Care Coordination Jobs Near Me - 807 Jobs

6 Month Contract Hybrid: Rancho Cucamonga We are committed to providing exceptional healthcare services and support to our community. We are seeking a dedicated and detail-oriented Medical Coordinator to join our team in a hybrid role, combining remote work with in-office responsibilities in Rancho Cucamonga, CA. Job Description: As a Medical Coordinator, you will play a crucial role in ensuring the smooth operation of our medical services. You will be responsible for coordinating patient care, managing medical records, and supporting our healthcare professionals. Your goal is to provide excellent service to our patients and ensure that all administrative tasks are handled efficiently. Key Responsibilities: Checking Referrals for completeness Communicate with Providers regarding authorizations, modifications, denials and other correspondence. Coordinate patient appointments, referrals, and follow-ups. Manage and update patient medical records and ensure confidentiality. Assist healthcare professionals with administrative tasks and patient care coordination. Communicate with patients, families, and healthcare providers to ensure seamless care. Handle patient inquiries and provide information about medical services. Ensure compliance with healthcare regulations and standards. Maintain accurate and organized records of all medical and administrative activities. Requirements: 3 years of data entry experience AA degree preferred Requires knowledge of ICD-9/10 and CPT Codes Managed care or physician's office experience Proven experience in a medical administrative role or similar position. Strong organizational and multitasking skills. Excellent communication and interpersonal skills. Familiarity with medical terminology and healthcare regulations. Proficiency in using medical software and electronic health records (EHR) systems. Ability to work independently and as part of a team. High school diploma or equivalent; additional qualifications in healthcare administration or related field will be a plus.

Job Description Ascend Healthcare is committed to providing fully integrated, quality psychiatric and behavioral health services in a compassionate, convenient, and affordable manner. We work with external partners to provide services to patients across the country through integrated psychiatric medication management, substance use disorder treatment, counseling services, peer support and care coordination for seamless patient care. We believe in a "no wrong door" treatment model which finds ways to say "yes" to any patient referral rather than a multitude of exclusionary criteria found elsewhere. This approach reflects our values of improved patient and clinician experience, better outcomes, and lower costs. About us: Ascend Telehealth brings a professional, collaborative, and rewarding workplace culture towards our goal to create a profound impact on diverse communities. What we do: Our providers treat all mental health and substance use disorders to a patient population of age 6 and up. Our philosophy is to incorporate all areas of care into a patient's well-being. We believe in a "no wrong door" treatment model that finds ways to say "yes" to any patient referral rather than a multitude of exclusionary criteria found elsewhere. Position Summary: We are looking for a Psychiatric PA-C or PMHNP to provide psychiatric and substance use disorder treatment to our patients. Services will be provided remotely, through telemedicine, to patients of our Community Health Center partners throughout the United States. We are a "say yes" first clinical provider and look to treat patients where they are and guide them along their journey to recovery and stabilization. *Providers must have an active, unrestricted medical license in state of primary residence and Oregon State. Key Areas of Ownership: Psychiatric Diagnostic Evaluations for General Mental Health and Substance Use Disorder across all age spectrums. Psychopharmacological management of all psychiatric diagnosed treatment conditions Data Waivered (or willingness to learn) to provide medication-assisted treatment to those with OUD in active withdrawal or recovery. Supportive psychotherapy, motivational interviewing and proficiency in trauma informed approach, harm reduction modeling and patient-centered treatments. Demonstrate proficiency and care coordination between psych, substance use tx and medical integration. Direct support for scheduled and walk-in patients Completion of validated rating scales documentation and treatment plans to assist in determining level of care. Care coordination for patients including psychological testing, medical referrals, resources, peer supports, housing and other social determinants otherwise identified. Direct involvement with multidisciplinary team including PCP's, Pediatricians, OB/GYN, counseling, peer support staff and care coordinators. Qualifications: Active and unrestricted Medical License in state of primary residence and state of medical services being provided 2+ years of experience as a Psychiatric Advance Practice Provider (Required) DEA License Bilingual- English and Spanish (preferred) A patient-first mindset Comfortability to work in fully-remote environment Physical Requirements: This is a fully remote position but may require in-person attendance as company needs arise. Please be aware the below physical requirements should be considered prior to applying to the position: Prolonged Sitting: Ability to sit for extended periods during working hours. Manual Dexterity: Good hand-eye coordination and manual dexterity for using a computer keyboard, mouse, and other office equipment. Visual Requirements: Adequate vision for reading computer screens and documents. Communication: Clear verbal and written communication skills for virtual meetings and correspondence. Hearing: Sufficient hearing ability for participating in phone calls or virtual meetings. Work Environment: Access to a quiet, dedicated workspace free from distractions with reliable internet connectivity. Perks Monthly Bonus Program Medical, Dental, Vision, Life and LTD benefits PTO + Company Holidays Yearly CEU Stipend Collaborative Environment Remote-first setting Clinician Owned and Operated Job Type: Full-time Salary: $150,000-$160,000 with primary residence in Oregon Monthly Bonus Program Benefits: 401(k) 401(k) matching Dental Insurance Flexible schedule Health insurance Life insurance Paid time off Professional development assistance Vision insurance Ascend Healthcare is an equal-opportunity employer. All qualified applicants will receive consideration for employment without regard to age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition, national origin, physical or mental disability, political affiliation, protected veteran status, race, religion, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable laws, regulations and ordinances. Ascend Healthcare participates in conducting comprehensive background checks and drug screenings for all potential employees as a contingency to gaining employment status.

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 will be the primary care manager for a panel of members with low-to-medium complexity medical/behavioral needs. Care coordination activities will focus on supporting member's medical, behavioral, and socioeconomic needs to promote appropriate utilization of services and improved quality of care. Expect to spend about 50% of your time in the field visiting our members in their homes or in long-term care facilities. You'll need to be flexible, adaptable and, above all, patient in all types of situations. If you are located in Maricopa County, AZ you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: Engage members face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs Develop and implement person centered care plans to address needs including management of chronic health conditions, health promotion and wellness, social determinants of health, medication management and member safety in alignment with evidence-based guidelines Partner and collaborate with internal care team, providers, and community resources/partners to implement care plan Provide education and coaching to support member self-management of care needs and lifestyle changes to promote health Support proactive discharge planning and manage/coordinate Care Transition following ER visit, inpatient or Skilled Nursing Facility (SNF) admission Advocate for members and families as needed to ensure the member's needs and choices are fully represented and supported by the health care team 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: 2+ years of case management experience serving members determined to have a Serious Mental Illness (SMI) 1+ years of case management experience serving elderly and/or persons with physical or developmental disabilities 1+ years of experience with MS Office, including Word, Excel, and Outlook Access to reliable transportation and the ability to travel within assigned territory to meet with members and providers Preferred Qualifications: Bachelor's degree in Psychology, Special Education, or Counseling CCM certification Experience working in team-based care Experience in Managed Care Social Work experience Bilingual Physical Requirements: Ability to transition from office to field locations multiple times per day Ability to navigate multiple locations/terrains to visit employees, members and/or providers Ability to transport equipment to and from field locations needed for visits (ex. laptop, portable printer, other materials, etc.) Ability to remain stationary for long periods of time to complete computer or tablet work duties *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. 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.

