Discharge Planning jobs near me - 367 jobs

Who We Are Ready to create a healthier world? We are ready for you! Personify Health is on a mission to simplify and personalize the health experience to improve health and reduce costs for companies and their people. At Personify Health, we believe in offering total rewards, flexible opportunities, and a diverse inclusive community, where every voice matters. Together, we're shaping a healthier, more engaged future. Responsibilities What You'll Actually Do: The Behavioral Health (BH) Medical Director leverages clinical expertise to provide leadership and oversight for behavioral health programs, ensuring high-quality, integrated care for members with behavioral health and substance use needs. Key responsibilities include: Oversee and participate in behavioral health case management, including utilization review, telephonic care, and urgent response coordination for behavioral health and substance use disorder needs. Conduct reviews for medical necessity for prior authorization, continued stay, and post-service claims, applying medical policy, guidelines, and current research. Integrate behavioral health screening and interventions within physical health case management programs, utilizing standardized tools (e.g., PHQ2, PHQ9) and ensuring appropriate referrals. Support and monitor virtual behavioral health services, ensuring access, privacy, and continuity of care for all age groups, including children, teens, and adults. Supervise and provide clinical oversight for residential and outpatient behavioral health programs, including partial hospitalization and intensive outpatient services, with an emphasis on family engagement and comprehensive discharge planning. Lead the development and implementation of comprehensive behavioral health strategies, including program design, staff education, and quality improvement initiatives. Maintain compliance with national guidelines (e.g., MCG, InterQual, specialty college recommendations) and regulatory requirements (federal, state, ERISA) specific to behavioral health. Oversee the negotiation and implementation of cost management strategies to affect quality outcomes, reflecting data in monthly case management reviews. Participate in grievance and appeals processes, including escalated behavioral health issues. Collaborate with the VP of Care Management to establish work procedures and processes that support company and departmental standards, procedures, and strategic directives. Keep teams informed of clinical and behavioral health updates through educational opportunities and development of educational materials. Exercise independence in meeting departmental expectations and compliance timelines. KEY COMPETENCIES: Expertise in behavioral health case management, utilization review and telehealth delivery. Ability to design and evaluate behavioral health programs, integrating evidence-based practices and holistic wellbeing approaches Strong skills in crisis intervention, family engagement, and interdisciplinary collaboration. Strong written, verbal and presentation communication skills Microsoft Office and other computer skills Flexible and able to prioritize day-to-day position requirements Strategic thinking with proven ability to communicate a vision and drive results Proficient in analysis and interpretation of clinical data Comfortable with multiple accountabilities and matrix management Proven record of strong relationships and working with diverse teams Demonstrated ability to work independently with excellent judgment Ability to work from home or in a virtual environment Strong interpersonal skills necessary to effectively communicate with medical personnel and members Analytical and problem solving skills necessary to identify and review pertinent information The ability to incorporate analytical data into new or existing clinical programs to enhance quality of care Ability to present data analysis in written format to upper management in a clear, concise manner Ability to maintain a very high level of confidentiality Able to successfully handle competing priorities Experience in the Utilization Review Process which includes Prior-Authorization/Pre-Certification, Retro Reviews, Concurrent Reviews and Post Service Claims Review Experience in the grievance and appeals process and ability to work on escalated issues as they arise Ability to provide quality oversight to personnel, process improvement and policies and procedures Familiarity with National Guidelines such as MCG or InterQual, medical policy or commonly used guidelines from Specialty Colleges Experience in disease management with knowledge and understanding of disease progression. Knowledgeable of the Federal, State and ERISA regulations Qualifications What You Bring to Our Mission QUALIFICATIONS: MD or DO degree and 5+ years of direct clinical patient care experience post residency or fellowship including behavioral health environments. Current and ongoing Board Certification in psychiatry by the American Board of Psychiatry and Neurology (ABPN) required. Additional Board Certification in Child and Adolescent Psychiatry or Addiction Medicine. A current and unrestricted license in the state of California and willing to obtain additional license(s). No current sanction from Federal or State Governmental organizations, and able to pass credentialing requirements. Minimum 5 years of Utilization Review or Hospital experience required. Minimum 3 years of compliance related experience preferred. Managed Care experience preferred in utilization review and case management. Physical and Mental Requirements: Ability to safely and successfully perform the essential job functions with or without a reasonable accommodation, including meeting qualitative and/or quantitative productivity standards. Constant use of computer keyboard and mouse; repetitive use of both hands. Occasional to frequent twisting of neck; occasional bending of neck and at waist. Why You'll Love It Here We believe in total rewards that actually matter-not just competitive packages, but benefits that support how you want to live and work. Your wellbeing comes first: Comprehensive medical and dental coverage through our own health solutions (yes, we use what we build!) Mental health support and wellness programs designed by experts who get it Flexible work arrangements that fit your life, not the other way around Financial security that makes sense: Retirement planning support to help you build real wealth for the future Basic Life and AD&D Insurance plus Short-Term and Long-Term Disability protection Employee savings programs and voluntary benefits like Critical Illness and Hospital Indemnity coverage Growth without limits: Professional development opportunities and clear career progression paths Mentorship from industry leaders who want to see you succeed Learning budget to invest in skills that matter to your future A culture that energizes: People Matter: Inclusive community where every voice matters and diverse perspectives drive innovation One Team One Dream: Collaborative environment where we celebrate wins together and support each other through challenges We Deliver: Mission-driven work that creates real impact on people's health and wellbeing, with clear accountability for results Grow Forward: Continuous learning mindset with team events, recognition programs, and celebrations that make work genuinely enjoyable The practical stuff: Competitive base salary that rewards your success Unlimited PTO policy because rest and recharge time is non-negotiable Benefits effective day one-because you shouldn't have to wait to be taken care of Ready to create a healthier world? We're ready for you. No candidate will meet every single desired qualification. If your experience looks a little different from what we've identified and you think you can bring value to the role, we'd love to learn more about you! Personify Health is an equal opportunity organization and is committed to diversity, inclusion, equity, and social justice. In compliance with all states and cities that require transparency of pay, the base compensation for this position ranges from $189,600 to $237,000. Note that compensation may vary based on location, skills, and experience. This position is eligible for health, dental, vision, mental health and other benefits. We strive to cultivate a work environment where differences are celebrated, and employees of all backgrounds are empowered to thrive. Personify Health is committed to driving Diversity, Equity, Inclusion and Belonging (DEIB) for all stakeholders: employees (at each organization level), members, clients and the communities in which we operate. Diversity is core to who we are and critical to our work in health and wellbeing. #WeAreHiring #PersonifyHealth #TPA #HPA #Selffunded Beware of Hiring Scams: Personify Health will never ask for payment or sensitive personal information such as social security numbers during the hiring process. All official communication will come from a verified company email address. If you receive suspicious requests or communications, please report them to **************************. All of our legitimate openings can be found on the Personify Health Career Site. Application Deadline: Open until position is filled.

Job Details Columbus, OH Full Time $47153.00 - $66000.00 Salary/year Up to 10%Description The Buckeye Ranch is currently seeking a Day Treatment Counselor/Social Worker to join our Bonner Academy team. The Day Treatment Counselor/Social Worker counsels individuals, families, and groups to treat mental health and individual and family welfare problems such as stress, substance abuse, or family dysfunction and develops and implements appropriate therapeutic treatment plans in both mainstream school and day treatment settings. Learn about The Buckeye Ranch: For decades, The Buckeye Ranch has been restoring hope and providing healing for children, youth, and families in Central Ohio. Our continuum of care addresses every stage and aspect of what children may be experiencing after traumas caused by mental illness, abuse, or neglect. With help from The Buckeye Ranch, they're empowered to overcome obstacles, tap into their resilience, and move forward toward healthy, fulfilling lives. Compensation: Based on license, education, and experience. Bachelors (Active License): $47,162 - 58,000 Masters (Active License): $52,000 - 65,000 What you'll do: Assesses clients for appropriate level of care, including behavioral examples, including frequency, duration, severity, and environmental impacts. Identifies history of trauma, adversity and/or toxic stress that influence presenting problem(s), functioning, and family interaction styles. Determines the level of immediate and future risk of abuse or neglect to children. Identifies cultural factors that influence strengths, functioning, and family interaction styles. Identifies strengths and functioning of both client and family for utilization in treatment. Collaborate with admissions and engagement and complete comprehensive diagnostic assessments as needed. Complete program specific assessments such as DLA 20 or ASQ. Develops training plans and facilitates coaching, ensuring that services are family focused. Demonstrates practicality, flexibility, and adaptability in the process of working with others, emphasizing the achievement of goals. Adjusts the type and intensity of services to the needs of the client. Ensures that referrals are made as early in treatment as possible. Ensures family members are supported through the discharge process. Communicates changes in recommendations and/or referrals in a timely and concise manner to all stakeholders. Uses trauma-informed, focused interventions to engage clients. Educates clients, family members, and other providers about healthcare conditions, prevention, available treatments, illness and whole health self-management, peer support and recovery. Manages behavioral health crises through appropriate interventions. Respond to perceived resistance in a non-confrontational manner and intervene to help child regain control and reduce risk at it pertains to the position held. Consistently records client progress in relation to treatment goals. Provides accurate, concise narrative when needed on any documentation, including progress notes, treatment plans, behavior management programs and discharge planning on an accurate and timely basis. Make corrections to errors on any administrative or UM reports including but not limited to incorrect delivery methods, blank notes, overlapping notes, invalid diagnoses, and invalid/incorrect place of service. Completes paperwork within defined timelines (Progress notes should be documented on the same day services are provided but are due - at the latest - within 7 days of the service that was provided). Make contact with newly assigned cases within 48 hours of assignment and have first appointment within 7 days of case assignment. Our benefits: Benefit effective date: First of the month following 30 days of employment. Wonderful medical, dental, and vision insurance. Paid Time Off (Three weeks within the first year) Company Paid Life Insurance Company Paid Short Term Disability 401K + Employer Contribution Non-Profit Student Loan Forgiveness Program Employee Assistance Program Tuition Assistance Employee Referral Program Qualifications Who you are: You have a bachelor's degree in social work, or related field; master's degree preferred. You have an active LPC, LSW, or MFT licensure, or are license exam eligible. You have an active driver's license and proof of auto insurance. You preferably have previous work experience as a Counselor, Therapist, Social Worker, or Clinician. Applicants are considered for all positions in accordance with statutes and regulations concerning non-discrimination on the basis of race, ancestry, age, color, religion, sex, national origin, sexual orientation, gender identity, non-disqualifying disability, veteran status, or other protected classification. The Buckeye Ranch is an equal opportunity employer, as well as a substance and tobacco free workplace. All offers of employment are contingent on satisfactory pre-employment drug screen. At this time, The Buckeye Ranch is unable to provide sponsorship for a work visa. All applicants must currently, and in the future, be eligible to work in the U.S without visa sponsorship. #TBR001

