RN Clinical Care Coordinator - Franklin County, OH
Unitedhealthcare
Remote job
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together The RN Clinical Care Coordinator will be the primary care manager for a panel of members with complex medical/behavioral needs. Care coordination activities will focus on supporting members' medical, behavioral, and socioeconomic needs to promote appropriate utilization of services and improved quality of care. This is a home-office based position with field responsibilities. You will spend approximately 50% to 75% of the time in the field within an assigned coverage area. Candidates must be in Franklin County, OH and willing to commute to surrounding counties. If you reside in Franklin County, OH or surrounding counties, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: Engage members face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs Develop and implement person centered care plans to address needs including management of chronic health conditions, health promotion and wellness, social determinants of health, medication management and member safety in alignment with evidence-based guidelines Partner and collaborate with internal care team, providers, and community resources/partners to implement care plan Provide education and coaching to support member self-management of care needs and lifestyle changes to promote health Support proactive discharge planning and manage/coordinate Care Transition following ER visit, inpatient or Skilled Nursing Facility (SNF) admission Advocate for members and families as needed to ensure the member's needs and choices are fully represented and supported by the health care team You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Current, unrestricted independent licensure as a Registered Nurse in Ohio 2+ years of clinical experience as an RN 1+ years of experience with MS Office, including Word, Excel, and Outlook Reliable transportation and the ability to travel up to 75% within Franklin County, OH and surrounding counties in OH to meet with members and providers Reside in Franklin County, OH and surrounding counties Preferred Qualifications: BSN, Master's Degree or Higher in Clinical Field CCM certification 1+ years of community case management experience coordinating care for individuals with complex needs Experience working in team-based care Background in Managed Care *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable. #UHCPJ At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.$28.3-50.5 hourly Auto-Apply 3d agoAdministrator for Early Learning Center
Avid Management Resources
Reynoldsburg, OH
Job Description The Administrator for Early Learning Center will influence the growth and development of both children and teachers. They create an environment of collaboration and community, encouraging everyone to thrive. The Administrator will be responsible for learning and implementing State polices and procedures. Responsible for the daily operations of a childcare center and ensure a safe and educational environment for staff, children, and develop curriculum. Must be able to communicate with parents effectively. Successful candidate must be energetic, highly responsible and a dedicated professional with a strong background in early childhood education or related field. ADMINISTRATOR JOB LOG REQUIREMENT Files (Children) Staff Binder Fire /Tornado & Disaster Drills/1st aid kit Enrollment Tours Stocking Documents Educational Binders SUTQ Binders Playground Inspection Break schedules for staff Managing Staff daily Making sure cleanliness is maintained daily Classroom duties as leaders Responding to emails Answering company phones Field trip log and tracking CDC Compliance & attendance Ohio Department Education Compliance & Attendance Nationwide children's mobile unit Mid-Ohio Food bank Life Cubby management Parent communication Bi-monthly newsletters Misc. tasks ASQ's & Brigances compliance Maintenance Log RESPONSIBILITIES PEOPLE LEADERSHIP Identifies, schedules and interviews teacher candidates; Builds networks of external future talent Conducts classroom observations, evaluations, and provides feedback that motivates and encourages learning. Manages team to ensure TLE curriculum is executed in alignment with brand standards; Uses a growth mindset to train, coach and develop for the future Listens objectively to employee concerns and plans a recommended course of action Builds and communicates weekly schedules Daily management of classroom ratios Manages new hire paperwork and all employee files in compliance with state licensing regulations Builds and communicates center schedules to ensure appropriate ratios are always intact and labor is effectively managed to budget. CUSTOMER FOCUS Leads tour with prospective families, highlighting key features and points of difference of our curriculum, teacher tenure/quality, etc. Regularly communicates with families regarding student progress Executes “parent pleasers” Execution of our Show and Tell Regularly audits and maintains all records and files for students and teachers Ensures the physical environment and health/safety standards are full compliance with local and state licensing regulations Manages relationships with state licensors and conducts center evaluations Responsible for accident/incident reporting Medication management Conducts monthly emergency safety drills Manages new customer administration and files in compliance with state licensing regulations QUALIFICATIONS Two or more years of center leadership/management experience highly preferred. At least one year of center leadership/management experience required. Must have professional teaching experience with infants to preschool children. Bachelor's degree in ECE or related field highly preferred. Strong knowledge o State licensing rules and regulations. CPR and First Aide Certification highly preferred. Must meet state specific guidelines To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Pass Background Check for BCI/FBI ESSENTIAL SKILLS & EXPERIENCE Two or more years of center leadership/management experience highly preferred. At least one year of center leadership/management experience required. Must have professional teaching experience with infants to school age children. Bachelor's degree in Early Childhood Education or related field highly preferred. Strong knowledge of state licensing rules and regulations. CPR and First Aide Certification highly preferred. Complies with all state education and licensing standards, and maintains validation of credentials for the position (i.e. professional development) Exhibits strong interpersonal and communication skills Able to communication with parent's and student's Must be 18 years of age or older LANGUAGE SKILLS Ability to read and speak English proficiently Bilingual preferred but not required EVALUATION Performance of the job will be evaluated annually in accordance with CKLC policy and procedure on staff Chosen Kids Learning Center, LLC is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, marital status, medical condition, disability, age, veteran status or any other legally protected reason. The forgoing statement describe the general purpose and responsibilities assigned to this job and are not an exhausted list of all responsibilities and duties that may be assigned or skills that may be required.$68k-96k yearly est. 28d agoHealthcare Customer Service Representative-(Remote)
Advanced Psychiatry Associates
Remote job
As a Healthcare Customer Service Expert, you will be the first point of contact for patients needing home healthcare services. Typical phone calls range from interactions with customers who need basic information or to help those with more complex requests. In this role, you will work in a remote high-volume call center environment and receive/respond to approx. 60-65 incoming calls per day from providers, referral sources and patients. You will collect clinical and demographic information and enter it into our Advanced Psychiatry Associates portal. Hiring for multiple positions! Location 100% Remote Hourly Rate - $23.50/hr - $26.50/hr + Monthly Bonus Incentive opportunity Training & Nesting Period 4 to 6 Weeks Training & Nesting Hours Monday Friday 9:00am 5:30pm EST Available Shift After Training & Nesting: Monday - Friday, 11:30AM - 8:00PM EST This role is for you if: You can demonstrate excellent empathy and the patience to deal with difficult callers or complex requests. You have strong attention to detail. You can comply with all company policies, including HIPAA/PHI. You strive to meet/exceed individual performance goals in the areas of: Call Quality, Attendance, Adherence, and other Contact Center objectives. You are fun to work with! We are looking for team members who bring joy to the work they do. Qualifications: High School Diploma or GED. Minimum 2 years Customer Service experience in a call center environment. Minimum 1 year of experience working in the healthcare or medical industry with medical terminology. Ability to navigate dual monitors and multiple applications. Intermediate keyboarding abilities (at least 30 WPM, data entry while active listening). Basic PC & Search Engine abilities (for example: use the mouse to click, troubleshooting, working with Microsoft Office, opening a browser, using a search engine, bookmarking a site, and navigating the use of back/forward buttons). Internet Requirements: Speeds: 2mb/10mb upload and 10mb/25mb download or higher High-speed Internet: Fiber or Cable connection required DSL, Satellite, Wireless and Hotspot are prohibited due to poor connections While working, required to hardwire with an ethernet cable What we offer: Starting Pay for external hires is $23.50 / hour + Monthly Incentive Bonus Opportunity. The pay range included in this posting reflects future growth / earning potential. Full range of benefits including Health, Dental and Vision with HSA Employer Contributions and Dependent Care FSA Employer Match Generous PTO, 401K Savings Plan, Paid Parental Leave, and more Advancement Opportunities, professional skills training, and tuition reimbursement Walgreens Discount - receive up to 25% off eligible items Great culture with a sense of community Advanced Psychiatry Associates is a full-service psychiatric facility that offers a wide range of mental health services. Individuals who live in Northern and Southern California are encouraged to visit one of our facilities and talk to the staff to discover what treatment options may be available to them. The staff at the facility offer genetic testing, medication management, psychotherapy, and counseling services to all of their patients. Treatment options for anxiety, depression, bipolar disorder, and ADD/ADHD are also available. The professional staff have many years of experience and are capable of providing each patient with the highest quality of individualized care to ensure they can live life to the fullest and maintain the quality of life they desire.$23.5-26.5 hourly 60d+ agoHome Health Aide
Heart2Heart HHC
Columbus, OH