Chronic Care Manager (LPN) Fully Remote Sweeten Health (via Phamily) We are seeking a compassionate and patient-centered Licensed Practical Nurse (LPN) to join our care team as a Chronic Care Manager. This fully remote position plays a key role in supporting patients with chronic conditions by providing proactive, ongoing care coordination and education. Ideal candidates are highly organized, strong communicators, and committed to making a difference in patients day-to-day lives. Position Details: Position Type: Full-time, 40 hours/week Schedule: MondayFriday, no evenings or weekends Compensation: $22.00/hour (non-negotiable starting rate) Work Environment: Fully remote (see tech requirements below) Qualifications: Active LPN license (required) Own Windows-based computer with webcam (tablets/iPads not supported) Reliable home Wi-Fi connection Previous remote work experience preferred Strong interpersonal and organizational skills Benefits: Paid Time Off (PTO) & Paid Holidays Fully remote role with weekday-only schedule 401(k) eligibility after 1 year of full-time employment Key Responsibilities: Conduct comprehensive patient assessments to develop individualized care plans Collaborate with interdisciplinary care teams, including hospitals and primary care providers Monitor patient health status and facilitate follow-up care Educate patients and families about self-management, medications, and available resources Maintain accurate and timely documentation in compliance with regulatory standards Advocate for patient needs and coordinate services to ensure continuity of care Application Requirements: To be considered, applicants must: Acknowledge the starting rate is $22/hour Confirm use of a personal Windows computer with webcam (no tablets/iPads) PI867138b3c305-25***********0

*About Us* Telemynd is a leading national mental health platform dedicated to providing accessible and high-quality care to individuals, couples, and families. We prioritize the well-being of our clients and are committed to supporting our providers in delivering exceptional care. Our mission is to improve lives through compassionate and ethical practices while ensuring compliance with industry standards. We are currently seeking licensed therapists to join our diverse network of providers. At Telemynd, we handle the administrative tasks allowing you to focus solely on providing excellent care to your clients. From insurance verification and billing to marketing, initial appointment scheduling or support, we have you covered. *Compensation & Benefits:* * Providers achieve 90% of their desired caseload within 30 days * $71+ per initial session and $65+ for all other 90837 appointments (53-minute session) * Prompt and reliable weekly direct deposits, with no unpaid claims concerns * You receive payment for all billable sessions conducted * Flexible schedule - you decide how much time you allocate to Telemynd clients *Why Choose Telemynd?* Join one of the best and most reputable teletherapy group practices in the country. Telemynd offers a host of benefits to help you achieve your income goals while delivering top-notch care. * *Flexibility:* Set your own schedule, determine the number and type of clients you prefer, and adjust as needed. * *Quick client onboarding:* Telemynd expedites the credentialing process, allowing you to start seeing clients in as little as 2 weeks. We provide comprehensive training on our guidelines and ensure HIPAA compliance. * *Steady client referrals:* We fill your calendar consistently, enabling you to maximize your income while working with clients aligned with your specialties. * *Comprehensive practice support:* We manage the administrative aspects of your private practice, including marketing, insurance verification, invoicing, and billing. Our dedicated Support team is always available to assist you and your clients. * *Clinical leadership and support:* Our executive team includes licensed providers who actively contribute to business decisions, ensuring your perspective is valued. Our Care Coordination team manages Higher Level of Care requests, and our Quality Team of licensed clinicians provides peer reviews, develops practice guidelines, and offers clinical training resources. * *Compliance and ethics:* We adhere to HIPAA and 42 CFR Part 2 regulations. Our Medical Records team handles all releases, audits, and record requests. We maintain strict compliance with professional Code of Ethics and regulatory requirements. * *Outcome-focused approach:* We continuously measure client outcomes and therapeutic alliance, providing real-time data to help you understand progress and adjust treatment plans accordingly. * *Thriving provider community:* Join our exclusive online community for providers to connect, share resources, and participate in weekly live peer-to-peer case consultations led by a licensed clinician. We offer drop-in provider workshops three times a week to address client-specific questions or assist with your professional growth. *Benefits* * Health, dental, vision, and life insurance coverage available through our partnership with Stride. *Minimum Requirements* * Must hold a valid LMFT, LCSW, LPC or PsyD * Licensure in Virginia is required * Proficient in providing telehealth services * 1 year of Independent licensure required _#VALPC_ Job Types: Full-time, Part-time, Contract Pay: $100,000.00 - $150,000.00 per year Education: * Master's (Required) Experience: * post licensure : 1 year (Required) License/Certification: * LCSW, LPC, PSYD, LMHC, LMFT (Required) Work Location: Remote

Job Description Who we are Rula is a comprehensive behavioral health solution, dedicated to making mental health care work for everyone. Rula takes a patient-first approach, where treatment is more accessible, personalized, and effective. With Rula, it’s easy to find a high-quality therapist or psychiatric clinician who accepts insurance and is actively accepting new patients. We are deeply committed to providing high-quality care that improves the lives of patients, investing in the providers who deliver that care, and always operating in an ethical and compliant manner. What we're solving Over 65 million Americans have a treatable mental health issue — that’s 1 in 5 people. Today it’s difficult to find a provider, and for those with complicated conditions, it’s nearly impossible to find coordinated care. There’s a good chance someone close to you could have used the help, even if it wasn’t obvious to the people around them. We’re here to fix this. Our mission Rula's mission is to make mental healthcare work for everyone. Minimum qualifications: 1+ years as a psychiatric nurse practitioner with experience with mental health assessment, diagnosis, triage, managing common psychiatric medication and treatment plans, and managing crisis situations An unrestricted license and valid DEA number registered in the state you’d like to work with Rula. Click here to view the list of states in which we're currently seeking to partner with new providers. Independent licensure and/or working with collaborating MD, as required by state law Certification as a Psychiatric Mental Health Nurse Practitioner (PMHNP) by the American Nurses Credentialing Center (ANCC) Registration with state Prescription Monitoring Program (PMP) No suspension/exclusion/debarment from participation in federal healthcare programs (e.g., Medicare, Medicaid, SCHIP) No adverse actions by any nursing board, hospital or other credentialing body in the past 3 years A master's or doctoral degree from an accredited university or graduate program in psychiatric mental health nursing The ability to provide telehealth Compensation details: Per session payment of $120 per initial visit (60 min) and $80 per follow-up visit (30 min) Additional $40 payment for 90833 coding Direct deposit every two weeks with no need to worry about unpaid claims No-show protection: Rula pays you 100% of your time even when the patient no-shows, cancels late, or the claim is denied As an independent contractor, the amount of time you allocate to working with Rula is entirely up to you! The opportunity: This is an independent contractor (1099) opportunity. If you are looking for an employed (W2) position, you can follow this link to apply for an employed Nurse Practitioner role in California. We are looking for licensed psychiatric mental health nurse practitioners (PMHNP) to join our diverse network of contracted providers. Contracting with Rula is free of charge, has no minimum client requirements, and enables you to deliver high-quality patient care while also achieving your income goals. At Rula, we handle the administrative work (new client marketing, verifying insurance, credentialing, billing, support, EHR, audits, and compliance) so that you can focus on delivering great care for patients. You will: Provide clinical assessments for patients seeking mental health care including diagnostic assessments, psychiatric workups, and treatment planning including medication management Work with individuals who are struggling with mental health issues such as depression, anxiety, trauma, and addiction Have access to our EHR & telehealth platform Receive support from our Support and Care Coordination teams Have adequate time to engage with patients - half-hour sessions for follow-up visits and 1 hour for initial consultations Be free to focus on patient care. Rula Mental Health takes care of all the credentialing, billing, and marketing Our clinic offers: Flexibility: You set your own schedule and determine how many patients you would like to see. You can adjust this at any time. See patients quickly: Rula takes care of the insurance credentialing process. With your help, we can get you paneled and ready to see patients in as little as 3 weeks. This includes setting up your Rula profile and educating you on our guidelines and HIPAA-compliant EHR system. Practice support: We manage the administrative side of private practice, including marketing, verifying client insurance benefits, and handling the invoicing/billing process so you can accept insurance without ever interacting with it directly. Further, we have a dedicated Support team so you and your patients have the help you need when you need it. Clinical leadership: Rula's executive team includes a licensed provider engaged in business decisions and planning, ensuring the provider perspective is always included. Fully compliant and ethical: We are fully compliant with HIPAA and have a Medical Records team to handle all releases, audits, or record requests. Our practices align with your professional Code of Ethics and all regulatory requirements. Clinical support: Our Care Coordination team manages Higher Level of Care requests for your patients. *When applying, please enter your first and last name exactly as it appears on your DEA license

