through interdisciplinary, community-based care in a collaborative healthcare environment. Job Overview We are seeking an experienced Behavioral Health Supervisor to oversee and lead social services and case management for the Healthy Aging and Wellness Program (HAWP). This role provides both clinical care and administrative leadership, supporting participants enrolled in programs serving older adults, including PACE and assisted living settings. The Supervisor collaborates closely with an interdisciplinary care team and ensures compliance with applicable federal regulations while promoting high-quality, person-centered behavioral health services. The ideal candidate brings strong clinical expertise, supervisory experience, and a passion for serving the aging population. Benefits Competitive salary for the Seattle/Puget Sound region Share-the-success bonus opportunities 100% employer-paid insurance premiums Paid time off accrual up to 200 hours annually, with up to 320 hours rollover Automatic 4% retirement contribution 9 paid holidays annually, including 2 personal holidays Other Perks Professional licensure reimbursement Eligible for sign-on bonus up to $5,000 Team-based, supportive work culture Where? Seattle, Washington offers a vibrant mix of urban energy and natural beauty. With access to waterfront views, parks, diverse neighborhoods, and a strong healthcare community, the area provides an excellent quality of life and professional growth opportunities. Who are we? We are a mission-driven healthcare organization dedicated to strengthening communities by providing accessible, high-quality, and culturally responsive care. Our team values respect, collaboration, and compassion, and we are united by the belief that everyone deserves the opportunity to age with dignity and support.
    $77.8k-113.9k yearly 4d ago
  • Care Manager II-IP, PRN - Mercy Jefferson

    Mercy Health 4.4company rating

    Columbia, IL jobs

    Find your calling at Mercy!The Care Manager, as part of the interdisciplinary team, assess, plans, advocates, and coordinates care from admission to discharge ensuring a safe transition post hospitalization. Performs duties and responsibilities in a manner consistent with the Mercy mission, values, and service standards. The Care Management model provides effective transition planning and length of stay oversight to maintain patient experience, safety, and quality of care utilizing performance metrics and adoption of best practices.Position Details:Care Manager - PRNMercy Hospital JeffersonFestus, MO 63028 Required Education: • Master's in Social Work, or has satisfactorily completed all requirements for the MSW but awaiting conferment by the educational facility. Experience: • 0-2 years' experience in acute care hospital setting Licensure: • Current license in Social Work in the state of employment (LMSW, LCSW) Certifications: • BLS (CPR) at hire date, required, or within 90 days of hire • Certification in Case Management, Preferred Required Education: • Graduate of an accredited School of Nursing, required Experience: • 2-3 years acute care hospital setting, preferred. • Care Management or Utilization Management experience, preferred Licensure: • Current License in the state of employment, required Certifications: • BLS (CPR) at hire date, required, or within 90 days of hire • Certification in Case Management, Preferred Why Mercy? From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period. Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us. By applying, you consent to your information being transmitted by JobFlow to the Employer, as data controller, through the Employer's data processor SonicJobs. See Mercy Terms & Conditions at and Privacy Policy at and SonicJobs Privacy Policy at and Terms of Use at
    $53k-91k yearly est. 6d ago
  • Care Manager II-IP, PRN - Mercy Jefferson

    Mercy Health 4.4company rating

    Waterloo, IL jobs

    Find your calling at Mercy!The Care Manager, as part of the interdisciplinary team, assess, plans, advocates, and coordinates care from admission to discharge ensuring a safe transition post hospitalization. Performs duties and responsibilities in a manner consistent with the Mercy mission, values, and service standards. The Care Management model provides effective transition planning and length of stay oversight to maintain patient experience, safety, and quality of care utilizing performance metrics and adoption of best practices.Position Details:Care Manager - PRNMercy Hospital JeffersonFestus, MO 63028 Required Education: • Master's in Social Work, or has satisfactorily completed all requirements for the MSW but awaiting conferment by the educational facility. Experience: • 0-2 years' experience in acute care hospital setting Licensure: • Current license in Social Work in the state of employment (LMSW, LCSW) Certifications: • BLS (CPR) at hire date, required, or within 90 days of hire • Certification in Case Management, Preferred Required Education: • Graduate of an accredited School of Nursing, required Experience: • 2-3 years acute care hospital setting, preferred. • Care Management or Utilization Management experience, preferred Licensure: • Current License in the state of employment, required Certifications: • BLS (CPR) at hire date, required, or within 90 days of hire • Certification in Case Management, Preferred Why Mercy? From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period. Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us. By applying, you consent to your information being transmitted by JobFlow to the Employer, as data controller, through the Employer's data processor SonicJobs. See Mercy Terms & Conditions at and Privacy Policy at and SonicJobs Privacy Policy at and Terms of Use at
    $44k-81k yearly est. 6d ago
  • Care Coordinator

    Fair Haven Community Health Care 4.0company rating

    New Haven, CT jobs

    We are seeking a Care Coordinator to join our dynamic team! Job purpose The Care Coordinator is a vital member of the interdisciplinary patient care team. This role provides patient navigation and facilitates access to care, based on EHR data and referrals from clinical teams. The Care Coordinator identifies any barriers that may impact a patients access to health care, and will link them to appropriate services. Duties and responsibilities Reporting to the Care Coordination Program Manager, the Care Coordinator's role will involve in-person visits with patients and families as well as telephonic visits. Patients who have been identified as needing additional support services to navigate the healthcare system and access community resources, , high utilizers of acute care or hospital services, or otherwise high-needs/high-cost patients, will comprise the panel of patients the Care Coordinator will address through measurable efforts to improve health and adherence/access to health care. Primary responsibilities include but are not limited to: Outreach to patient populations based on gaps-in-care reports or other reports that have identified vulnerable patients and families Conduct needs assessments at least yearly using a validated screening instrument on all patients with whom the Care Coordinator interacts Develop and evaluate shared plans of care Link patients with barriers to community resources Assist with and follow-up on the successful completion of health maintenance items (e.g. lab testing, annual visits) and chronic disease management (e.g. routine diabetic or asthmatic care) Conduct home visits as needed Identify barriers to care impacting patients' abilities to adhere to treatments Assist patients with insurance enrollment, or other patient assistance programs Work collaboratively with clinical teams to meet the need of complex, high-cost patients Attend relevant trainings as required and assigned Document client referrals, encounters, and services in the EPIC electronic health record and communicate securely with other team members and clinicians Maintain strict adherence to all deadlines including report deadlines and timely completeness of documentation Qualifications Associates Degree in a health-related field and/or relevant years of experience is required, Bachelor's degree preferred, a valid CT driver's license and/or access to reliable transportation is also required. Experience in Care Coordination; working with teams; using EPIC electronic health record highly preferred. The successful candidate will have excellent computer skills including word processing and data entry required and the ability to work independently. Bilingual in English and Spanish is highly desirable. What we offer: Major medical, dental and vision Voluntary benefits (AFLAC plan, STD, LTD & Life Insurance) Paid Holidays Generous Paid Time Off (PTO) Tuition reimbursement And much more… About Fair Haven Community Health Care For over 54 years, FHCHC has been an innovative and vibrant community health center, catering to multiple generations with over 165,000 office visits across 21 locations. Guided by a Board of Directors, most of whom are patients themselves, we take pride in being a healthcare leader dedicated to delivering high-quality, affordable medical and dental care to everyone, regardless of their insurance status or ability to pay. Our extensive range of primary and specialty care services, along with evidence-based programs, empowers patients to make informed choices about their health. As we expand our reach to underserved areas, our commitment to prioritizing patient needs remains unwavering. FHCHC's mission is to enhance the health and social well-being of the communities we serve through equitable, high-quality, and culturally responsive patient-centered care. American with Disabilities Requirements: External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job specific functions (listed within each job specific responsibility) either unaided or with the assistance of a reasonable accommodation to be determined by the organization on a case by case basis. Fair Haven Community Health Care is an Equal Opportunity Employer. FHCHC does not discriminate on the basis of race, religion, color, sex, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need.
    $38k-60k yearly est. Auto-Apply 16d ago
  • Care Coordinator