Weekly outpatient therapy isn't always enough, and a trip to the ER isn't the only answer. Patients and their families rely on Compass Health Center when in crisis - every day, we help people overcome depression, anxiety, suicidality, obsessions/compulsions, trauma, chronic pain, and other obstacles in order for our patients to live freely. About This Role We are seeking motivated students looking to learn and grow their clinical skills with the help of our talented clinical supervisors. This position is only available to students in the 2026-2027 internship year of a Master level clinical program (social work, counseling, psychology). Our internship offers an in-depth opportunity to gain clinical experience in multiple treatment modalities and theoretical frameworks with a focus on group therapy, CBT, DBT, ACT and potential additional opportunities with assessment, ERP, trauma, individual work, family, art therapy, and more. The Virtual Group Therapist Intern will work across our Adolescent and Adult programs, including Mood and Anxiety, OCD/Complex Anxiety, Trauma, and Mental Health and Substance Use. Compass is proud to be a trailblazer within the future of behavioral health, offering fully virtual PHP/IOP programs to patients across the entire state of Illinois. Our virtual programs meet the needs of modern healthcare, providing flexibility for both patients and clinicians while increasing access to fundamental care Click HERE to watch a short video about our internship program! What You'll Do Provide individual and group therapeutic interventions in PHP and IOP therapy groups including coping skills groups, process groups, experiential therapy groups and more Attend multidisciplinary rounds (including psychiatrists, teachers, group therapists, primary therapists, family therapists and directors) Aid in development and facilitation of DBT/CBT/ACT groups in addition to other theoretical frameworks and modalities Observe and support various clinical modalities including group, individual, and family therapy as well as intake Have clinical exposure to and learning opportunities within specialty programs and theoretical models which may include OCD and ERP, Trauma and CPT, Substance Use Treatment, Young Child Dysregulated Behavior Engage in monthly didactic trainings with subject matter experts throughout the organization Learn about the assessment and treatment of self-harm and suicidal ideation and safety planning Help with various administrative tasks Learn to administer and then administer various clinical assessments with patients Co-facilitate experiential and creative arts therapy groups Complete progress notes and assist with treatment plan updates Provide clinical observations/input from a social work or counseling psychology perspective to Treatment Teams Participate in discharge planning for patients (outpatient providers, follow up care, transition back to school) Assist in facilitation of family groups Participate in individual and/or group supervision on a weekly basis Participate in continuous quality improvement and professional development through weekly opportunities in the Summer and monthly opportunities throughout the year Attend weekly Program planning meeting *Specific opportunities may vary by location/program Who You Are Eager to learn and apply various clinical models and modalities Seeking opportunities for significant clinical growth in a setting that treats a wide variety of diagnoses and symptoms Ability to demonstrate strong interpersonal skills Excellent time management skills, including the ability to juggle multiple demands simultaneously in a fast paced and challenging environment Ability to maintain patient privacy at all times Desire to work in partial hospitalization and intensive outpatient setting with focus on group therapy modality Completed coursework related to treatment for children/adolescents and/or young adults/adults, group therapy, cognitive behavioral therapy, or dialectical behavior therapy Training Hours: Start Date: August 2026 End Date: May 2027/ to be determined in conjunction with program Weekly Schedule: To be determined in conjunction with program; 20-24 hours/week Supervision: Provided by individuals with the following credentials: LCSW, LCPC, PhD, PsyD There will be individual and/or group supervision weekly (1 hour total). Monthly group supervision will occur with all student interns, post-doctoral interns, and first-year employees. Interns can expect a developmental style of supervision. Interns will be expected to be active participants in setting goals and expectations for their internship year, as well as able to complete the training activities and job functions as listed above. What We Offer: Ongoing quality improvement and professional development opportunities, including weekly opportunities in the Summer and monthly opportunities throughout the year Monthly didactic trainings with subject matter experts throughout the organization Additional guidance and supervision from multi-disciplinary staff, including psychiatrists, teachers, group therapists, primary therapists, family therapists and directors. Interns demonstrating exemplary performance will be strongly considered for future employment at Compass. Benefits for full-time Compass employees (non-interns) are below for reference. Please note: this internship is unpaid We know job descriptions can be intimidating, so if this sounds like an opportunity for you, please don't hesitate to apply! Who We Are Compass Health Center is a recognized leader in crisis-level mental health, bringing passion, connection, and patient-centered care to the Partial Hospitalization and Intensive Outpatient space (PHP/IOP). Based in Chicagoland, we serve hundreds of patients every day, ranging from ages 5 through adulthood, in our onsite facilities or through our flourishing virtual programming. Compass fills a critical gap between outpatient and inpatient care through an intermediate level of Behavioral Healthcare. A few more things we want you to know: our values are super important to us, and hopefully will be to you, too. Cultural humility, teamwork, continuous improvement, connection, patient centered care, passion, innovation, and agility should be your power sources. Joining Compass is an opportunity to feel fulfilled through a joint mission towards healing our communities. Benefits & Perks We know that you will be dedicated to your purpose here. We look at that investment as a two-way street. We are proud to offer plenty of space for growth, and opportunities to pursue continuous development within our organization. For eligible positions, our other benefits include: comprehensive medical/dental/vision plans, 401k program with company matching, generous PTO (including competitive parental leave after 1 year of employment), and continuous training through CEU seminars and volunteering opportunities. What's Next? Compass is committed to cultivating diverse and dynamic teams who exude passion for their craft, so whether or not you check all the boxes, we encourage you to apply - we'd be grateful to hear from you!

Job Description About the Role: The Behavioral Health Technician plays a critical role in supporting individuals experiencing mental health challenges by providing compassionate and effective care within clinical settings. This position focuses on assisting with clinical assessments, crisis intervention, and the development and implementation of discharge plans to ensure continuity of care. The technician collaborates closely with multidisciplinary teams to maintain accurate clinical documentation and deliver patient-centered care tailored to the unique needs of each individual. By managing crisis situations with professionalism and empathy, the Behavioral Health Technician helps stabilize patients and promotes their safety and well-being. Ultimately, this role contributes significantly to improving patient outcomes and supporting the overall mental health treatment process in Ohio-based healthcare facilities. Minimum Qualifications: High school diploma or equivalent; completion of a Behavioral Health Technician training program or relevant certification is required. Demonstrated experience or training in clinical documentation and crisis management within a mental health setting. Basic knowledge of mental health disorders, clinical assessments, and patient care principles. Ability to maintain confidentiality and adhere to HIPAA regulations. Strong communication and interpersonal skills to effectively interact with patients and healthcare teams. Preferred Qualifications: Associate degree or higher in psychology, social work, or a related behavioral health field. Previous experience working with children and adolescents with serious emotional disturbances (SED). Certification in crisis intervention or de-escalation techniques. Familiarity with electronic health record (EHR) systems and advanced clinical documentation software. Training in trauma-informed care and culturally competent practices. Responsibilities: Conduct and assist with clinical assessments to evaluate patient mental health status and needs. Provide direct patient care and support to individuals with serious emotional disturbances (SED) and other mental health conditions. Implement crisis intervention techniques to manage and de-escalate emergency situations effectively. Maintain thorough and accurate clinical documentation in compliance with healthcare regulations and organizational standards. Collaborate with healthcare professionals to develop and execute individualized discharge plans that promote patient recovery and community reintegration. Skills: The required skills such as clinical documentation and crisis management are essential for accurately recording patient information and responding promptly to emergency situations, ensuring patient safety. Clinical assessments and mental health knowledge enable the technician to evaluate patient conditions effectively and contribute valuable insights to treatment planning. Skills in discharge planning and crisis intervention support the transition of patients from inpatient care to community settings, promoting sustained recovery. Maintaining documentation and patient care skills are used daily to uphold compliance with healthcare standards and provide consistent, high-quality support to patients. Preferred skills like familiarity with EHR systems and trauma-informed care enhance the technician's ability to deliver sensitive, efficient, and patient-centered services in a dynamic healthcare environment.