Join Cartwheel to help tackle the student mental health crisis. Kids spend most of their days in the classroom. And teachers and staff, who play a vital role in their development, are often the first to notice when something is off. But with 1 in 5 young people struggling with mental health, schools are getting crushed by a downward spiral in student crises and staff burnout. With large increases in federal funding for schools and the rise of telehealth, schools are reimagining what mental health support can look like. Cartwheel is an early-stage startup building technology-enabled mental health services that put schools at the center. We see our role as supporting on-campus counselors, psychologists, and school social workers who see kids every day. Instead of going around them, we collaborate with them. This means: Earlier intervention Higher student and family engagement in care Better coordination among the trusted adults in a student's life Kids shouldn't just aspire to get out of bed and drag themselves to class. They should be able to experience joy. They deserve to envision and build a life they're excited to live. If you join Cartwheel, you'll help make this vision a reality for millions of students across the country. We're backed by top investors including Menlo Ventures, Reach Capital, General Catalyst, BoxGroup, and Able Partners, and we're looking for mission-driven teammates to join our team. ABOUT THE ROLE Cartwheel is a successful and growing telehealth platform revolutionizing access to mental health care for schools, students, and families. We work with over 200 school districts to provide life-saving mental health services to a diverse population. We're scaling quickly - from about 1,500 therapy sessions per week across 12 states today to more than double the number of sessions across 20 states in the next year. As Cartwheel's Director of Care Operations, you will oversee Cartwheel's operations supporting clinicians, schools and families. You will build Cartwheel's Provider Support and School Support functions and you will oversee Cartwheel's existing Care Coordination function and team of 20 people that supports students and families. You will design and implement improvements to drive efficiency and to improve the quality of our care operations and you will continuously strive to implement smart automations and responsible AI initiatives. Role type: This is a W2, Full-Time, Salaried position Location: Remote in the U.S., with quarterly in-person offsites Start date: Summer 2025 WHAT YOU'LL DO In your first 30 days, you'll: Get to know your team and learn the ins and outs of Cartwheel's processes Get up to speed on Cartwheel's growth plans and strategic priorities, and the role of Care Operations in achieving our mission Become proficient in the systems we use, including Cartwheel portal, Healthie, Apero, Guru, Talkdesk, Freshservice, Asana, Slack and Google Suite Start identifying gaps and process improvement opportunities across existing provider, school and family support functions Ongoing, you will: Build and oversee Cartwheel's Provider Support function in partnership with Clinical Leadership Build and oversee Cartwheel's School Support function in partnership with School Success leadership Oversee Care Coordination function Manage our existing team of 20 including care coordinators, senior care coordinators, lead and manager and covering Outreach, Care Ongoing, and External Referrals functions Ensure the team is achieving metrics and SLAs and operating at highest quality Establish and implement a strategic vision for Care Operations Define and measure success for the Care Operations team Implement a consistent, centralized platform for managing support needs (e.g., ticketing system like Zendesk) Implement innovative solutions to automate issue resolution Continually evaluate performance and drive process improvement as we scale nationally Oversee all customer support and complaint management workflows, ensuring timely and high quality resolution to all complaints, escalations and task Partner with leaders cross-functionally to achieve business priorities, particularly Clinical, School Success, Technology, and People Metrics you will be responsible for include: Ticket resolution time across provider, school and family support needs Volume of tickets or responses closed % of tickets or responses automated Care coordination metrics, including time to care, conversion to care, and team efficiency metrics (appts scheduled, caseload, etc.) This is a starting list and we will be looking to you to help define the success of this function. Additionally, many of the metrics overseen by this function will be highly cross-functional, and we will look to the Director of Care Operations to effectively collaborate cross-functionally to drive performance. WHO YOU ARE Embodies our values: Human, Humble, Accountable, Innovative, Resilient Has 7-10+ years of operations experience with a focus on healthcare operations and/or customer support functions Strong preference for experience building a customer support function and/or implementing ticketing systems in a high growth technology startup Drive to automate workflows and implement responsible AI solutions Thrives in a world of rapid startup growth Achieves quality results quickly and prioritizes outcomes Uses data to drive decisions, and has a keen understanding of dashboards and metrics In the face of competing priorities, prioritizes and moves forward without getting stuck Seamlessly transitions between strategic thinking and hands-on operations Most importantly, you're ready to support our mission and drive core care operations functions that will help tens of thousands of students and families nationwide get the mental health care they need WHY YOU'LL LOVE CARTWHEEL Our hope is that Cartwheel will be your best career decision! In addition to tackling one of the biggest challenges of our time, at a company well-positioned to do so, you'll have: Competitive compensation between $130,000 - $160,000 Equity ownership stake in the company High-quality health insurance with a $0 monthly premium option for employees Dental, Vision, and Employer-Sponsored Life Insurance Flexible PTO + 1 week office closure in December Sick Leave + Holidays 401K with up to 2% employer match $500 annual educational stipend Team-based culture with mission-driven colleagues who will go to bat for you In-person retreats Cartwheel is proud to be an equal opportunity employer. We embrace diverse backgrounds and perspectives and an inclusive work environment. We're committed to equal employment opportunity regardless of race, color, religion, ancestry, national origin, gender, sexual orientation, disability status, or veteran status.

Porch Light Health is looking for a licensed Nurse Practitioner or Physician Assistant with certification in Psychiatry to work virtually to support our patients via telehealth to our clinics across Colorado and New Mexico. We are an outpatient provider of addiction medicine services with offices throughout Colorado and New Mexico. Psychiatric experience is preferred. You will be joining a team of providers, led by addiction-certified physicians, delivering care to an underserved population. Looking for a Medical Provider that is empathetic, non-judgmental, works well on teams, understands the harm reduction approach when it comes to treating substance use disorders and psychiatric illness, and can work within certain prescribing parameters. We are professional, agile and collaborative team. The right candidate will be willing to be cross trained in delivering Medication for Addiction Treatment (MAT). Clinical Setting: Virtual/telehealth to support our patients for our clinics across Colorado and New Mexico Must currently reside in Colorado or New Mexico Qualifications: Completes medication and health education to include but not limited to informed consent, benefits, risks, side effects, and alternative treatments for medications ordered, health/wellness management, metabolic risk reduction strategies . Competent and comfortable with conducting Telemedicine technology appointments- both for intake and follow up encounters Completion of an accredited Psychiatric Mental Practitioner program, required Current Licensed Practitioner with full and unrestricted licensure in the state of practice (CO and NM) and active state DEA License required EMR systems: 1 year (Preferred) Job Duties: The Psychiatric Practitioner provides direct client care, including assessing, diagnosing, planning, and prescribing pharmacologic and non-pharmacologic treatment of health problems, health promotion and preventive care within this specialized area of practice Performs psychiatric diagnostic evaluations to determine diagnoses, treatment strategies, and care coordination needs for clients with mental health, substance use, or other psychiatric and medical needs Provide all psychiatric and/or medical services within reasonable and expected medical standards, timelines, and in conformance with all requirements imposed by the applicable health licensing boards Applies medical knowledge and skills to the process of diagnosis, prevention, and treatment of illnesses Maintain timely, complete, accurate and legible medical records for all patients evaluated and treated by the Practitioner in organization medical record system Performs timely, concurrent, accurate clinical/billing documentation meeting professional standards in compliance with State and Federal regulations, clinical necessity, and appropriate coding standards Performs pharmacologic treatment strategies, orders medications, monitors, and evaluates progress on psychiatric and/or other medications Order, obtain and assess appropriate laboratory tests and diagnostics. Base clinical decisions on laboratory interpretation Assures timely access to care, demonstrates flexibility in scheduling to fully meet client needs, and meets applicable productivity standards The Provider will assume client care responsibilities inclusive of psychiatric evaluation, professional diagnoses and prescribing and/or administering treatment Collaborates with MD or DO for challenging or complex cases Remain in compliance with state laws and regulations for Psychiatry, including meeting supervised hour requirements, CME, and completing appropriate assessments in timely manner with supervising physician Benefits: 401(k) 401(k) matching Dental insurance Health insurance Vision insurance Paid time off Incentive Bonus Schedule: 4-10 hour shifts or 5-8 hour shifts M-F Day and Evening shifts Pay: $118,000-$135,000 per year. The base salary offered will depend on various factors such as Education, Experience, Geographical Location, skills, and qualifications, as well as internal equity. remote work

