Patient Care Manager and Dual RN
Caretenders
Dublin, OH
The Patient Care Manager and RN Dual role involves supervising and coordinating clinical nursing services for home health patients, ensuring individualized and compliant care in collaboration with healthcare teams. This position requires managing patient referrals, clinician assignments, insurance approvals, and continuous patient assessments. The role emphasizes patient-centered care, leadership development, and work-life balance within a home health care setting. We are hiring a Patient Care Manager and RN Dual role with Home Health experience. At Caretenders Home Health, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve-it truly is all about helping people. You can find a home for your career here. As a Patient Care Manager, you can expect: • opportunities to get closer to patients and provide quality support to your patient-facing teams • to be valued and respected by patients and their families • a sense of security, incredible team support, and flexibility for true work-life balance • leadership development opportunities Our Patient Care Manager and RN Dual role might be a great opportunity if you believe in putting the patient at the center of everything. Apply today! . The Home Health Patient Care Manager is responsible for the supervision and coordination of clinical services and provides and directs provisions of nursing care to patients in their homes as prescribed by the physician and in compliance with applicable laws, regulations, and agency policies. • Provides clinical services within the scope of practice, as defined by the state laws governing the practice of nursing, in accordance with the plan of care, and in coordination with other members of the health care team. • Receives referrals, ensures appropriate clinician assignments, evaluate patient orders, and plot start of care visits. • Coordinates determination of patient home health benefits, medical necessity, and ongoing insurance approvals. • Ensures patient needs are continually assessed and care rendered is individualized to patient needs, appropriate and reasonable, meets home health eligibility criteria, and is in accordance with physician orders. • Reviews assessments and plans of care daily, per assigned workflow, and consults clinicians with recommendations, as appropriate. Current RN licensure in state of practice Current CPR certification required Current Driver's License, vehicle insurance, and access to a dependable vehicle or public transportation Keywords: patient care manager, registered nurse, home health, clinical coordination, nursing care, patient assessments, insurance approvals, healthcare leadership, care plan management, RN licensure$51k-93k yearly est. 6d agoClinical Administrator, Residential Treatment
I Am Boundless
Grove City, OH
Want to make an impact? I Am Boundless is hiring for a Clinical Administrator! Boundless is a non-profit organization specializing in assisting individuals with I/DD and has been serving Ohio for over 40 years. At I Am Boundless, we're on a mission to build a world that realizes the boundless potential of all people. Join our team, which shares a common passion and purpose in empowering our community. Benefits - Why Join Boundless? Financial & Retirement 401(k) Retirement Plan with 5% Employee Matching after Six Months of Employment - Immediately 100% Vested Annual Increases Paid Time Off 5 Weeks of Paid Time Off 8 Paid Holidays Health & Wellness Medical Insurance Free Dental & Vision Insurance Flexible Spending Account (FSA) Dependent Care Account (DCA) Life Insurance & Supplemental Life Insurance Disability Insurance Professional Support Tuition Discount Opportunities with Schools like Capella University & Franklin University A Qualified Employer for the Federal Public Service Loan Forgiveness (PSLF) Paid Training & Development Opportunities Perks & Discounts Employee Assistance Program (EAP) - Counseling, Therapy, Finance, Legal Discount Programs (Ex: Pet Insurance, Movie Tickets, Theme Parks, Costco Membership, etc.) Wellbeing Resources (Up to $50 off Health Insurance Premium Monthly) What You'll Do: As a Clinical Administrator, you'll play a meaningful role in providing direction and leadership in the clinical Treatment provision and clinical operations of the central region's therapeutic residential programs. Service will be provided from a strengths-based lens, leaning into Trauma Informed Care and evidence-based treatment modalities. The Administrator will ensure the provision of high-quality services that are delivered in a fiscally responsible manner in accordance with company mission, vision and values. Working with individuals, clinical staff, parents/guardians, and community-based stakeholders, the Administrator facilitates access to care and addresses barriers. Minimum Qualifications: Applicants must hold a Master's or Doctorate degree in a human services field (e.g., social work, counseling, health care, social services, education, psychology, behavior analysis) Applicants must be a licensed clinician (LISW, LPCC, psychologist) OR certified as a Board Certified Behavior Analyst (BCBA) coupled with Certified Ohio Behavior Analyst (COBA) endorsement Five or more years of experience in the provision of clinical services to individuals with behavioral health issues; preferably experience with co-occurring diagnoses of intellectual/developmental disabilities and/or autism spectrum disorder. Minimum of two years of supervisory and management experience in the human service or health care industry which includes responsibility for the following functions: performance management, supervision of employees, program services, and financial management. Working knowledge of local, state, and federal regulations for services for behavioral health, behavioral analysis, development disability, and autism. At least two years of experience billing services under Medicaid/Medicaid Managed Care and/or OhioRISE. Ability to obtain and maintain certifications in and perform physical crisis management intervention as needed. Ability to obtain and maintain Certifications in First Aid and CPR - adult, child and infant; delegated nursing. Valid driver's license and insurable driving record, if applicable Preferred Qualifications: Preference given to professionals with relevant supervisory designations (e.g. LISW-S, LPCC-S) One year of experience with compliance and quality initiatives preferred. Ready to make a difference? Apply today and join a company where you can realize your Boundless potential! All candidates selected to undergo the pre-employment process will be required to complete a background check, drug screen, and health screen, as applicable for the role. We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law$53k-85k yearly est. Auto-Apply 46d agoMental Health Technician (MHT) Nights
Sun Behavioral Health Group
Columbus, OH
Provides direct and indirect patient care under the direction of a RN or LPN/LVN. Provides for the personal care and comfort of psychiatric patients. Provides a safe, clean environment. Participates in performance improvement and continuous quality improvement (CQI) activities. Position Responsibilities: Clinical / Technical Skills (40% of performance review) Performs and records patient vital signs, intake and output; notifies RN of any changes. Continuously observes patients' behavior, mental status and activities, notifies RN of any changes or unusual occurrences. Demonstrates the ability to identify behaviors that require intervention. Escorts patients when leaving the unit for activities, meals, visitation, and scheduled tests. Able to perform patient safety checks at scheduled times, documents appropriately. Able to assist with restraint (physical hold) of a patient, placing a patient in seclusion under the direction of the RN and utilizing CPI techniques and adherence to policy and procedure. Demonstrates the ability to set limits for patients and other de-escalation techniques. Documentation meets current standards and policies. Answers the telephone in a professional manner, directs calls appropriately, takes messages. Operates equipment safely and correctly Orients patients to the unit, takes admission vital signs and records on the Nursing Assessment Form and/or the EHR. Participates in treatment team meetings. Communicates appropriately and clearly to the Nurse Manager, RNs therapists and physicians. Perform 15-minute observation rounds and documents appropriately. Assists in the orientation of new staff members. Assists with therapeutic educational groups under the direction of the RN or Director of Clinical Services. Responsible for one-on-one observation and constant visual observation for high-risk patients. Responsible for assisting patients needing additional care related to medical needs. Monitors patient's compliance with pre- and post- procedure instructions, including ECT instructions, under the supervision of the RN. Provides general nursing care, i.e., transferring patients, assisting with ADLs, meals. Performs other duties as assigned. Safety (15% of performance review) Strives to create a safe, healing environment for patients and family members Follows all safety rules while on the job. Reports near misses, as well as errors and accidents promptly. Corrects minor safety hazards. Communicates with peers and management regarding any hazards identified in the workplace. Attends all required safety programs and understands responsibilities related to general, department, and job specific safety. Participates in quality projects, as assigned, and supports quality initiatives. Supports and maintains a culture of safety and quality. Teamwork (15% of performance review) Works well with others in a spirit of teamwork and cooperation. Responds willingly to colleagues and serves as an active part of the hospital team. Builds collaborative relationships with patients, families, staff, and physicians. The ability to retrieve, communicate, and present data and information both verbally and in writing as required Demonstrates listening skills and the ability to express or exchange ideas by means of the spoken and written word. Demonstrates adequate skills in all forms of communication. Adheres to the Standards of Behavior Integrity (15% of performance review) Strives to always do the right thing for the patient, coworkers, and the hospital Adheres to established standards, policies, procedures, protocols, and laws. Applies the Mission and Values of SUN Behavioral Health to personal practice and commits to service excellence. Supports and demonstrates fiscal responsibility through supply usage, ordering of supplies, and conservation of facility resources. Completes required trainings within defined time periods, as established by job description, policies, or hospital leadership Exemplifies professionalism through good attendance and positive attitude, at all times. Maintains confidentiality of patient and staff information, following HIPAA and other privacy laws. Ensures proper documentation in all position activities, following federal and state guidelines. Compassion (15% of performance review) Demonstrates accountability for ensuring the highest quality patient care for patients. Willingness to be accepting of those in need, and to extend a helping hand Desire to go above and beyond for others Understanding and accepting of cultural diversity and differences Qualifications Education Required: High school diploma or GED. CPR and hospital-selected de-escalation technique certification. Preferred: Some college classes. Certified Nursing Assistant certification Maintains education and development appropriate for position. May substitute experience for education Experience Required: Previous experience in a healthcare setting Preferred: One (1) year of experience as a behavioral health technician May substitute education for experience$31k-35k yearly est. 6d agoExecutive Director - Drug Rehabilitation Facility