Medical Assistant Eventus WholeHealth delivers an integrated model that provides holistic care for medically vulnerable adults achieving extraordinary outcomes for the people we serve. We do this through a value driven framework of excellence, integrity, person-centeredness, stewardship and teamwork. This care is provided to adults who reside in skilled nursing, assisted living facilities and private residences through a network of healthcare providers including Physicians, Nurse Practitioners, Physician Assistants, Psychologists, Licensed Clinical Social Worker, Clinical and Administrative Support Staff. The Medical Assistant is responsible for enhancing the performance of the clinical care team through supporting and facilitating clinical services with their assigned providers. The Medical Assistant is required to work in the field with the assigned provider as directed by Lead Medical Assistant or MA Manager/Supervisor. You may be asked to travel to facilities up to 60 miles from your home. This position will typically be a Monday- Friday dayshift. Hours: Mon-Fri - 8 hour dayshift (flexible) * Mileage reimbursement plan is offered. Provider Support Ensure that the clinical provider in the assigned building is able to focus on taking care of their patients for the day Ensure that each patient is seen as medically necessary per clinical protocol. Serve as a “buffer” between provider and families/staff to facilitate proper patient management. Document appropriate encounter and time for CCM and BHI services If scheduling is assigned: Scheduling rosters should be updated daily to ensure accuracy and schedules sent timely. Assist with any day-of changes to the scheduled visits due to acute needs, hospitalizations, admissions, or discharges Prepare clinical documentation for assigned providers each day Complete basic opening of encounter note as per discipline protocol Perform medication reconciliation on all scheduled patients each encounter Enter appropriate facility chart data on all scheduled patients each day into patient encounter notes and assign to provider Enter lab and other diagnostic study results into patient encounter and assign to provider as per guidelines Assist with collection and sorting of all clinical paperwork needed for clinician review and ensure completion each day Host telehealth sessions for providers as assigned by manager/supervisor, both routine and acute visits Facility Support When scheduling is an expectation for your role: Share patient schedules with key facility staff as needed. Assist with any triage needs as directed by assigned provider (whether they are in or out of the building that day) Assist with triage documentation as needed. Ensure that all needed paperwork is routed for the facility to Eventus providers, office, or families. Assist with consents for any services needed. Attend stand up meetings to report any needed information from the facility to Eventus providers and vice versa if allowed by facility. Assist with discharge planning of clinical services as needed. Ensuring check in and out each day with facility staff regarding patients seen, status, etc. Patient Support Maintain patient confidentiality at all times. Document appropriate encounter and time for CCM and BHI services Check all forms of communication several times daily to ensure patient needs are met. Inform patient and family of recent visits, new orders and defer to provider when needed Communicate transitions of care to CCM team to enhance patient care and education. Additional Duties and Responsibilities Medical Assistants are expected to be knowledgeable and adhere to Eventus WholeHealth standards, policies and procedures and outlined in employee handbook including HIPAA rules and regulations. Medical Assistants should adhere to the Eventus WholeHealth dress code policy i.e. clean, wrinkle-free, matching scrubs with appropriate, closed-toed footwear and name badge. When duties are completed ahead of scheduled workday, report to your Lead Medical Assistant for any additional assignments. Medical Assistants should seek further training if uncertain how to proceed with any assignment. Qualifications/Education: High School Diploma or equivalency Must have a valid driver's license and reliable transportation Expected to travel up to 1 hour from home address Certified Medical Assistant degree a plus Typing speed of 45wpm or greater Medical Scribing experience preferred WHAT WE OFFER Our full-time positions offer provide: A chance to be part of a growing and emerging culture Mileage reimbursement plan Paid time off benefits Holidays and Floating Holidays Health benefits (medical, dental vision) Short & Long-term disability options Employer Contribution to 401k Retirement after 6 months About Eventus WholeHealth: Eventus WholeHealth was founded in 2014 to provide physician-led healthcare services for residents and patients of skilled nursing and assisted living facilities. With our highly-trained team of physicians, psychiatrists, nurse practitioners, physician assistants, psychotherapists, podiatrists, optometrists, audiologists, and support staff, our comprehensive, evidence-based model provides collaborative interdisciplinary care with the seamless and vital integration of a wide range of specialties. Our differentiated approach not only empowers the facilities to reach their own goals and objectives but also ensures better patient outcomes. For more information, please visit ***************************

**Manager I GBD Special Programs - LTSS** Experience with the Ohio Waiver Program is essential. This role requires associates to be in-office **3** days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. MyCare Ohio Plan program is to deliver high‐quality, trauma informed, culturally competent, person‐centered coordination for all members that addresses physical health, behavioral health, long term services and supports, and psychosocial needs. The **Manager I GBD Special Programs - LTSS** is responsible for managing and overseeing a team responsible for coordination of OH My Care comprehensive health care program in which Ohio dually eligible members including individuals receiving long-term services and supports (LTSS) needs are assessed for physical health, behavioral health, and social driver of health needs for older adults, LTSS populations, and Home and Community Based Services (HCBS) coordination. **How You Will Make an Impact** - Hires, trains, coaches, counsels, and evaluates performance of direct reports. - Adheres to the Anthem best practice model for all facets of program operations. - Collaborates with management team to support alignment across coordination teams. - Mentor direct reports to apply Independence First principles through appropriate service allocation determinations. - Ensures adequate coverage for all tasks and job responsibilities. - Coordinates service delivery of assigned team to include member assessments, care planning, and ongoing contacts. - Participates in cross-functional workgroups to maintain and enhance the program. - Evaluates current processes of Special Program's support functions; recommends changes for increased efficiencies and improved outcomes. - Identifies training needs for coordination teams. - Effectively communicates risks, status of team performance, and support needs to leadership. - Utilizes performance data to support team with consistent compliance with key program metrics. **Minimum Requirements:** - Requires a BA/BS and minimum of 5 years' experience in a related field, including minimum of 1 year leadership/management experience; or any combination of education and experience, which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:** - Service delivery coordination, discharge planning or behavioral health experience in a managed care setting preferred. - Knowledge of Medicare benefits preferred. - RN, LISW, LMHC license in the State of Ohio is strongly preferred. - Service Coordination or Care Management experience is strongly preferred. - Experience with OH Waiver programs strongly preferred. - Experience supporting field based associates preferred. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $81,600 to $122,400. Location: Columbus, OH. In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results. The Opportunity: CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $28.90- $35.45/hr based on experience We are seeking Virtual Utilization Review Specialists to join our team. Full-time and PRN jobs are available. Essential job function include: Resource Utilization Utilizes proactive triggers (diagnoses, cost criteria, and complications) to identify potential over/under utilization of services Initiates appropriate referral to physician advisor in a timely manner Understands proper utilization of health care resources and assists with identifying barriers to patient progress and collaborates with the interdisciplinary team Collaborates with financial clearance center, patient access, financial counselors and/or business office regarding billing issues related to third party payers Medical Necessity Determination Conducts medical necessity review of all admissions. Utilizes approved clinical review criteria to determine medical necessity for admissions including appropriate patient status and continued stay reviews, possibly from an offsite location Provides inpatient and observation (if indicated) clinical reviews for commercial carriers to the Financial Clearance Center (FCC) within one business day of admission Communicates all medical necessity review outcomes to in-house care management staff and relevant parties as needed Collaborates with the in-house staff and/or physician to clarify information, obtain needed documentation, present opportunities and educate regarding appropriate level of care Collaborates with the financial clearance center, patient access, financial counselors, and/or business office regarding billing issues related to third party payers Denial Management Coordinates the P2P process with the physician or physician advisor, FCC, Revenue Cycle team when necessary and when assigned and maintains documentation relevant to the appeal process. Maintains appropriate information on file to minimize denial rate Assist in recording denial updates; overturned days and monitor and report denial trends that are noted Monitor for readmissions Quality/Revenue Integrity Demonstrates active collaboration with other members of the health care team to achieve the outcomes management goals including CMS indicators Accurately records data for statistical entry and submits information within required time frame Responsible for ConnectCare and ADT work queues assigned to VUR for revenue cycle workflow Accurately records data for statistical entry and submits information within required time frame Documentation will reflect all work and communication related to the FCC, payor, physician, physician advisor and in-house care management Second-level physician reviews will be sent as required and responses/actions reflected in documentation Facilitation of Patient Care Prioritizes patient reviews based on situational analysis, functional assessment, medical record review, and application of clinical review criteria Collaborates with the in-house care manager Maintains rapport and communication with the in-house care manager Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assignment Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures Communication Directs physician and patient communication regarding non-coverage of benefits Maintains positive, open communication with the physicians, nurses, multidisciplinary team members and administration Educates hospital and medical staff regarding utilization review program. Maintains a calm, rational, professional demeanor when dealing with others, even in situations involving conflict or crisis Voicemail, Skype, and email will be utilized and answered in timely fashion. Hospital provided communication devices will be used during work hours. Staff is expected to respond and/or acknowledge communication from the FCC via approved communication guidelines and standardized service-line agreements Staff must be available as designated for meetings or training, onsite or online, unless prior arrangements are made Team Affirmation Works collaboratively with peers to achieve departmental goals in daily work as evidenced by appropriate and timely communication which is respectful and clear. Sensitive to workload of peers and shares responsibilities, fills in and offers to help Actively participates in departmental process improvement team; planning, implementation, and evaluation of activities Provides back-up support to other departmental staff as needed Other Job Functions Complies with FCC and department policies and procedure, including confidentiality and patient's rights. Maintains clinical competency and current knowledge of regulatory and payer requirements to perform job responsibilities (i.e., medical necessity criteria, MS-DRGs, POA). Actively participates in departmental meetings and activities. Participates in FCC and community committees as assigned. Actively participates in conferences, committees, and task forces as directed by the FCC division. Associates may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation. Experience: Bachelor's Degree or equivalent experience; Specialty/Major: Nursing or related field Current unrestricted LPN or RN license required; RN compact license preferred Three years nursing experience in an acute care environment preferred Utilization review/discharge planning experience preferred Recent experience or working knowledge of medical necessity review criteria preferred Current working knowledge of quality improvement processes Other Knowledge, Skills, and Abilities Required: This is a remote role which requires access to high speed internet Excellent interpersonal, communication and negotiation skills in interactions with physicians, payors, and health care team colleagues Commitment to exceptional customer service at all times Communicate ideas and thoughts effectively verbally and in writing Strong clinical assessment, organization and problem-solving skills Ability to assess and identify appropriate resources, internal and community, on assigned caseload, and to work collaboratively with health care team, providers, and payors to achieve the desired patient, quality, and financial outcomes Ability to prioritize, organize information, and complete multiple tasks effectively in a fast-paced environment Resourceful and able to work independently #LI-LS1 #LI-Remote Join an award-winning company Five-time winner of “Best in KLAS” 2020-2022, 2024-2025 Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024 Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024 Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023 Energage Top Workplaces USA 2022-2024 Fortune Media Best Workplaces in Healthcare 2024 Monster Top Workplace for Remote Work 2024 Great Place to Work certified 2023-2024 Innovation Work-Life Flexibility Leadership Purpose + Values Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include: Associate Benefits - We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs. Our Culture - Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation. Growth - We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement. Recognition - We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company. Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories. Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact *****************. This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role's range. EEOC - Know Your Rights FMLA Rights - English La FMLA Español E-Verify Participating Employer (English and Spanish) Know your Rights