Job Details Corporate Austin - Austin, TX Fully Remote $19.00 - $19.00 HourlyDescription Job Title: Care Navigation Representative Job Type: Full-Time Work Arrangement: Remote Company Overview: At Soluta-Boon-Chapman, Prime Dx a dynamic and innovative software and TPA organization, we are dedicated to delivering cutting-edge solutions to our clients. As we continue to expand and evolve, we recognize the critical role of human resources in driving our success. To strengthen our capabilities and ensure alignment with our strategic goals, we are seeking a highly skilled and experienced Care Navigation Representative to join our team. Position Overview: As a Care Navigation Representative, you will play a critical role in supporting members through complex medical journeys by coordinating imaging, surgical procedures, and related care services in a fully remote capacity. This role is highly member-focused and involves proactive outreach calls, responding to inbound inquiries, and handling a variety of administrative responsibilities. You will act as a central point of contact, ensuring a seamless and supportive experience for members by coordinating with healthcare providers, Care Navigation nurses, internal departments, and client Human Resources teams. In addition to helping members understand and access their benefits, you will be responsible for travel coordination, medical record follow-up, documentation, and various support tasks that enhance the overall member experience. This position requires a high level of empathy, organization, and communication skills, and is ideal for someone who thrives in a fast-paced, healthcare-focused environment. Benefits: Competitive salary Full benefits package including healthcare, dental, vision, 401(K), paid STD & life insurance and more Paid holidays & competitive PTO that increases with tenure Professional development opportunities Casual everyday dress Access to an on-staff Medical Director for employees and their families About You: You thrive in a fast-paced environment where you strive to exceed expectations and succeed. You have excellent verbal and written communication skills, are organized, curious and have an eye for detail. You're excited by the opportunity to join a fast-growing company with unlimited opportunities for growth and competitive benefits. Does this sound like you? If so, Prime Dx could be the place for you! Member Communication and Support: Provide benefit information and compassionate support to member's while addressing their inquiries, concerns, and informational needs. Serve as the primary point of contact for members, offering guidance on medical records request and benefit information. Job Responsibilities: This position primarily supports the Care Navigation Team through telephonic communication with members who are potential candidates for medical procedures, imaging, or other services. Conduct outbound member engagement calls to discuss upcoming procedures, imaging or physical therapy needs, and provide benefit guidance. Respond to inbound member and provider inquiries related to Care Navigation services and benefits. Support and collaborate with Care Navigation Nurses in care coordination efforts. Coordinate administrative logistics such as booking hotels and flights for members traveling for procedures. Order gift baskets (welcome, get well) and maintain associated vendor communications. Request and follow up on medical records from provider offices to ensure timely coordination of care. Document all member engagement and communication in appropriate systems with accuracy and attention to detail. Verify member deductibles and out-of-pocket status to support benefit explanation and care planning. Send Surgical Coordination Notifications to client Human Resources contacts as needed. Maintain and organize invoices, receipts, and related documentation for Care Navigation expenses. Communicate professionally with internal departments including Boon-Chapman Customer Service and Claims for eligibility and claims-related inquiries. Ensure all activities comply with HIPAA and internal confidentiality policies. Perform other administrative and support duties as assigned. Requirements: Proven experience in a healthcare setting, preferably involving surgical or procedural coordination, patient navigation, or care management. Exceptional verbal and written communication skills, with a compassionate, service-oriented approach and the ability to engage and educate members in a clear and supportive manner. Strong organizational skills and meticulous attention to detail, with the ability to manage multiple priorities in a fast-paced environment. Working knowledge of medical terminology, ICD-10 and CPT coding, surgical procedures, and standard patient care workflows. Self-motivated and reliable with the ability to work independently in a fully remote setting while collaborating effectively across a distributed team. Proficiency with technology including EHR systems, telehealth platforms, and virtual communication tools; comfort navigating multiple systems simultaneously. What We're Looking For (Nobody's Perfect, but Experience is a Plus!): Proficient with all standard office equipment, including Microsoft Word and Outlook Call center experience Ability to plan, coordinate, prioritize, and manage a large volume of telephone calls daily, both inbound and outbound

DEPARTMENT OF CHILD SAFETY The Arizona Department of child Safety (DCS) is a social and human services agency whose mission is to successfully partner with families, caregivers, and the community to strengthen families, ensure safety, and achieve permanency for all Arizona's children through prevention, services, and support. HEALTH PROGRAM MANAGER 2 Job Location: CLINICAL COORDINATION RN 3003 N Central Ave Phoenix, AZ 85012 Posting Details: Salary: $37.0192 HRLY/$76,999.94 Salary Grade: 21 Closing Date: Open until filled Job Summary: The Clinical Coordination RN is responsible for the oversight of delivery of clinical healthcare services for one or more of the following comprehensive clinical programs: Quality Management and Performance Improvement (QM/PI), Medical Management (MM), Behavioral Health (BH), Maternity and Family Planning (Mat and FP), Children's Rehabilitative Services (CRS), and Early Periodic Screening Diagnostic and Treatment (EPSDT). This position develops policies and procedures to ensure compliance with federal and state laws, and with Arizona Health Care Cost Containment System (AHCCCS). The Clinical Coordination RN provides technical assistance to DCS Comprehensive Health Plan (CHP) managers, administrative, and clinical staff. This position may offer the ability to work remotely, within Arizona, based upon the department's business needs and continual meeting of expected performance measures. The State of Arizona strives for a work culture that affords employees flexibility, autonomy, and trust. Across our many agencies, boards, and commissions, many State employees participate in the State's Remote Work Program and are able to work remotely in their homes, in offices, and in hoteling spaces. All work, including remote work, should be performed within Arizona unless an exception is properly authorized in advance. Job Duties: Performs oversight and care coordination for health care utilization management, prior authorization, concurrent hospital review, and medication authorizations (specialized course of treatment or regular care monitoring) for children, including children with qualifying chronic health/medical conditions in foster care throughout the state of Arizona. Participates with case managers, DCS Specialists, and Medicaid in the service coordination of high risk/highly complex cases, which may involve evaluation of healthcare immediate jeopardy cases. Administers statewide AHCCCS mandated programs (QM/PI, MM, CRS, Mat and FP, or EPSDT) which includes process and policy development, reporting, auditing, correspondence, training, and program compliance. Represents DCS CHP in external meetings (such as Child and Family Team (CFTs), and community initiatives) and other activities with DCS Specialists, caregivers, AHCCCS, health home/medical home (Primary Care Physicians, pediatricians), and other DCS CHP Unit Managers. Interprets and applies statutes, regulations, and AHCCCS policy and rules; develops reports, policies, correspondence, and other written materials of a complex and professional nature. Participates in identifying and addressing systemic issues using the DCS Management System; participate in policy/procedure development. Provides technical assistance to DCS CHP Senior management, Medical Directors, Unit Managers, and staff; responsible for staff development for non-clinical medical services. Other duties as assigned as related to the position. Knowledge, Skills & Abilities (KSAs): Knowledge of: Healthcare, service authorizations (in particular pediatric health conditions), utilization review and coordination of health services Health care administration as it relates to children in foster care AHCCCS/Medicaid rules and policies with respect to children's health, and health plan operations Clinical standards of care and the recognition of quality of care issues Skills in: Oral and written communication Clinical problem-solving Computer programs including Microsoft Excel, Word, and Outlook Ability to: Plan, organize, and administer clinical care coordination and oversight for children Navigate Arizona's systems of care, the foster care system, and related agencies Maintain confidentiality of member information in accordance with applicable standards and regulations Identify problems, analyze situations, and rectify concerns Work under pressure in a high pace environment Selective Preference(s): Experience with state and Medicaid rules and policies with respect to children's health, and health plan operations. Pre-Employment Requirements: Active Arizona RN License; in good standing with AZ Nursing Board The ability to secure and maintain clearance from the DCS Central Registry The ability to secure and maintain an Arizona Fingerprint Clearance Card If this position requires driving or the use of a vehicle as an essential function of the job to conduct State business, then the following requirements apply: Driver's License Requirements. All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify). Benefits: The State of Arizona provides an excellent comprehensive benefits package including: Affordable medical, dental, life, and short-term disability insurance plans Top-ranked retirement and long-term disability plans 10 paid holidays per year Vacation time accrued at 4.00 hours bi-weekly for the first 3 years Sick time accrued at 3.70 hours bi-weekly Deferred compensation plan Wellness plans By providing the option of a full-time or part-time remote work schedule, employees enjoy improved work/life balance, report higher job satisfaction, and are more productive. Remote work is a management option and not an employee entitlement or right. An agency may terminate a remote work agreement at its discretion. Learn more about the Paid Parental Leave pilot program here. For a complete list of benefits provided by The State of Arizona, please visit our benefits page Retirement: Positions in this classification participate in the Arizona State Retirement System (ASRS). Enrollment eligibility will become effective after 27 weeks of employment. Contact Us: Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by contacting ************ or by email at *************. Requests should be made as early as possible to allow time to arrange the accommodation. Should you have any further questions regarding the interview process you can reach out to a member of our recruitment team at ************ or by email at ********************. The State of Arizona is an Equal Opportunity/Reasonable Accommodation Employer.