Wealthy Group of Companies
Columbus, OH
Compensation: $125,000-$150,000 base + performance-based bonus We are a dynamic behavioral health organization committed to supporting individuals on their path to recovery from substance use disorders. Our Columbus facility provides structured, Medicaid-funded care for clients seeking effective, evidence-based treatment. While not a luxury program, the facility emphasizes quality outcomes, compassionate care, and operational efficiency. The organization is focused on expanding access to treatment and strengthening its presence in the community while maintaining a supportive environment for both clients and staff. The Executive Director will serve as the senior leader of the facility, responsible for strategic, clinical, and operational oversight. This role requires hands-on leadership to ensure the program runs smoothly, achieves growth objectives, and meets all compliance standards. The ideal candidate will have a strong track record in managing drug rehabilitation programs, particularly those funded by Medicaid, and will be comfortable balancing administrative responsibilities with a focus on client outcomes. There is flexibility to bring a trusted partner or colleague, allowing for joint leadership if the candidate identifies a strong co-leader. Responsibilities: Lead the overall operations of the facility, including clinical services, administrative functions, and support staff. Ensure strict compliance with federal, state, and local regulations related to Medicaid-funded substance use treatment. Develop and implement strategies to grow patient enrollment while maintaining high standards of care. Oversee budgeting, financial management, and resource allocation to sustain and expand operations. Recruit, develop, and mentor a high-performing team, fostering a culture of accountability, collaboration, and client-centered care. Establish and maintain strong relationships with referral sources, community organizations, and other key stakeholders. Monitor program performance and outcomes, implementing improvements to enhance effectiveness and efficiency. Collaborate with leadership to drive operational growth, expand Medicaid services, and support long-term organizational goals. Qualifications: Proven leadership experience managing a drug rehabilitation facility, ideally with Medicaid-based programs. Strong understanding of behavioral health operations, clinical service delivery, and regulatory compliance. Demonstrated success in managing staff, budgets, and operational growth. Experience building or scaling programs within Medicaid frameworks. Exceptional leadership, communication, and organizational skills, with the ability to foster teamwork and engagement. Bachelor's degree required; advanced degree in healthcare administration, social work, or related field preferred. Ability to develop and execute operational strategies while maintaining a high level of client-focused care. Compensation: $125,000-$150,000 base salary, with an attractive performance-based bonus structure aligned with operational and growth goals. Candidates who have a trusted Clinical Director or leadership partner they would like to bring with them are welcome to be considered for a joint leadership arrangement.$125k-150k yearly Auto-Apply 3d agoVice President, Regional Operations
Integrated Services for Behavioral Health
Columbus, OH
We are seeking a Vice President, Regional Operations! Hybrid role, OH Join our team! Integrated Services for Behavioral Health (ISBH) is a community-minded, forward-thinking behavioral health organization helping people along the road to health and well-being. We meet people in their homes and communities and help connect them to the resources they need. We serve Southeastern and Central Ohio with a comprehensive array of behavioral health and other services working with local partners to promote healthy people and strong communities. All of our services are intended to be collaborative and personalized for the individual. The Vice President of Regional Operations provides executive leadership and operational oversight for assigned regions, ensuring high-quality service delivery, strong financial performance, regulatory compliance, and alignment with organizational strategy. This role serves as the primary operational partner to Regional Directors and is accountable for translating strategic priorities into consistent, scalable execution across regions. The salary range for this position is $128,224.00 to $192,336.00 per year based on experience. Essential Functions: Provide strategic leadership and executive oversight to Regional Directors responsible for day-to-day operations and service delivery. Drive operational excellence by ensuring consistent implementation of organizational policies, procedures, and operational standards across regions. Champion of high-quality, person-centered, and compliant service delivery, fostering a culture of accountability and continuous improvement. Identify, assess, and mitigate operational risks by implementing strategies to address access, quality, financial, or performance concerns. Oversee regional financial performance, including revenue, expenses, productivity, and margin targets. Partner with Regional Directors and finance on budget development, forecasting, and financial management. Drive accountability through KPIs, balanced scorecard metrics, and performance benchmarks. Operationalize organizational strategy at the regional level and support service expansion and growth initiatives. Coach, mentor, and develop Regional Directors and senior operational leaders. Ensure compliance with Medicaid, managed care, accreditation, and regulatory requirements. Foster collaboration with centralized departments, including Finance, HR, Quality, IT, and Clinical Services. Represent the organization externally, building strategic partnerships with stakeholders, payers, regulators, and community leaders to advance organizational objectives. Drive innovation and operational transformation, leveraging data analytics, technology, and best practices to enhance service delivery and scalability. Performs other related duties as necessary or assigned. Minimum Requirements: Bachelor s degree in healthcare administration, business, social work, or related field, or commensurate experience required. Master's degree preferred. 10 years of progressive leadership experience in healthcare or behavioral health operations. Demonstrated experience overseeing multi-site or regional operations. Strong financial acumen and experience managing large operating budgets. Experience in Medicaid-funded and managed care environments. Demonstrated success in leading large teams and managing complex organizational structures. Familiarity with outcomes measurement, HEDIS-like metrics, and behavioral health quality improvement. Enjoy a great work environment with an excellent salary, generous paid time off, and a strong benefits package. Benefits include: Medical Dental Vision Short-term Disability Long-term Disability 401K w/ Employer Match Employee Assistance Program (EAP) provides support and resources to help you and your family with a range of issues. To learn more about our organization: ***************** OUR MISSION Delivering exceptional care through connection OUR VALUES Dignity - We meet people where they are on their journey with respect and hope Collaboration - We listen to understand and ask how we can best support the people and communities we serve Wellbeing - We celebrate one another's strengths, and we support one another in being well Excellence - We demand high-quality care for those we serve, and are a leader in how we care for one another as a team Innovation - We deeply value a range of perspectives and experiences, knowing it is what inspires us to stretch past where we are and reach towards what we know is possible We re an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.$128.2k-192.3k yearly 3d agoPRN Hospice Aide
Luminary Hospice
Columbus, OH
Reports To: Director of Clinical Services At Luminary Hospice, we are a mission-driven organization that empowers our team members to shape our culture in order to allow them to provide the highest quality support to patients and families throughout their entire end-of-life journey. Our mission is to deliver personalized care that radiates compassion and preserves dignity for all that we are honored to serve on their end-of-life journey. We are centered on caring for the whole person - with expert medical care, pain management as well as emotional and spiritual support along with resources, information, and emotional support for families and caregivers. About the role: The PRN Hospice Aide is a paraprofessional member of the interdisciplinary group who works under the supervision of a registered nurse and performs various services for a patient as necessary to meet the patient's personal needs and to promote comfort. The hospice aide is responsible for observing the patient, reporting these observations, and documenting observations and care performed. The PRN hospice aide will be assigned in a manner that promotes quality, continuity, and safety of a patient's care. Job Responsibilities: 1. Performing personal care needs after given a patient's assignment and attending to his/her requests promptly. If unable to perform a certain task, report to the Case Manager immediately. 2. Providing patient and family with positive communication techniques, within the realm of ethical and respectful care, including confidentiality. 3. Meeting the safety needs of the patient and using equipment safely and properly (foot stools, side rails, O2, etc.) 4. Giving personal care including baths, back rubs, oral hygiene, shampoos, and changing bed linen as often as assigned. 5. Assisting in dressing and undressing patients as assigned. 6. Planning and preparing nutritious meals, including shopping, as assigned. 7. Assisting in feeding the patient as assigned. 8. Taking and recording oral, rectal, and auxiliary temperatures, pulse, respiration, and blood pressure when ordered with appropriate completed/demonstrated skills competency. 9. Providing proper care and observation of the patient's skin to prevent the breakdown of tissue over bony prominence. 10. Assessing and reporting on the patient's condition and significant changes to the Case Manager. Also aware of the caregiver or other individuals living with the patient and interpersonal issues. 11. Assist in ambulation and exercise as instructed by the hospice nurse or therapist. 12. Provide a normal range of motion and transfers/positioning as directed. 13. Assistance with self-administered medications as allowed by state regulations, such as “reminders.” 14. Offering and assisting with bedpans and urinals. Assisting as assigned with light laundry needs. 