Benefits/Perks Flexible Scheduling Competitive Compensation Job SummaryWe are looking for a Home Health Aid to join our team! You will directly work with patients, following a one-on-one care plan in patient homes. You operate with a big heart, not only providing personalized and attentive care, but by building genuine relationships with those you serve. You are detail-oriented, highly organized, and committed to creating a healthy, safe environment that meets patient needs. Strong verbal and written communication skills are needed to succeed in this role. Prior Home Health or Hospice experience is a plus. Responsibilities Assist patients with daily activities such as moving in and out of beds, baths, wheelchairs, or automobiles Care for patients by changing bed linens, doing laundry, cleaning the home, or assisting with personal care Maintain records of patient care, condition, progress, or problems to report Build relationships with patients by conversing with them to help keep them mentally healthy and alert Oversee medication management and assist as needed Qualifications Graduated from an accredited Home Health Aid program preferred High School Diploma or GED One-year prior professional experience Driver's license required CPR certification preferred CNA certification preferred Compensation: $16.00 - $21.00 per hour Heart2Heart Home Healthcare, Inc. provides professional, compassionate support services by certified nursing assistants which allow individuals we serve to live safely in their homes. Home care can be the key to achieving the highest quality of life possible. It can enable safety, security, and increased independence, ease the management of an ongoing medical condition, help avoid unnecessary hospitalizations, and can aid with recovery after an illness, injury, or hospital stay-all through the care given in the comfort and familiarity of the home. We specialize in providing quality care to United States Veterans. It is our honor to assure each service woman or man is treated as a living national treasure. We work smart to understand their physical/ mental capabilities, care needs, and home living conditions. Our care plans are custom designed to best satisfy each veteran's specific needs. It is our goal to exceed their care requirements and add a slice of joy to their day(s). We believe there's more to caring for people than just providing in-home assistance. You deserve a care partner that understands the course of your journey and will help navigate the road ahead, whether it's preparing a meal or providing 24-hour home health care, we will be there for you. We pride ourselves on exceptional service and attention to the smallest of details. Our goal is to ensure that your safety and well-being come first. **Proudly serving Veterans **Services may vary by location in compliance with state licensing requirements.$16-21 hourly Auto-Apply 60d+ agoCommunity Health Advocate
Compdrug
Columbus, OH
CompDrug has an immediate opportunity for a Community Health Advocate to reduce accidental overdose, infectious disease, and unintentional injury rates by providing prevention services including health education, outreach, and harm reduction. Work Arrangements Non-Essential Staff 70% onsite/in field / 30% remote Full time, 40 hours per week Primarily daytime schedule, flexibility required for evenings and weekends Essential Functions Implement and manage health education strategies, interventions and programs. Maintains, updates and develops education materials and other resources using current, validated research. Conduct speaking engagements covering health education on topics which may include HIV and other STIs, medication management, tobacco cessation, overdose prevention, reproductive and perinatal health, the aging population other health topics that may be assigned Work collaboratively with other members of the Community Health team and staff across CompDrug to ensure the deliverables are met and supported. Develop and maintain relationships with community partners in identified areas. Coordinate, schedule and attend events/opportunities with community partners. Conduct outreach by engaging with individuals at risk, using research supported strategies such as motivational interviewing to provide treatment resources and assess treatment readiness. Complete grant and internal reporting requirements. and participate in grant update meetings and communication. Represent CompDrug at syringe access program, assist participants with intent to enter treatment via linkage and referral to treatment services. Distribute Narcan/Naloxone to individuals at risk for overdose throughout the community which may include direct individuals or family members/friends. Distribute Narcan/Naloxone to community assigned Naloxboxes for easier access in emergency situations or for those who may be displaced. Facilitate group counseling and education sessions within the scope of secondary prevention and document in Electronic Health Record. Re-engage CompDrug patients who are not actively participating in treatment. Utilizes evidence-based outreach and engagement strategies and ensures swift connection to appropriate CompDrug staff to support the patient's return to treatment Manage and maintain program inventory and supplies. Serve as member of the CompDrug Medication Delivery Team. Regular and timely attendance Participates in periodic compliance processes. Maintain any certification or licenses as required. Other duties as assigned. Required Experience: Experience in behavioral health, public health, and/or addiction preferred. Excellent computer skills, including Microsoft Office products with heavy use of Teams, Outlook, Word, and Excel. Excellent communication (including public speaking/presentation skills, interpersonal, counseling), collaborative skills and desire to help others. Ability to develop rapport and work with vulnerable populations while displaying empathy and compassion. Valid Ohio driver's license and ability to meet requirements of CompDrug's Vehicle and Safety Management Plan. Physical Demands and Work Environment Regularly required to talk and hear. This position works in the office and at indoor and outdoor community events. Lifts up to 25 pounds, walks and pulls weight of up to 40 pounds, uses arms, hands and fingers to operate computer, arrange table set up and display, distribute items and writes to maintain inventory. Operates a vehicle. Education Required Degree Level: Bachelors degree strongly preferred. Studies with Counseling, Medical, or Social Sciences are helpful. About CompDrug: For more than 40 years, CompDrug has offered comprehensive services in prevention, intervention and treatment to those seeking help for their addictions and mental health issues. We offer medication-assisted treatment using FDA-approved medications. CompDrug's employees provide drug testing, outpatient counseling for men and women and numerous prevention programs for youths and adults. Programs include: individual and group counseling, intensive outpatient treatment (IOT), and others. Prevention Services include: Youth to Youth International, Overdose Prevention, Pregnant Moms, Senior Sense. Those services combined reach thousands of people every day and are instrumental in saving lives, preventing problems, and proving that treatment works. CompDrug has met the standard for high quality treatment and prevention services, winning several awards and gaining National Accreditation for its Opioid Treatment Program through CARF (Commission for Accreditation for Rehabilitation Facilities), beginning in 2002. Today, CompDrug's programs have achieved the highest level of accreditation awarded by CARF. CompDrug provides its employees with a collaborative, flexible and supportive environment where ideas and contributions are recognized and valued. Employees are encouraged to develop and grow their skills through training, on the job learning experiences and problem solving. CompDrug provides a comprehensive benefit package, including medical, dental and vision coverage, student loan repayment, life insurance, parental leave, disability, 403b and paid time off. Qualified individuals may apply online at CompDrug.org. We are drug free workplace. Equal Opportunity Employer.$34k-44k yearly est. 60d+ agoRevenue Cycle Consultant
MWI Animal Health
Remote job
Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on that purpose. If you want to make a difference at the center of health, come join our innovative company and help us improve the lives of people and animals everywhere. Apply today! Job Details Are you ready to make a meaningful impact in the infusion reimbursement market? Under the guidance of the Vice President of Portfolio Strategy, Infusion, you will have the unique opportunity to drive Innovation, leverage your expertise to optimize revenue performance for our health system customers and shape the future by playing a key role in defining the direction of our product portfolio and influencing the culture of our expanding team. Knowledge of national and regional payer policies, coding, and government payers will be invaluable as we strive to enhance our customer engagements and deliver exceptional results. Join us in this exciting journey to transform the infusion landscape! Responsibilities: Lead RCM engagements, assessing existing programs and identifying enhancement opportunities through data-driven KPI assessments. Spot inefficiencies in current procedures and recommend actionable enhancements, building recommendation reports with supporting timelines for execution. Oversee program improvements identified and drive change management at organizations to realize greater revenue. Develop reimbursement training content and facilitate education of customer employees.. Maintain knowledge of CRM tools used by customers in the reimbursement process. Manage escalation pathways for complex reimbursement cases. Start as an individual contributor working alongside teammates with potential to manage a team as we scale. Work with internal leadership and external partners to identify new strategies and business opportunities based on customer needs. Develop a toolkit to scale customer engagements and enhance deliverables, including best practices documentation and SOPs. Track payor trends and challenges, creating resources to support customer-specific strategies. Represent Cencora at conferences and generate commercial activity. Assist in customer proposal development and finalist meetings. Willingness to travel up to 40%. Education: Bachelor's degree in a related field preferred 5+ years in infusion billing, reimbursement, and/or payer contracting. Experience in pharmaceutical supply chain or healthcare reimbursement Familiarity with industry EMR, CRM and RCM software platforms (e.g., CareTend, Brightree, Epic) Previous consulting experience preferred Skills and Knowledge: Understanding of medication reimbursement, patient assistance programs, and CRM system functionality Knowledge of billing best practices in home infusion and infusion suites; infusion clinic (buy-and-bill) preferred Open to challenges and committed to continuous improvement Strong relationship-building skills to effectively build customer relationship Comfortable with ambiguity; able to act independently and seek guidance as needed Well-organized with the ability to manage multiple customer engagements Strong analytical and problem-solving skills, familiarity with accounting and financial metrics Effective oral and written communication skills Proficient in computer use and knowledgeable in Microsoft Office #LI-DL1 Education: Bachelor's degree in a related field preferred. 