A Behavioral Health Therapist at Centre (Child and Family position) is needed to help us in our endeavor to build the healthiest community in the nation … one person at a time. The Mission: At SummitStone Health Partners, we strive to foster trust, empower recovery, and inspire hope to strengthen and enrich our Northern Colorado community. We need your help to make this vision a reality. We are building a team who believes in providing crucial services at crucial times, helping the people in our community at their most vulnerable - particularly those who are often overlooked and underserved. We Embrace Our Diversity Come As You Are: A core value here at SummitStone. We want you to be your authentic self while at work, so we welcome and actively seek team members of different backgrounds, identities and experiences. SummitStone is committed to fostering a diverse and inclusive environment, honoring each individual's whole self by embracing differences in race, ethnicity, ability, age, gender, sexual orientation, spiritual beliefs, socioeconomic status, language and the inherent intersections of many different identities. We invite everyone to share our journey and are proudly an equal opportunity employer. Experiences and Backgrounds We Look For If this sounds like your calling, then we want to help you succeed, grow, and thrive at SummitStone. Location: Fort Collins Colorado at our Centre location Status: Full Time, Hourly, 40 hours per week Shift times: On-site, daytime hours, also available 2 evenings a week until 7pm; option for 2 days remote work after first months What You'll Do: As a Behavioral Health Clinician, participate as a member of the service delivery team to provide a range of behavioral health services including mental health and addictions individual and group treatment. This position will see clients of all ages yet will primarily work with children 4-26 and their families. Willingness to provide family interventions is a must. We are looking for individuals who enjoy working within a team, well-versed in Evidence Based Treatment practices, and are seeking to grow their clinical skills in a fast-paced environment. Diversity, equity, and inclusion are core values at SummitStone Health partners; this clinician must have a commitment to an inclusive and equitable working environment for clients, colleagues, and our community. This clinician will enrich the team's diverse experience by broadening the range of ways of understanding and engaging with our communities through culturally responsive service to others Essential Duties: Provide outpatient treatment services to clients ages 5 and up. Direct client care to include care coordination, behavioral health related screenings and assessments, individual and group therapy, brief therapy, case management, and related clinical services. Trained in and use Evidence Based treatment models for a range of mental health and substance use disorders including Play Therapy, family therapy, CBT, DBT, and Motivational Interviewing. Provide on-going assessments, crisis intervention and case management to clients and their families. Develop and monitor service plans, treatment progress, and maintain timely clinical documentation and other reporting data. Have a strong understanding of how to adapt service delivery to meet the client's needs. Collaborates with other staff in a treatment team model by providing, planning, developing, implementing, and evaluating clinical services. Maintains superior customer service for internal and external customers by providing information and answering questions/requests in timely matter. Perform other duties as assigned. Required: Master's degree in social work, counseling, psychology, or related field from an accredited College or University and registered with DORA as a Candidate working towards licensure as LPC, LCSW, or LMFT. Experience or coursework in working with children. Proficiency in using computers and telehealth systems. Experience working with children 4+ and families or willingness to provide treatment to children 4+ and their families. Two evenings a week required. Preferred: At least one year of experience in the behavioral health field. Licensure (LPC, LCSW, or LMFT), CAS or LAC. Experience with Trauma-Informed Care. 1 year of experience providing play therapy and family interventions. Addictions Counselor training/certification or willingness to pursue. Bilingual/Bicultural. Some positions include driving a company vehicle and require a valid Colorado driver's license. Start With Yes At SummitStone, we show up not only for our clients, but for our staff as well. You will be joining a team of committed professionals who believe in the power of starting with “yes” - where an unparalleled level of teamwork and support can solve any challenge. We believe that people can and do recover, but we also know that they can't always do it on their own. That's where you come in. If you have any or all of these qualities, we want you to consider us for your next career move: You believe in being a voice for behavioral health in Northern Colorado You embrace equity for your clients, teammates, and partners. Collaboration and creativity are crucial to helping you solve problems. You show up as your genuine self to help guide others through their toughest times. Through continuous curiosity, exploration, and reflection, you're eager to adapt and learn. All clinical staff at SummitStone Health work within a highly collaborative team environment. Our team-based model of care provides a safe, inclusive, and healing environment that builds on the capacity for resiliency and recovery in the children, adults, and families we serve. SummitStone provides clinical supervision toward licensure at no cost to the employee, and reimburses any fees required for licensure. We believe in continuous improvement and provide training and development opportunities to staff, as well as select certification opportunities. You will find an unprecedented level of support, guidance, and opportunities for professional growth in this role. Our teams use innovative, cutting edge, and evidence-based approaches to treat clients along our continuum of care. Come join us and make a deep and meaningful impact on the communities we serve. Our Behavioral Health Therapists have access to exceptional training opportunities in evidence-based practices and support in gaining and keeping licensure and addictions certification: Receive supervision toward clinical licensure (i.e. LCSW, LPC, LMFT, LAC) and/or certification (i.e. CAS) at no cost to the employee. Receive reimbursement for obtaining clinical licensure (i.e. LCSW, LPC, LMFT) and/or certification (i.e. CAS) in addition to base pay increase Have the opportunity to participate in specialized clinical certifications (i.e. EMDR, etc.) Total Rewards The hiring range: Master's Level Unlicensed: $58,011 - $69,618 annually Master's Level Licensed: $66,040 - $79,217 annually Based on relevant years of experience. Outcomes and Benefits We know that most people aren't just searching for a job, they're searching for a career. But more than that, they're searching for a sense of belonging and purpose. Whether you're at the start of your journey or you already know where you want to be, you will have access to a level of support and teamwork that is uncommon in the field of behavioral health today. Along with that, positions are eligible* for range of benefits including:

** SIGN-ON BONUS $1,500K ** Are you looking for a workplace that values your well-being and supports your family life? Look no further! At Children's Hope Alliance, we believe in creating a supportive and inclusive environment for all our employees. Here are some of the fantastic family-friendly perks we offer: Parental Leave: We understand the importance of family time. Our generous parental leave policy ensures you can cherish those precious moments with your new addition. Military Reserve Pay: We proudly support our employees who serve in the military reserves. Bereavement Leave: In times of loss, we stand by our employees. Our bereavement leave policy provides the time you need to grieve and be with your loved ones. Work-Life Balance: We believe in a healthy work-life balance. With flexible working hours and remote work options, we help you manage your professional and personal life effectively. Birthday PTO: Celebrate your special day with a day off on us! Enjoy your birthday with family and friends, making memories that last a lifetime. Apply today and take the first step towards a fulfilling career with us! Our Parent Company Mission Hope, Health and Healing for Generations. Summary This position supports the new and innovative Child Focused Assertive Community Treatment Team. Child ACTT is a team-based multi-disciplinary approach to serving kids in their homes, kinship placements, foster homes, or may begin during a transition from a more restrictive residential setting or hospitalization. Child ACTT is primarily community based, however some flexible office based work will be required. This is an exciting new service in North Carolina, with the goal of helping children with severe emotional disturbances stay in their home environments successfully. Principal Duties and Responsibilities Specific duties and responsibilities: Clinical Duties Provide individual, family, and group therapy to clients using clinical models and modalities approved by the agency and the service definition for children and adults who are being referred to mental health and substance abuse services. Conduct Comprehensive Clinical Assessments, Person Centered Treatment Plan Meetings, Screening Tools, comprehensive crisis plans, and all clinical documentation duties as required. Participate in daily/weekly client staffings, team meetings and trainings, and work cohesively with other members of the ACTT team to insure the most appropriate and highest quality care is given to the children and families served. Provide support and training to clients and staff related to behavioral strategies and interventions through the use of evidenced-based models. Coordinate care for client / families as needed. Participate in 24/7 on-call crisis response. Core Competency: Analytical Skills Therapist demonstrates an ability to review, interpret, and include client assessments in case conceptualization of treatment plan. Includes internal and external CCA's, PCPs, Medical Evaluations, and Psychological Testing. How will competency be measured? At hire review of staff member's first client admission for evidence that inclusion of collateral information is included in client assessment, progress notes, and treatment plan. Annual review of 5 client records for evidence that inclusion of collateral information is included in client assessment, progress notes, and treatment plan. Administrative Duties Complete documentation required including progress notes, treatment plans, service authorization requests, and clinical intakes, routine surveys/assessments, and other required clinical documentation when applicable. Submit clinical assessments, clinical addendums, internal transfer documentation, clinical conference notes, and client discharge paperwork within designated time frames set by the agency protocols. Utilize EHR to track client engagement; and to interactively document and communicate with the treatment team Assist with care coordination needs for client and family; working with support staff and outside resources as needed. Miscellaneous Duties Other duties as assigned by supervisors. Utilize telehealth, electronic health record, TEAMS, and other electronic resources as needed. Supervision responsibilities: Meet supervision requirements to maintain good standing with professional licensure board. All employees have the following expectations: Mission: Contribute to and enhance company mission Organization: Prioritize and plan work responsibilities appropriately Professional Development: Attend and/or successfully complete all required trainings and meetings Timeliness and Accuracy: Perform quality work within given deadlines and expectations with or without direct supervision Professionalism: Comply with all applicable policies, practices, and procedures; report all out-of-compliance and unsafe activities to supervisor; interact professionally with other employees, volunteers, families, children, and the community Teamwork: Serve effectively as a team contributor on all assignments Communication: Utilize effective communication skills both verbally and in writing; provide effective feedback and is receptive to feedback Leadership: Work independently while understanding the necessity for communicating and coordinating work efforts with other appropriate individuals Cultural Competence: Is sensitive to the cultural, ethnic and religious views of the children and families served, and in community and public contact. #INSJ Requirements: Education and Experience Requirements The position requires a Master Degree in a Human Service or related field plus one year of experience with a similar population. The position also requires a valid NC licensure LCSW, LMFT or LCMHC and LCAS. Associate level licensed professionals may be considered for this position. Requires knowledge and the ability to practically implement mental health regulations and clinical services. Requires effective communication, decision making, analytical, interpersonal, leadership and professionalism skills and abilities. Must have basic computer and math skills. Must have a valid North Carolina's Driver's License. Must submit to and pass pre-employment drug screening, criminal, HCPR and driving checks. Must submit insurance and registration documentation if utilizing personal car for work related transports. Physical Requirements The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit, use hands and fingers, handle or feel objects, tools, or controls, talk, and hear. The employee is frequently required to reach with hands or arms, stand, walk, climb or balance, stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 30 pounds. Specifics vision abilities required by this position include close, distance, color, and peripheral vision, depth perception, and the ability to adjust focus. Physical functions which are considered essential to the satisfactory performance of the job include the following: public speaking, reading, typing, writing, using the telephone, driving. Duties may be performed indoors, outdoors, or in varying home environments. Acknowledgement I have read the above job description and understand the position requirements and job responsibilities. I have had the opportunity to ask questions and seek clarification regarding the expectations. I understand that nothing in this or any other document is a contract for employment and that all employees are employed at-will. Salary expectations: New employees are generally hired at the midpoint of the posted salary range. However, the exact salary may vary depending on factors such as qualifications, internal equity, and the budget allocated for the role. Children's Hope Alliance is an Equal Opportunity Employer.