Job DescriptionBenefits: Dental insurance Health insurance Paid time off Training & development Vision insurance IMMEDIATE SUPERVISOR: Director of Services DESCRIPTION: Counselors are responsible for a variety of counseling and educational services within the school setting. Counselors are also required to develop, coordinate, and implement the treatment goals and objectives of each client, to include ensuring all objectives, goals, and deficiencies are documented and reported accurately and in compliance with organizational policies and guidelines. Counselors will facilitate clients support groups as needed as well as build partnerships with other community organizations and school personnel. TASKS: 1. Responsible for day-to-day operations for assigned group of clients 2. Implement Behavior Modification System 3. Complete all required documentation which includes but not limited to, the tracking of all individualized behavior programs, daily point sheets/totals, outcome tracks, discharge planning, progress notes, treatment plans, quarterlies and all related documentation in compliance with DMAS, Licensure and Accent Group standards 4. Maintain weekly contact with clients primary caregivers, school personnel and other relevant health care professionals. Schedule and attend meeting as required 5. Attend school meetings (i.e. IEP, child studies, etc.) upon approval of Clinical staff or Program Coordinator 6. Attend monthly meetings with Clinical staff and Program Coordinator for supervision and chart audits. 7. Establish working relationships with representatives of other agencies who work with and provide services to individuals. 8. Assist in the referral process for each client 9. Provide transportation for clients using company vehicles as needed 10. Provide transportation and escorting individuals to appointments as needed. 11. Perform other duties as assigned Skills: Case management Oral and written communication Group and individual counseling Crisis intervention Report Writing and Other Client Documentation Service Plan Development and Implementation Knowledge of: Community Resources Counseling Interventions CORE Standards Human Development Group Dynamics Computer skills (Windows) Trainings/Certifications: CPR/FIRST AID Medication Training Restraint Training Techniques OTHER: Accessible by phone 24 hours a day / 7 days per week/ 365 days a week Valid Drivers License Ability to work on call as needed Minimum Qualifications: Bachelors degree in a human services field and one year successful work experience providing mental health services or special education to individuals who have developmental disabilities. Registered as QMHP-C or T with the VA Board of Counseling REQUIRED. Must successfully pass a criminal history check by the BIU of DBHDS and a central registry check by VDSS. Must also successfully pass tuberculosis screening. Job Type: Full-time Sign On Bonus will be dispersed every 90 days per quarter for the school year. This bonus is tentative with maintaining employment with the company for a school year including our summer program. Work Remotely Telehealth Sessions are mandatory to maintain client safety and services over school breaks and holidays. Job Types: Full-time, Part-time Pay: $25.00 per hour Benefits: Dental insurance Health insurance Life insurance Paid time off Vision insurance Schedule: 8 hour shift Day shift Monday to Friday Work setting: In-person Application Question(s): Are you registered with the Va Board of Counseling? Education: Bachelor's Required Work Location: In person

Why Charlie Health? Millions of people across the country are navigating mental health conditions, substance use disorders, and eating disorders, but too often, they're met with barriers to care. From limited local options and long wait times to treatment that lacks personalization, behavioral healthcare can leave people feeling unseen and unsupported. Charlie Health exists to change that. Our mission is to connect the world to life-saving behavioral health treatment. We deliver personalized, virtual care rooted in connection-between clients and clinicians, care teams, loved ones, and the communities that support them. By focusing on people with complex needs, we're expanding access to meaningful care and driving better outcomes from the comfort of home. As a rapidly growing organization, we're reaching more communities every day and building a team that's redefining what behavioral health treatment can look like. If you're ready to use your skills to drive lasting change and help more people access the care they deserve, we'd love to meet you. About the Role We are a startup with a big vision and your role will be essential to our success. You'll be granted an unparalleled level of responsibility, as your efforts will literally define how many kids we are able to treat. You'll work hand-in-hand with our team to facilitate admission for hundreds of at-risk youth. You'll obsess (in a healthy way) over ensuring that every possible patient and family member feel taken care of by Charlie Health's admissions team. This position is highly interactive and serves as a critical part of aiding our patients, as you will be their first introduction to Charlie Health. The admissions team ensures that all admissions processes are completed within the designated time and documentation is professionally presented. Our team is composed of passionate, forward-thinking professionals eager to take on the challenge of the mental health crisis and play a formative role in providing life-saving solutions. We are looking for a candidate who is inspired by our mission and excited by the opportunity to increase access to mental health care that will impact millions of lives in a profound way. As a pivotal member of our startup, your role is integral to our vision. Your responsibilities are not just operational but directly tied to our core mission - increasing the number of young people we can treat. You'll be responsible for meeting and exceeding specific admission quotas, actively driving our patient outreach and acquisition efforts. This role requires a proactive approach to engaging potential patients and families, ensuring a seamless admissions process, and adhering to strict timelines and documentation standards. Your performance will be measured against key KPIs, including admission rates, patient satisfaction scores, and time-to-admission metrics. Responsibilities Ensure a supportive, positive experience for clients and referral sources / external providers Work directly with clients, families, and referral sources to understand their needs and preferences Make accurate and timely outbound referrals for who are not admitted to Charlie Health Collaborate closely with internal stakeholders at Charlie Health (e.g., clinical team, admissions team) as needed to fulfill job responsibilities Document all client and referral source interactions in the electronic record system Work closely with the Clinical Outreach and Partnerships teams to build a deep understanding of referral sources and the services they provide Function as a liaison between Charlie Health and partners to ensure all ongoing needs are met and the client experience remains at the center Adhere to stated policies and procedures and achieve performance metrics goals Qualifications Bachelor's degree in health sciences, communications, psychology, social work, or related field 1-2 years of relevant work experience (e.g., experience in healthcare, preferably in customer / patient-facing roles such as case management, discharge planning, referral relations, admissions, or outreach) Strong interpersonal, relationship-building and listening skills Metrics- and results-oriented mindset, with experience working against concrete targets Met or exceeded KPIs in previous roles Excellent written and verbal communication skills Extreme organization and attention to detail Work authorized in the United States and native or bilingual English proficiency Ability to thrive in a fast-paced environment and learn quickly Proficient in Salesforce and Google Suite/MS Office Must be based in Eugene, Oregon, or within a commutable distance Benefits Charlie Health is pleased to offer comprehensive benefits to all full-time, exempt employees. Read more about our benefits here. Additional Information Please note that this role is not available to candidates in Alaska, Maine, Washington DC, New Jersey, California, New York, Massachusetts, Connecticut, Colorado, Washington State, Oregon, or Minnesota. The total target base compensation for this role will be between $45,000 and $52,500 per year at the commencement of employment. In addition to base compensation, this role offers a target performance-based bonus. Please note, pay will be determined on an individualized basis and will be impacted by location, experience, expertise, internal pay equity, and other relevant business considerations. Our Values Connection: Care deeply & inspire hope. Congruence: Stay curious & heed the evidence. Commitment: Act with urgency & don't give up. Please do not call our public clinical admissions line in regard to this or any other job posting. Please be cautious of potential recruitment fraud. If you are interested in exploring opportunities at Charlie Health, please go directly to our Careers Page: ******************************************************* Charlie Health will never ask you to pay a fee or download software as part of the interview process with our company. In addition, Charlie Health will not ask for your personal banking information until you have signed an offer of employment and completed onboarding paperwork that is provided by our People Operations team. All communications with Charlie Health Talent and People Operations professionals will only be sent *********************** email addresses. Legitimate emails will never originate from gmail.com, yahoo.com, or other commercial email services. Recruiting agencies, please do not submit unsolicited referrals for this or any open role. We have a roster of agencies with whom we partner, and we will not pay any fee associated with unsolicited referrals. At Charlie Health, we value being an Equal Opportunity Employer. We strive to cultivate an environment where individuals can be their authentic selves. Being an Equal Opportunity Employer means every member of our team feels as though they are supported and belong. We value diverse perspectives to help us provide essential mental health and substance use disorder treatments to all young people. Charlie Health applicants are assessed solely on their qualifications for the role, without regard to disability or need for accommodation. By clicking "Submit application" below, you agree to Charlie Health's Privacy Policy and Terms of Service. By submitting your application, you agree to receive SMS messages from Charlie Health regarding your application. Message and data rates may apply. Message frequency varies. You can reply STOP to opt out at any time. For help, reply HELP.