5+ years in infusion billing, reimbursement, and/or payer contracting. Experience in pharmaceutical supply chain or healthcare reimbursement. Familiarity with industry EMR, CRM and RCM software platforms (e.g., CareTend, Brightree, Epic). Previous consulting experience preferred. Skills and Knowledge: Understanding of medication reimbursement, patient assistance programs, and CRM system functionality Knowledge of billing best practices in home infusion and infusion suites; infusion clinic (buy-and-bill) preferred Open to challenges and committed to continuous improvement Strong relationship-building skills to effectively build customer relationship Comfortable with ambiguity; able to act independently and seek guidance as needed Well-organized with the ability to manage multiple customer engagements Strong analytical and problem-solving skills, familiarity with accounting and financial metrics Effective oral and written communication skills Proficient in computer use and knowledgeable in Microsoft Office #LI-DL1 What Cencora offers We provide compensation, benefits, and resources that enable a highly inclusive culture and support our team members' ability to live with purpose every day. In addition to traditional offerings like medical, dental, and vision care, we also provide a comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness. This encompasses support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave. To encourage your personal growth, we also offer a variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities, and much more. For details, visit ************************************** Full time Salary Range*$124,000 - 190,850 *This Salary Range reflects a National Average for this job. The actual range may vary based on your locale. Ranges in Colorado/California/Washington/New York/Hawaii/Vermont/Minnesota/Massachusetts/Illinois State-specific locations may be up to 10% lower than the minimum salary range, and 12% higher than the maximum salary range. Equal Employment Opportunity Cencora is committed to providing equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, age, disability, veteran status or membership in any other class protected by federal, state or local law. The company's continued success depends on the full and effective utilization of qualified individuals. Therefore, harassment is prohibited and all matters related to recruiting, training, compensation, benefits, promotions and transfers comply with equal opportunity principles and are non-discriminatory. Cencora is committed to providing reasonable accommodations to individuals with disabilities during the employment process which are consistent with legal requirements. If you wish to request an accommodation while seeking employment, please call ************ or email ****************. We will make accommodation determinations on a request-by-request basis. Messages and emails regarding anything other than accommodations requests will not be returned . Affiliated Companies:Affiliated Companies: Centaur Services$124k-190.9k yearly Auto-Apply 13d agoFront Desk Receptionist
Acadia External
Columbus, OH
We are looking to add a pleasant, well-mannered and experienced Front Desk Receptionist to our team on a PRN Basis! The candidate should be available on an on-call basis, and some Friday evenings, and day or evening on Saturday and Sunday. Ohio Hospital for Psychiatry is centrally located in Columbus, Ohio receiving referrals from all around the state. We are a 130-bed private, free-standing behavioral health facility that provides a continuum of services for adults and senior adults including crisis stabilization, medication management, group therapy, case management, and 24-hour nursing care in a safe and secure environment that is conducive to healing and recovery. OHP consists of five separate and distinct units, including: Geriatric, Adult Behavioral, Intensive Care, Dual Diagnosis & Intensive Outpatient. PURPOSE STATEMENT: Perform general clerical duties in accordance with the office procedures of the facility. ESSENTIAL FUNCTIONS: Responsible for handling front office reception and general administrative duties. Serves visitors, vendors and other outside guests by greeting, welcoming and directing them appropriately. Notify facility personnel of visitor's arrival. Maintain security by following established procedures including monitoring guest logbook and issuing visitor badges, if required. Keep track of inventory and work with supply vendors to ensure a well-stocked office. Answer and transfer telephone calls or take messages. Handle facility inquiries and provide general information. Sort and deliver incoming mail and send outgoing mail. Copy, file and update paper and electronic documents. OTHER FUNCTIONS: Perform other functions and tasks as assigned. EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: High School diploma or equivalent required. LICENSES/DESIGNATIONS/CERTIFICATIONS: Not Applicable BENEFITS: Ohio Hospital provides a comprehensive package of benefits for our staff working 30+ hours / week. Current benefits include: Competitive hourly rates with shift differentials available Medical, dental, and vision insurance Acadia Healthcare 401(k) plan Excellent training programs Professional growth opportunities that are second to none in the industry - Join a team with defined career paths and a national family of hospitals and facilities! TRAINING AND ORIENTATION (optional) Ohio Hospital is committed to training and safety. All new staff will attend a 4-day hospital-wide orientation before spending additional time training within your unit.$26k-33k yearly est. 14d agoAdvanced Practice Provider, Primary and Home-Based Geriatric Care
Search Our
Remote job
GW Medicine is dedicated to providing compassionate, comprehensive healthcare services to homebound geriatric patients in the comfort of their homes and at residential living facilities for older adults in our community. Our mission is to enhance the quality of life for our patients by delivering personalized care tailored to their unique needs. We are seeking a dedicated and skilled advanced practice provider to join our team and make a meaningful impact on the lives of our patients. Position Summary As a provider specializing in Geriatric Primary Care and House Calls, you will play a crucial role in delivering high-quality healthcare services to elderly homebound patients. Your responsibilities will include performing house calls, conducting thorough assessments, developing and implementing care plans, and collaborating with interdisciplinary teams to ensure comprehensive patient care. Opportunities also exist to provide primary care to older adults through our traditional geriatric practice. This position requires flexibility and reliability by the provider. Essential Duties and Responsibilities To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Other duties may be assigned. Perform House Calls Conduct home visits to geriatric and homebound patients, at residential senior livings and in the community, including providing supportive memory care and care for persons in assisted living and long-term care. Comprehensive Assessments Perform thorough physical examinations, medical histories, and health assessments to evaluate patients' overall health and well-being with attention to their care partners and social determinants of health. Care Plan Development Develop, implement, and update personalized care plans that address the specific needs of each patient, including chronic disease management, medication management, and preventive care. Patient and Family Education Educate patients and their families about health conditions, medications, treatment plans, and preventive care strategies to promote understanding and adherence. Collaboration Work closely with an interdisciplinary team, both within GW Medicine and in collaboration with community partners to coordinate and optimize patient care. Chronic Disease Management Monitor and manage chronic conditions and geriatric syndromes, adjusting treatment plans as needed to improve patient outcomes. Preventive Care Provide age-appropriate screenings, immunizations, and health counseling to prevent illness and maintain overall health. Documentation Maintain accurate and timely electronic health records (EHR) to document patient interactions, assessments, and care plans. Communication Communicate effectively with patients, families, caregivers, and other healthcare providers to ensure continuity of care and address any concerns or questions. Emergency Response Identify and respond to urgent or emergent health conditions, providing appropriate care and facilitating hospital transfers when necessary during business hours. Patient Advocacy Advocate for the health and well-being of patients, ensuring they receive the care and support they need to live as independently and comfortably as possible. Minimum Qualifications Education Master's or Doctorate degree in Nursing from an accredited program or accredited Physician Assistant Program Licenses/Certification Current Nursing license in the District of Columbia. Recommended but not required: Board certification as an Adult-Gerontology Nurse Practitioner (AGNP) or Family Nurse Practitioner (FNP). Physical Requirements Sit, stand, bend, reach, and walk for long periods of time in a clinical setting. Must be able to occasionally lift, carry, push, or pull over 100 lbs. as part of the role. Regularly exposed to healthcare settings that may require personal protective equipment. Requires manual dexterity to operate a computer keyboard, calculator, copier machine, and other equipment. About GW MFA MFA physicians provide comprehensive patient care, offering one practice for the whole person with 52 medical and surgical specialties. As members of the GW School of Medicine and Health Sciences faculty, MFA providers are teachers and mentors for medical students, residents, fellows, and researchers preserving the rich tradition of academics, research, and healing. In addition to maintaining a closely integrated alliance with The George Washington University and The George Washington University Hospital (GWUH) which is separately owned and operated by Universal Health Services (UHS), the GW MFA has active referring relationships with 12 area hospitals. The GW MFA's leading healthcare presence in the DC metro region is complemented by a network of community-based practices in DC, Maryland, and Virginia. Given its geographic location in central NW Washington, DC, and proximity to more than 175 resident embassies, the MFA continues to evolve its international clinical outreach.$36k-69k yearly est. 60d+ agoRCM Manager
Mood Health
Remote job
Mood Health is changing how people access mental health care. We believe care should be personal, human, and accessible-and that every patient deserves a provider who truly fits their needs. That's why we carefully match each client with the right clinician. Our mission is simple and powerful: empower people to heal, grow, and thrive. We know mental health is just as essential as physical health, and authentic human connection drives everything we do. Through video visits, our expert clinicians-psychiatric nurse practitioners and therapists-deliver therapy and medication management right from the comfort of home. About the Role As the RCM Manager, you'll play a critical role in overseeing the full revenue cycle from eligibility and claims submission to denial management and collections. While our outsourced billing team manages day-to-day submissions and denials, your focus will be on higher-level operational excellence: analyzing claim trends, identifying root causes of denials, and driving process improvements that improve accuracy, speed, and cash flow. You'll work hands-on to refine workflows, track key metrics, and ensure our RCM operations scale smoothly as we grow. What You'll Do Oversee the full revenue cycle processes, from eligibility and benefits verification through collections, ensuring accuracy and compliance at every stage. Review claims activity managed by our third-party billing team; identify trends, errors, or bottlenecks impacting revenue performance. Track and analyze denials, collaborate with the billing partner to resolve issues, and implement corrective actions that reduce rework and improve clean claim rates. Support patients in understanding insurance coverage and resolving billing or eligibility questions with empathy and clarity. Post payments, reconcile accounts, and ensure all revenue is accurately captured and reported. Manage the day-to-day relationship with our external billing vendor, providing data, reviewing performance, and ensuring accountability to service-level expectations. Develop and present reports on key RCM metrics (days in A/R, denial rate, collection timelines) to leadership, driving continuous process improvement. Who You Are You have 4+ years of experience in revenue cycle management, medical billing/coding, or similar healthcare operations role. You're detail-oriented, organized, and able to manage multiple tasks with competing deadlines. You've worked with denial management and understand root causes of claim rejections and appeals. You're comfortable working with metrics and data able to use performance data to drive change. You're proactive, collaborate well with cross-functional teams, and aren't afraid to get hands-on when needed. Familiarity with Revenue Cycle systems Excellent communication skills, both written and verbal you'll partner with clinical, billing and leadership teams. Why Join Mood Competitive base salary + generous performance-based bonuses for exceeding booking goals. Be part of a mission-driven company that's rewriting the playbook for mental healthcare. A collaborative, supportive culture where your work directly impacts lives every day. Growth opportunities-develop customer-facing, communication, and sales skills in a fast-growing healthcare company. At MOOD, we believe great care starts with a great team-and great teams are diverse. We're proud to be an Equal Opportunity Employer and welcome people of all races, backgrounds, identities, abilities, and experiences. No matter where you come from, what you believe, or how you identify, you are welcome here. We're committed to fair hiring practices and fostering an inclusive, respectful culture where everyone feels seen, heard, and valued. We believe in the power of differences-and we're glad you're considering joining us. Need accommodations during your application or interview process? Just reach out-we've got you. Pay:$80,000-$105,000 USD$80k-105k yearly Auto-Apply 22d agoSchool Based Social Worker (LSW)