15. Performing range of motion and other simple procedures as an extensional therapy service as ordered with appropriate completed/demonstrated skills competency. 16. Providing respite for patient's/family/caregiver when on-site, as appropriate. 17. Keeping the patient's living area clean and orderly, as assigned. 18. Adhering to the organization's documentation and care procedures and standards of personal and professional conduct. 19. Participates in quality assessment performance improvement teams and activities. 20. Respectful of patient and family/caregiver environment and patient's personal needs. The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description. Job Qualifications: 1. Active STNA or CNA (state will dictate) Certification in the state performing job duties. 2. Meets the training requirements of the State. 3. Completed a minimum of 75 hours of classroom and supervised practical training. Sixteen hours of classroom must be completed before a mandatory 16 hours of practical training. 4. At least 18 years of age. 5. Ability to read and follow written instructions and document care given. 6. Understands hospice philosophy and is comfortable providing specialized care to the terminally ill. 7. Satisfactory references from previous employers. 8. Is self-directing with the ability to work with little direct supervision. Secure with issues of death/dying. Provides a calm manner when in a patient's home. 9. Has empathy for the needs of the ill, injured, frail, and the impaired. 10. Possess and maintain current CPR certification. 11. Demonstrates tact, patience, and good personal hygiene. 12. Licensed driver with an automobile that is insured in accordance with organization requirements and is in good working order. 13. Complete a probationary period. This probationary period is to ensure the aide is competent in the above qualifications and is documented by the supervisor and the employee. Physical Demands: 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 frequently required to sit or stand. The employee must occasionally lift and/or move up to 50 pounds. Equal Employment Opportunity: Luminary Hospice is an equal opportunity employer and is committed to creating a diverse and inclusive workplace. We do not discriminate against any applicant or employee based on race, color, religion, gender, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, genetic information, or any other characteristic protected by federal, state, or local laws. We are committed to providing a work environment free from discrimination and harassment, where all individuals are treated with respect and dignity. All employment decisions at Luminary Hospice are based on business needs, job requirements, and individual qualifications. Compensation and Benefits: PRN roles are not eligible for benefits.$27k-35k yearly est. Auto-Apply 60d+ agoSocial Worker SW
Health Systems Management
Remote job
Social Worker - Masters Degree (required) Health Systems Management, Inc. (HSM) is a full-service healthcare management organization providing a full range of development, management, and administrative services for dialysis facilities over the past 35 years in Georgia, South Carolina, and North Carolina. HSM has an outstanding reputation in the renal community for providing high quality patient care and encouraging physician input while maintaining efficient business operations. We are currently seeking compassionate, dedicated, and highly motivated Social Workers to join our dialysis team. Social Worker Responsibilities and Physical Demands: Provides direct and indirect interventions to pre-dialysis and chronic dialysis patients. Provides clinical services in collaboration with the multidisciplinary health care team in order to assist patients in reaching their fullest rehabilitative potential. Communicates with patients and their support system to establish plan of care. Completes comprehensive psychosocial assessment. Assesses family dynamics and need for further interventions. Utilizes appropriate community resources in order to meet patient/family concrete needs. Social Worker Education Requirements and Position Qualifications: Master's degree in Social Work required. Ability to solve practical problems and deal with a number of concrete variables in situations. Must be able to work independently and plan/organize priorities autonomously. Willingness to work a flexible schedule and to fill in when needed. Excellent bedside manner and communication skills. Social Worker Benefits: Extensive Benefits Package to Include:Medical and Prescription Coverage OptionsDentalVisionFlexible Spending AccountShort and Long-Term Disability 401K with Company MatchPaid Time Off - start accruing time on your first day with the company Sign on and referral bonuses for qualified positions Employee Assistance Program for: Family Resources, Counseling, Financial, and Legal GuidancePaid on the job training. The training is a combination of classroom setting and direct patient care. Option to work remotely 1 day per week once training is completed. And more... HSM, INC maintains a drug-free workplace in accordance with state and federal laws. Health Systems Management, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, age, marital status, pregnancy, genetic information, or other legally protected status. Compensation details: 29-42 Hourly Wage PId33af50a027c-26***********0$45k-55k yearly est. Easy Apply 2d agoProgram Director (EAP), Senior - Full-time (Remote U.S.)
Acentra Health
Remote job
Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. Job Summary and Responsibilities Acentra Health is looking for a Program Director (EAP) Senior - Full-time (Remote U.S.) to join our growing team. Job Summary: * As a Senior Program Director, you will be in a key leadership role for managing a sophisticated and complex Employee Assistance Program (EAP) accounts. You will oversee a team, budget and processes and engage customer and matrix Acentra staff directly to ensure best of class projects and services are delivered on schedule and within budget. The Senior Program Director works with customers, functional and matrix managers, and staff to ensure that Acentra Health services and projects are delivered on schedule and within budget, consistent with defined Acentra Health guidelines and processes and with client expectations. In this role, you will also use AI and digital tools to expand EAP access and efficiency. Responsibilities: * Direct, manage, plan, and develop methods and procedures for implementing and managing sophisticated and complex EAP accounts delivering core Acentra Health Services including but not limited to clinical services and EAP and related services for employer and public-sector clients. * Oversee and exercise independent judgment to solve complex clinical, technical, administrative, and managerial problems across EAP operations (Account Management, Call Center Operations, Technology enablement, and Onsite/Clinical Services). * Ensure compliance with contractual requirements within the operation by monitoring critical indicators, deliverables and budgets. For EAP, ensure adherence to SLAs (e.g., speed to answer, first-call resolution, clinical timeliness), confidentiality standards, and client satisfaction goals. * Drive strategic initiatives and contribute to organization growth and innovation by expanding EAP reach, enhancing digital engagement, and advancing employer-focused behavioral health solutions. * Maintain strong, successful relationships with clients and various stakeholders as the executive EAP sponsor, lead client reviews, renewals, and expansion plans in partnership with Account Management. * Drive program activities and exercise control over personnel responsible for specific functions or phases of a program. Lead four direct reports across EAP Account Management, Call Center Operations, Technology, and Onsite/Clinical Services. * Provide program management for complex teams across multiple skill areas and align cross-functional EAP workstreams through a consistent operating cadence and SOPs. * Provide program management on multiple EAP accounts or project portfolio with annual value of more than $30M. * Manage program risk, including pre-launch preparations and day-to-day operational aspects of multiple projects and/or services ensuring contract requirements, deliverables and timelines are adhered to. Execute project activities accurately and on time. For EAP, lead structured implementations (readiness gates, staffing plans, communications) and use AI-enabled analytics for capacity forecasting and early risk detection. * Determine estimated time and financial commitment of project and monitor progress for multiple projects concurrently. Collaborate with Finance and Technology to forecast EAP demand, resources, and productivity targets. * Support and participate in strategic planning to enhance growth, profitability, productivity, and efficiency throughout the company's operations. Collaborate with leadership in the development of new and enhanced policies and procedures. Translate EAP strategy into roadmaps for digital self-service, conversational support, and data-driven clinical pathways. * Participate in cross-regional activities to enhance operating efficiencies and serve as a Subject Matter Expert in EAP operations and employer behavioral health * Partner with customers and analyze issues and problems using EAP utilization trends, outcome data, and client feedback to drive continuous improvement. * Collaborate with senior leadership to align program with business strategy * Develop detailed status reports for both project management team and customer highlighting EAP KPIs (utilization, service levels, satisfaction/NPS, and outcomes). * Lead transformation and critical Acentra Health initiatives that improve overall contract performance including AI-enabled automation, digital triage, and enhanced access to clinical services. * Collaborate with Business Development to support new business opportunities as requested (RFP solution design, orals, and client presentations for EAP offerings). * Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules. The work hours for this role are generally Monday through Friday but may require nights and weekends since the Employee Assistance Program is open 24/7. Qualifications Required Qualifications/Experience: * Bachelor's degree in business, healthcare, nursing, social work or a related field. * 10 years of experience in utilization management, case management, behavioral health and/or pharmacy. * Medicare, Medicaid, or healthcare verticals domain knowledge. * Experience engaging and managing stakeholder relationships across government entities, providers, and associations. * Business development, strategic planning and tactical implementation. * Advanced analytical and problem-solving skills to address program challenges and deliver actionable solutions. * Employee development and performance management experience within the healthcare field. * Effective communication skills and the ability to influence at all levels within the organization and externally. * Leadership skills and ability to influence beyond this role; display strong ability to build credibility and relationships internally and externally. * Proven track record to meet and enforce deadlines, conduct research into issues, and to take initiative in the development and completion of projects. * Proficiency with Microsoft Office Suite (Excel, Word, PowerPoint, Teams) and proven ability to learn proprietary software applications. * Travel up to 15-20%, program dependent. Preferred Qualifications/Experience: * Knowledge of best practice in healthcare operations. * Master's degree (or higher level of education). * Knowledge of government policy and structure. * Knowledge of metrics, productivity measures and reporting. * Knowledge of regulatory agency compliance. * Knowledge of contract development and implementation. * Budget and financial skills. * Able to lead and mange direct reports to achieve contract deliverables. * Aptitude for systems planning and prioritization of tasks * Competent communication skills (written and verbal and listening); uses appropriate interpersonal skills with variety of stakeholders. * Ability to provide supervision to staff that ensures excellent customer satisfaction. * Provide ongoing monitoring and supervision to meet contract deliverables for all operations * Provide data analysis and reporting that meets the contractor's goals of quality care and cost effectiveness in a timely manner. * Provide consultation to contractor on system and policy issues. #LI-SD1 Why us? We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. We do this through our people. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career. Benefits Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more. Thank You! We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search! ~ The Acentra Health Talent Acquisition Team Visit us at Acentra Health EEO AA M/F/Vet/Disability Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law. Compensation The pay for this position is listed below. "Based on our compensation philosophy, an applicant's position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level." Pay Range USD $138,800.00 - USD $173,500.00 /Yr.$138.8k-173.5k yearly 38d agoPharmacy Coordinator - Grady Memorial Hospital
Ohio Health
Delaware, OH
We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities. Summary: This position assists with the planning and implementation of operational and clinical initiatives. Direct involvement in continuous quality improvement, regulatory compliance, safety plan management and daily operations management is required. MINIMUM QUALIFICATIONS AND SPECIALIZED KNOWLEDGE * Bachelor of Science or Doctor of Pharmacy degree from an accredited institution (Required) * Current Ohio pharmacist license (Required) * Years of experience: 5 (Required) * Basic Life Support Certification-current or obtained during the orientation period (unless greater than 50% of scheduled work hours, as determined by the manager, are completed off-site or not in a patient care setting) * ASHP accredited residency or equivalent pharmacy practice experience * Pharmacy Board Certifications or other certifications * Advanced-level degree in healthcare field * Collaborative practice experience * Advanced Cardiac Life Support Certification (may be required to obtain as determined by manager) * Pharmacokinetic drug dosing experience * Drug therapy management Responsibilities And Duties: 40% Clinical and Operational Activities The individual will focus on the clinical workload and operational staffing for the day. Specific activities include: realignment of resources to meet daily workload, re-assignment of staff due to call-offs, clinical services outcomes results and oversight of clinical services program. Reports to be generated as requested by department leadership to quantify and qualify the clinical and operational activities of the department. Other specific areas of focus include formulary and purchasing management. 40% Clinical Quality and Regulatory Oversight The individual must be prepared to oversee the quality and safety plan of the department and work collaboratively with others within the organization to address safety concerns. Activities may include general report analysis, root cause analysis facilitation meetings or trending the safety events within the organization. In addition, the individual must be aware of all regulatory requirements for pharmacy including but not limited to The Joint Commission, Board of Pharmacy, USP, EPA, and DE a . He/She will work in conjunction with the department leadership to ensure compliance within the entire organization. 10% : Committee Facilitation and Organizational Alignment Committee involvement is extensive and in many cases the individuals will chair the committee. Committees include: Medication Management, Pharmacy and Therapeutics, Formulary Sub-Committee, Medication Safety and The Joint Commission Core group. This position will be required work across the system for ultimate success. 10% : Maintenance of Clinical & Operational Skill Sets The individual will continue to have direct patient care not necessarily in contact with the patient t to maintenance competence. Minimum Qualifications: Bachelor's Degree (Required), Doctor of Pharmacy (Required) RPH - Registered Pharmacist - Board of Pharmacy Specialties Additional Job Description: The Pharmacy Coordinator at Grady Memorial Hospital leads clinical pharmacy services, ensuring medication safety and high patient care quality. This role oversees antimicrobial stewardship initiatives, formulary management, and Pharmacy & Therapeutics Committee activities. The coordinator drives continuous quality improvement, regulatory compliance, and operational excellence. Collaboration with multidisciplinary teams and mentoring pharmacy staff are key responsibilities. Advanced clinical expertise and leadership skills are essential for success in this position. Work Shift: Day Scheduled Weekly Hours : 40 Department Clinical Pharmacy Services Join us! ... if your passion is to work in a caring environment ... if you believe that learning is a life-long process ... if you strive for excellence and want to be among the best in the healthcare industry Equal Employment Opportunity OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment$37k-47k yearly est. Auto-Apply 9d agoSenior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (REMOTE) (Exempt) (Non-Union)
Usc
Remote job
As the center of clinical charge capture, the Revenue Integrity (RI) Specialist provides leadership to the daily CDM maintenance workflow between the various entities of Keck Medical Center of USC and monitors the alignment of the various entities to the standard policy for maintaining the CDM. The RI Specialist is responsible for the timely and accurate synchronization of data between the CDM residing in the billing system and CDM management tools . The Senior RI Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. This includes ensuring all annual updates required by Medicare and other third-party payers are up to date. The Senior RI Specialist delivers direction to the documentation of all policies and procedures regarding CDM Maintenance and charge process; and conducts meetings to evaluate department charge processes to improve charge capture and coding compliance. The Senior RI Specialist also coordinates with Keck Medical Center of USC Administration, IS, Compliance, Clinical Informatics and Integration personnel on technology projects impacting charge entry, charge dictionaries, and charge, and provides data derived from multiple entities of Keck Medical Center of USC for the management and support of critical decisions and functions related the Chargemaster, CDM Maintenance, and the improvement of charge capture. As a subject matter expert in the area of compliance and pricing of services, the Senior RI Specialist responds to inquiries regarding Chargemaster issues and is responsible for supervising meetings for projects associated with educating and communicating to clinical revenue generating departmental staff regarding the CDM Maintenance process, coding updates, compliance issues, and charge capture improvement. The Senior RI Specialist works closely with revenue auditors and provides leadership by providing direction to the revenue auditor team to all entities of Keck Medical Center of USC in the research and resolution of requests in a timely manner; and aid in the training and skill development of auditors to maximize available tools for Chargemaster and billing compliance. Essential Duties: Performs maintenance to the Keck Medical Center of USC Charge Description Master (Keck & Norris) ensuring all annual updates required by Medicare and other third-party payers are up to date. Assists the Revenue Cycle in annual coding review and processing of updates. Reviews and process requests for new code additions, code set corrections, revenue code to CPT/HCPCS code mismatch corrections and on-going identified changes for current systems to maintain compliance with both state and federal regulatory agencies. Leads and conducts meetings with Operations Leaders, Revenue Auditors, Clinical Department Staff, and Gatekeepers to address issues involving compliance with government regulations, third party payor needs and industry standards. Acts a subject matter expert for projects that impact revenue integrity and CDM. Subject matter expert to meet and/or communicate with various stakeholders for projects that impacts revenue integrity and the CDM. Takes the lead and exercises significant judgement and discretion on projects that have a broad, organizational impact. Coordinates and provides leadership to Revenue/Chart Audit team associated with research and resolution of account issues related to the CDM, charge capture, and other issues considered to be revenue integrity. Synchronizes CDM data between CDM and CDM Workflow & Management Tool for Keck Medical Center of USC entities on a monthly basis. Imports/extracts data from various sources and in various formats as needed to review, monitor, track, and maintain the integrity of the CDM and associate charge flow process. Provides CDM data as necessary based on identified issues in form of ad-hoc reports. Provides guidance and education to ensure that CDM's and Charge Capture as needed of exist and newly acquired entities (i.e. Verdugo Hills) follow the standards and policies of Keck Medical Center of USC. Performs charge reconciliation activities, industry best practice research, and identifies and deploys charge capture improvement initiatives. Interprets and explains on details of charge services provided as needed. Participates collaboratively with Revenue Cycle and Ancillary team in the development, execution, and follow-up of education programs for USC Administration, Managers and Staff on all issues related to the charge master, charge capture, and new applications related processes. Participates in the development of policies and procedures, monitoring tools for late charges and establishment of procedures for timely and accurate charge capture mechanisms. Enhances professional growth and development Actively participates in team development, contributes to dashboards, and in accomplishing team, departmental, and organizational goals and objectives. Performs other duties as assigned. Required Qualifications: Req Associate's Degree Business Administration, Accounting, Finance, Healthcare Administration, Nursing, or similar/related field. Req Specialized/technical training Certification from an accredited program of Certified Coder (CPC/CCS/COC) or Certificate of Auditing (CPMA) within one year