Current Saint Francis Colleagues - Please click HERE to login and apply. The System Care Coordinator (SCC) works in collaboration and partnership with colleagues, patients, and their caregivers, as well as clinic, hospital and community partners to achieve project goals and objectives. Using a defined process, the SCC identifies Social Determinates of Health needs of pregnant and postpartum women creating a patient centered, individualized plan for navigation into partner programs, scheduled follow-up contact to reassess need and collect qualitative data (client stories), and routing women through the care system for up to one-year post-pregnancy. The SCC will manage and track referrals by leveraging an electronic closed loop referral system. Additionally, the SCC will compile, analyze and report site specific data which will be used to identify trends, improve workflow and contribute to quality improvement conversations. The SCC works with the team to ensure successful replication of Clinical-Community Integrated Care Coordination model which may include sharing project outcomes and attending educational opportunities. JOB DETAILS AND REQUIREMENTS Type: Full Time (80 hours per 2 week pay period, with benefits) Typical Hours: Day Shift, Monday - Friday Education: -Graduate of an accredited school of nursing- required -Bachelors of Science in Nursing degree- preferred Certification/Licensure: - Currently licensed to practice as a Registered Nurse in the State of Missouri- required -BLS Certification- required - Valid driver's license and ability to travel to various locations throughout the Missouri Bootheel- required Experience: - At least two (2) years of nursing experience- required - Ability to work independently and exercise sound judgment in interactions with physicians, colleagues' patient members and their families - Excellent interpersonal communication and negotiation skills as well as effective oral and written communication - Demonstrated leadership skills - Strong analytical, data management and computer skills - Strong organizational and time management skills, as evidenced by capacity to prioritize multiple tasks and role components - Experience working in interdisciplinary teams Additional Requirements: - Nursing, perinatal health education and outreach preferred - Experience in public health and cultural competency preferred - Community resource knowledge preferred - Working knowledge of the Missouri Bootheel and its socio-economic issues- preferred - Must be able to set up a home office and meet the SFMC telecommuting expectations for remote working - Must have access to reliable internet * This is a grant funded position. ADDITIONAL INFORMATION Saint Francis Healthcare System provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, or genetics. In addition to federal law requirements, Saint Francis Healthcare System complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. In compliance with the ADA Amendments Act (ADAAA) should you have a disability and would like to request an accommodation in order to apply for a currently open position with Saint Francis Healthcare System, please call ************ or email us at ***********. Saint Francis Healthcare System supports the overall health and wellness of our colleagues by discouraging the use of tobacco and nicotine products. If you are selected for a career opportunity with our organization, and are a tobacco or nicotine user, you will be required to complete a tobacco/nicotine cessation program within your first year of employment. This program is free of charge as part of our Employee Assistance Program.