    Gastro Health 4.5company rating

    Kennewick, WA jobs

    Gastro Health, LLC is seeking a Full-Time, Care Coordinator to join our Gastro Health Team. Gastro Health is a great place to work and advance in your career. You'll find a collaborative team of coworkers and providers, as well as consistent hours. This role offers: A great work/life balance! No weekends or evenings -- Monday thru Friday Paid holidays and paid time off Rapidly growing team with opportunities for advancement Competitive compensation Benefits package Here are some of the duties you will be responsible for: Handle all administrative tasks and duties for the physician/provider Serve as the liaison or coordinator for the patients medical care Streamline all patient-physician communications to ensure patient satisfaction Provide medical literature and clinical preparation instructions to patients Assist patients with questions and/or concerns regarding procedures Schedule all procedures to be performed by the physician Review the physicians schedule for maximum scheduling efficiency Schedule all diagnostic tests, procedures and follow-up appointments Obtains all authorizations for procedures and tests Call patient to confirm procedures a week in advance Schedule follow-up appointments including recalls Returns patient calls promptly and professionally Call-in new prescriptions and refills and obtain authorization if necessary Complete tasks from Electronic Medical Record Reviews open orders every three days and works accordingly Other duties as assigned Minimum Requirements: High school diploma or GED equivalent Certified Medical Assistant (AAMA) preferred 2+ years experience as medical assistant required Medical terminology knowledge Bilingual required We offer a comprehensive benefits package to our eligible employees:, 401(k) retirement plans with employer Safe Harbor Non-Elective Contributions of 3% Discretionary Profit-Sharing Contributions of up to 4% Health insurance Employer Contributions to HSA's and HRA's Dental insurance Vision insurance Flexible Spending Accounts Voluntary Life insurance Voluntary Disability insurance Accident Insurance Hospital Indemnity Insurance Critical Illness Insurance Identity Theft Insurance Legal Insurance Pet insurance Paid time off Discounts at local fitness clubs Discounts at AT&T Additionally, Gastro Health participates in a program called Tickets at Work that provides discounts on concerts, travel, movies, and more. Interested in learning more? Click here to learn more about the location. Gastro Health, LLC is the largest gastroenterology multi-specialty group in the United States, with over 130+ locations throughout the country. Our team is composed of the finest gastroenterologists, pediatric gastroenterologists, colorectal surgeons, and allied health professionals. We are always looking for individuals that share our mission to provide outstanding medical care and an exceptional healthcare experience. We offer a comprehensive benefits package to our eligible employees. Gastro Health is proud to be an Equal Opportunity Employer. We do not discriminate based on race, color, gender, disability, protected veteran, military status, religion, age, creed, national origin, gender identity, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We thank you for your interest in joining our growing Gastro Health team!
    $36k-46k yearly est. Auto-Apply 60d+ ago
  • General Inquiry - Transitional Care Management

    Transitional Services of Iowa 3.5company rating

    Naperville, IL jobs

    of interest on our ***************** But we would still like to receive your information. By completing this application, you will be uploading your resume for future job openings. For immediate interview consideration, please use the back button and apply to a specific job title/open position, listed by department/job family. You should only complete this application if you do not see your desired job title listed on ***************** . Job Description x Qualifications x Additional Information Please upload your resume to be considered for future job openings. Be sure to include a note or cover letter stating the type of position you are seeking. This center is managed by TRANSITIONAL CARE MANAGEMENT. We currently provide comprehensive management services to several inpatient healthcare centers throughout Northern IL & the Chicagoland area. These settings include Long-term Care Skilled Nursing (SNFs), Short-term Care Rehabilitation, Intermediate Care (ICFs), and Behavioral Health Service (SMHRFs) centers. Each center is unique; offering you a variety of long-term career opportunities.
    $35k-44k yearly est. 9m ago
  • Care Coordinator - PACT

    Western Montana Mental Health Center 3.5company rating

    Butte-Silver Bow, MT jobs

    Care Coordinator - Assertive Community Treatment Looking for a career that makes a difference in the lives of others, offering hope, meaningful life choices, and better outcomes? Who we are Since 1971 Western Montana Mental Health Center (WMMHC) has been the center of community partnership in the 15 counties we serve across western Montana. We have committed to providing whole-person, person-centered care by ensuring an approach to health care that emphasizes recovery, wellness, trauma-informed care, and physical-behavioral health integration. We know the work we do is important and makes a significant impact in the lives of our clients and in our communities. Working at WMMHC also gives you the opportunity to work under the Big Sky, giving you the adventure of a life time while serving your community and changing lives. We offer a work life balance so you still have time to discover all the natural beauty and recreational dreams that Montana has to offer while still engaging in a career path that is challenging and fulfilling. If you want to join our team where community is at the heart of what we do, then you've come to the right place! Job Summary: The ACT Care Coordinator is a transdisciplinary team member of a fast-paced and energized Assertive Community Treatment team. A successful ACT Care Coordinator has experience in social work, psychology, or mental health, holds clinical skills around mental illness, and can provide education around various local, state, and federal programs, resources, and supportive services to program clients with severe and disabling mental illnesses (SDMI). Our clients are supported through team wrap-around care in which the team as a whole assists with every client in all care aspects that need attention. A day in the life of a Care Coordinator consists of being out in the community, working one-on-one with clients to remove barriers, celebrating victories, all while focusing on stabilization and integration for the client. Care Coordinators complete documentation, participate in creating treatment plans, check in with clients to establish baseline, assist with providing medication prompts, along with a variety of other tasks. Get excited to do something that is continually rewarding! Current openings in Butte Qualifications Associates degree in behavioral health or other closely related field with two years of experience working in the behavioral health field Ability to pass background check and driver's license check upon offer of employment. Provide proof of auto liability insurance coverage per Western's policies. Montana Driver's License with good driving record Preferred Qualifications/Experience Bachelor's degree in social work or other closely related field with one year's experience working in a behavioral health field preferred Benefits: We know that whole-person care is not just important for our clients, but recognize it's just as important for our employees. WMMHC has worked hard to provide a benefits package that encompasses that same concept. Our comprehensive benefits package focuses on the health, security, and growth of our employees. Benefit offerings will vary based upon full time, part time, or variable status. Health Insurance - 3 options to choose from starting as little as no cost for employee only Employer paid benefits: Employee Assistance Program, Life insurance for employees and dependents, and long term disability Voluntary options available: dental & vision insurance, short term disability, additional life insurance and dependent care flexible spending account Health savings account (HAS) with match or medical flexible spending account (FSA) 403(B) Retirement enrollment offered right away with an employer match offered after one year Generous paid time off to take care of yourself and do the things you love Accrued PTO starts immediately Extended sick leave 9 paid holidays and 8 floating holidays Loan forgiveness programs through PSLF or NHSC
    $37k-46k yearly est. Auto-Apply 60d+ ago
  • Managed Care Resource