from date of hire. Req 5 years Experience in healthcare field required. Related experience may include a combination of clinical service delivery (nursing or allied health), coding, provider billing, medical records, charge audit environment, CDM maintenance, Medicare/Medicaid reimbursement, managed care contractual arrangements, and patient accounting. Req Experience with inpatient and outpatient billing requirements (UB-04) and CMS Medicare reimbursement methodology. Req Knowledge of other government and third-party payer reimbursement methodology required. Req Must be able to implement a systematic, self-motivated approach to problem solving and be able to identify, coordinate and optimize resources needed to execute plan Req Proficient skills and knowledge in MS Office/ Windows Preferred Qualifications: Pref Bachelor's Degree Business Administration, Accounting, Finance, Healthcare Administration, Nursing, or similar/related field. Pref Experience and knowledge of Hospital charging practices. Pref Healthcare operations experience, particularly in an acute care hospital setting. Pref Current knowledge of the Revenue cycle, specifically the flow of charges in and across hospital billing systems. Pref Previous hospital Chargemaster experience, including the use of CDM Maintenance software (Craneware or Med Assets). Pref Working knowledge of CPT, HCPCs and ICD9 coding principles. Pref Skills and knowledge on the following software: Cerner and Craneware Pref Registered Nurse - RN (CA Board of Registered Nursing) Pref Pharmacy Technician (CA DCA) Required Licenses/Certifications: Req Specialty Certification Certified Coder (CCS or CPC), Certified Outpatient Coder-COC (AAPC) or Certified Auditor (CPMA) obtained within one (1) year of date of hire. Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only) The annual base salary range for this position is $95,680.00 - $158,230.00. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations. USC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other characteristic protected by law or USC policy. USC observes affirmative action obligations consistent with state and federal law. USC will consider for employment all qualified applicants with criminal records in a manner consistent with applicable laws and regulations, including the Los Angeles County Fair Chance Ordinance for employers and the Fair Chance Initiative for Hiring Ordinance, and with due consideration for patient and student safety. Please refer to the Background Screening Policy Appendix D for specific employment screen implications for the position for which you are applying. We provide reasonable accommodations to applicants and employees with disabilities. Applicants with questions about access or requiring a reasonable accommodation for any part of the application or hiring process should contact USC Human Resources by phone at **************, or by email at *************. Inquiries will be treated as confidential to the extent permitted by law. Notice of Non-discrimination Employment Equity Read USC's Clery Act Annual Security Report USC is a smoke-free environment Digital Accessibility If you are a current USC employee, please apply to this USC job posting in Workday by copying and pasting this link into your browser: *************************************************************$37k-51k yearly est. Auto-Apply 10d agoCommunity Health Worker/Promotor(a) de Salud
ZÓCalo Health
Remote job
at Zócalo Health Work from Home (Riverside) (Full Time) Compensation: $29.00 - $31.00 per hour About Us Zócalo Health is the first tech-driven provider built specifically for Latinos, by Latinos. We are developing a new approach to care that is designed around our very own shared and lived experiences and brings care to our gente . Founded in 2021 on the idea that our communities deserve more than just safety nets, we are backed by leading healthcare and social impact investors in the country to bring our vision to life. Our mission is to improve the lives of our communities-communities that have dealt with generations of poor experiences. These experiences include waiting hours in waiting rooms, spending mere minutes with doctors who don't speak their language, and depending on their youngest kids to help them navigate our complex healthcare system. At Zócalo Health, we meet our members where they are, bringing care into their homes and neighborhoods through our team of community-based care providers and virtual care offerings. We partner with community-based organizations, local healthcare providers, and health plans that recognize the value of culturally aligned care, which are not limited to brief interactions in an exam room. Together, we are building a new experience that revolves around the use of modern technology, culturally competent primary care, behavioral health, and social services to provide a radically better experience of care for every member, their family, and the communities we serve. We are committed to expanding our reach to serve more members and their communities. We are looking for passionate individuals who share our belief that healthcare should be accessible, personalized, and rooted in the community. Join us in our mission to ensure that no one has to navigate the complexities of the healthcare system alone and that everyone receives the local, culturally competent care they deserve. Role Description Our care model is designed to meet members wherever they are-whether in their homes, online or in their community. Community Health Workers are integral to our mission of providing culturally aligned and accessible care to the Latino community. They build trust through shared cultural and linguistic backgrounds, improving patient engagement and access to care. Zócalo Health is looking for a Community Health Worker to work directly with our patients to help them navigate their health and social needs. You will work with an assigned panel of members dealing with unmet social needs and numerous health conditions. You will educate patients on disease prevention and healthy behaviors, coordinate comprehensive care by scheduling appointments and facilitating follow-ups, and address social determinants of health by connecting patients with essential community resources. Your work enhances patient advocacy and satisfaction and reduces healthcare costs by preventing unnecessary hospital visits. You will also help organize community events and gather valuable health data, ensuring our care model is responsive to the community's needs, promoting overall health equity and better outcomes for our members. This position reports to the Community Health Worker Manager. You will work primarily in your community, with some work-from-home responsibilities. The Community Health Worker will contribute in the following ways: Play an active role in patient registration and enrollment, including organizing community engagement and outbound calls to patients. Conduct outreach (virtually and in-person) to patients scheduled for appointments and complete initial intake. Engage with a panel of assigned patients to provide care navigation, appointment logistics, prescription drug support, lab support, referral coordination, care plan adherence, and resource sharing. Assess for social determinants of health (SDOH) needs and enroll patients in SDOH programs, including care planning development, referral to community resources, coaching, and graduation planning. Collaborate with a multidisciplinary care team to contribute to care plans, triage requests, and solve complex patient needs. Document all patient and care team interactions across multiple systems and tools. Participate in community events to support patient activation and trust-building, including relationship-building with key contacts, facilitating group education sessions, and liaising with community organizations. Provide culturally and linguistically appropriate health education and information. Assist with federal and state support program enrollment, appointment scheduling, referrals, and promoting continuity of care. Support individualized goal setting using motivational interviewing. Conduct individual social needs assessments. Provide social support by listening to patient concerns and referring to appropriate support resources. Attend and participate in community events as a Zócalo Health representative. Coordinate internal clinical services. Qualifications Language/Culture Fluency (verbal and written) in English and Spanish. Knowledgeable of Latino customs and cultural norms (preferred) Education High school diploma or GED (minimum). Licenses/Certifications (CA only) Must possess a Community Health Worker certification, which included field experience as a requirement for completion -OR- Demonstration of 2,000+ hours of CHW work (paid or volunteer) in the past three years and willingness to obtain a Community Health Worker certification within 18 months of hire date Experience 1-3 years healthcare experience or healthcare navigation within the community. 2 - 5 years of community work, advocacy, engagement, or organizing. Previous working experience in related jobs (health promotion, project coordination, social research, administration). Familiarity with Google workspace. (preferred) Past experience documenting in an EHR. (preferred) Training in motivational interviewing. (preferred) Complementary competencies and skills Comfortable working with multiple computer applications simultaneously and willingness to learn new technologies and frameworks. Team player who builds effective working relationships. Ability to train others. Well-known in and have strong ties to the local Latino community. (preferred) Well versed in local resources to support SDOH needs. (preferred) COVID-19 vaccination requirement Zócalo Health requires all members of the care team to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work. Flexible and able to travel to other communities Willing to travel to support community events and in person patient appointments. Have reliable sources of transportation. Benefits & Perks Ground floor opportunity; shape the direction of a fast-growing, high impact healthcare company Comprehensive benefits (medical/dental/vision) Generous home office stipend Competitive compensation Generous PTO policy including 6 paid holidays. You must be authorized to work in the United States. We are open to remote work anywhere in the locations outlined in this job description. At Zócalo Health Inc., we see diversity and inclusion as a source of strength in transforming healthcare. We believe building trust and innovation are best achieved through diverse perspectives. To us, acceptance and respect are rooted in an understanding that people do not experience things in the same way, including our healthcare system. Individuals seeking employment at Zócalo Health are considered without regard to race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Those seeking employment at Zócalo Health are considered without regard to race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status or disability status.$29-31 hourly Auto-Apply 60d+ agoAssociate Medical Writer
Precision AQ
Remote job