National Youth Advocate Program
Columbus, OH
Job Details Lancaster, OH Full Time 4 Year Degree Nonprofit - Social Services Lancaster School-based Social Worker, LSW Compensation: $50,000 + Productivity Bonuses! School-based Social Workers with National Youth Advocate Program work as part of an integral service team. Under the general supervision of the Clinical Supervisor or designee, this position works closely with youth, family, foster parents, and community partners, providing advocacy and support. When school is not in session during extended breaks and summer months, you will maintain your caseload and continue to provide services to your students by meeting with them in the community. We have opportunities available in several different schools throughout central Ohio! Working at NYAP: Generous Time off: 22 Days of Paid Time Off + 11 Paid Holidays, Half Day Friday's during the summer! Health and Wellness: Comprehensive healthcare packages for you and your family; Paid Parental leave Professional Growth: CEU's, ongoing training/education, student loan repayment program, and supervision hours And So Much More: 401K and 401K Matching flexible hours, mileage reimbursement, phone allowance Responsibilities • Provides appropriate individual, group, and family mental health services, and other evidence based clinical services as required. • Coordinates and monitors clinical services for the youth and family in the community, including mental health, special educational services, medication management, and psychological services. • Regularly reviews and modifies youth-based plans. • Establishes and maintains strong relationship with youth, school staff & partners, parents and families of origin. • Assists in stabilization efforts with youth consistent with the youth's case plan. • Provides safety assessment, crisis response, and behavioral stabilization services as required. Minimum Qualifications •A Bachelor's Degree in Social Work or comparable Human Services field from an accredited institution. • A valid professional license (LSW) in Ohio. • 2 years' of work experience working in direct service with youth and families. • A willingness to work flexible and non-traditional hours as needed; at least 2-3 evening appointments/week. • Proficient use of desktop and laptop computers, smart phones and tablets, printers, fax machines and photocopiers as well as software including word processing, spreadsheet and database programs • An Equal Opportunity Employer, including disability/veterans. Driving and Vehicle Requirements Valid driver's license Reliable personal transportation Good driving record Minimum automobile insurance coverage of $100,000/$300,000 bodily injury liability Apply today! www.nyap.org/employment Benefits listed are for eligible employees as outlined by our benefit policy. An Equal Opportunity Employer, including disability/veterans.$44k-55k yearly est. 60d+ agoPharmacy Clinical Program Lead - VBC
U.S. Renal Care, Inc.
Remote job
USRC's greatest strength in being a leader in the dialysis industry is our ability to recognize and celebrate the differences in our diverse workforce. We strongly believe in recruiting top talent and creating a diverse and inclusive work climate and culture at all levels of our organization. SUMMARY The Pharmacy Clinical Program Lead provides strategic leadership and subject-matter expertise in optimizing medication management and integrating pharmacy best practices into a value-based nephrology care model. In a centralized, non--patient-facing role, the Lead advances medication therapy management (MTM) strategies, medication adherence initiatives, and champions population health programs for individuals with chronic kidney disease (CKD) and end-stage renal disease (ESRD). This position leads collaboration with multidisciplinary care teams--including physicians, nurses, dietitians, social workers, care coordinators, and organizational leadership--to ensure that medication-related risks, costs, and barriers are systematically identified and addressed. The goal is to improve therapeutic outcomes, optimize cost-effectiveness, and enhance value-based care (VBC) performance. The role is 40% clinical program development and 60% central clinical consultative. Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. Program Development and Integration Partners with OCMO sponsor and Ops Excellence to design, implement, and refine pharmacy-led Initiatives, including MTM protocols, and adherence initiatives. Provides insight on the integration of medication-related risk stratification tools into population health strategies. Provide insight and implement population health medication strategies to address common medication-related challenges in CKD and ESRD, such as hypertension, anemia, mineral bone disorder, and diabetes management. Develop enterprise-wide resources -- such as drug utilization review protocols, patient-friendly medication education materials. Clinical Leadership & Patient Consultation Serve as the organization's central expert for nephrology-related pharmacotherapy.. Provide case consultation and guidance to physicians, nurses, and care teams regarding complex medication regimens, potential drug-drug interactions, high risk-medication reviews, and therapy optimization. Collaborate with care teams to address adherence barriers such as cost, access, literacy, and side effects. Policy, Procedure & Compliance Develop pharmacy policies, procedures, and clinical protocols aligned with VBC goals and national best practice standards (ASHP, CMS, FDA). Ensure compliance with medication safety, and regulatory requirements. Education & Capacity Building Design and deliver training for care teams on pharmacotherapy in CKD and ESRD, medication safety, and adherence support techniques. Create educational toolkits for clinicians and patients to support safe, and effective Relationship Management Foster effective relationships with internal USRC pharmacy partners. Partner with quality and affordability teams to identify opportunities to improve clinical outcomes and reduce medical and pharmacy spend through targeted interventions. Participate in provider meetings, engage Medical Directors, and contribute to quality improvement initiatives. Quality Measurement & Program Impact Partner with analytics teams to define benchmarks for medication-related outcomes (e.g., adherence rates, , medication error reduction). Lead the creation of pharmacy performance dashboards and contribute to quarterly and annual VBC performance reports. Monitor prescribing & adherence trends, identify gaps in medication therapy, and recommend program adjustments to improve effectiveness. Expectations: Regular and reliable attendance is essential. Commitment to professional development and continuous improvement.$73k-134k yearly est. 2h agoPharmacist - Riverside Methodist Hospital
Ohiohealth
Columbus, OH
**We are more than a health system. We are a belief system.** We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities. ** Summary:** ***This is a full-time, day shift position at Riverside Methodist Hospital. The role serves as a general pharmacist covering central pharmacy and satellite pharmacy responsibilities. Every 4th weekend required.*** MINIMUM QUALIFICATIONS AND SPECIALIZED KNOWLEDGE - Bachelor of Science or Doctor of Pharmacy degree from an accredited institution (Required) - Current Ohio pharmacist license (Required) - Basic Life Support Certification-current or obtained during the orientation period (unless greater than 50% of scheduled work hours, as determined by the manager, are completed off-site or not in a patient care setting) - ASHP accredited residency or equivalent pharmacy practice experience - Pharmacy Board Certifications or other certifications - Advanced-level degree in healthcare field - Collaborative practice experience - Advanced Cardiac Life Support Certification (may be required to obtain as determined by manager) - Pharmacokinetic drug dosing experience - Drug therapy management - Basic Life Support Certification-current or obtained during the orientation period (unless greater than 50% of scheduled work hours, as determined by the manager, are completed off-site or not in a patient care setting) JOB SUMMARY This position is responsible for pharmacist tasks, such as dispensing and compounding medication, counseling patients on medication and health subjects, interpreting prescriptions, managing patient drug therapy, and performing drug utilization. Pharmacists are expected to work efficiently both independently and as part of a team, possess critical thinking and problem-solving skills, and multitask as appropriate. Strong interpersonal skills, including effective mentorship, clear communication and collaboration, empathy toward patients and colleagues, and ability to build trust in professional relationships, are required to be successful in this role. They collaborate with physicians, nurses, and other health-care practitioners to provide safe, high-quality, and cost-effective drug therapy. Pharmacists may administer medications as applicable by state law and practice setting. Pharmacists will serve as preceptors for pharmacy students and pharmacy residents in their area of training and expertise. - General Profile - Requires in-depth conceptual and practical knowledge in own job discipline and basic knowledge of related job disciplines. Solves complex problems. Works independently and receives minimal guidance. May lead projects or project steps within a broader project or have accountability for ongoing activities or objectives. Acts as a resource for colleagues with less experience. Level at which career may stabilize for many years or until retirement. - Job Functional Knowledge - Requires in-depth conceptual and practical knowledge in own job discipline and basic knowledge of related job disciplines. - Business Expertise - Has knowledge of best practices and how own area integrates with others; is aware of the competition and the factors that differentiate them in the market. - Leadership - Acts as a resource for colleagues with less experience; may lead small projects with manageable risks and resource requirements. - Problem Solving - Solves complex problems; takes a new perspective on existing solutions; exercises judgment based on the analysis of multiple sources of information. - Impact - Impacts a range of patient, operational, project, or service activities within own team and other related teams; works within broad guidelines and protocols. - Interpersonal Skills - Explains difficult or sensitive information to others, including patients and families; works to build consensus. **Responsibilities And Duties:** Conducts essential responsibilities in a manner consistent with OhioHealth's Service Excellence Standards of Behavior and Core Values: Compassion, Excellence, Inclusion, Integrity, and Stewardship. Committed to high reliability organization principles and demonstrates consistent behaviors to provide the safest and most effective care for all. Acute Care/Infusion 50% - Reviews provider orders for correct drug choice, dosage form, dosing schedule, and possible drug-drug interactions or allergies. Contacts providers to clarify orders as appropriate. Dispenses and compounds medications and dispenses drug therapy-related devices in accordance with standards of practice and OhioHealth pharmacy policies. Ensures all medications, chemicals and supplies are dispensed without suboptimal integrity. Ensures appropriate labeling for proper administration of medication. Interprets prescriptions and determines compatibility in accordance with standards of practice. Prepares care plan for patients to ensure optimal therapeutic outcomes and maximize compliance with therapy instructions. 