**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 temporary (15 month) position performs patient care by assessing patient physical and functional abilities. Based on problems determined, the physical therapist establishes and carries out a plan of care to include patient/family instruction, discharge planning, documentation on the medical record, and communication with physicians and other medical staff. This position helps patients achieve maximum level of physical functioning. This position participates in physical therapy learning / mentorship opportunities with additional responsibilities which may include therapist presentations, physician relation / shadowing activity and research activity. **Responsibilities And Duties:** 80% Direct Patient . Evaluates and treats patients: a. Evaluates patient physical abilities and functional status, creates plan of care and initiates patient treatment after physician referral. b. Carries out plan of care with reassessment and changes to plan of care as appropriate. c. Provides patient & family with medical and exercise-specific education to improve function. d. Collaborates with therapy team members to carry out treatment plan and provide clinical care. e. Supervises PTA in the delivery of care. e. Communicates care plan to physician and communicates on-going care & patient needs. f. Attends multidisciplinary patient care meetings as appropriate. 2. Follows OhioHealth policies related to delivery of clinical Care a. Documents evaluation, plan of care, daily progress toward goals & progress & discharge notes. b. Carries out clinical outcomes processes according to department standards. c. Follows Joint Commission and Department of Health guidelines, as well as Ohio PT laws. 20% Clinical Didactic Learning and Mentorship 1. Participates in physical therapy coursework and lab activities. 2. Participates in physician shadowing and other clinician observations. 3. Participates in research projects. 4. Presents clinical topics to therapy associates and administration. 5. Represents OhioHealth Rehabilitation in hospital meetings and community events. 5. Participates in orientation of upcoming therapy residents. **Minimum Qualifications:** Master's Degree (Required) BLS - Basic Life Support - American Heart Association, LIC - Licensed in Field - State of Ohio **Additional Job Description:** Physical Therapy; Licensed in the State of Ohio; Effective oral and written communication skills. Effective use of computer technology. Demonstrated emphasis on customer service and the creating of customer-focused environment. Entry-level new graduate acceptable **Work Shift:** Day **Scheduled Weekly Hours :** 40 **Department** Neuro Rehab Administration 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

The Women and Children Heath Regulatory Support Manager is responsible for planning, organizing, leading and executing strategic initiatives and supporting regulatory requirements to align with overall business strategy for the Women and Children's Health Team. Essential Functions: Work closely with executives and leaders to ensure assigned initiatives align with business strategies, regulatory/contract/accreditation requirements and are properly resourced, and managed. Develop and provide comprehensive reporting & analysis with actionable recommendations and outcomes for assigned Women and Children's Health(WCH) initiatives to senior management, stakeholders, and executive sponsors. Incorporates industry standards, best practice project management tools and techniques in Women and Children's Health initiatives. Support the development and management of Women and Children's Health initiatives including data analysis to support the design, project plan development, workflow design, program tracking and implementation, ensuring assigned Women and Children's Health initiatives are monitored and tracked as it relates to regulatory compliance. Manage and oversee execution of women, infant and children's specific initiatives as directed by Ohio Department of Medicaid. This includes but not limited to the Medicaid School Program, Maternal Infant Support Program, Pathway Community HUBS, Reporting requirements and any ODM Regulatory deliverables or ad hoc requests Lead, direct and / or participate in Women and Children's Health strategic initiatives Oversee and facilitate execution of agreements with community-based organizations interested in collaborating and partnering on maternal child initiatives to improve health outcomes. Coordinate the tracking and submission of process measures to related MCO improvement efforts in communities related to infant mortality reduction efforts, as well as women and children's preventative care. Monitor performance and processes of community partnerships within the CareSource network using reports generated from data/analytics, quality, population health and HEDIS to identify and disseminate best practices and to identify and address performance not being met as outlined within contracts/agreements. . Collaborate with internal stakeholders to use data to facilitate identification of gaps in clinical care, screenings, to implement best practices to optimize HEDIS rates, and develop and implement quality improvement activities to improve upon quality outcomes-measures for women, infants, and children. Partner with Provider-Contracting teams to collaborate with APM Providers (CMC, CPR, ACO's and VBR) and all other providers to identify, prioritize and implement initiatives to engage members in completion of needed health care services and screenings. Perform any other job-related instructions, as requested Education and Experience: Bachelor of Science in Nursing (BSN) or related field or equivalent work experience required Minimum of five (5) years of experience in nursing, social management, case management, discharge planning, care coordination and or community/home health environment required Minimum of five (5) years of clinical experience is required; 3 or more years of clinical experience in pediatrics/maternity care preferred Minimum of three (3) years of Medicaid/Medicare preferred Minimum of two (2) years of supervisory/preceptor experience preferred Preferred experience with project or technical leadership with proven demonstrated responsibility for development and implementation of strategic plans is required Competencies, Knowledge and Skills: Data analysis and trending skills Proven ability to effectively interact at all organizational levels working with stakeholders and external partners Ability to manage and meet workloads and deadlines Proficiency in Microsoft Office tools, including Word, PowerPoint, Visio and Excel Ability to communicate effectively with diverse population Ability to multi-task and work independently within a team environment Ability to collaborate with other internal team members to optimize birth and health outcomes for pregnant members Ability to prioritize and adapt in a regulated environment; Ability to maintain flexibility while leading innovation and organizational change; Knowledge of community and state support and advocacy resources for population served Familiarity of state and federal healthcare regulations and environment Critical listening and thinking skills and willingness to be flexible Decision making and problem solving skills Strong organizational and time management skills Ability to work within autonomous role, adapting and modifying plan of care of member as required Licensure and Certification: Current unrestricted license as a Registered Nurse (RN) in state of practice is required Employment in this position is conditional pending successful clearance of a driver's license record check. If the driver's license record results are unacceptable, the offer will be withdrawn or, if employee has started employment in position, employment in the position will be terminated To help protect our employees, members, and the communities we serve from acquiring communicable diseases, Influenza vaccination is a requirement of this position. CareSource requires annual proof of Influenza vaccination for designated positions during Influenza season (October 1 - March 31) as a condition of continued employment. Employees hired during Influenza season will have thirty (30) days from their hire date to complete the required vaccination and have record of immunization verified. Working Conditions: Work From Home; may be required to sit or stand for extended periods of time Some travel to fulfill duties of position Required to use general office equipment, such as a telephone, photocopier, fax machine, and personal computer Perform regular travel to CareSource Headquarters for team meetings and other events as determined by leadership. Compensation Range: $70,800.00 - $113,200.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package. Compensation Type (hourly/salary): Salary Organization Level Competencies Fostering a Collaborative Workplace Culture Cultivate Partnerships Develop Self and Others Drive Execution Influence Others Pursue Personal Excellence Understand the Business This is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.#LI-TS1

Why Charlie Health? Millions of people across the country are navigating mental health conditions, substance use disorders, and eating disorders, but too often, they're met with barriers to care. From limited local options and long wait times to treatment that lacks personalization, behavioral healthcare can leave people feeling unseen and unsupported. Charlie Health exists to change that. Our mission is to connect the world to life-saving behavioral health treatment. We deliver personalized, virtual care rooted in connection-between clients and clinicians, care teams, loved ones, and the communities that support them. By focusing on people with complex needs, we're expanding access to meaningful care and driving better outcomes from the comfort of home. As a rapidly growing organization, we're reaching more communities every day and building a team that's redefining what behavioral health treatment can look like. If you're ready to use your skills to drive lasting change and help more people access the care they deserve, we'd love to meet you. About the Role Continuing Care Coordinators help manage client-related communication and coordination with referral sources, such as hospitals, outpatient practices, schools, and governmental organizations. Specifically, they are responsible for some or all of the following: providing treatment updates to referring providers and planning discharge for clients in our care. 1. Treatment updates to referring providers For clients receiving care at Charlie Health, Continuing Care Coordinators may be responsible for providing consistent, high-quality treatment updates to referral sources. They may also help answer questions about their referred clients. A key aspect of this role is building trusting relationships with referral sources - Continuing Care Coordinators are expected to communicate professionally and collaboratively to deliver a seamless, supportive experience. 2. Discharge planning For clients completing treatment at Charlie Health, Continuing Care Coordinators may be responsible for developing a discharge plan. The discharge plan is Charlie Health's opportunity to set the client and family up for success post-program. Continuing Care Coordinators ensure that each plan is comprehensive and clinically appropriate. Key activities include identifying appropriate aftercare resources and engaging with clients to facilitate a smooth transition. We're a team of passionate, forward-thinking professionals eager to take on the challenge of the mental health crisis and play a formative role in providing life-saving solutions. If you're inspired by our mission and energized by the opportunity to increase access to mental healthcare and impact millions of lives in a profound way, apply today. Responsibilities Ensure a supportive, positive experience for clients and referral sources / external providers Work directly with clients, families, and referral sources to understand their needs and preferences Make accurate and timely referrals to aftercare resources for clients discharging from Charlie Health Use and maintain a nationwide provider database to identify appropriate referral options Make referrals using external provider's preferred communication channels Follow-up with clients and/or external providers to verify placement Communicates with referral providers about new referrals and ensures that the facility/provider has all necessary information to consider a referral; assists with ensuring that all receiving providers have all necessary clinical materials and information. Documents case management contacts in progress notes, communicates with therapists/case managers and treatment team about contact and updates on the status of discharge planning Collaborate closely with internal stakeholders at Charlie Health (e.g., clinical team, admissions team) as needed to fulfill job responsibilities Work closely with the Clinical Outreach and Partnerships teams to build a deep understanding of referral sources and the services they provide Adhere to stated policies and procedures and achieve performance metrics goals Requirements Bachelor's degree in health sciences, communications, psychology, social work, or related field Minimum of 2 years of relevant work experience (e.g., experience in healthcare, preferably in customer / patient-facing roles such as case management, discharge planning, referral relations, admissions, or outreach) Strong interpersonal, relationship-building and listening skills Metrics- and results-oriented mindset, with experience working against concrete targets Excellent written and verbal communication skills Extreme organization and attention to detail Work authorized in the United States and native or bilingual English proficiency Ability to thrive in a fast-paced environment and learn quickly Proficient in Salesforce and Google Suite/MS Office Benefits Charlie Health is pleased to offer comprehensive benefits to all full-time, exempt employees. Read more about our benefits here. Additional Information Please note that this role is not available to candidates in Alaska, Maine, Washington DC, New Jersey, California, New York, Massachusetts, Connecticut, Colorado, Washington State, Oregon, or Minnesota. The expected base pay for this role will be between $52,500 and $60,000 per year at the commencement of employment. However, base pay will be determined on an individualized basis and will be impacted by location and years of experience. Further, base pay is only part of the total compensation package, which, depending on the position, may also include incentive compensation, discretionary bonuses, other short and long-term incentive packages, and other Charlie Health-sponsored benefits. #LI-REMOTE Our Values Connection: Care deeply & inspire hope. Congruence: Stay curious & heed the evidence. Commitment: Act with urgency & don't give up. Please do not call our public clinical admissions line in regard to this or any other job posting. Please be cautious of potential recruitment fraud. If you are interested in exploring opportunities at Charlie Health, please go directly to our Careers Page: ******************************************************* Charlie Health will never ask you to pay a fee or download software as part of the interview process with our company. In addition, Charlie Health will not ask for your personal banking information until you have signed an offer of employment and completed onboarding paperwork that is provided by our People Operations team. All communications with Charlie Health Talent and People Operations professionals will only be sent *********************** email addresses. Legitimate emails will never originate from gmail.com, yahoo.com, or other commercial email services. Recruiting agencies, please do not submit unsolicited referrals for this or any open role. We have a roster of agencies with whom we partner, and we will not pay any fee associated with unsolicited referrals. At Charlie Health, we value being an Equal Opportunity Employer. We strive to cultivate an environment where individuals can be their authentic selves. Being an Equal Opportunity Employer means every member of our team feels as though they are supported and belong. We value diverse perspectives to help us provide essential mental health and substance use disorder treatments to all young people. Charlie Health applicants are assessed solely on their qualifications for the role, without regard to disability or need for accommodation. By submitting your application, you agree to receive SMS messages from Charlie Health regarding your application. Message and data rates may apply. Message frequency varies. You can reply STOP to opt out at any time. For help, reply HELP.