    Ensign Services 4.0company rating

    Seattle, WA jobs

    About the Company ESI currently serves over 361 health care operations that employ over 55,000 employees across 17 states. These operations have no corporate headquarters or traditional management hierarchy. Instead, they operate independently with support from the “Service Center” - a team of accounting, legal, human resources, benefits, compliance, payroll, construction, training and information technology resources. Service Center human resources employees are dedicated subject matter consultants who guide and advise field personnel. This structure allows on-site leaders and caregivers to focus on day-to-day issues in their individual operations. What sets ESI apart from other companies is the quality of our most valuable resource - our people. About the Opportunity The Managed Care Consultant supports the Skilled Nursing Facility leaders in managed care contracting and revenue enhancement strategies for all healthcare payers and preparation for changes in the healthcare industry. The Consultant will provide guidance regarding development of managed care relationships and rate negotiation, ensuring timeliness and rate appropriateness. Additionally, the Consultant will negotiate contracts for new locations, assist with ensuring that contracts are updated for new services and help with contract cancellations, denials and appeals. Essential Functions and Responsibilities Establish, implement and evaluate the strategic plan(s) that will ensure each local operation the ability to optimize financial performance through rates and increased census. Engage in complex levels of contract development and negotiation, including risk agreements using utilization, claims and market data with health plans and direct service agreements with physicians, physician organizations and hospitals and ancillary providers. Identify, develop and maintain an effective relationship with contracted health plans and managed care regulatory agencies. Manage complex and high-profile health plan negotiations. Actively draft and negotiate contracts in the health care operations and health care plan functional areas. Assist in analysis and coordination of amendments, reimbursement, and language changes. Assess resource utilization, cost management and negotiate effectively. Monitor industry changes, trends and events to proactively identify opportunities to increase market penetration and performance improvement. Understands the competitive pricing levels in the local market and improves the company's cost position through unit costs strategies. Strategizes for facility census growth and retention. Teach, Train and Instruct facility level personnel on how to operationalize the contract. Interact with facility personnel on utilization, clinical results and managed care census. Qualifications: Knowledge of managed care contracting language, requirements, and methods to support the development and maintenance of contract compliance, contract language review and contract analysis. Must be knowledgeable about the managed care environment, including capitation, PPO, HMO, IPA, ACO and POS. Knowledge of CPT-4, HCPCS, Revenue and ICD coding. Expert in Skilled Nursing Managed care plans. Experience in successful operationalizing managed care contracts in the skilled nursing environment. Knowledge of contracts and contractual interpretations for payment and benefit issues. Working knowledge of medical terminology, claims payment, contract negotiations, and problem resolution; ability to work collaboratively in a team setting. Communicate effectively at all organizational levels and in situations requiring instructing, persuading, negotiating, consulting, and advising. Ability to deal with responsibility with confidential matters. Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA). Strong analytical mind, with problem solving skills, an aptitude for accuracy, and attention to detail. Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously. Excellent verbal and written communication skills, as well as excellent critical thinking skills. Computer savvy (Contract Logix, MS Word, MS Outlook & Excel). Ability to be flexible, be readily adaptable, and work in a rapidly and constantly changing environment. Present in facilities on a weekly basis, (currently as deemed appropriate). Desired Qualifications Must live in Washington or Oregon. Preference for bachelor's degree in business administration, management or health care administration. Willing to travel up to 80% of the time (as deemed appropriate) Highly desire at least 2 years' experience with Managed Care contracting. Additional Information Pay Range: $90 k - $130k Depending on Experience; potential incentive opportunity Position Type: Full-time, exempt employee Benefits: Medical, dental, vision, life & AD&D insurance plans, 401(k) with matching contribution, vacation, sick and holiday pay Location: Candidate must reside in the Seattle, Washington area. Ensign Services, Inc. is an Equal Opportunity Employer. Pre-employment criminal background screening required.
    $34k-43k yearly est. 25d ago
  • Care Coordinator

    Haymarket Center 4.0company rating

    Chicago, IL jobs

    Full-time Description Haymarket Center, a leader in the field of addiction and recovery programs and comprehensive behavioral health solutions is seeking a Care Coordinator to join our team! The Care Coordinator will work closely with medical providers and the Care Coordination team. The Care Coordinator provides individualized and evidence based substance use recovery services to patients identified in various hospital Emergency Departments and Medical Stabilization Units. Requirements The ideal candidate will: Possess CACD, CRADC, MAAT or MISA certification from IAODAPCA. Two years prior experience working with individuals with substance use disorders, completing screenings, & assessments. Additional experience providing healthcare education and completing case management activities. One year experience facilitating therapeutic or educational groups. High School diploma or GED. Experience working with culturally diverse populations. Must possess a valid driver's license and able to have driving privileges through the agency's insurance program. Salary Description $45,760.00 - $55,000.00
    $45.8k-55k yearly 60d+ ago
  • Check In Care Coordinator Per Diem - Bonney Lake Walk In