20% - Manages individuals' drug therapy by initiating, monitoring, and modifying prescriptions issued to patients in a consulting relationship with a provider. Provides drug information to providers, other health care professionals, and patients as needed. 10% - Counsels individuals regarding their drug therapy, including recommending drug therapy-related devices, assisting in the selection of non-prescription drugs for the treatment of common diseases and injuries, and providing instruction in their proper use. 10% - Provides associate and learner development and training, including precepting students and residents. Provides educational programs for pharmacy, nursing, and medical staff as needed. 10% - Directs and guides pharmacy technicians and pharmacy support personnel. Ambulatory Care/Population Health 50% - Manages individuals' drug therapy by initiating, monitoring, and modifying prescriptions in collaboration with a provider. Prepares individualized care plan to ensure optimal therapeutic outcomes, avoid adverse events, and maximize adherence with therapy instructions. Provides drug information to providers, other health care professionals, and patients as needed. 20% - Partners with individuals (patients, caregivers, and other health care professionals) to prevent, manage, and/or slow progression of disease through patient advocacy, wellness and health promotion, triage and referral, patient education, and self-management. 10% - Assist with guideline/policy development and implementation as well as participate in performance improvement initiatives, including those for practice advancement. 10% - Provides associate and learner development and training, including precepting students and residents. Provides educational programs for pharmacy, nursing, and medical staff as needed. 10% - Directs and guides pharmacy technicians and pharmacy support personnel. Retail 50% - Reviews provider orders for correct drug choice, dosage form, dosing schedule, and possible drug-drug interactions or allergies. Contacts providers to clarify orders as appropriate. Dispenses and compounds medications and dispenses drug therapy-related devices in accordance with standards of practice and OhioHealth pharmacy policies. Ensures all medications, chemicals, and supplies are dispensed without suboptimal integrity. Ensures appropriate labeling for proper administration of medication. Ensures proper billing procedures. 20% - Counsels individuals regarding their drug therapy, including recommending drug therapy-related devices, and assisting in the selection of non-prescription drugs for the treatment of common diseases and injuries and providing instruction in their proper use. 10% - Manages individuals' drug therapy by initiating, monitoring, and modifying prescriptions issued to patients in collaboration with a provider. Provides drug information to providers, other health care professionals, and patients as needed. 10% - Provides associate and learner development and training, including precepting students and residents. Provides educational programs for pharmacy, nursing, and medical staff as needed. 10% - Directs and guides pharmacy technicians and pharmacy support personnel. Medication Safety, Stewardship, & Utilization 55% - Leads safety, stewardship, and utilization strategies for designated site(s) in collaboration with system team. Facilitates and manages activities of various site and system committees and clinical guidance councils. Develops, enforces, and maintains policies and procedures that promote and enhance patient outcomes through safe, effective, cost-efficient, and appropriate medication therapy use. Utilizing data, published best practice standards, and published events or recommendations, identifies opportunities for proactive change in the medication-use system to improve patient outcomes. Integrates medication improvement initiatives, activities, and changes with clinical and operational department programs and committees. Responsible for ensuring compliance with evidence-based recommendations, national patient safety recommendations, and regulatory standards related to safe and appropriate medication use. 20% - Provides associate and learner development and training, including precepting students and residents. Provides educational programs for pharmacy, nursing, and medical staff as needed. 10% - Directs and guides pharmacy technicians and pharmacy support personnel. 5% - Reviews provider orders for correct drug choice, dosage form, dosing schedule, and possible drug-drug interactions or allergies in various pharmacy practice settings, such as inpatient, outpatient, and ambulatory care. Contacts providers to clarify orders as appropriate. Dispenses and compounds medications and dispenses drug therapy-related devices in accordance with standards of practice and OhioHealth pharmacy policies. Ensures all medications, chemicals, and supplies are dispensed without suboptimal integrity. Ensures appropriate labeling for proper administration of medication. Interprets prescriptions and determines compatibility in accordance with standards of practice. Prepares care plan for patients to ensure optimal therapeutic outcomes and maximize compliance with therapy instructions. 5% - Manages individuals' drug therapy by initiating, monitoring, and modifying prescriptions issued to patients in collaboration with a provider in a variety of care settings such as inpatient, outpatient, and ambulatory care. Provides drug information to providers, other health care professionals, and patients as needed. 5% - Counsels individuals regarding their drug therapy, including recommending drug therapy-related devices, and assisting in the selection of non-prescription drugs for the treatment of common diseases and injuries and providing instruction in their proper use in a variety of care settings, such as inpatient, outpatient, and ambulatory care. **Minimum Qualifications:** Bachelor's Degree (Required), Doctor of Pharmacy (Required) OPL - Ohio Pharmacists License - Ohio Board of Pharmacy **Additional Job Description:** ***This is a full-time, day shift position at Riverside Methodist Hospital. Evening rotations are every 8 weeks, and weekend rotations are every 4 weeks.*** **DESIRED ATTRIBUTES AND SPECIALIZED KNOWLEDGE** + Bachelor of Science or Doctor of Pharmacy degree from an accredited institution ( _Required)_ + Current Ohio pharmacist license ( _Required)_ + Basic Life Support Certification-current or obtained during the orientation period (unless greater than 50% of scheduled work hours, as determined by the manager, are completed off-site or not in a patient care setting) + ASHP accredited residency or equivalent pharmacy practice experience + Pharmacy Board Certifications or other certifications + Advanced-level degree in healthcare field + Collaborative practice experience + Advanced Cardiac Life Support Certification (may be required to obtain as determined by manager) + Pharmacokinetic drug dosing experience + Drug therapy management **Work Shift:** Day **Scheduled Weekly Hours :** 40 **Department** Clinical Pharmacy Services Join us! ... if your passion is to work in a caring environment ... if you believe that learning is a life-long process ... if you strive for excellence and want to be among the best in the healthcare industry Equal Employment Opportunity OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment$60k-94k yearly est. 34d agoMedication Access Specialist
Visante Consulting
Remote job
ABOUT VISANTE We are a specialized consulting firm focused on helping hospitals and health systems accelerate strong clinical, operational, and financial performance through pharmacy. Our team of professionals brings deep, contemporary expertise and innovation to optimizing all aspects of a fully integrated health system pharmacy program, driving significant value quickly. Our mission is to transform healthcare through pharmacy, and our vision is to reimagine pharmacy to improve lives. Visante is looking to add a Medication Specialist to our Specialty Pharmacy Services line. This individual will be responsible for providing medication access and affordability services to Visante clients and their patients. ABOUT THE ROLE (Remote, work from home) The Medication Specialist's responsibilities include the following: Reviewing medication authorizations submitted by clients Performing appropriate actions based on client and patient needs, including: Identifying the process to submit authorizations Reviewing documentation in the client's medical record that is required for authorization submissions Performing benefits investigation reviews to determine patient coverage and out-of-pocket costs Identifying patient assistance programs, copay cards, grants, or funds that could be utilized to reduce patient financial burdens Communicating with the clinic to obtain additional information or guidance related to prior authorization submission Assisting clinics with submitting appeals related to coverage denials Communicates determinations and relevant follow-up with patients on behalf of clients, including: Sharing information related to medication coverage and financial assistance options Providing pharmacy options for where prescriptions can be filled Ensuring timely and accurate documentation related to services provided to clients and their patients by appropriately documenting information in clients' EMR systems based on the agreed-upon Visante-client workflow and documenting information in Visante systems for tracking prior authorization volumes and associated fees Supporting clients with onboarding and training of client-employed medication access specialists, when directed and supporting Visante with continual process improvement and client-specific workflow and process development Collaborating with Visante team members and leaders to provide insight and constructive feedback into day-to-day operations Supporting clients with improving clinical staff and client pharmacy workflows and communications Completing other duties as assigned by the supervisor Requirements Education Required: High school diploma or equivalent Experience Required: 3 years of experience working within healthcare or with pharmacy providers on medication access Preferred: Previous consulting and/or client-facing experience; Experience with electronic medical record documentation and prior authorization workflows; Experience with performing retail pharmacy PBM adjudication; Experience in utilizing CoverMyMeds to submit prior authorizations; Two (2) years of experience in healthcare revenue cycle that includes medication authorizations; Knowledge of CPT and ICD coding is highly desired; Knowledge of Medicare and third-party payer regulations and guidelines is highly desired; Two (2) years of experience in preadmission/precertification Skills and Abilities Demonstration of good judgment, multi-tasking and meeting deadlines with a sense of urgency, and being able to prioritize competing demands; Strong client relationship, interpersonal, and team skills; Proven ability to diagnose and resolve issues, demonstrating strong analytical and creative skills; Ability to make sound and timely decisions based on analysis, experience, and judgment; Clear and concise verbal and written communication skills and the ability to advise clients professionally and positively; Maintains confidentiality of all patient-related information; Excellent knowledge of medication reimbursement and healthcare prior authorization/coding; Excellent knowledge and proficiency in MS Word, Outlook, PowerPoint, and Excel Compensation and Benefits: We offer competitive salary and benefits for this full-time salaried role. Equal Opportunity Statement: Visante is an equal opportunity employer. Visante's people are its greatest asset and provide the resources that have made the company what it is today. Visante is, therefore, committed to maintaining an environment free of discrimination, harassment, and violence. This means there can be no deference because of age, religion or creed, gender, gender identity or expression, race, color, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by applicable laws and regulations$33k-50k yearly est. 60d+ agoFull Stack Ruby on Rails Software Engineer (Staff - Remote)