Job Description SUMMARY OF MAJOR FUNCTIONS: The Counselor - Mental Health is responsible for providing high-quality mental health care which includes skills in planning and documentation preparation. DUTIES AND RESPONSIBILITIES: Participates in the orientation process of new clients Completes all clinical documentation within the required agency timeframes while ensuring sound clinical documentation, interviewing, and assessment skills Screeners (GAD-7, MDQ-7, PHQ-9, COWS, Socrates, and their subsequent updates) Psychosocial evaluation (Individual Biopsychosocial Assessment) Master Treatment e.g., Individual Plan of Service and subsequent updates Transition Plan or Program Discharge Summary prep DWIHN Crisis Plan and subsequent updates Case Management Needs Assessment (initial) and subsequent updates Discharge Summary prep Notice of Hearing and Local Appeals Behavioral Health Consent updates and other clinical documents as necessary Facilitates individual, group therapy, and educational didactic lectures based on theoretical orientation and EBP displaying good theoretical knowledge of the subject matter and effective communication skills in delivering materials Completes Progress Notes i.e., Individual, Group, and Non-Billable Contact in the electronic record system based on appropriately authorized CPT codes while ensuring person-centered language and EBP are reflected throughout, in a timely manner Provide coverage as required by the program including some evenings, weekends, and holidays. Participates as an active and cooperative member of the multi-disciplinary treatment team. Collaborates with clinical staff, probation & parole agents in treatment progress and discharge planning Work with probation/parole clients and their agents. Complete monthly progress reports regarding assigned clients for employers (if consented and needed) and other referral sources as required to necessary sources (i.e. probation & parole agents) Participate in 1:1, triadic, and group supervision Participates in case conferences, mid-treatment reviews, utilization reviews, and staff meetings Collaboratively works within the Clinical Triad to ensure and support case management services based on Case Management Needs and assessment, and makes needed quality assurance/performance improvement corrections when called upon and within the timeframe indicated Keeps abreast of the treatment progress and behavior of each assigned client Supports and adheres to the rules and regulations of the Board of Directors Participates in scheduled in-services and other appropriate training activities to ensure consistent adherence to all training requirements of the agency, for credentialing, and/or licensure Performs other duties as related to direct service activity. Other duties as assigned MINIMUM REQUIREMENTS - EDUCATION AND EXPERIENCE • Must have liability insurance as an independent contractor. • Preferred one year of Mental Health treatment experience. • Must possess a License (Full or Limited) in Social Work, Professional Counseling, or Psychology with a degree (from an institution accredited by one of the Regional Institutional Accrediting Agencies recognized by the Council on Higher Education Accreditation and listed by the U.S. Government Office of Postsecondary Education) in Social Work, Counseling, Psychology, or Human Services. Must be licensed to practice in the State of Michigan. • If recovering, shall have at least (3) years of consistent, verifiable sobriety immediately prior to application. • Must not have been convicted of a felony for at least (2) years prior to application. • Must be able to pass LEIN check. No active police warrants. May not be on probation or parole if the position requires work with EHI criminal justice system contracts.

UP Health System- Marquette Unit Secretary Job Type: Part-Time | Days Your experience matters Marquette General Hospital is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Unit Secretary joining our team, you're embracing a vital mission dedicated to making communities healthier . Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve. How you'll contribute A Unit Secretary who excels in this role: Supports nursing department operations by assisting with administrative duties such as greeting visitors scheduling appointments transferring phone calls admitting and discharging patients communicating and coordinating between physicians, nursing staff and other hospital staff. May transcribe physician orders and file paperwork. May assist with patient care as trained. ESSENTIAL FUNCTIONS The Unit Secretary provides administrative support for scheduling, admitting, medical records, discharge planning, and secretarial functions for the department as well as limited patient related activities for the following patient populations: Adolescent (12 - 18 years), Adult (18 - 65 years) and Geriatric (65 and over), and occasionally, Neonate/Infant (birth - 1 year), and Pediatric (1-12 years). Functions in a multi-skilled environment that requires application of customer service clerical skills with some patient related activities. Job Specific: Ensures visitors are acknowledged quickly and helps direct them and answer any questions. Initiates medical record upon admission. Maintains said record during patient stay, and closes the record upon patient discharge within the electronic medical record. Initiates follow-up regarding doctors' orders. Ensures that all patient and special charges are processed. Serves as unit receptionist for incoming and outgoing calls and visitor information. Interacts frequently with unit personnel, physicians, visitors, patients' families and other ancillary hospital personnel for the purpose of giving and receiving information. Has contact with patients. Duties may include answering patient lights, and fulfilling patient request for non-care items, attend appointments with patients, working in the café. Requires professional, courteous, and helpful manner in all contacts with customers. Position involves multi-tasking in a high stress environment. Requires constant mental alertness and the ability to calmly and accurately perform duties when subjected to frequent and varied interruptions. Must have the ability to exercise judgment and initiative in the resolution of problems encountered. Ensures that all patient and unit equipment, supplies and procedures are ordered and received, Other duties as assigned Why join us We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers: Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees. Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off. Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match. Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs). Professional Development: Ongoing learning and career advancement opportunities. What we're looking for High school diploma required, with two years of college level education preferred. Computer experience required. Prior experience in a hospital setting is preferred. Must have the ability to work with all levels of medical personnel, patients and families, Ability to speak and write concisely with knowledge of medical terminology desirable More about Marquette General Hospital Your Regional Medical Center As a 222-bed specialty care hospital, UP Health System - Marquette receives patients from across the UP and provides care in 65 specialties and subspecialties. Its medical staff of more than 200 doctors work as a team with its more than 1,800 employees in caring for approximately 9,000 inpatients and more than 350,000 outpatients per year. UP Health System Marquette's major services include its Heart & Vascular Institute, Cancer Center, Brain & Spine Center, Rehabilitation Center, Behavioral Health, Digestive Health, Bariatric Medicine & Weight Management Center and Women's Health, Family Birthing, and Pediatrics Center. The hospital also provides the region's premier services in imaging, surgery and laboratory and is home to the UP-Telehealth Network, a leading telehealth network in the nation. We also service many of the communities in the Upper Peninsula of Michigan, with 42 primary and specialty care clinics spread throughout the region. Our Community The City of Marquette is located in the central region of Michigan's Upper Peninsula. With a population of 21,335, it is the UP's largest community. In addition to being a population center, it serves as the regional center for education, healthcare, recreation and retail offering amazing arts and culture opportunities, stellar schools. Marquette also is the home of Northern Michigan University, housing the nation's only Olympic Education Center. Residents of the City of Marquette have long appreciated their community's abundant natural beauty, unique climate and the high quality of life that is enjoyed here. A strong commitment by both city leaders and active community members has helped Marquette to become one of the nation's premier cities. Our national recognition includes being named one of “America's Most Livable Communities” by Partners for Livable Communities in 2004, involvement in Michigan's “Cool Cities” initiative, and receipt of the “All-American City” award by the National Civic League in 2003. Forbes also named Marquette the “Third Best City in America to Raise a Family” in 2010, and, most recently, Marquette was named one of the top micropolitans by Site Selection Magazine in March 2011. EEOC Statement Marquette General Hospital is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment." Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country