    Sound Family Medicine 3.8company rating

    Bonney Lake, WA jobs

    Check-In Patient Care Coordinator Department: Front Office FLSA Classification: Non-Exempt Reports to: Clinic Manager The Check In Patient Care Coordinator is responsible for greeting patients at the front desk or on the phone, patient registration, promoting and providing customer service, scheduling patient appointments and transferring the caller to the appropriate person. The Check In Patient Care Coordinator also assists to ensure that provider's and other clinical staff maintains consistent and smooth patient flow. This position contributes to the success of the clinic by providing prompt, efficient, and friendly service via in person or over the phone. Schedule: This position does not have guaranteed hours. Essential Functions: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Greet all patients in person and over the phone in a friendly manner Obtain pertinent information to register patients including all appropriate patient signatures (e.g. assignment of benefits, payment responsibility). Schedule appointments which correctly and accurately correspond to each physician's template. Perform verification duties. Responsible for verifying patient wait times when placing a superbill in a provider's in box. Monitor the waiting area, communicating information to patients as needed. Maintain organization of workstation and supplies, as well as waiting room area. Responsible for monitoring phone queue; providing back up support to call center staff as needed. Accept and relay messages accurately and efficiently. Maintain and protect each patient's right to confidentiality. Update established accounts and information on the computer; process charge tickets. Reconcile charge tickets with the number of patients seen daily. Calculate payments due at time of service and collect appropriate amount from the patient during checkout. Share information appropriately and in a timely manner. Promptly identify problems and effectively utilize resources to address problems in a satisfactory manner. Maintain quality of service during periods of increased or decreased patient load. Remain alert to special appointments such as drug testing, those requiring specialized paperwork, etc. Other duties as assigned. Competencies/Skills: Job Knowledge: Understands the expectations of the position and consistently meets the objective of the role. Productive: Consistently provides high quality work in a timely manner as expected. Communication: Keeps staff informed and promotes open communication throughout the department and the company. Communicates effectively either orally or in writing. Problem Solving/Decision Making: Uses sound judgement to gather and analyze data to make decisions that will produce the best outcome. Supervisory Responsibilities: This position does not have any supervisory responsibilities. Work Environment: This position will work in a typical office environment with a moderate noise level. This role will use standard office equipment such as computers, phones, copiers, filing cabinets, and fax machines. Physical Demands: Reasonable accommodations may be made to enable individual with disabilities to perform he physical requirements of this position. This position is primarily a sedentary role; however, this position need to file, communicate over the phone and in-person, and use standard office equipment. May be required to lift up to 10 pounds. Travel: Minimal local travel may be required for this position. Education and Experience: High School Diploma or Equivalent: Required 1+ years front office experience: Preferred Pay Range: $18.00 - $24.50 Other Duties: This is not a comprehensive list of all duties, responsibilities, or activities that may be required for this position. Position requirements including duties, responsibilities, or activities may change at any time, with or without notice. Sound Family Medicine is a smoke-free, drug-free workplace. All employment offers are conditioned upon acceptable pre-employment drug tests which include testing for the use of marijuana and nicotine. As part of our commitment to a healthy workplace, we require employees to obtain an annual flu immunization as well as all employees be fully vaccinated for COVID-19 by October 18, 2021.
    $18-24.5 hourly 37d ago
  • Chronic Care Management Coordinator (LPN)

    Teche Action Clinic 3.9company rating

    Franklin, LA jobs

    Job DescriptionSalary: DOE Teche Health, A Federally Qualified Health Center, per Section 330 of the Public Health Service Act, is currently seeking qualified applicants for the Chronic Care Management Coordinator position in Franklin, Louisiana. **This is a full-time position. Office hours are Monday - Thursday 7:30am - 5:30pm and Friday 8:00am - 12:00noon.** JOB SUMMARY: The Chronic Care Management Coordinator (CCM Coordinator) Provides care management for adult and pediatric patients with complex illness, in the primary care setting, under the Supervision of the Chronic Disease Project Manager. In partnership with the primary care practice leadership team, the CCM Coordinator leads care management within the team through process improvement, workflow redesign, helping with training, and delegating to other members of the team. Serves in an expanded health care role to collaborate with specialists, members of health care team, and patients/families to ensure the delivery of quality, efficient, and cost-effective health care services. Assesses plans, implements, coordinates, monitors, and evaluates all options and services with the goal of optimizing the patient's health status. Integrates evidence-based clinical guidelines, preventive guidelines, and protocols, in the development of individualized care plans that are patient-centric, promoting quality and efficiency in the delivery of health care. Provides other duties as assigned by Chronic Disease Project Manager. Provides targeted interventions to avoid hospitalization and emergency room visits. Coordinates care across settings and helps patient/families understand health care options. JOB DUTIES AND RESPONSIBILITIES: Identifies the targeted CCM population within practice site(s) per PCP referral, risk stratification, and patient lists. Includes patients with repeated social and/or health crises. Assesses over time the health care, educational, and psychosocial needs of the patient/family. Uses standardized assessment tools such as depression screening, functionality, and health risk assessment. Collaborates with PCP, patient, and members of the health care team, including continuum of care settings and community. Responsible for developing a comprehensive individualized plan of care and targeted interventions. Continually monitors patient/family response to plan of care and revises the care plan as indicated. Provides patient self-management support with a focus on empowering the patient/family to build capacity for self-care. Implements system of care that facilitate close monitoring of high-risk patients to prevent and/or intervene early during acute exacerbations. Implements clinical interventions and protocols based on risk stratification and evidence -based clinical guidelines. Coordinates patient care through ongoing collaboration with PCP, patient/family, community, and other members of the health care team. Fosters a team approach and includes patient/family as active members of the team. Takes the lead in ensuring the continuity of care which extends beyond the practice boundaries. Serves as liaison to acute care hospitals, specialists, and post-acute care services. Provides follow-up with patient/family when patient transitions from one setting to another. Completes timely post-hospital follow-up: Medication reconciliation, PCP, or specialist follow-up appointment, assess symptoms, teach warning signs, review discharge instructions, coordination of care, and problem solve barriers. Demonstrates excellent written, verbal, and listening communication skills, positive relationship building skills, and critical analysis skills. Maintains required documentation for all care management activities. Works with practice and PO/PHO leadership to continuously evaluate process, identify problems, and propose/develop process improvement strategies to enhance care management and Patient Centered Medical Home delivery of care model. Reviews the current literature regarding effective engagement and communication strategies, care management strategies, and behavior change strategies and incorporates into clinical practice. Participates/Reports in Quality Assurance Performance Improvement (QAPI) Committee. Oversees the patient evaluation data and makes recommendations to team members accordingly. Performs other duties as assigned by the Chronic Disease Project Manager. SKILLS AND ABILITIES: Demonstrates customer focused interpersonal skills to interact in an effective manner with practitioners, the interdisciplinary health care team, community agencies, patients, and families with diverse opinions, values, and religious and cultural ideals. Demonstrates ability to work autonomously and be directly accountable for practice. Demonstrate ability to influence and negotiate individual and group decision-making. Demonstrates ability to function effectively in a fluid, dynamic, and rapidly changing environment. Demonstrates leadership qualities including time management, verbal, and written communication skills, listening skills, problem solving, critical thinking, analysis skills and decision-making, priority setting, work delegation, and work organization. Demonstrates ability to develop positive, longitudinal relationships and set appropriate boundaries with patients/families. QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each duty described above satisfactorily. License Practical Nurse, or Master of Social Work License preferred. Two years of experience with adult medicine and pediatric patients in primary care/ambulatory care, home health agency, skilled nursing facility, or hospital medical-surgical setting, within the past five years. Knowledge of chronic conditions, evidence-based guidelines, prevention, wellness, health risk assessment, and patient education. Critical thinking skills and ability to analyze complex data sets. Ability to manage complex clinical issues utilizing assessment skills and protocols. Excellent assessment and triage skills. Ability to implement evidence- based interventions and protocols for chronic conditions. Demonstrates excellent communication - both verbal and written. Excellent interpersonal and facilitation skills. Ability to affect change, work as a productive and effective team member, and adapt to changing needs/priorities. Time management, priority setting, work delegation, and work organization. General computer knowledge and capability to use computer Associate's degree or higher, in clinical field (preferred) Care management experience(preferred) Experience as participant in continuous quality improvement(preferred) Completion of self-management support training(preferred) Benefits Package: Medical, Vision and Dental Health Insurance Accidental Insurance Critical Illness Insurance Long Term Benefits Short Term Benefits Free Life Insurance 401K Plan Benefits Paid Vacation Paid Sick Time Set Schedule No Weekends National Health Service Corps Site 11 paid holidays Family-Friendly Work Environment Eligible for Student Loan Forgiveness through Federal and State Programs Eligibility Requirements: All employees must meet eligibility standards in order to be considered for the position applying for. Internal applicants must be with be with the organization for at least one year, with no disciplinary actions on file. If you have not been with the organization for a year, approval from your direct supervisor will be needed. **Due to CMS Mandate all applicants must be fully vaccinated prior to onboarding with Teche Health with the exception of an approved Medical or Religious Exemption.**
    $27k-34k yearly est. 26d ago
  • Chronic Care Management Coordinator (LPN)