The Associate Medical Writer will aid and support to the Clinical Services team on aspects of writing, revising, and annotating promotional medical content. This role will also assist with identifying supporting documentation, organizing references, checking accuracy of cited information, and evaluating literature for appropriate references. The Associate Medical Writer may also be responsible for development of writing projects under direct supervision. Essential functions of the job include but are not limited to: (This is NOT meant to be an exhaustive task list) Support the development of high quality, medically accurate derivative content in print or digital format for a limited range of medical communication resources Deliver requested projects per established time lines Assist with literature review to support promotional claims in a variety of promotional medical education and marketing resources Annotate resources and provide appropriate references for Clinical Services team Search, organize, and prepare references and referencing materials for projects to prepare for medical, regulatory, and legal submissions Ensure professional, proactive, and collaborative communication with internal stakeholders Ensure a constant high quality of work in line with science, good publication practice, and company rules and policies Participate in all internal team meetings, including project kick-off meetings, weekly status meetings, client meetings, and internal brainstorm/review meetings Develop working knowledge of AMA-style and brand guidelines Promote and adhere to Precision Value and Health's workplace values known as PRECISION Principles (Client Service, Purpose, Accountability, Mutual Respect and Collaboration) Required Education: BA/BS in life sciences BA/BS in English combined with 1 year of experience in a pharmaceutical agency, medical communications company or healthcare advertising. Required Experience: 0 - 1 year of experience in the medical communication, pharmaceutical and/or healthcare industry. Required Skills: Knowledge of American Medical Association (AMA) style Proficiency in Microsoft Word, Microsoft PowerPoint, and Adobe Acrobat Familiarity with scientific search engines including PubMed and Google Scholar Required Competencies: Strong written and verbal communication Analytical ability Ability to prioritize deadline-sensitive projects and juggle competing client priorities Team- and detail-oriented Preferred Qualifications: Expertise in gathering, evaluating, and summarizing healthcare business and scientific literature and insights data for a variety of managed care audiences Working knowledge of managed markets, healthcare, and the healthcare delivery system; health reform legislation; and/or managed care experience (HMO, MCO, PBM, etc.) #LI-REMOTE Precision is required by law in some states or cities to include a reasonable estimate of the compensation range for this role. This compensation range takes into account the wide range of factors that are considered in making compensation decisions including but not limited to: skill sets, experience and training, licensure and certifications, and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Precision, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. This role is also eligible for a discretionary annual bonus, health insurance, retirement savings benefits, life insurance and disability benefits, parental leave, and paid time off for sick leave and vacation, among other benefits.Reasonable estimate of the current range$52,000-$72,000 USD Any data provided as a part of this application will be stored in accordance with our Privacy Policy. For CA applicants, please also refer to our CA Privacy Notice. Precision Medicine Group is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, age, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status or other characteristics protected by law. If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact Precision Medicine Group at **************************************. It has come to our attention that some individuals or organizations are reaching out to job seekers and posing as potential employers presenting enticing employment offers. We want to emphasize that these offers are not associated with our company and may be fraudulent in nature. Please note that our organization will not extend a job offer without prior communication with our recruiting team, hiring managers and a formal interview process.$52k-72k yearly Auto-Apply 8d agoRegional Operations Support
Freedom Behavioral
Remote job
Freedom Behavioral, a leader in psychiatric services and based out of Louisiana, is currently seeking personnel for our Regional Operations Support Team. This role will provide support to Regional VP of Operations who are responsible for daily oversight of a group of Behavioral Hospitals and Units over a specified region of the portfolio. The Regional Operations Support Team will support and assist operational efforts of the Regional VP of Ops daily operational actions, helping to ensure the implementation of efficient operations and cost-effective systems to meet current and future needs of the Division are met. Candidates must have demonstrated experience in healthcare and with regulatory bodies (Joint Commission, CMS, etc) and be well-versed with conditions of participation and requirements of each regulatory body. Previous Operations experience is preferred. The Regional Operations Support Team personnel must have the ability to train, understand and have knowledge of how to read and report budget goals and metrics for operational reporting requirements. Must be able to assist in producing weekly and monthly operating summaries. Strong analytical skills are required and must have the ability to produce data specific pivot tables with operational summaries. This position will be able to work from remote location. However, the Regional Operations Support Team will be expected to travel extensively as required to maintain hands-on oversight and management of multi-site operations as deem needed by the Regional VP of Operations. To be considered for this position, candidates must have: Previous experience in psychiatric healthcare leadership preferred. 3 years minimum experience strongly preferred in measurable, psych/behavioral health related experience is required Ability to extensively travel, sometimes at a moments notice, to any facility within our multi-state operations Minimum of Bachelors degree in a related field preferred Clinician strongly preferred Strong analytical skills with emphasis on producing measurable outcomes Strong preference for candidates based out of Louisiana but not required Areas of Support will be in: Revenue Cycle, Utilization Review, Position Control, Expense Control, Clinical Services, Quality Medical/Dental/Vision benefits as well as supplemental insurances available. We also offer vacation and sick time along with paid holidays. Matching 401K option available as well! Freedom Behavioral Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or any any other characteristic protected by federal, state, or local laws. This policy applies$73k-123k yearly est. 14d agoRehabilitation Aide - STNA
Concept Rehab
Columbus, OH
Job DescriptionDescription: Position requires STNA certification. Nursing home experience required. Part-time position 20-25 hours per week. The Rehabilitation Aide provides support to the professional staff of the Rehabilitation Services Department by providing competent, courteous and professional support and services to internal and external customers. Duties would include: If an STNA with current credentials/certification.. assist with transfers and transport patients to therapy. Assist with scheduling Outpatients. Assist with setting up OP records/files and closing them out. Filing as needed. Assist with cleaning and organizing therapy gym. Assist with preparing patient sheets for Medicare meeting (adding patient names to the weekly sheet so therapists can add patient updates/status). Answering phones and distributing messages accordingly. Other duties as assigned. ESSENTIAL FUNCTIONS OF THE JOB Support in delivering clinical services with Physical Therapy, Occupational Therapy or Speech Pathology Services under the direction of the licensed therapist. Be alert to patient's response to treatment. Notify the Supervising Therapist for assistance if required. Maintain departmental paperwork. Consistently portray the mission, vision, core values, cornerstones and professional image of Concept Rehab, exercise good judgment in the performance of the job. Special projects and other duties as assigned. Requirements: CORE COMPETENCIES Good relationship skills. Good interpersonal skills. Technology skills. Cultural awareness. Ethical practice. Ability to exercise independent judgment and discretion. Maintain confidentiality. REQUIRED QUALIFICATIONS Must possess a high school diploma or GED$24k-32k yearly est. 10d agoOnsite Mental Health Concierge- Evernorth - Orlando, Florida
Carepathrx
Remote job
Disney Mental Health Concierge Organizational Engagement and Strategy * Consult with managers regarding important workplace issues: including, but not limited to, grief and loss in the workplace, job appropriate behaviors, employee/cast member terminal illness impacts and leadership support. * Facilitate critical incident response by consulting with requesting manager and direct service providers to arrange appropriate clinical services, including onsite services. * Work closely with EAP providers. Educate EAP providers regarding EAP protocols and expectations, and monitors compliance to standards. * Co-create and execute on engagement campaigns/promotion in collaboration with broader Evernorth/Cigna. Cast Member Engagement & Navigation * Primary point of contact and deployment for critical incident occurrences. * Collaborate with Matrix Partners to obtain necessary information to provide the most appropriate resources. * Provide onsite, virtual, and in-person navigation to emotional well-being resources, including EAP referrals, appointment setting assistance, provider searches, work/life programs, health coaching, case management, behavioral case management, etc. * Provide psychological first aid, assessment, and intervention for crisis situations as needed. * Ensure the appropriate next steps are put in place for referrals into medical, pharmacy or behavioral coaching programs, in addition to any alignment with a behavioral provider * Provide follow-up to all Cast Member connections that take place. * Identify and address SDOH needs such as food, housing medication, and transportation. * Assist in connecting Cast Members with identified community resources to meet their needs. * Work closely with Cast Members and Employees to ensure they have the support system they need to recover from their specific need, illness, or injury. * May facilitate and lead manager and employee mental health trainings. * Provide on-call and on-site services as needed. Expected to be available via email, text, or phone. General Expectations * Culturally trained on Disney Organizational, Cast Member and Employee roles and responsibilities, benefits, programs, and inventory of resources. * Will work on-site in Walt Disney World Park and be deployed to various locations as needed. * Will be available to all team members, for consultation. * Perform additional tasks/projects as needed, requested or assigned. * Attend all required trainings. * Comply with all Evernorth Behavioral Health policies and Standard Operating Procedures. * Take initiative for continued professional development. * Work closely with the Disney Account Team, Health Coaches, Case Managers, Onsite EAP providers, EACs, Behavioral UM and CM teams to align on cases and hand off appropriately as needed. * Will work directly with Disney Human Resources and Employee Relations teams as needed. * Consult with Cigna/Evernorth clinical supervisor when needed. * Open to suggesting and implementing improvements and enhancements to Mental Health Concierge role and responsibilities. Qualifications * Current unrestricted independent licensure in a behavioral health field or a medical field with experience in a psychiatric setting (LCSW, LMFT, LPC, LPCC, Licensed Psychologist or RN) * Master's Degree in Behavioral Health field * Knowledge and experience in accessing community resources to help cast members with basic needs. * Certified in Mental Health First Aid * CEAP (certified employee assistance professional) required to obtain within 2 years of employment. * 3+ years post-license mental health experience preferred * 3+ years experience responding effectively to diverse situations while working across all organizational levels. * Excellent communication and interpersonal skills with a focus on customer service * Effective conflict management and negotiation skills * Ability to adapt to change and problem solve * Strong time management and organization skills with an ability to set priorities in a fast-paced environment * Ability to utilize and navigate multiple technology systems * Bilingual in Spanish or Haitian Creole preferred * Knowledge of managed care preferred If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.$36k-53k yearly est. Auto-Apply 26d agoManager Revenue Management - REMOTE