At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates. Job Summary The Utilization Management Manager plays a vital role in ensuring patients have timely access to care by managing both front-end prior authorizations and in-house concurrent review authorizations. This position blends strong relationship-building skills with clinical knowledge to navigate complex payer requirements, streamline the authorization process, and support seamless patient transitions. From start to finish, this role drives the authorization process-reviewing prospective, retrospective, and concurrent medical records; coordinating with referring hospitals to secure prior authorizations; and partnering with case management teams at ScionHealth facilities to complete concurrent review authorizations. Acting as a navigator and liaison between Business Development, facility administration, managed care organizations, and payors, the specialist ensures determinations are communicated promptly and accurately to all relevant stakeholders. By combining attention to detail with proactive collaboration, the Utilization Management Manager safeguards revenue integrity, reduces delays, and supports the organization's mission of delivering exceptional patient care. This role actively contributes to quality improvement, problem-solving, and productivity initiatives within an interdisciplinary model, demonstrating accountability and a commitment to operational excellence. Essential Functions * Extrapolates and summarizes essential medical information to obtain authorization for admission and continued stay to/at ScionHealth Level of Care. * Prepares recommendations to sumbit timely request for reconsideration of denial determination in attempt to have denied authorization requests overturned. * Ensures authorization requests are processed timely to meet regulatory timeframes. * Reviews medical necessity assessments completed by case management, evaluating documentation for specific criteria related to severity of illness, and level of care appropriateness. * Generates written appeals to medical necessity-based payor denials for denials prior to admission and concurrent review authorizations. Appeal letters may be processed on behalf of the physician, combining clinical and regulatory knowledge in efforts to have consideration of authorization. * Documents authorization information in relevant tracking systems. * Effectively builds relationships with business development team, admissions team/clinical staff and managed care team, to coordinate the patient admission functions in keeping with the mission and vision of the hospital. * Supports review of patient referral for clinical and financial approval and/or escalation to leadership for approval following the Care Considerations grid. * Coordinates and facilitates pre-admission Prior Authorizations for patients from the referral sources: * Identifies /reviews medical record information needed from referring facility. * Applies appropriate clinical guidelines to pre-authorization determination process. * Communicates specific patient needs for equipment, supplies, and consult services as related to prior authorization requirements. * Acts as a liaison with the Business Development team through every stage of the authorization process through determination. * Initiates appeals process as appropriate. * Facilitates and coordinates physician-to-physician communication as appropriate to support the denial management process. * Communicates to appropriate teams, including business development and facility administration when clinical authorization and financial approval is complete, following standard authorization process. * Provides hospital team with needed prior authorization information on pending / new admissions. * Coordinate with managed care payor on all coverage issues and supports the LOA process as requested. * Coordinates and facilitates Concurrent Review Authorizations for patients actively in-house at a ScionHealth facility * Identifies /reviews medical record information needed from facility. * Applies appropriate clinical guidelines to concurrent review authorization process. * Review medical necessity review information provided by the case management team and communicates any additinoal questions or information requests * Acts as a liaison with the Case Management team through every stage of the concurrent review authorization process through determination. * Initiates appeals process as appropriate. * Communicates with Medical Advisors or case managers of managed care company as necessary; including during Care Coordination / Managed Care calls * Maintains a knowledge of areas of responsibility and develops and follows a program of continuing education. * Participates in continuing education/ professional development activities. * Learns and develops full knowledge of the CAAT Admission Processes and actively seeks to continuously improve them. Knowledge/Skills/Abilities/Expectations * Strong relationship building skills and a spirit to serve to ensure effective communication and service excellence. * Knowledge of regulatory standards and compliance guidelines. * Working knowledge of medical necessity justification through but not limited to non-physician review guidelines (InterQual and Milliman), Medicare and Medicaid rules, regulations, coverage guidelines, NCDs and LCDs. * Working knowledge of Medicare, Medicaid and Managed Care payment and methodology. * Extensive knowledge of clinical symptomology, related treatments and hospital utilization management. * Excellent interpersonal, verbal and written skills to communicate effectively and to obtain cooperation/collaboration from hospital leadership, as well as physicians, payors and other external customers. * Critical thinking, problem solving, and decision-making capabilities with the ability to discern, collect, organize, evaluate, and communicate pertinent clinical information with effective verbal and written skills. * Technical writing skills for appeal letters and reports. * Effective time management and prioritization skills. * Computer skills with working knowledge of Microsoft Office (Word, Excel, PowerPoint, and Outlook), word-processing and spreadsheet software. * Demonstrates good interpersonal skills when working or interacting with patients, their families and other staff members. * Conducts job responsibilities in accordance with the standards set out in the Company's Code of Business Conduct, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards. * Communicates and demonstrates a professional image/attitude for patients, families, clients, coworkers and others. * Adheres to policies and practices of ScionHealth. * Must read, write, and speak fluent English * Must have good and regular attendance. * Approximate percent of time required to travel: N/A Qualifications Education * Postsecondary non-Degree (Cert/Diploma/Program Grad) of an Accredited School of Nursing required * Associate's Degree in healthcare or related field required * Bachelor's Degree in healthcare or related field preferred * Equivalent combination of Education and/or Experience in lieu of education (3+ years in a related field) may be considered. Licenses/Certifications * Healthcare professional licensure preferred. * In lieu of licensure, 3+ years of experience in relevant field required. * Some states may require licensure or certification. Experience * 3+ years of experience in a healthcare strongly preferred. * Experience in managed care, case management, utilization review, or discharge planning a plus.

The Clinical Operations Nurse is responsible for completing telephonic patient evaluations and assessments for WellSky's various payer programs. We invite you to apply today and join us in shaping the future of healthcare! Key Responsibilities Cultivate and maintain professional relationships with clients, patients, and stakeholders by providing sensitive and respectful care in line with diversity standards and human dignity. Conduct assessments with patients and providers to identify most appropriate level of care setting, identify potential gaps in care, and coordinate with stakeholders to provide resources to promote best possible outcomes and reduce readmissions. Coordinate and educate program expectations with providers, payers, and members to ensure appropriate referrals and optimized clinical outcomes. Advocate for patient needs through effective communication and service coordination and promote patient self-management and wellness by empowering patients and families to make informed choices and build supportive care systems. Collaborate with case managers, physicians, and medical directors to ensure appropriate levels of care and seamless care transitions. Responsible for making outreaches to emergency departments to provide care coordination and safe transitions for patients. Maintain accurate documentation, stay current on healthcare regulations and practices, and participate in team meetings and orientation activities to promote collaboration and continuous improvement. Perform other job duties as assigned. Required qualifications Bachelor's degree or equivalent work experience. At least 2-4 years of relevant work experience. RN Licensure in New York and/or Oklahoma and/or Compact. At least 2 years' experience in emergency departments. Preferred qualifications Experience in acute/ACO/post-acute care facility care coordination, discharge planning, social services, disease management, population health, home health, and/or post-acute care facilities. Job Expectations Willing to travel up to 30% based on business needs. Willing to work additional or irregular hours as needed/evening hours/holidays. Must work in accordance with applicable security policies and procedures to safeguard company and client information. Must be able to sit and view a computer screen for extended periods of time. #LI-PG1 #LI-Remote WellSky is where independent thinking and collaboration come together to create an authentic culture. We thrive on innovation, inclusiveness, and cohesive perspectives. At WellSky you can make a difference. WellSky provides equal employment opportunities to all people without regard to race, color, national origin, ancestry, citizenship, age, religion, gender, sex, sexual orientation, gender identity, gender expression, marital status, pregnancy, physical or mental disability, protected medical condition, genetic information, military service, veteran status, or any other status or characteristic protected by law. WellSky is proud to be a drug-free workplace. Applicants for U.S.-based positions with WellSky must be legally authorized to work in the United States. Verification of employment eligibility will be required at the time of hire. Certain client-facing positions may be required to comply with applicable requirements, such as immunizations and occupational health mandates. Here are some of the exciting benefits full-time teammates are eligible to receive at WellSky: Excellent medical, dental, and vision benefits Mental health benefits through TelaDoc Prescription drug coverage Generous paid time off, plus 13 paid holidays Paid parental leave 100% vested 401(K) retirement plans Educational assistance up to $2500 per year

The RT Vent Field Clinician is a Respiratory Therapist providing respiratory patient care to Vent patients for optimal outcomes. Provides respiratory care to patients in alternate sites in accordance with AdaptHealths policies and procedures. Respiratory care will be preventative, rehabilitative, and palliative in nature. The RT will utilize all the resources available within the agency and community to accomplish care objectives. This position will provide education and care to the patient and communicate with team, physicians and referral sources and other patient agencies ensuring prompt attention to patient care issues. Essential Functions and Job Responsibilities: Utilizes various sources of information to attain greater competence about his or her position, including attending educational events (including attending optional in-services) and asking questions. Utilizes acquired knowledge to increase his or her competencies. Consistently demonstrates ability to adequately complete all documentation and charting procedures in compliance with company policy and procedures. Maintains complete and accurate patient files by updating all documents per company policy and procedures. Reviews Plan of Treatments and Care Plans to assure they are accurate and up to date. Documents procedures including how the patient tolerated a procedure, side effects and other pertinent information. Assists with authorization for Ventilator referrals for patients. Shows adequate knowledge of respiratory equipment and displays ability to utilize knowledge in the clinical setting. Displays knowledge of assessment skills and demonstrates application of clinical skills during set-ups, follow-ups, and in-services. Participates in discharge planning of highly technical cases. Performs clinical assessments as needed and reports results and recommendations to the referral and physician. Participates in highly technical discharges and prepares in advance to assure the patient and caregivers have a smooth transition to the home setting. Performs in-services to hospital staff, referrals, other professionals regarding equipment & issues of clinical nature. Follows up with physician and referrals regarding patient status and documents accurately and in a timely manner. Retain knowledge of and consistently adhere to procedures for the use of Personal Protective Equipment (PPE), infection control and hazardous materials handling. Works to promote AdaptHealth by new program development, operational backup, personal visits, coordination of educational activities, etc. Assume on-call responsibilities during non-business hours in accordance with company policy. Uses clinical expertise in evaluating vent patients records once a ventilator set up has been completed by the branch Respiratory Therapist. Ensures accuracy of prescriptions and plan of care was followed and documented. Also reviews delivery tickets, home inspection, ventilator check, and patient equipment competencies are complete and documented. Maintains proficient knowledge of ventilator patients including compliance software, new technology, units, and supplies supported by Adapthealth. Ability to demonstrate and instruct on use of vent units and supplies. Ability to make decisions for patients based on compliance data and assessment. Communicates with team, physicians and referral sources and other patient agencies ensuring prompt attention to patient care issues. Maintains working knowledge of Medicare/Medicaid and other third-party payer guidelines related to ventilation. Electronically documents patient care activity, intervention provided and all communication regarding the patient. Documentation is accurate, complete and follows company standards. Appropriate steps taken to ensure recommendations and orders sent are acknowledged and followed up in a timely manner. Responsible for accuracy, clarity, and timeliness of verbal and written communications as it relates to role. Responsible for documentation that supports data collection to track and trend outcomes. Assists in establishing clinical documentation when needed for third party reimbursement or justification. Uses knowledge in working with referral sources to educate about best practice standards. Works collaboratively and pro-actively with peers and other team members to resolve issues and assure optimum outcomes for patients, referral sources and staff. Acts as a resource on practices and processes to provide appropriate guidance. Develop and maintain working knowledge of current HME products and services offered by the company. Maintain patient confidentiality and function within the guidelines of HIPAA. Completes assigned compliance training and other educational programs as required. Maintains compliant with AdaptHealths Compliance Program. Perform other related duties as assigned during and outside of normal business hours as needed. Competency, Skills, and Abilities: Experience with ventilator patients Competent in Ventilator, Airway Clearance, and Oxygen therapy administration and management Able to perform clinical assessments. Equipment troubleshooting and maintenance skills. Decision making skills. Expert communication and interpersonal skills Ability to prioritize tasks and manage multiple projects. Strong analytical and problem-solving skills with attention to detail Proficient use of Microsoft Office Suite Excel, Word, and PowerPoint Solid ability to learn new technologies and possess the technical aptitude required to understand flow of data through systems as well as system interaction. Knowledge of the regulatory requirements at the state, federal, and local level Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to adapt and be flexible in a rapidly changing environment, be patient, accountable, proactive, take initiative and work effectively on a team. Requirements: Education and Experience Requirements: Associates degree from an AMA approved respiratory program, Valid and unrestricted RT clinical license in all states serviced by the branch. Must be CPR certified, One (1) year of clinical experience as a Health Care RT, HME RT or clinical nursing with Vent experience. Valid and unrestricted drivers license Physical Demands and Work Environment: Must be able to lift 50 pounds, stand, bend, stoop, and be able to sit at a computer for extended periods of time. Must be able to perform one-man CPR. Ability to perform repetitive movements of the upper extremities motions of wrists, hands, and/or fingers due to extensive computer use. May be exposed to unsanitary conditions in some home settings. Work environment may be stressful at times, as overall office activities and work levels fluctuate. May be exposed to high crime areas within the service community. Subject to long periods of sitting and exposure to computer screen. May be exposed to hazardous materials, loud noise, extreme heat/cold, direct, or indirect contact with airborne, bloodborne, and/or other potentially infectious pathogen. May be exposed to angry or irate customers or patients. Must be able to drive and travel as needed. Physical and mental ability to provide clinical assessments. Requires travel throughout service area. Mental ability to communicate both verbally and in writing. Must be able to access the patients residence. Ability to work outside of normal business hours. Physical and mental ability to provide clinical assessments. PI88688a1434d8-31181-38802539