Brightline
Remote job
Welcome to Brightline! We are seeking a Full Stack Ruby on Rails Staff Software Engineer to help us scale our core platform, build robust internal and external integrations, and evolve the data flows that power our clinical and billing infrastructure. We are primarily a Ruby on Rails shop and we are bought into keeping our tech stack simple so that we focus on shipping fast and having fun. Instead of betting on exciting new technologies, we favor straightforward solutions and defining standards so that the codebase and ecosystem are a joy to work with. We use Turbo, Tailwind, and ViewComponent to make beautiful UIs. Stimulus brings them to life and if we feel the need for it, we might sprinkle some React on top. We use Typescript where we think it benefits us, and default to Javascript otherwise. Our mobile apps leverage Hotwire Native to take advantage of existing web infrastructure. Responsibilities: Collaborate on projects end-to-end with a strong emphasis on backend systems, API design, and integrations. Scoping features with product and design to shipping a finished feature into production Write code across the entire stack (currently Ruby + Rails on the backend and Turbo/Tailwind on the frontend) Have a mix of heads-down and pairing time, depending on the project and your energy levels Curate a great codebase through architecture discussions, automated testing and code review Bring a new perspective that helps our team continue to grow and improve Requirements: You're excited about improving behavioral health for children, teens, and their families You love collaborating with team members from other departments (including product, marketing, clinical and more) You own projects and see them through, even if that goes beyond code You are thoughtful and empathetic in how you carry yourself, from decision making and execution, to communication and collaboration You care about solving problems and aren't tied to particular solutions or technologies You have experience developing software professionally (primarily Ruby + Rails, with potentially experience in similar languages and frameworks such as Python + Django) You enjoy full-stack work but prefer back-end logic, data modeling, and system architecture Bonus points for experience with: Healthcare stuff™, especially around insurance billing, health system integrations, clinical workflows, referrals, or coaching API development and integrating with third parties We offer several benefits, perks, and stipends: Medical, Dental, Vision, Long-Term Disability, Life Insurance, Flexible Spending Account, and 401k 12 Company Holidays, Holiday Shutdown, Flexible Time Off, Parental Leave Health and Wellness Stipend, Home Office Reimbursement and Professional Development Reimbursement Stock Options At Brightline we have built a total rewards philosophy that includes fair, equitable, competitive, geo-based compensation that is performance and potential based. Our strategy is based on robust market research, including external advisory specializing in national compensation, and thoughtful input from every level of our organization. It is a combination of a cash salary, equity, benefits, wellbeing, and opportunity. In compliance with the Equal Pay for Equal Work Act, the annual base salary range for applicants is $170,000-$200,000. Our Commitment to Building a Diverse, Equitable, and Inclusive Workforce At Brightline, we believe that Diversity, Equity, Inclusion, and Belonging are essential to the foundation upon which our mission is built. We are committed to: building a future where all families can access inclusive, high-quality care creating an environment that encourages our employees to show up authentically, reach their highest potential, and have an equal opportunity to thrive systematically evaluating and improving our inherent beliefs, observed behaviors, structures, and systems ensuring that every employee, candidate, client, and family we serve is valued and respected About Brightline Brightline is a therapy and psychiatry practice that delivers expert pediatric, teen, and parental mental health care to families and kids up to age 18. Brightline's virtual and in-person outpatient services include diagnostic evaluation, therapy, psychiatry services (e.g. medication management), and psychological testing (to assess learning differences, school readiness, executive functioning difficulties [e.g. ADHD], and autism). In addition to Brightline's generalized support, we offer focused programs including those that support anxiety, obsessive compulsive disorders, ADHD, and disruptive behaviors. Founded in 2019, Brightline has delivered care to tens of thousands of families with industry-leading results. We've been nationally recognized for clinical excellence and innovation for several years - recent awards include the Fast Company 50 Most Innovative Companies (2022) and Behavioral Health Business Companies to Watch Award (2024) . Brightline is based in Palo Alto and is backed by investors including Boston Children's Hospital, Northwell Health, Blue Cross Blue Shield of Massachusetts, Google Ventures, KKR, and Oak HC/FT.$170k-200k yearly Auto-Apply 15d ago1099 - REMOTE - TimelyCare: TelePsychiatry serving the Higher Education Sector in Delaware
Timelycare
Remote job
The RoleWe are currently looking to contract with independent contractors for clinical evaluation and medication assessment services to members (students, faculty & staff) who use the TimelyCare platform. Our members are from many diverse backgrounds, including race, ethnicity, LGBQT+, faith-based, etc. This is a great opportunity to make an impact on the local communities while earning additional income and having the flexibility to work from the convenience of your home. Requirements for Contracted Services Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree Current state licensure as a Psychiatrist and be able to practice independently 2+ years experience working with persons who have various behavioral substance misuse, or other psychiatric impairments Board certification by the American Board of Psychiatry and Neurology, or related What You'll Do Conduct remote Telepsychiatry outpatient visit Conduct therapy, medication assessments, and intake evaluations for new and existing patients Develop individual care plans and provide therapeutic interventions as necessary including the provision of ongoing medication management services Provide consultation and health education support to patients and families Highlights of Contracted Services Bye bye, burnout: Provide remote care from the convenience of your home or office while maintaining a healthy work/life balance. Hassle free: Don't worry about reimbursement, billing codes, or insurance credentialing. TimelyCare does not work with insurance providers and partners directly with colleges and universities across the country. Students can access and utilize TimelyCare's services without the hassle of insurance or costly co-pays. Provider autonomy: Flexible hours that work for you. Independent, contract providers set their own schedule. Motivated clients: The population TimelyCare serves is made up of highly motivated, high functioning students in higher education institutions who are ready to grow and engage with behavioral health services and treatment. Professional boundaries: Students and clients will not have access to your phone number or email. Basic Med Management as we do not prescribe controlled substances. Expectations Real-time patient charting Documentation due immediately upon completion of a session Eight hours of availability for Psychiatry sessions, weekly An initial scheduled session typically lasts between 45-60 minutes (one-hour block) Follow-up scheduled sessions typically last between 15-20 minutes ((30-minute block) (Note: A complex follow-up may take longer at the clinician's discretion)) Session timeliness: always be on time so the patient never waits Maintain annual renewal of any state licensure Report to us any malpractice issues, instantly Compensation $200 for the initial member session $125 per follow-up member session $100 for member canceled initial sessions $62.50 member canceled follow-up sessions This is a remote position. Reviewing candidates across the country. #LI - Remote.$36k-54k yearly est. Auto-Apply 60d+ agoVirtual IOP
Staffosaurus
Remote job
About Us: We are a leading substance abuse treatment center dedicated to addressing the root causes of addiction. Our comprehensive continuum of care includes medical detox, residential treatment, partial hospitalization, intensive outpatient programs, and sober living support. Our mission is to heal individuals and support their journey to a healthier life. Position Overview: We are seeking a compassionate and experienced Virtual IOP Therapist to join our multidisciplinary team. The ideal candidate will provide high-quality, evidence-based therapeutic services to clients participating in our Intensive Outpatient Program. This role involves conducting individual and group therapy sessions, developing individualized treatment plans, and collaborating with other healthcare professionals to ensure comprehensive client care. Key Responsibilities: Conduct virtual individual therapy sessions to address clients' mental health and substance use concerns. Facilitate virtual group therapy sessions, focusing on skills building, relational support, and topics such as addiction, recovery, 12 steps, family dynamics, life skills, DBT skills, and coping strategies. Develop and implement individualized treatment plans in collaboration with clients and the treatment team. Provide case management services, including coordination with medical and psychiatric staff for medication management and other supportive services. Engage clients' families in the treatment process through family programming and counseling to repair relationships affected by substance abuse. Maintain accurate and timely documentation of all client interactions and treatment plans. Participate in regular team meetings and contribute to the continuous improvement of program services. Qualifications: Master's degree in Counseling, Social Work, Psychology, or a related field. Current and valid licensure as a therapist (e.g., LPC, LCSW, LMFT) in the state of practice. Minimum of 2 years of experience in substance abuse treatment, preferably within an IOP setting. Proficiency in evidence-based therapeutic modalities, such as Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Motivational Interviewing. Experience with virtual therapy platforms and telehealth services. Strong communication and interpersonal skills. Ability to work independently in a remote environment while maintaining a high level of accountability and professionalism. Preferred Qualifications: Certification in addiction counseling (e.g., CADC, LCDC). Experience with holistic and alternative therapeutic approaches, such as art therapy or body movement therapy. Familiarity with 12-step facilitation and spiritual therapy. Benefits: Competitive salary commensurate with experience. Comprehensive health, dental, and vision insurance plans. Paid time off and holidays. Opportunities for professional development and continuing education. Supportive and collaborative work environment. Note: This position is fully remote; however, candidates must reside near Austin for on site training purposes$33k-46k yearly est. 60d+ agoNurse Case Manager I - Case Management Specialist