    Teche Action Clinic 3.9company rating

    Franklin, LA jobs

    Teche Health, A Federally Qualified Health Center, per Section 330 of the Public Health Service Act, is currently seeking qualified applicants for the Chronic Care Management Coordinator position in Franklin, Louisiana. **This is a full-time position. Office hours are Monday - Thursday 7:30am - 5:30pm and Friday 8:00am - 12:00noon.** JOB SUMMARY: The Chronic Care Management Coordinator (CCM Coordinator) Provides care management for adult and pediatric patients with complex illness, in the primary care setting, under the Supervision of the Chronic Disease Project Manager. In partnership with the primary care practice leadership team, the CCM Coordinator leads care management within the team through process improvement, workflow redesign, helping with training, and delegating to other members of the team. Serves in an expanded health care role to collaborate with specialists, members of health care team, and patients/families to ensure the delivery of quality, efficient, and cost-effective health care services. Assesses plans, implements, coordinates, monitors, and evaluates all options and services with the goal of optimizing the patient's health status. Integrates evidence-based clinical guidelines, preventive guidelines, and protocols, in the development of individualized care plans that are patient-centric, promoting quality and efficiency in the delivery of health care. Provides other duties as assigned by Chronic Disease Project Manager. Provides targeted interventions to avoid hospitalization and emergency room visits. Coordinates care across settings and helps patient/families understand health care options. JOB DUTIES AND RESPONSIBILITIES: Identifies the targeted CCM population within practice site(s) per PCP referral, risk stratification, and patient lists. Includes patients with repeated social and/or health crises. Assesses over time the health care, educational, and psychosocial needs of the patient/family. Uses standardized assessment tools such as depression screening, functionality, and health risk assessment. Collaborates with PCP, patient, and members of the health care team, including continuum of care settings and community. Responsible for developing a comprehensive individualized plan of care and targeted interventions. Continually monitors patient/family response to plan of care and revises the care plan as indicated. Provides patient self-management support with a focus on empowering the patient/family to build capacity for self-care. Implements system of care that facilitate close monitoring of high-risk patients to prevent and/or intervene early during acute exacerbations. Implements clinical interventions and protocols based on risk stratification and evidence -based clinical guidelines. Coordinates patient care through ongoing collaboration with PCP, patient/family, community, and other members of the health care team. Fosters a team approach and includes patient/family as active members of the team. Takes the lead in ensuring the continuity of care which extends beyond the practice boundaries. Serves as liaison to acute care hospitals, specialists, and post-acute care services. Provides follow-up with patient/family when patient transitions from one setting to another. Completes timely post-hospital follow-up: Medication reconciliation, PCP, or specialist follow-up appointment, assess symptoms, teach warning signs, review discharge instructions, coordination of care, and problem solve barriers. Demonstrates excellent written, verbal, and listening communication skills, positive relationship building skills, and critical analysis skills. Maintains required documentation for all care management activities. Works with practice and PO/PHO leadership to continuously evaluate process, identify problems, and propose/develop process improvement strategies to enhance care management and Patient Centered Medical Home delivery of care model. Reviews the current literature regarding effective engagement and communication strategies, care management strategies, and behavior change strategies and incorporates into clinical practice. Participates/Reports in Quality Assurance Performance Improvement (QAPI) Committee. Oversees the patient evaluation data and makes recommendations to team members accordingly. Performs other duties as assigned by the Chronic Disease Project Manager. SKILLS AND ABILITIES: Demonstrates customer focused interpersonal skills to interact in an effective manner with practitioners, the interdisciplinary health care team, community agencies, patients, and families with diverse opinions, values, and religious and cultural ideals. Demonstrates ability to work autonomously and be directly accountable for practice. Demonstrate ability to influence and negotiate individual and group decision-making. Demonstrates ability to function effectively in a fluid, dynamic, and rapidly changing environment. Demonstrates leadership qualities including time management, verbal, and written communication skills, listening skills, problem solving, critical thinking, analysis skills and decision-making, priority setting, work delegation, and work organization. Demonstrates ability to develop positive, longitudinal relationships and set appropriate boundaries with patients/families. QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each duty described above satisfactorily. License Practical Nurse, or Master of Social Work License preferred. Two years of experience with adult medicine and pediatric patients in primary care/ambulatory care, home health agency, skilled nursing facility, or hospital medical-surgical setting, within the past five years. Knowledge of chronic conditions, evidence-based guidelines, prevention, wellness, health risk assessment, and patient education. Critical thinking skills and ability to analyze complex data sets. Ability to manage complex clinical issues utilizing assessment skills and protocols. Excellent assessment and triage skills. Ability to implement evidence- based interventions and protocols for chronic conditions. Demonstrates excellent communication - both verbal and written. Excellent interpersonal and facilitation skills. Ability to affect change, work as a productive and effective team member, and adapt to changing needs/priorities. Time management, priority setting, work delegation, and work organization. General computer knowledge and capability to use computer Associate's degree or higher, in clinical field (preferred) Care management experience (preferred) Experience as participant in continuous quality improvement (preferred) Completion of self-management support training (preferred) Benefits Package: Medical, Vision and Dental Health Insurance Accidental Insurance Critical Illness Insurance Long Term Benefits Short Term Benefits Free Life Insurance 401K Plan Benefits Paid Vacation Paid Sick Time Set Schedule No Weekends National Health Service Corps Site 11 paid holidays Family-Friendly Work Environment Eligible for Student Loan Forgiveness through Federal and State Programs Eligibility Requirements: All employees must meet eligibility standards in order to be considered for the position applying for. Internal applicants must be with be with the organization for at least one year, with no disciplinary actions on file. If you have not been with the organization for a year, approval from your direct supervisor will be needed. **Due to CMS Mandate all applicants must be fully vaccinated prior to onboarding with Teche Health with the exception of an approved Medical or Religious Exemption.**
    $27k-34k yearly est. 60d+ ago
  • Orders Management Coordinator - Temporary Role