Candidates hired for remote positions must reside in Oregon, Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Clinical Operations Manager Department Clinical Operations Exemption Status Exempt Requisition # 24994 Direct Reports Team Supervisors and Support Staff Manager Title Director, Clinical Operations Pay & Benefits Estimated hiring range $ 135,420 - $165,520 /year, 5% bonus target, full benefits. ******************************************** Posting Notes This is a fully remote position, but you must reside in one of the listed 9 states. The schedule is Monday - Friday, with the opportunity to move to a 4/10 schedule in the future. Job Summary This position is responsible for managing multiple clinical and non-clinical teams and resources. Areas of oversight include prior authorizations, referrals, concurrent review, and durable medical equipment (DME). This includes the development and implementation of program standards and procedures, monitoring program impact, and ensuring effectiveness and integrity. This position works closely with other managers across the organization to ensure collaboration, integration and support of organizational activities and goals. Essential Responsibilities Operational Management * Oversee the operational and clinical functions of multiple teams. * Work collaboratively with department leaders to oversee program standards and procedures and to monitor program impact and effectiveness on the health, experience, and cost of care for the membership. * Lead teams in setting and fulfilling established goals and objectives. * Develop and implement utilization programs and services to ensure the use of CareOregon resources meet medical appropriateness and least costly alternative criteria; this entails oversight of multi-million-dollar costs of services. * Ensure policies and procedures meet CareOregon/Division of Medical Assistance Program (DMAP) contracting requirements and the Centers for Medicare and Medicaid (CMS) requirements. * Ensure program compliance with DMAP, CMS, and other relevant regulatory bodies that oversee health plan operations. * Ensure integration of work between program functional areas; manage changes across teams and communications within CareOregon and between partners, providers and members. * Act as a technical and operational resource to program supervisors. * Ensure unit work is performed in coordination with other relevant CareOregon departments; service as a liaison and collaborator with multiple teams including provider customer service, claims, appeals and grievances, population health, information systems, and others. * Keep current on standards for health plan operations related to utilization and case management. * Perform on-going analysis of data and information, looking for opportunities for improvement in appropriate utilization of resources. * Frequently communicate with providers and partners to problem solve issues and improve workflows. * Monitor outlier utilization and communicate with Finance department and reinsurer to ensure compliance with contracted reporting expectations. * Collaborate with IS on system performance, improvement and function ability to maximize performance of multiple technology platforms and products, and to provide reporting to internal and external stakeholders. Program Development, Improvement, and Evaluation * Assist in regularly developing programmatic guidelines, and ensure these guidelines are followed. * Identify opportunities for improvement and participate in their development and implementation, including process improvement initiatives. * Develop, utilize and regularly monitor measures/metrics to improve the program's effectiveness and efficiency of work processes. * Create a unit environment that encourages professionalism and teamwork and uses progressive problem solving to meet expectations. Employee Supervision * Manage team and recommend team direction and goals in alignment with the organizational mission, vision, and values. * Identify work and staffing needs to meet work expectations; recruit and hire, using an equity, diversity, and inclusion lens. * Plan, organize, schedule, and monitor work; ensure employees have information and resources to meet job expectations. * Lead the development, communication, and oversight of team and individual goals; ensure goals, expectations, and standards are clearly understood by staff. * Train, supervise, motivate, and coach employees; provide support toward employee development. * Incorporate guidance from CareOregon equity tools into people leadership, planning, operations, evaluation, and decision making. * Ensure team adheres to department and organizational standards, policies, and procedures. * Evaluate employee performance and provide regular feedback to support success; recognize strong performance and address performance gaps and accountability (corrective action). * Perform supervisory tasks in collaboration with Human Resources as needed. Organizational Responsibilities * Perform work in alignment with the organization's mission, vision and values. * Support the organization's commitment to equity, diversity and inclusion by fostering a culture of open mindedness, cultural awareness, compassion and respect for all individuals. * Strive to meet annual business goals in support of the organization's strategic goals. * Adhere to the organization's policies, procedures and other relevant compliance needs. * Perform other duties as needed. Experience and/or Education Required * Current unrestricted RN license for state of Oregon * Minimum 5 years' nursing experience, including at least 2 years in utilization management and/or case management Preferred * Minimum 2 years' experience in a supervisory position or minimum 1 year experience in a supervisory position with completion of CareOregon's Aspiring Leaders Program * Bachelor's degree in Nursing or Masters degree in health related field * Process improvement and project management experience * Health Plan experience, including detailed knowledge of the Oregon Health Plan (OHP) benefit and the Division of Medical Assistance Programs (DMAP) and the Centers for Medicare and Medicaid Services (CMS) rules and regulations * Experience with NCQA Accreditation, certification in Utilization Management (CPUM), Health Care Management (CPHM), Managed Care Nurse (CMCN) or Case Management (CCM) Knowledge, Skills and Abilities Required Knowledge * Advanced knowledge of managed care concepts and principles * Advanced knowledge of health plan regulatory requirements for Medicaid and Medicare managed care plans * Advanced knowledge of basic health plan operations * Advanced knowledge of utilization management concepts, principles and practices * Advanced knowledge of care coordination and case management concepts, principles and practices * Knowledge of principles of organizational change and ability to act as a change agent * Knowledge of disease management and health promotion principles and processes Skills and Abilities * Excellent time management and organizational skills * Excellent reading, oral and written communication skills * Excellent problem solving and decision-making skills * Excellent interpersonal skills * Ability to effectively collaborate with the department's medical directors, leadership and staff, and other stakeholders/customers * Ability to work well under pressure in a complex and rapidly changing environment * Ability to negotiate skillfully and to build consensus * Ability to manage staff, including mentoring staff growth * Ability to oversee services involving substantial costs * Ability to support and comply with organizational policies, procedures and guidelines * Ability to use basic computer programs commonly used for health plan operations * Ability to implement projects and to train staff to new processes and procedures * Ability to develop and implement procedures and program standards * Ability to manage multiple tasks, complex projects, and to delegate as deemed appropriate * Ability to work as an effective team member and leader in a complex and fast-paced environment * Ability to work effectively with diverse individuals and groups * Ability to learn, focus, understand, and evaluate information and determine appropriate actions * Ability to accept direction and feedback, as well as tolerate and manage stress * Ability to see, read, and perform repetitive finger and wrist movement for at least 6 hours/day * Ability to hear and speak clearly for at least 3-6 hours/day Working Conditions Work Environment(s): ☒ Indoor/Office ☐ Community ☐ Facilities/Security ☐ Outdoor Exposure Member/Patient Facing: ☒ No ☐ Telephonic ☐ In Person Hazards: May include, but not limited to, physical and ergonomic hazards. Equipment: General office or mobile equipment Travel: May include occasional required or optional travel outside of the workplace; the employee's personal vehicle, local transit or other means of transportation may be used. Work Location: Work from home #MULTI Candidates of color are strongly encouraged to apply. CareOregon is committed to building a linguistically and culturally diverse and inclusive work environment. Veterans are strongly encouraged to apply. We are an equal opportunity employer. CareOregon considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, or veteran status. Visa sponsorship is not available at this time.

Under close supervision, the Clinical Administrative Specialist I provides clinical administrative support to physicians, nurse practitioners, physician assistants and nurses in their clinical practices in support of the Dana Farber Cancer Institute's mission. The Clinical Administrative Specialist I is a key member of the care team, providing real-time patient information to the clinicians using various communication systems. Following triage guidelines, the Clinical Administrative Specialist I triages patient and caregiver symptom management questions, general requests, and inquiries to the appropriate team member. The Clinical Administrative Specialist I assumes responsibility for various aspects of care coordination and serves as a liaison between patients and clinical staff. Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations. We conduct groundbreaking research that advances treatment, we educate tomorrow's physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals. This position's work location is hybrid with two or three days per week remote. The selected candidate may only work remote days from a New England state (ME, VT, NH, MA, CT, RI). Responsibilities Under close supervision, will perform the following: * Provide clinical administrative support for the department, clinicians, and/or faculty. * Serve as liaison between patients and clinical staff. * Triage incoming patient messages and requests to relevant clinical team members; respond to patient inquiries. * Draft patient correspondence, including letters, disability paperwork, etc. * Request medical records from external institutions. * Management of lab orders. * Distribute incoming patient materials to relevant team members. * May be responsible for data entry. * Provide email and phone communication with internal and external teams or collaborators. * Maintain high level of professionalism, discretion, and confidentiality regarding a variety of highly sensitive topics. * Other duties as assigned. Qualifications Minimum Education: High school diploma required. Bachelor's degree preferred. Minimum Experience: 1 year of relevant experience. License/Certification/Registration: N/A KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED: * Good written and oral communication skills. * Basic knowledge of computer applications including Microsoft Office Suite, Google Suite, Zoom, and Adobe. * Exceptional customer service skills and the ability to interact professionally with peers, leadership, and external contacts. * Must possess the ability to identify and work to resolve problems, maintain confidentiality, and pay attention to detail. * Ability to organize, multi-task, prioritize, and follow-through. At Dana-Farber Cancer Institute, we work every day to create an innovative, caring, and inclusive environment where every patient, family, and staff member feels they belong. As relentless as we are in our mission to reduce the burden of cancer for all, we are equally committed to diversifying our faculty and staff. Cancer knows no boundaries and when it comes to hiring the most dedicated and diverse professionals, neither do we. If working in this kind of organization inspires you, we encourage you to apply. Dana-Farber Cancer Institute is an equal opportunity employer and affirms the right of every qualified applicant to receive consideration for employment without regard to race, color, religion, sex, gender identity or expression, national origin, sexual orientation, genetic information, disability, age, ancestry, military service, protected veteran status, or other characteristics protected by law. EEOC Poster

Job Description FSRI is always looking for candidates that want to make a positive impact on the community we serve in! The Mobile Response Triage Manager will work collaboratively as part of the Emergency Services Team to support recovery and overall wellness of referred clients. The triage manager will triage crisis calls for children and adults and manage the dispatch of mobile crisis teams when appropriate to ensure timely response to requests for service. The triage manager will be responsible for risk assessment, response, and coordination of mobile crisis calls. The triage manager will also be responsible for completing documentation and conducting care coordination activities to support clients and team members. They will act as a liaison with community partners and referral sources to ensure timely communication and response. Will work with the Clinical Director to prioritize calls and create and maintain systems to support client care. Qualifications: B.A. or B.S. degree in social work, psychology, or related field and have a minimum of two (2) years of experience in a human service profession Certified in First Aid/CPR and as a Community Responder (can complete this after hire). An understanding and belief in the recovery process required Must have the ability to work in a fast-paced environment and direct staff Skilled in operating various medical record software and hardware, word-processing, and database software programs Spanish Speaking preferred and is compensated Flexible schedule with potential for evening shifts Excellent multitasking and communication skills a must Ability to work independently and part of a team Bilingual skills are compensated by an additional 6%, above base pay. Multilingual skills are compensated by an additional 8%, above base pay. Physical Requirements: Current driver’s license, reliable transportation, registration and auto insurance Travel to and from clients’ residence, community locations and office site, which could include using walkways, stairs and/or elevators Ability to lift up to 20lbs Must be able to work remotely and in person adhering to PHI requirements Don’t meet every single requirement? Here at FSRI, we’re dedicated to building a diverse and inclusive workplace. If you’re excited about one of our career opportunities, but your experience doesn’t align perfectly with every qualification, we encourage you to apply anyways. You may be the perfect fit for this or another opportunity! We offer our employees a comprehensive benefits package that includes health, dental and work life benefits. Only together can we continue to grow and make a difference in our communities. Join our FAMILY today! About Us: Dynamic and innovative, Family Service of RI (FSRI) is a statewide organization with a 130 year track record of success in improving the health and well-being of children and families all across our state. We are passionate about our mission to advance equity, opportunity and hope across ALL communities – we succeed by lifting others. FSRI’s diverse and inclusive teams – working across Health, Healing, Home and Hope pillars, are experts in their fields – every day designing and delivering cutting edge strategies to save and improve lives. We provide services statewide, and currently operate in 3 locations in Providence; and in 4 locations in East Providence, Smithfield and North Smithfield. Family Service of Rhode Island provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, genetic information, marital status, or status as a covered veteran in accordance with applicable federal, state and local laws. FSRI determines pay based on a candidate's relevant and transferable experience, certifications, licenses, degree and language ability. Powered by JazzHR krm FKNHima