Telehealth Substance Use Disorder Counselor - Remote Please note: This is a state-specific application. If you are not currently licensed in Oregon, we encourage you to visit ************** to view our active openings by state. If you do not see a current opportunity in your state, we still welcome you to submit your information through our General Application for Future Openings , also available on our website. We'd love to keep your details on file for future consideration. About Affect Affect is transforming addiction treatment through an innovative, evidence-based digital program. We specialize in treating substance use disorders, such as opioid use disorder, stimulant use disorders, alcohol use disorder, and cannabis use disorder. By combining mobile technology, addiction counseling, and coordinated medical care, we empower our Members to reclaim their lives in recovery. We're looking for compassionate and motivated Telehealth Substance Use Disorder (SUD) Counselors to deliver virtual individual and group counseling sessions that support recovery and promote wellness. Key Responsibilities: Conduct intake assessments to evaluate Member readiness and determine appropriate level of care Facilitate group and one-on-one counseling sessions using Affect's evidence-based curriculum Provide crisis support and coordinate appropriate referrals when needed Maintain timely, accurate documentation in our electronic medical record (EMR) system Collaborate with clinical supervisors on individualized treatment and discharge planning Ensure compliance with HIPAA and all relevant state regulations Applicants must be licensed in their respective state, and all credentials must be verified through the State Board's website as part of the application process Requirements: Active and verifiable Oregon counseling licenses of CADC-R, CADC-I, CADC-II, CADC-III + (LCSW, LMFT, LPC)* MH License need to do 120 hours of training prior to start, as well as your state of residence. All credentials must be verified through the State Board's website as part of the application process Proficient with Microsoft Office or Google Suite, EMR systems, and telehealth platforms Passionate about supporting individuals in recovery and building therapeutic relationships Comfortable working both independently and as part of a collaborative team in a fast-paced, mission-driven startup environment Have a private, HIPAA-compliant workspace and reliable internet The Benefits of Joining Affect The salary range for this full-time position is $55,000 - $70,000 and will commensurate with experience and professional license. Employees may enroll in offered medical, dental, and vision coverage and also provided employer paid life and disability insurance. Employees may enroll in Affect's company's 401k plan and parental leave is provided. Employees have paid vacation, sick time and company observed holidays. Remote work flexibility Opportunities for continuing education and professional development Supportive team culture focused on impact, collaboration, and innovation Be part of building a modern, inclusive, and accessible addiction care system Be part of the mission. Help us reshape the future of substance use disorder care!

Who We Are Ready to create a healthier world? We are ready for you! Personify Health is on a mission to simplify and personalize the health experience to improve health and reduce costs for companies and their people. At Personify Health, we believe in offering total rewards, flexible opportunities, and a diverse inclusive community, where every voice matters. Together, we're shaping a healthier, more engaged future. Responsibilities Ready to Make Critical Decisions That Ensure Appropriate Patient Care? We're seeking a full time skilled RN who understands that utilization review is about ensuring patients receive the right care at the right time. As our Utilization Review Nurse, you'll use clinical expertise to assess medical necessity, support appropriate care transitions, and serve as an advocate for both quality care and cost-effective treatment options while working collaboratively with medical directors and care teams. What makes this role different ✓ Clinical decision-making: Your assessments directly impact patient care and treatment authorization decisions across multiple service lines ✓ Comprehensive scope: Review outpatient/ancillary pre-certifications, inpatient stays including mental health and substance abuse, skilled nursing, rehabilitation, and post-service reviews ✓ Care coordination focus: Work with hospital staff to ensure smooth patient transitions and optimal discharge planning to appropriate next-level care ✓ Professional autonomy: Make independent clinical judgments using MCG guidelines, internal medical policies, and NCCN while collaborating with medical directors What You'll Actually Do Assess medical necessity: Conduct professional reviews of treatment requests and plans for medical appropriateness using established clinical guidelines and evidence-based criteria. Coordinate care transitions: Partner with hospital staff to prepare patients for discharge while ensuring smooth transitions to appropriate next-level care arrangements. Navigate complex cases: Review outpatient pre-certifications, inpatient hospital stays including mental health and substance abuse treatments, skilled nursing, and rehabilitation requirements with clinical expertise. Ensure appropriate referrals: Work to top of RN license while ensuring proper referral to medical director for denial authorizations through independent review organizations (IRO). Support member wellness: Identify and refer appropriate cases to case management, wellness, chronic disease, and Nurturing Together programs while maintaining thorough documentation. Process appeals: Handle appeals for non-certification of services and complete non-certification letters when appropriate while reviewing plan documents for benefit determinations. Maintain compliance excellence: Meet productivity, quality, and turnaround time requirements while maintaining HIPAA compliance and passing external URAC and NCQA audits. Utilize clinical guidelines: Apply guidelines in appropriate hierarchy including MCG guidelines, internal medical policies, group-specific policies, and NCCN for consistent decision-making. Qualifications What You Bring to Our Mission The clinical foundation: Current RN license in United States or U.S. territory Associate's degree or diploma (Nursing program) required 1+ year clinical experience required The professional competencies: Ability to meet productivity, quality, and turnaround time requirements daily Capability to pass external audits including URAC and NCQA Commitment to maintaining HIPAA compliance per company policies and procedures Ability to complete and pass all annual testing including IRRA at 90% or higher Willingness to cross-train and provide cross-coverage as needed The clinical expertise: Strong clinical judgment for assessing medical necessity across multiple service lines Knowledge of MCG guidelines, internal medical policies, and clinical decision-making tools Ability to review plan documents and attempt to redirect providers and patients to PPO providers when beneficial Proficiency with documentation software and electronic health systems The professional qualities: Excellent communication skills with ability to explain complex medical information clearly Independent judgment combined with collaborative team approach Commitment to maintaining confidentiality and minimum requirement rules Ability to complete all required yearly training per company's expected time period Comfort navigating fast-paced, high-volume review environment while maintaining quality standards Why You'll Love It Here We believe in total rewards that actually matter-not just competitive packages, but benefits that support how you want to live and work. Your wellbeing comes first: Comprehensive medical and dental coverage through our own health solutions (yes, we use what we build!) Mental health support and wellness programs designed by experts who get it Flexible work arrangements that fit your life, not the other way around Financial security that makes sense: Retirement planning support to help you build real wealth for the future Basic Life and AD&D Insurance plus Short-Term and Long-Term Disability protection Employee savings programs and voluntary benefits like Critical Illness and Hospital Indemnity coverage Growth without limits: Professional development opportunities and clear career progression paths Mentorship from industry leaders who want to see you succeed Learning budget to invest in skills that matter to your future A culture that energizes: People Matter: Inclusive community where every voice matters and diverse perspectives drive innovation One Team One Dream: Collaborative environment where we celebrate wins together and support each other through challenges We Deliver: Mission-driven work that creates real impact on people's health and wellbeing, with clear accountability for results Grow Forward: Continuous learning mindset with team events, recognition programs, and celebrations that make work genuinely enjoyable The practical stuff: Competitive base salary that rewards your success PTO policy because rest and recharge time is non-negotiable Benefits effective day one-because you shouldn't have to wait to be taken care of Ready to create a healthier world while building the career you want? We're ready for you. No candidate will meet every single qualification listed. If your experience looks different but you think you can bring value to this role, we'd love to learn more about you. Personify Health is an equal opportunity organization and is committed to diversity, inclusion, equity, and social justice. In compliance with all states and cities that require transparency of pay, the base compensation for this position ranges from $30 to $38 per hour. Note that compensation may vary based on location, skills, and experience. This position is eligible for benefits. We strive to cultivate a work environment where differences are celebrated, and employees of all backgrounds are empowered to thrive. Personify Health is committed to driving Diversity, Equity, Inclusion and Belonging (DEIB) for all stakeholders: employees (at each organization level), members, clients and the communities in which we operate. Diversity is core to who we are and critical to our work in health and wellbeing. #WeAreHiring #PersonifyHealth Beware of Hiring Scams: Personify Health will never ask for payment or sensitive personal information such as social security numbers during the hiring process. All official communication will come from a verified company email address. If you receive suspicious requests or communications, please report them to **************************. All of our legitimate openings can be found on the Personify Health Career Site.