Jobgether
Remote job
This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Manager Revenue Management - REMOTE. In this role, you will oversee the operations of a vital department, aiming to enhance service delivery and optimize reimbursement processes within the healthcare sector. Your contributions will not only improve internal workflows but also ensure compliance with regulatory standards. By leading a skilled team, you will implement best practices and innovate strategies to secure financial viability and quality care. This position offers an opportunity to impact the organization's competitive standing in the industry significantly.Accountabilities Manage day-to-day operations of the Revenue Integrity department. Oversee staff assignments, hiring, coaching, evaluation, and productivity tracking. Coordinate staff and internal resources related to assigned projects. Lead project planning sessions and ensure timely and accurate delivery of outcomes. Implement process improvements and change management strategies. Develop and maintain project documentation and reports. Cultivate relationships within the healthcare community and manage client interactions. Requirements Bachelor's Degree required; Master's Degree preferred. Minimum 5 years of experience in Revenue Integrity/Chargemaster Management. Extensive knowledge of revenue cycle, clinical services, and regulatory compliance. Outstanding communication and presentation skills. Excellent organizational skills and ability to solve problems creatively. Advanced proficiency in Microsoft Office. Clinical Certification/License or certification by AAPC or AHIMA required. Benefits Opportunities for professional development and training. Flexible work environment with remote capabilities. A collaborative work culture that values contributions. Involvement in interdisciplinary projects. Access to a strong network within the healthcare community. Support for a meaningful work-life balance. Why Apply Through Jobgether? We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best!Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.#LI-CL1$86k-122k yearly est. Auto-Apply 6d agoHealth Information Analyst
PACS
Remote job
General Purpose is to implement assigned modules of the EHR Platform (PointClickCare) in all the facilities supported by PACS in accordance with current federal and state guidelines as well as in accordance with the facility's established privacy policies and procedures. Essential Duties • Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position. • Administrative Functions • Receive and follow work schedule/instructions from your supervisor and as outlined in our established policies and procedures. • Assist in organizing, planning and directing the EHR-related projects in accordance with set project deadlines. • Assist the managers and directors, as required. • Develop and maintain a good working rapport with other PACS Support team members, as well as other departments in all the supported facilities, to assure that PCC modules are implemented timely and properly. • Provide PCC Navigation training and re-training on assigned modules. • Audit Assigned modules, as needed. • Includes audits to support the legal team. • Includes audits to support facility admission teams for compliance with proper utilization of the module. • Includes audits to support facility nursing teams in collaboration with the • Regional Director of Clinical Services, Medical Records Auditor, and Regional RAI Specialist. • Issue monthly reports covering audit results to the EHR Managers and Directors, Legal team, Clinical Leadership teams and Executive team. • Will consult with Regional Directors of Clinical Services, Regional RAI Specialists, Regional Directors of Therapy Services, and Legal team as appropriate. • Maintain Spreadsheets on facility audit trends for deficient areas and monitors for improvement. • Alert facility personnel of audit trends and schedule follow-up webinar trainings, when needed. • Assist with maintaining Masterfile of all Facility leaders, main contacts and superusers. • Agree not to disclose assigned user ID code and password for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Supervisor. • Agree not to disclose resident's protected health information and promptly report suspected or known violations of such disclosure to the Supervisor. • Report any known or suspected unauthorized attempt to access facility's information system. • Assume the administrative authority, responsibility, and accountability of performing the assigned duties of this position. • Personnel Functions • • Report known or suspected incidents of fraud to the Director of EHR Implementation. • • Ensure that departmental computer workstations left unattended are properly logged off or the password protected automatic screen-saver activates within established policy guidelines. Staff Development • Attend and participate in mandatory in-service training programs as scheduled (e.g., OSHA, TB, HIPAA, Abuse Prevention, etc.). • Attend and participate in workshops, seminars, etc., as approved. Safety and Sanitation • Report all unsafe/hazardous conditions, defective equipment, etc., to your supervisor immediately. Equipment and Supply Functions • Report equipment malfunctions or breakdowns to your supervisor as soon as possible. • Ensure supplies have been replenished in work areas as necessary. • Assure that work/assignment areas are clean and records, files, etc., are properly stored before leaving such areas on breaks, end of workday, etc. Supervisory Requirements As Medical Record Specialist, you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties. Qualification Education and/or Experience • Must possess, as a minimum, a high school diploma or GED. Must be able to type a minimum of 45 words per minute and use dictation equipment. A working knowledge of medical terminology, anatomy and physiology, legal aspects of health information, coding, indexing, etc., preferred but not required. On-the-job training provided in medical record and health information system procedures. Must be knowledgeable of medical terminology. Be knowledgeable in computers, data retrieval, input and output functions, etc... Language Skills Must have strong written and verbal communication skills. Mathematical Skills Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations. Reasoning Ability Provide accurate, detailed responses and build effective working relationships. Ability to work collaboratively with key stakeholders. Detail-oriented and able to maintain confidential and private personnel data. Certificates, Licenses, Registrations None required. Physical Demands • The physical demands described here are representative of those that must be met by an employee tosuccessfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. • The employee must occasionally lift and/or move up to 25 pounds. Prolonged use of a desktop or laptop • computer. While performing the duties of this job, the employee is regularly required to sit, stand; walk and talk, read or hear. Frequent use of all office related equipment to include; copier/scanner/fax, telephone, and calculator. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually low to moderate. Additional Information Note: Nothing in this job specification restricts management's right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees.$64k-89k yearly est. Auto-Apply 38d agoUtilization Management Specialist I
Sun Behavioral Health Group
Columbus, OH
Responsible for the coordination of case management strategies pursuant to the Case Management process. Assists and coordinates care of the patient from pre-hospitalization through discharges. Responsible for assisting with authorization of admissions to hospital. Processes retroactive reviews and appeals, copies needed documentation and writes retro/appeal letters for insurance companies to ensure coverage for patient admissions. Conducts follow up calls with insurance companies to ensure coverage for patient admissions. Participates in performance improvement activities. Attends 80% of staff meetings. Coordinates care for patient through communication with Physicians, Nurse Practitioners, Clinical Services, Nursing, Assessment and Referrals Department. Position Responsibilities: Clinical / Technical Skills (40% of performance review) Provides thorough documentation and timely updates regarding patient status on log sheets that are prepared for daily meetings concerning admissions, reviews and discharges; including case s with limited benefits, cases in peer review/denial and /or unplanned discharges Coordinates with managed care companies or other third-party payors regarding peer reviews, retrospective reviews and appeals. Document s and updates the denial log to reflect same. Consults Business Office and/or admission staff as needed to clarify data and ensure authorization processes are complete. Documents in HCS the results of admission and concurrent reviews. Stays informed about changes in Medicare and Medicaid. Ability to stage local laws, ordinances and practices governing involuntary hospitalization and ensure compliance with same. Reviews the quality of documentation for each level of care to ensure clinical effectiveness and appropriateness of treatment. Maintains an active involvement and awareness of all patient admissions, discharges and transfers to alternate levels of care. Oversees continuity of care for each level of care transition. Develops and maintains processes to minimize denials and communication of same to CFO and Business Office Director. Reports results of daily treatment team meetings all discharges and status of high-risk case such as limited