JSSA's Mental Health Services department has an immediate opening for a full-time Care Coordinator to join our growing team in our Maryland office. We are a dedicated team of clinicians and care coordinators committed to providing cutting-edge services, programs, and support for children, adults and families. Responsibilities: Provide care coordination within a Systems of Care framework using a High-Fidelity Wraparound practice approach to children, youth and families with intensive needs who are multi-systemically involved. Serve as a facilitator, advocate, and liaison, working with individuals and their families to identify strengths and needs. Develop an individualized, comprehensive plan of care. Identify services and resources to support the successful implementation of interventions. Provide service referrals and connections. Identify and address gaps in services and supports which prevent the successful implementation of interventions. Position Qualifications: Bachelor's degree in social work, psychology, or a related field required, Master's degree preferred. Minimum of 2-3 years of experience performing the duties outlined above. Minimum of 1-year experience working with children and families with intensive needs, knowledge of resources and community supports in Montgomery County, Maryland, and a commitment to working in a fast-paced team environment. Must be proficient working in a hybrid environment with work being done in the community, in the office and from a home/remote setting and comfortable engaging supervisory and team support. Proficient computer/database skills (Microsoft Office), minimum of 2 years of experience working with an electronic health record or similar technology related to service delivery. Starting pay 52-54K

Start the day excited to make a difference…end the day knowing you did. Come join our team. The Unit Clinical Care Coordinator (Unit C3) is responsible for overseeing the admission process, patient progression, care coordination, and discharge planning within the nursing unit to ensure operational efficiency. Reporting to the Care Coordination department, the Unit C3 acts as the primary liaison between the nursing unit and various stakeholders, including admission sources (e.g., ED, OR), the hub (bed planning) command center, diagnostic and procedural areas, as well as clinical and ancillary teams. This role ensures that patients are progressing according to the care plan, there is efficient utilization management, treatment plans are executed promptly, and discharge planning is appropriately coordinated. The Unit C3 also leads cross-functional collaboration aimed at improving patient throughput, optimizing length of stay, and driving positive patient outcomes throughout the organization. Essential Functions and Responsibilities: Manages, patient progression, care coordination, and discharge planning to ensure optimal system efficiency and continuity of care. Assists unit leadership with unit admission and discharge processes. Conducts admission assessments for designated patient populations to identify patient discharge needs and develops a comprehensive discharge plan addressing those needs, potential barriers, and readmission risks. Collaborates with ancillary services (e.g., PT, OT, Social Work) as needed to ensure a well-rounded and effective plan. Leads the clinical care team, including nurses, physicians, social workers and ancillary staff in daily SNAP huddles to align discharge goals. Identifies and addresses any barriers to patient progression and discharge, ensuring timely and coordinated care. Manages documentation of designated patient progression elements in the care coordination software to include the classification, documentation, and resolution of progression and discharge barriers; escalates unresolved barriers to senior leadership via escalation huddle. Ensures timely and ongoing communication of unit capacity status with the Hub to support efficient system throughput and optimal patient flow. Partners with virtual Utilization Review (UR) Nurse to align payor and status requirements with patient's clinical progression; verifies appropriate regulatory letters are delivered to patient and family when indicated. Coordinates patient's plan of care in collaboration with appropriate clinicians for efficient sequencing of care/interventions. Communicates progression and discharge plan to the patient and/or their designated proxy in coordination with the patient's primary care team (RN, physician). Oversees and ensures care team's timely compliance with patient's preprocedural requirements for service department diagnostics and procedures; ensures communication of service event issues with care team. Consults and educates medical and nursing staff on resource utilization, payor requirements, and community resources, while serving as a resource for unit associates on patient progression and care coordination. Performs other duties as assigned Qualifications Associate's degree in nursing, required. Valid RN License from Virginia or reciprocal compact state, required. Minimum of three (3) years of recent acute care nursing experience, required. Bachelor of Science in Nursing, preferred. Charge Nurse or Case Management experience in an acute care setting strongly preferred. ACM (American Case Management) Certification, preferred. Able to work independently, managing time, multiple priorities, and resources to achieve goals. Able to maintain a calm demeanor and command during times of crisis management. Able to assimilate information quickly to produce sound decisions and recognize situations that require immediate intervention. Able to articulate information and ideas clearly through both written and verbal communication. As an EOE/AA employer, the organization will not discriminate in its employment practices due to an applicant's race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.

Do you have a passion for making a real difference in the lives of people living with mental health challenges and disabilities? At Easterseals PORT Health, we're seeking a compassionate and dedicated full-time Supervisor to join our Tailored Care Management team (TCM). As a valued member of our collaborative and supportive team, you will work together to transform the lives of individuals by providing a comprehensive range of services that treat the whole person and empower patients to find their way forward. What You'll Do As the Program Supervisor, you will be responsible for leading and planning TCM program activities, marketing, quality improvement and compliance, team training, as well as monitoring the budget and administrative policies. The Supervisor provides direct supervision of the Port Health team to ensure growth, consistency, and continued financial viability of the program; the ability to multi-task and think outside the box are critical skills to success in this integral team leadership position. The service area of this opportunity is Nash, Edgecombe, Halifax Dare. How You'll Benefit You'll earn a competitive salary between $61,000 and 63,000 depending on skills and experience. This full-time position offers a flexible hybrid schedule to include work-from-home and community-based. Monday-Friday from 8 am-5 pm with flexibility to provide for client and team needs outside of regular business hours. The service area of this opportunity is Eastern North Carolina. We also offer competitive benefits for benefits eligible positions. Our benefits include: Paid time off and paid holidays Medical, Dental, and Vision Health Benefits + an optional Flexible Health Spending Account (FSA) Life Insurance, Disability Insurance and more 403(b) Retirement Plan Employee Assistance Program and Legal services, as needed We provide all work tools We are a Public Student Loan Forgiveness (PSLF) qualifier Professional development and opportunities for staff training What We're Looking For To join our team as the Program Supervisor you must have experience in care coordination, possess top-tier communication skills, be adept at problem solving and de-escalation in times of crisis. We also require: Master's degree in a human service field Full or provisional mental health licensure: LCAS, LMFT, LCSW, LCMHC, or RN Minimum of three years of care management, case management, or care coordination experience Maintain valid state appropriate driver's license and auto insurance for personal and agency vehicles utilized for work If you are a kind, caring leader looking to make a significant impact, we invite you to apply for this position and join our mission of enhancing lives and our community. Apply now via our website: ********************** OR by sending your resume to **************************** About Easterseals PORT Health Easterseals PORT Health is a trustworthy, compassionate partner providing exceptional disability, behavioral health and addiction treatment services to help our neighbors live their best lives. Our diverse and inclusive 2,600-member team provides meaningful support to 40,200 kids, adults and families in 11,000 home, facility and community locations across North Carolina and Virginia. Our working environment supports employee and client health with a ‘no tobacco' use policy (tobacco free and smoke free) in all offices, client facilities, properties, and agency vehicles. We believe that by leveraging the unique strengths and perspectives of our workforce, we can advance our just cause, while building a healthy, sustainable organization. That's why we listen, seek to understand & act to make ESPH an Inclusive Culture, Different Voices, Embracing Potential, Authentic Self & Learning & Growing (IDEAL) organization. Applicants of all abilities are encouraged to apply!