    Optimal Home Care, Inc. 3.9company rating

    Denver, CO jobs

    Purpose: The position is responsible for the management of electronic and paper claims to specified insurance payers. To follow Insurance specific billing companions in order to ensure accurate reimbursement and timely collection. Scope & Objective: To act as the primary point of contact between the source of payer information, the administrative staff, and field staff. Accurate tracking of remittances and payment management. Chart compliance in accordance with all billing and coding guidelines is to be monitored both pre-billing and post-billing. A high level of accountability and knowledge is expected. Supervisory Responsibilities: This position manages all employees of the department and is responsible for the performance management and hiring of the employees within that department. Physical Demands: While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand; walk; use hands to finger, handle or feel; and reach with hands and arms. This position would require the ability to lift files, open filing cabinets and bend or stand as necessary and the employee must occasionally life office products and supplies weighing up to 20 pounds. Travel: This position does not require travel during normal business hours. Tasks/Duties & Job Responsibilities: * Supervise Revenue Cycle Team employees * Provide a team approach to building Optimal's reputation of quality service, dependability, and ownership of delivering great care to our patients, sources, and staff. * Read and respond professionally to emails and phone calls in a timely and effective manner * Troubleshoot issues in both processes and workforce * Work directly with insurance companies, healthcare providers, and patients to execute claim process and attain payment. * Scrub and review patient charts to ensure compliance prior to billing * Review and appeal unpaid and denied claims * Handle collections on unpaid accounts * Manage agency Accounts Receivable reports * Initiate, follow up, and monitor prior authorizations * Answer patient billing questions * Complete reports and analysis as assigned my management * Attend meetings (monthly administrative meetings, weekly team meetings, stand-up meetings, etc.) as requested by Director of Operations, and/or Clinical eldership and prepare data for such meetings as required. * Prepare daily, weekly, and other reports as necessary and as requested by leadership. * Provide feedback and recommendations to Director of Operations and Revenue Cycle team to improve effectiveness and efficiency of processes and delivery of care & customer service. * Assist in interviewing candidates for administrative positions. * Responsible for coaching staff and participating in Corrective Action as necessary. * May assist in the training and on-boarding of new and / or transferring employees * Complete both introductory and annual reviews for Revenue Cycle employees; may collaborate on other agency employee reviews as well. * Other tasks or special projects that may be assigned from time to time * Collaborate with other teams of the agency to promote efficiency and effectiveness of overall agency operations. * Promote agency reputation and staff morale by serving both internal and external relationships with professionalism and excellent customer focus/service * Complies with agency Policies and Procedures as well as Employee Handbook detailing Human Resources policies. * Other duties / responsibilities that support the agency's core values of Commitment, Advocacy, Respect, and Excellence. * Completes emergency preparedness training as identified as appropriate for this employee level. * Participates in exercises and drills for emergency preparedness, as required. * Other duties and tasks as assigned by the Optimal Home Care Emergency Command Center communication tree in the event of a local, regional or national emergency and/or disaster.
    $30k-37k yearly est. 10d ago
  • Care Coordinator, Recovery Coach

    Brigham and Women's Hospital 4.6company rating

    Dover, DE jobs

    Site: Wentworth-Douglass Hospital Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. The Mass General Brigham Medical Group is a system-led operating entity formed by Mass General Brigham to deliver high quality, low cost, innovative community-based ambulatory care. This work stems from Mass General Brigham's unified system strategy to bring health care closer to patients while lowering total health care costs. The Medical Group provides a wide range of offerings, including primary care, specialty care, behavioral and mental health, and urgent care, both digitally as well as at physical locations in Massachusetts, New Hampshire, and Maine. The group also offers outpatient surgery and endoscopy, imaging, cardiac testing, and infusion. We share the commitment to delivering a coordinated and comprehensive experience across all locations, ensuring the appropriate level of care is available to every patient across our care delivery sites. The care coordinator/recovery coach will support the medication for addiction treatment office. We are looking for someone with a skillset/interest in working with corrections and women's health. This role will be directly supporting the recovery clinic which provides medication for alcohol and opioid disorder. Job Summary We are seeking a full-time, 40-hour care coordinator/recovery coach to work onsite Monday through Friday from 8:00am to 5:00pm. About the Role: As a Recovery Coach, you'll provide non-clinical services which are centered on the primary goal of assisting patients with navigating recovery. This role is all about creating a connection-fostering trust, offering guidance, and helping individuals find and follow their own recovery pathways. You will play a part of the continuum of care in addiction recovery treatment services and assist patients with coordinating service needs to build and maintain a healthy recovery network as well as assisting with navigating clients into the appropriate level of care that matches their needs. You must have excellent problem-solving skills; the ability to work independently and as part of an interdisciplinary team; the ability to apply risk management and problem-solving techniques to clinical situations; the ability to thrive in a fast-paced, team-oriented environment as well as feel comfortable working with clients in crisis situations. Having basic knowledge and understanding of current version of DSM and psychiatric medications is a plus. What You'll Do: * Offer peer mentorship, advocacy, and recovery coaching * Coordinate care and connect clients with appropriate services and resources * Help clients build coping skills, self-determination, and personal empowerment * Work collaboratively with a multidisciplinary care team * Create a judgment-free, safe, and supportive environment Qualifications What We're Looking For: * Education: High School Diploma or Equivalent required; Bachelor's in Psychology preferred * Certification: CRSW (Certified Recovery Support Worker - NH) preferred * Experience: * At least 3 years working with individuals with substance use disorders * At least 2 years of sustained recovery experience Additional Job Details (if applicable) * Skills: * Strong leadership and communication skills * Ability to build effective, empathetic relationships with clients and colleagues * A deep understanding of recovery principles and trauma-informed care Remote Type Onsite Work Location 15 Old Rollinsford Road Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $20.58 - $29.40/Hourly Grade 5 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: 1810 Wentworth-Douglass Hospital is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
    $20.6-29.4 hourly Auto-Apply 14d ago
  • Care Coordinator, SR