Apidel Technologies
Columbus, OH
Job Description Responsible for interacting with low stratification members via phone calls, coordinating care, completing, reviewing, and updating assessments and care plans that address problems, goals, and interventions. Based on assessments and claims data creates a care plan for members to follow 70% Participate as a member of the Care Team during Interdisciplinary Team meetings to discuss the members health care needs, barriers to care and explore better outcomes for the member 20% Identify and link members with health plan benefits and community resources 5% Perform administrative work to maintain skills needed for job duties 5% 5% Experience: Required: 2 years LPN Nursing exp, preferred 3 + years experience. Regular and reliable attendance Familiar with community resources & services Strong organizational skills Works independently. Maintains professional relationships with the members we serve as well as colleagues. Communicates effectively and professionally verbally and in writing. Proficient with computer systems Knowledgeable in Microsoft Office Software Excellent customer service skills Has a dedicated home work space Position Summary: Looking for Columbus OH and immediate surrounding counties. The Care Manager Specialist is a member of the Care Team. The Care Manager Specialist is responsible for the care management of members that are enrolled in the Dual Special Needs Plan. These members are usually stratified as low medium stratification, or those with Social Determents of Care needs. The Care Manager will work in conjunction with the Nurse Care Manager, Care Coordinator, Transition of Care (TOC) Coach, and other members of the Care Team to improve the members health outcomes, address social determinants of health and connect members with community-based organizations. The Care Manager will assess members needs as well as gaps in care, communicate with the members Primary Care Provider (PCP), maintain updated individualized care plans, and participate in Interdisciplinary team meetings. Care Managers will be able to identify members whose needs require clinician involvement and transition members appropriately. Complete health screening questionnaires, assessments which may be market specific. Support reduction of population of unable to reach members by telephone and in -person visits. Ensure member has filled/received their medication(s) and has an understanding on how to take their ordered medications. Manage caseload of members with current stratification of monitoring, low and medium or those with high social determinants of care needs- frequency /contract guidelines Provides clinical assistance to determine appropriate services and supports due to members health needs (including but not limited to: Prior Authorizations, Coordination with PCP and Specialty providers, Condition Management information and education, Medication management, Community Resources and supports) Evaluation of health and social indicators Identifies and engages barriers to achieving optimal member health. Uses discretion to apply strategies to reduce member risk. Presents cases at case conferences for multidisciplinary focus to benefit overall member management. Facilitates overall care coordination with the care team to ensure member achieves optimal wellness within the confines of the members condition(s) and abilities to self-manage. Coordinates resources, assists with securing DME, and helps to ensure timely physician follow-up. Understands Payer/Plan benefits, policies, procedures, and can articulate them effectively to providers, members, and other key personnel. Updates the Care Plan for any change in condition or behavioral health status. Provide support to members in transitions of care Education: HS or equivalent, must be licensed LPN. What Days & Hours will the Person Work in this Position List Training Hours, if Different. M-F 8-5$58k-79k yearly est. 31d agoI/DD Care Manager, QP (Gaston/Cleveland/Rutherford NC)-Mobile
Partners Behavioral Health Management
Remote job
which will work primarily out in the assigned communities.** Competitive Compensation & Benefits Package! eligible for - Annual incentive bonus plan Medical, dental, and vision insurance with low deductible/low cost health plan Generous vacation and sick time accrual 12 paid holidays State Retirement (pension plan) 401(k) Plan with employer match Company paid life and disability insurance Wellness Programs Public Service Loan Forgiveness Qualifying Employer See attachment for additional details. Location: Available for Gaston, Cleveland, Rutherford NC locations; Mobile/Remote position Projected Hiring Range: Depending on Experience Closing Date: Open Until Filled Primary Purpose of Position: The Intellectual and Developmental Disabilities (I/DD) Care Manager is responsible for providing Tailored Care Management and/or care coordination to members/recipients with I/DD to help secure and coordinate a variety of physical health, developmental disability, behavioral health and long-term services and support (LTSS) services. The I/DD Care Manager actively engages with members/ recipients through comprehensive assessment, care planning, health promotion, and comprehensive transitional care. Tailored Care Management is comprehensive and longitudinal for members with Medicaid coverage. Recipients with no Medicaid receive Tailored Care Management based on specified triggers and for a duration not to exceed ninety (90) days. Travel is an essential function of this position. Role and Responsibilities: Duties of the I/DD Care Manager include, but are not limited to, the following: Comprehensive Care Management Provide assessment and care management services aimed at the integration of primary, behavioral and specialty health care and community support services, using a comprehensive person-centered care plan which addresses all clinical and non-clinical needs and promotes wellness and management of chronic conditions in pursuit of optimal health outcomes Complete a care management comprehensive assessment within required timelines and update as needed Develop a comprehensive Individual Support Plan and update as needed Provide diversion activities to support community tenure Care Coordination Facilitate access to and the monitoring of services identified in the Individual Support Plan to manage chronic conditions for optimal health outcomes and to promote wellness. Facilitate communication and regularly scheduled interdisciplinary team meetings to review care plans and assess progress. Monitors services for compliance with state standards and Medicaid regulations, including home and community-based standards for 1915i services Verify that services are delivered as outlined in ISP and addresses any deviations in services Individual and Family Supports Provide education and guidance on self-management and self-advocacy Provide information about rights, protections, and responsibilities, including the right to change providers, the grievance and complaint resolution process, and fair hearing processes Educate members and recipients about the Registry of Unmet Needs, with referral as indicated Utilize person centered planning methods/strategies to gather information and to get to know the members supported Ensure that members/legally responsible persons are informed of services available, service options available, processes (e.g. requirements for specific service), etc. Promote prevention and health through education on the member's chronic conditions and/or disabilities for the member, family members, and their caregivers/support members Promote culturally competent services and supports. Health Promotion Educate and engage the member/recipient and caregivers in making decisions that promote his/her maximum independent living skills, good health, pro-active management of chronic conditions, early identification of risk factors, and appropriate screening for emerging health problems Closely coordinate care with the member's I/DD, behavioral health, and physical health providers, including in person visits to Emergency Departments and Skilled Nursing Facilities Support medication management as prescribed by medical providers, focusing on treatment adherence monitoring, side effects, and effectiveness of treatment Transitional Care Management Proactive and intentional care management when the member/recipient is experiencing care transitions (including, but not limited to transitions related to hospitalization, nursing facility, rehabilitation facility, community-based group home, etc.), significant life changes including, but not limited to loss of primary caregiver, transition from school services, etc.) or when a member/recipient is transitioning between health plans. Create and implement a 90-day transition plan as an amendment to the ISP that outlines how services will be maintained or accessed and includes a process to transition to the new care setting and integrate into his or her community. Referral to Community/Social Supports Provide information and assistance in referring members/recipients to community-based resources and social support services, regardless of funding source, which can meet identified needs Provide comprehensive assistance securing health-related services, including assistance with initial application and renewal with filling out and submitting applications and gathering and submitting required documentation, including in-person assistance when it is the most efficient and effective approach. Time-Limited Care Coordination for Member Excluded from Receiving Tailored Care Management Assist member who are receiving care management from other entities (e.g., CCNC, CAP/C, CAP/DA) with referral/linkage to I/DD services available through the Tailored Plan or Medicaid Direct contract Provide transitional care management Participate in weekly conference with CCNC, as needed, to share information on high-risk members, including members with a behavioral health transitional care need and members with special health care needs, who are receiving care coordination and care management from both entities or require referrals Coordinate with each member's care manager to the extent the member is engaged in care management through another entity (e.g. PCCM Vendor, Skilled Nursing Facility, CAP/C or CAP/DA, etc.) Share the results of the any assessments completed, the member's person-centered plan, and the member's Care Plan (to the extent one exists) with entity providing care management Notify the member's care manager that the member is undergoing a transition and engage the member's assigned care manager to assist with transitioning the member into the community, including in the development of the ninety (90) day post-discharge transition plan to the extent there are items within the care manager's scope. With the assistance of the care management entity, encouraging, supporting, and facilitating communication between primary care providers and the Partners network providers