benefits, peer reviews, denials or unplanned discharges. Timely retroactive reviews and appeals within current month Strong knowledge of external review organizations (i.e.: Medicare/Managed Care/Medicaid) with knowledge of payor resources and planning. Types and mails all correspondence in a timely manner. Answers the telephone in a polite manner, Communicates information to the appropriate staff. Interacts with patients/families in a professional manner. Provides explanations regarding statements, insurance coverage. Support discharge planning and utilization review when necessary Perform other duties as required Safety (15% of performance review) Strives to create a safe, healing environment for patients and family members Follows all safety rules while on the job. Reports near misses, as well as errors and accidents promptly. Corrects minor safety hazards. Communicates with peers and management regarding any hazards identified in the workplace. Attends all required safety programs and understands responsibilities related to general, department, and job specific safety. Participates in quality projects, as assigned, and supports quality initiatives. Supports and maintains a culture of safety and quality. Teamwork (15% of performance review) Works well with others in a spirit of teamwork and cooperation. Responds willingly to colleagues and serves as an active part of the hospital team. Builds collaborative relationships with patients, families, staff, and physicians. The ability to retrieve, communicate, and present data and information both verbally and in writing as required Demonstrates listening skills and the ability to express or exchange ideas by means of the spoken and written word. Demonstrates adequate skills in all forms of communication. Adheres to the Standards of Behavior Integrity (15% of performance review) Strives to always do the right thing for the patient, coworkers, and the hospital Adheres to established standards, policies, procedures, protocols, and laws. Applies the Mission and Values of SUN Behavioral Health to personal practice and commits to service excellence. Supports and demonstrates fiscal responsibility through supply usage, ordering of supplies, and conservation of facility resources. Completes required trainings within defined time periods, as established by job description, policies, or hospital leadership Exemplifies professionalism through good attendance and positive attitude, at all times. Maintains confidentiality of patient and staff information, following HIPAA and other privacy laws. Ensures proper documentation in all position activities, following federal and state guidelines. Compassion (15% of performance review) Demonstrates accountability for ensuring the highest quality patient care for patients. Willingness to be accepting of those in need, and to extend a helping hand Desire to go above and beyond for others Understanding and accepting of cultural diversity and differences Qualifications Education Required: High school diploma or GED. CPR and hospital-selected de-escalation technique certification. Preferred: Associates or Bachelors degree. Maintains education and development appropriate for position. May substitute experience for education Experience Required: One year of experience in a behavioral healthcare setting. Preferred: Previous experience in a Utilization Management department or as a Mental Health Tech May substitute education for experience$36k-49k yearly est. 6d agoClinical Field Specialist
Inogen
Remote job
Description This is a per-diem, PRN as needed, role in the Kingsport area. We are seeking a clinician to work in patient's homes completing set ups for our medical equipment.Job Summary The Clinical Field Specialist assists Inogen in ensuring that the equipment placed in the client's home meets their clinical needs through a remote or direct assessment of the patient using the equipment. The Clinical Field Specialist will be able to instruct the patient on the use and care of Inogen supplied equipment and answer basic service questions. The Clinical Field Specialist will deliver and setup equipment, perform remote or direct service calls, and pickup and package equipment for return. Most activities performed by the Clinical Field Specialist are performed from Inogen branches. Responsibilities (Specific tasks, duties, essential functions of the job) Conduct equipment set-up both remotely (telephone) and directly (home visits). Conduct titration studies, both remotely and directly, completing required documentation accurately and completely within one hour per patient. Complete service calls, both remotely and directly, documenting activities and results in a timely manner. Maintain a current calendar reflecting availability for patient appointments. Clinicians must present themselves in a professional manner while interacting with patients, family members/caretakers, medical staff and Inogen employees. Other duties include acting as a clinical resource for completing clinical appointments. Maintain regular and punctual attendance. Comply with all company policies and procedures. Assist with any other duties as assigned. Knowledge, Skills, and Abilities Demonstrate skills required to remotely and directly assess and instruct patients in the safe use of Inogen supplied equipment. Knowledge of the current clinical issues/treatments of cardio-pulmonary disease processes as they relate to Inogen provided services. Knowledge of the current technologies used in cardio-pulmonary disease treatments as they relate to Inogen provided services. Ability to work self-manage and work independently. Must have strong work ethic. Excellent oral and written communication skills required. Attention to detail is required. Qualifications (Experience and Education) Associate's degree in Healthcare, Nursing, Respiratory Therapy or related field, required; Bachelor's, preferred. Licensed or Registered Respiratory Therapist or registered Nurse, required. 3 years' experience of clinical services, home medical equipment industry (oxygen therapy or respiratory), required. Intermediate knowledge/proficiency in Microsoft Office, required. A combination of training, education and experience that is equivalent to the qualifications listed above and that provides the required knowledge, skills, and abilities. Disclaimer The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. Inogen assesses market data to ensure a competitive compensation package for our employees. The base salary for this position is expected to be between $31.42 and $36.14 hourly plus $100 set up stipend and mileage reimbursement. However, actual base salary if hired will be determined on an individualized basis and will be based on non-discriminatory factors, including as to individual skills, education, experience and market location. Inogen is an Equal Employment Opportunity/Affirmative Action Employer - Underrepresented racial and ethnic groups/Females/Individuals with Disabilities/Protected Veterans.$31.4-36.1 hourly Auto-Apply 60d+ agoOnsite Mental Health Concierge- Evernorth - Orlando, Florida
Cigna
Remote job
Disney Mental Health Concierge Organizational Engagement and Strategy * Consult with managers regarding important workplace issues: including, but not limited to, grief and loss in the workplace, job appropriate behaviors, employee/cast member terminal illness impacts and leadership support. * Facilitate critical incident response by consulting with requesting manager and direct service providers to arrange appropriate clinical services, including onsite services. * Work closely with EAP providers. Educate EAP providers regarding EAP protocols and expectations, and monitors compliance to standards. * Co-create and execute on engagement campaigns/promotion in collaboration with broader Evernorth/Cigna. Cast Member Engagement & Navigation * Primary point of contact and deployment for critical incident occurrences. * Collaborate with Matrix Partners to obtain necessary information to provide the most appropriate resources. * Provide onsite, virtual, and in-person navigation to emotional well-being resources, including EAP referrals, appointment setting assistance, provider searches, work/life programs, health coaching, case management, behavioral case management, etc. * Provide psychological first aid, assessment, and intervention for crisis situations as needed. * Ensure the appropriate next steps are put in place for referrals into medical, pharmacy or behavioral coaching programs, in addition to any alignment with a behavioral provider * Provide follow-up to all Cast Member connections that take place. * Identify and address SDOH needs such as food, housing medication, and transportation. * Assist in connecting Cast Members with identified community resources to meet their needs. * Work closely with Cast Members and Employees to ensure they have the support system they need to recover from their specific need, illness, or injury. * May facilitate and lead manager and employee mental health trainings. * Provide on-call and on-site services as needed. Expected to be available via email, text, or phone. General Expectations * Culturally trained on Disney Organizational, Cast Member and Employee roles and responsibilities, benefits, programs, and inventory of resources. * Will work on-site in Walt Disney World Park and be deployed to various locations as needed. * Will be available to all team members, for consultation. * Perform additional tasks/projects as needed, requested or assigned. * Attend all required trainings. * Comply with all Evernorth Behavioral Health policies and Standard Operating Procedures. * Take initiative for continued professional development. * Work closely with the Disney Account Team, Health Coaches, Case Managers, Onsite EAP providers, EACs, Behavioral UM and CM teams to align on cases and hand off appropriately as needed. * Will work directly with Disney Human Resources and Employee Relations teams as needed. * Consult with Cigna/Evernorth clinical supervisor when needed. * Open to suggesting and implementing improvements and enhancements to Mental Health Concierge role and responsibilities. Qualifications * Current unrestricted independent licensure in a behavioral health field or a medical field with experience in a psychiatric setting (LCSW, LMFT, LPC, LPCC, Licensed Psychologist or RN) * Master's Degree in Behavioral Health field * Knowledge and experience in accessing community resources to help cast members with basic needs. * Certified in Mental Health First Aid * CEAP (certified employee assistance professional) required to obtain within 2 years of employment. * 3+ years post-license mental health experience preferred * 3+ years experience responding effectively to diverse situations while working across all organizational levels. * Excellent communication and interpersonal skills with a focus on customer service * Effective conflict management and negotiation skills * Ability to adapt to change and problem solve * Strong time management and organization skills with an ability to set priorities in a fast-paced environment * Ability to utilize and navigate multiple technology systems * Bilingual in Spanish or Haitian Creole preferred * Knowledge of managed care preferred If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.$21k-25k yearly est. Auto-Apply 26d ago
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