    First Choice Health Centers 4.2company rating

    East Hartford, CT jobs

    First Choice Health Centers is seeking an experienced Senior Care Coordinator who will support patients with complex medical, behavioral health and social needs by ensuring seamless, whole-person care. This position provides advanced care coordination, connects patients to essential community resources and leads a team of care coordinators in support of our patient Center Medical Home model. Ideal candidates are collaborative, mission-driven leaders who are passionate about improving health outcomes and advancing health equity in underserved communities. Why First Choice? We are committed to you! We offer great training, great benefits, career growth and employee well-being! For full-time employees: Medical, Dental and Vision Insurance for employees working 30 hours or more 20 days of Vacation, 8 Paid Holidays, and 2 Floating Holidays per year Company paid Life insurance Voluntary Term, Whole Life, Accident and Critical Care Insurance Retirement savings program, including a safe harbor 401k with up to a 4% company match after 6 months of employment Complimentary premium Calm Health membership (1 mental health app) Formal recognition programs Primarily a Monday through Friday schedule working 8:00 am to 4:30 pm on Monday, Wednesday at Thursday, 8:00 am to 6:00 pm on Tuesday and Friday, 8:00 am to 3:00 pm. The budgeted pay range for this position is $21.00 - $30.00/hour. Actual pay will be determined based on several factors. These may include education, work experience, and in some instances certifications and licensure. We strive for market alignment and internal equity with our colleague's pay. For more than 25 years First Choice Health Centers has been a leading nonprofit human services organization that breaks down barriers to care helping individuals and communities live healthier lives. To learn more about First Choice Health Centers, visit us at firstchc.org. Minimum Knowledge, Skills & Abilities Required: Bachelor's degree in Social Work, Public Health, Psychology, or a related field required. Experience and Training: Minimum of 3-5 years of experience in care coordination, case management, health navigation, or community health, with some supervisory experience preferred Knowledge of medical terminology, insurance processing and healthcare workflows Knowledge of local community resources, behavioral health services, and insurance programs is preferred. Ability to write reports, maintain documentation, and communicate effectively with diverse stakeholders. Demonstrated ability to build relationships with patients, families, and external agencies. Thorough understanding of HIPAAs regulations, requirements, and guidelines. Bilingual Spanish/English highly desirable. Familiarity with electronic health records and managed care requirements. Standard Job Duties: Provide advanced care coordination and case management for patients, including complex mental health and primary care needs. Supervise and mentor care coordinators, providing guidance, training, and performance feedback. Ensure timely outreach to patients upon referral by clinical departments. Evaluate patient care needs and coordinate referrals to the appropriate healthcare providers and community resources. Facilitate referrals to community and state resources, ensuring alignment with care plans and clinician recommendations. Support uninsured patients in accessing insurance and financial assistance programs. Educate patients about Center's services, including Behavioral Health, Internal Medicine, Family Medicine, Dental, and specialty care, and coordinate necessary referrals. Maintain and oversee documentation for HEDIS, Risk Stratification lists, and other quality metrics. Represent the health center in community programs, service systems, and partnership meetings to enhance referral networks and patient attribution. Develop and maintain comprehensive community resource guides for staff and patients. Lead presentations to internal teams regarding new or updated community resources. Ensure care plans and patient records are accurately maintained in electronic medical record. Participate in committees, educational seminars, and projects as needed. Community outreach/attending events; collaborate with external healthcare agencies Travel between health center sites as required. Ensure compliance with infection control policies and procedures according to professional, state, and federal guidelines. Provide leadership and direction to care coordinators. Conduct performance evaluations and provide ongoing coaching and professional development. Assist in staffing, scheduling, and workflow management for the care coordination team. COVID-19 considerations: Employees of First Choice Health Centers must be vaccinated against COVID-19. Certain exemptions may apply. First Choice is a drug-free workplace. Candidates are required to pass a drug test, including marijuana testing, before beginning employment. First Choice is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.
    $21-30 hourly 2d ago
  • Care Coordinator

    Stride Community Health Center 4.2company rating

    Aurora, CO jobs

    Job DescriptionDescription: At STRIDE Community Health Center, we're dedicated to more than just providing healthcare, we're committed to making a lasting impact on the lives of our patients and the communities we serve. As one of Colorado's largest Federally Qualified Health Centers, we offer comprehensive services, including primary care, dental, pharmacy, behavioral health, health education, and outreach, across our 13 clinics in the Denver Metro area. With over 35 years of serving our community, our growing team is at the heart of this mission. We believe healthcare is about more than treating illness; it's about fostering wellness and addressing the unique needs of every person, ensuring that no one is left behind. If you're passionate about making a meaningful difference, thrive in a collaborative environment, and are ready for a career that transforms lives, including your own, STRIDE is the place for you. General Purpose: As a vital member of the care team, Care Coordinators support the organization's quality and value-based care efforts through coordination of internal and external services, referral management, and basic health education interventions. Essential Duties/Position Responsibilities: Coordinates internal and external services for patients in collaboration with the care team. Utilizes evidence-based screening tools to identify and document social determinants of health (SDH) and health-related social needs (HRSN) and provides resources and referrals to internal and external partners best equipped to address identified barriers. Knows and maintains the database of community resources available to STRIDE's patient population. Documents and communicates in a “closed loop” fashion with both patient and care team from initial interaction to closure of the episode or completion of goals. Conducts patient interaction(s) with respect, collaboration, and confidentiality utilizing basic principles of motivational interviewing when appropriate. Provides basic health education using evidence-based educational resources from nationally recognized sources or the Electronic Health Record and refers patients to appropriate internal or external resources for further education and support when indicated. Manages internal and external referrals in accordance with organization policies, procedures, and standards including maintenance of the referral partner database, referral processing, follow-up with external agencies and providers to “close the loop”, retrieving and indexing reports. Contributes to population health efforts including targeted outreach and scheduling of patients based on specific criteria such as the presence of a chronic condition, wellness visit due, preventative health needs, recent emergency department or hospital visit, or at provider/organization request. Follows departmental standard workflows. Supports quality improvement activities including those informed by external partners, payors, accreditors, and regulators as assigned. Completes all other duties as assigned. Requirements: STRIDE Values Integrity: Doing the right thing even when no one is watching. Compassion: Meeting patients where they are with empathy. Accountability: Following through on our commitments. Respect: Valuing human dignity. Excellence: Embracing a growth mindset and striving for continuous improvement. Education and Experience Required: High school diploma or GED. Required: Active BLS certification. At least 1 year of direct or indirect support of patient care or related experience. At least 1 year of experience in a community health or Federally Qualified Health Center setting is preferred . Knowledge, Skills and Abilities Additional language proficiency highly desired. Ability to interact positively and build rapport with patients, coworkers and/or external contacts. Ability to respond to the needs and concerns of the full range of STRIDE's diverse patient population effectively and sensitively. Ability to handle sensitive information ethically and responsibly. Ability to protect the confidentiality of patient, employee, and business information. Ability to discern information from others in a variety of formats and communicate information to others in a manner that helps them understand instruction. Ability to work independently in a manner that ensures accuracy and efficiency. Ability to demonstrate empathy with potential cultural and diversity dynamics. Ability to utilize advanced customer service skills, including the ability to diffuse upset patients. Miscellaneous Requirements COVID-19 Vaccination Annual Influenza Vaccination At STRIDE Community Health Center, we value a strong and collaborative work environment. To ensure a successful integration into our team, we implement a 90-day probationary period for all new employees. This timeframe is designed to evaluate performance and assess cultural alignment within our organization. It offers both the employee and the employer the opportunity to determine if the role is a mutual fit, promoting long-term success and satisfaction in your career with us. Join our dedicated team and contribute to our mission of providing quality health care to our community! We offer a competitive hourly range of $20.67 - $24.03, depending on your experience. This range reflects STRIDE's good faith estimate of potential compensation at the time of posting. The final salary for the selected candidate will be determined based on several factors, including experience, education, budget, internal equity, specialty, and training. Why STRIDE? Join us for a fulfilling career with a comprehensive full-time benefits package that promotes professional growth, well-being, and financial security, including: Medical, dental, and vision coverage Paid time off (PTO) and holidays Health Savings Account (HSA) and Flexible Spending Account (FSA), including dependent care options 401(k) with matching Work-life balance NHSC Loan Repayment Tuition reimbursement and/or Continuing Medical Education (CME) No nights, weekends, or major holidays Employee Assistance Program (EAP) Employee Discounts on top attractions, hotels, more STRIDE conducts background checks, including criminal history, education, license and certification. STRIDE is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to any characteristic protected by law. STRIDE complies with the Americans with Disabilities Act, providing reasonable accommodations as needed. Health and Safety Commitment: To ensure the safety of our patients, staff, and communities, all new hires at STRIDE must receive an annual flu shot or provide an exemption, as well as undergo tuberculosis screening and testing. Application submission closing date: 12/29/2025
    $20.7-24 hourly 3d ago
  • Care Coordinator I or II

    Sea Mar Community Health Centers 4.4company rating

    Managed care coordinator job at Sea Mar Community Health Centers

    Job Description Sea Mar Community Health Centers, a Federally Qualified Health Center (FQHC) founded in 1978, is a community-based organization committed to providing quality, comprehensive health, human, housing, educational and cultural services to diverse communities, specializing in service to Latinos in Washington State. Sea Mar proudly serves all persons without regard to race, ethnicity, immigration status, gender, or sexual orientation, and regardless of ability to pay for services. Sea Mar's network of services includes more than 90 medical, dental, and behavioral health clinics and a wide variety of nutritional, social, and educational services. We are recruiting for the following position: Sea Mar is a mandatory COVID-19 and flu vaccine organization Care Coordinator I or II - Posting #27392 Hourly Rate: $21.88 - $22.63 Position Summary: Full-time Care Coordinator position available for our Olympia Medical Clinic. The Care Coordinator is responsible for being part of a clinical care team and enhancing quality and patient-centered care. This is accomplished by assessing gaps in care for patients with chronic conditions and/or mental health needs and creating a plan with the clinical care team during daily huddles. Will assist patients with medication management, access to insurance, and help identify any other preventive health needs. Will also assist patients with ongoing self-management goal setting utilizing Motivational Interviewing skills. Strong computer skills are necessary to be able to track patient's adherence with their plan of care in electronic charts. This position also requires that the Care Coordinator facilitate team meetings so organization skills and effective communication skills are needed. Duties and Responsibilities: Participate in morning huddles to anticipate the patient's clinical, social and behavioral health needs. Work with the care team to identify gaps in care and work to resolve them using process improvement strategies. Provide brief interventions at point of care to assist patients with management of their chronic illness, address any social needs and link patients to behavioral health. Advocate for patient services with community, social service, and medical providers. Participate and coordinate care transitions for patients who have been seen in an emergency room and/or have been discharged from a hospital/long-term care facility. Track patient's adherence with plan of care in electronic or paper charts and communicate outcomes and recommendations to the primary care provider. Function as a point person within the clinic care team regarding chronic disease management and improvement activities to improve clinical quality measures. Organize monthly Health Home meetings by working with the Clinic Operations Team/Clinic Manager, create the agenda and help facilitate the meeting. Collaborate with clinical care team to improve Patient-Centered Medical Home processes and provide documentation demonstrating performance. Review the medical record for quality and utilization indicators according to the Quality Improvement Plan. Generate reports for care teams to identify areas of improvement and monitor sustainability of each quality measure. Other duties assigned as needed. Qualifications and/or Experience: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Must be able to work independently, prioritize workload, and meet deadlines. Must have critical thinking skills and maintain confidentiality. Excellent organizational skills and ability to handle a variety of tasks simultaneously. Knowledge of medical terminology and/or behavioral health topics. Strong decision making and prioritization skills. Ability to work respectfully and professionally with the community, patients, families and staff. Able to work effectively in a multi-cultural environment with a diverse population. Sympathetic, mature, responsible, and reliable. Strong patient engagement, interpersonal, and communication skills and ability to establish a therapeutic relationship with the patient. Knowledge, Skills, and Abilities Knowledge of the Patient-Centered Medical Home Model and motivational interviewing skills a plus. Knowledge of evidence-based standards of care for chronic conditions and behavioral health issues. Knowledge of and proficient in Microsoft Word, Excel, PowerPoint, and Outlook. Ability to utilize and document relevant patient information the Electronic Health Record. Knowledge of community resources. Ability to work in a fast-paced community health care setting. Ability to think analytically and problem solve in a multidisciplinary team and independently. Ability to deal effectively with difficult people and situations. Ability to communicate effectively with diverse communities. Ability to manage time effectively and prioritize tasks. Ability to analyze patient care data. Ability to identify client learning needs and to assess client's knowledge, skill level and readiness for learning. Ability to maintain the privacy and security of sensitive and confidential information in all formats including verbal, written and electronic; and adhere to policies and procedures related to local, state, and federal privacy requirements. Excellent communication and customer service skills. Critical thinking skills. Ability to understand and implement process improvement activities. Bilingual in English/Spanish is strongly preferred. Education, Certificates, Licenses, and Registrations For Care Coordinator I, must have Medical Assistant Training with one or more years of experience in a community health setting or family practice, or, one or more years of equivalent experience. Current licensure is not required for this position. For Care Coordinator II, must be an LPN with experience in ambulatory care and/or have a BA/BS/BSW in health-related field with one year of experience working in community health, or, 4 years of equivalent experience. The LPN does not have to have an active license; this is a non-licensed position. This position must obtain CPR within 90 days of hire date and is required to maintain current CPR throughout employment. NCQA (National Committee for Quality Assurance) Certification is a plus. Valid WA State Driver's License and proof of liability insurance. What We Offer: Sea Mar offers talented and motivated people the opportunity to work in a dynamic and growing community health organization. Working at Sea Mar Community Health Centers is more than just a job, it's a fulfilling career with opportunity for advancement. The fringe benefits surpass most companies. For example, Full-time employees working 30 hours or more, receive an excellent benefit package of: Medical Dental Vision Prescription coverage Life Insurance Long Term Disability EAP (Employee Assistance Program) Paid-time-off starting at 24 days per year + 10 paid Holidays. We also offer 401(k)/Retirement options and an exciting opportunity to work in a culturally diverse environment How to Apply: To apply for this position, complete the online application and click SUBMIT or APPLY NOW. If you have any questions regarding the position, email Yasin Moussaoui, HCA at ****************************. Sea Mar is an Equal Opportunity Employer Posted 03/07/2025 External candidates are considered after 03/12/2025 This position is represented by Office and Professional Employees International Union (OPEIU). Please visit our website to learn more about us at *************** You may also apply through our Career page at ***************************************** Powered by JazzHR D4kMZPGp5f
    $21.9-22.6 hourly Easy Apply 18d ago

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