regarding medication management, shared roles in care transitions and ongoing care, the exchange of clinically relevant information, annual exams, coordination of services, case consultation, and problem-solving as well as identification of a medical home for persons determined to have need. Other: Assist state-funded recipients apply for Medicaid Coordinate Medicaid deductibles, as applicable, with the member/legally responsible person and provider(s) Proactively monitor documentation/billing to ensure that issues/errors are resolved as quickly as possible Ensure all clinical documentation (e.g. goals, plans, progress notes, etc.) meet state, agency and Medicaid requirements Maintain medical record compliance/quality, as demonstrated by ≥90% compliance on Qualitative Record Reviews Recognizes and reports critical incidents Promotes member satisfaction through ongoing communication and timely follow-up on any concerns/issues Collaborates with providers to ensure accurate/timely submission of authorization requests for all Tailor Plan-funded services/supports Document within the grievance system any expression of dissatisfaction/concern expressed by member/recipient supported or others on behalf of the member/recipient supported Ensure strong leadership to care team for each member/recipient, including effectively communicating with and providing direction to Care Management extenders Knowledge, Skills, and Abilities: Demonstrated knowledge of the assessment and treatment of I/DD needs, with or without co-occurring physical health, mental health or substance use disorder needs Ability to develop strong, person-centered plans Exceptional interpersonal skills, highly effective communication ability, and the propensity to make prompt independent decisions based upon relevant facts and established processes Demonstrated ability to collaborate and communicate effectively in team environment Ability to maintain effective and professional relationships with member/recipients, family members and other members of the care team Problem solving, negotiation and conflict resolution skills Excellent computer skills including proficiency in Microsoft Office products (such as Word, Excel, Outlook, etc.) Detail oriented Ability to learn and understand legal, waiver and program practices/requirements and apply this knowledge in problem-solving and responding to questions/inquiries Ability to independently organize multiple tasks and priorities and to effectively complete duties within assigned timeframes Ability to manage and uphold integrity and confidentiality of sensitive data Sensitivity and knowledge of different cultures, ethnicities, spiritual beliefs and sexual orientation. Education/Experience Required: Bachelor's degree in a field related to health, psychology, sociology, social work, nursing or another relevant human services area and two (2) years of full-time experience with I/DD population OR Bachelor's degree in a field other than human services and four (4) years of full-time experience with I/DD population OR Master's degree in human services and one (1) year of full-time experience with I/DD population OR Licensure as a registered nurse (RN) and four (4) years of full-time accumulated experience with I/DD AND Two (2) years of prior Long-Term Services and Supports (LTSS)and/or Home and Community Based Services (HCBS) coordination, care delivery monitoring and care management experience. This experience may be concurrent with the two years of experience working with I/DD population described above AND Must reside in North Carolina Must have ability to travel regularly as needed to perform job duties Education/Experience Preferred: Experience working with member/recipients with co-occurring physical health and/or behavioral health needs preferred. Licensure/Certification Requirements: If a Registered Nurse (RN), must be licensed in North Carolina.$69k-82k yearly est. Auto-Apply 60d+ agoClient Solutions Architect
Arine
Remote job
Based in San Francisco, Arine is a rapidly growing healthcare technology and clinical services company with a mission to ensure individuals receive the safest and most effective treatments for their unique and evolving healthcare needs. Frequently, medications cause more harm than good. Incorrect drugs and doses costs the US healthcare system over $528 billion in waste, avoidable harm, and hospitalizations each year. Arine is redefining what excellent healthcare looks like by solving these issues through our software platform (SaaS). We combine cutting edge data science, machine learning, AI, and deep clinical expertise to introduce a patient-centric view to medication management, and develop and deliver personalized care plans on a massive scale for patients and their care teams. Arine is committed to improving the lives and health of complex patients that have an outsized impact on healthcare costs and have traditionally been difficult to identify and address. These patients face numerous challenges including complicated prescribing issues across multiple medications and providers, medication challenges with many chronic diseases, and patient issues with access to care. Backed by leading healthcare investors and collaborating with top healthcare organizations and providers, we deliver recommendations and facilitate clinical interventions that lead to significant, measurable health improvements for patients and cost savings for customers. Why is Arine a Great Place to Work?: Outstanding Team and Culture - Our shared mission unites and motivates us to do our best work. We have a relentless passion and commitment to the innovation required to be the market leader in medication intelligence. Making a Proven Difference in Healthcare - We are saving patient lives, and enabling individuals to experience improved health outcomes, including significant reductions in hospitalizations and cost of care. Market Opportunity - Arine is backed by leading healthcare investors and was founded to tackle one of the largest healthcare problems today. Non-optimized medications therapies which cost the US 275,000 lives and $528 billion annually. Dramatic Growth - Arine is managing more than 18 million lives across prominent health plans after only 4 years in the market, and was ranked 236 on the 2024 Inc. 5000 list and was named the 5th fastest-growing company in the AI category. The Role: This position offers a fast-paced environment with a collaborative team that is at the heart of where Arine has impact - with our clients and their members. You will have the opportunity to engage cross-functionally with both our clients and internal teams, as well as grow with our client success team as it evolves to enable the next phase of Arine's rapid growth. Are You a Good Fit? Arine is seeking a technically savvy, strategic and business-minded Client Solutions Architect to help our clients maximize their usage of Arine's Medication Intelligence Platform to achieve their business goals. This role is responsible for developing a deep understanding of customer needs and challenges, mapping them to Arine solutions, and working with cross-functional teams as the trusted technical advisor who owns the technical relationship between Arine and its valued customers. By leveraging your expertise, you will help to increase the adoption of Arine's products, both internally and externally, and will gather valuable insights and feedback from customers to help shape the future of our products. You are a good fit if you excel in technical solution design, active project management, clear client and internal team communication, and have an ability to drive change across diverse internal and external stakeholders. In this dynamic role, you will need to be both a strategic thinker and a hands-on doer. You will take a hands-on approach to configuring Arine's platform to meet the client's needs and showcase the business value of our platform. As the technical relationship owner, you will collaborate with stakeholders to understand their business objectives and translate those into technical solutions. You will take ownership of the client narrative, serving as the voice of the client and acting as a liaison between the client and our product and engineering teams. You will drive technical delivery by effectively managing timelines across Arine's implementation team, product and engineering teams, and the client's technical teams. What You'll be Doing: Serve as the technical relationship owner for clients, overseeing the technical aspects of the client life cycle from pre-sales through implementation and post-launch Lead client discovery discussions, solution design meetings, and workflow mapping sessions with the client's technical and business stakeholders Understand each client's business needs and goals, translate those business needs to technical requirements for the client configuration of Arine's platform Incorporate technical requirements into broader client implementation project plans in collaboration with Arine's implementation team Continue to be client point-person throughout the engagement to address any technical needs as they evolve Drive technical solution delivery across internal and external stakeholders as the key conduit between Arine's customers and technical teams Represent the voice of the client and collaborate with the Growth, Product and Engineering teams and to monitor opportunities for new products and features as Arine grows its customer base Who You Are and What You Bring: 7+ years of experience in a similar customer-facing technical role such as solution consultant, solutions architect, sales engineer, or technical consulting Proven track record of leading complex technical projects and programs with many stakeholders Prior background working at a data-centric company; claims and EHR data experience preferred Effective group-facilitation skills and confidence in leading client meetings to understand business objectives and clinical workflows Excellent written and verbal communication skills; ability to switch seamlessly from executive presentations to white boarding with technical or clinical audiences Thrive in dynamic environments, can navigate ambiguity with ease, and able to drive multiple projects at once with expansive ownership Experience working in agile delivery environments; proficiency in software delivery and workflow management systems (Atlassian/Jira experience preferred) Experience working within the healthcare industry, understanding of clinical workflows and deep knowledge of payer and risk-bearing provider needs Comfortable working with human-readable text outputs (e.g. JSON, XML); Bonus points for software development experience with Python or AWS Services Undergraduate degree required; Masters experience preferred; Bonus points for Doctor of Pharmacy (PharmD) degree Strong knowledge of medication therapy management, comprehensive medication management and quality measures highly desirable Travel and Other Information: Travel up to 30% Remote Work Requirements: An established private work area that ensures information privacy A stable high-speed internet connection for remote work This role is remote, but you will be required to come to on-site meetings multiple times per year. This may be in the interview process, onboarding, and team meetings Perks: Joining Arine offers you a dynamic role and the opportunity to contribute to the company's growth and shape its future. You'll have unparalleled learning and growth prospects, collaborating closely with experienced Clinicians, Engineers, Software Architects, and Digital Health Entrepreneurs. The posted range represents the expected salary for this position and does not include any other potential components of the compensation package (including bonus and equity), benefits, and perks. Ultimately, the final pay decision will consider factors such as your experience, job level, location, and other relevant job-related criteria. The salary range for this position is: $155,000-175,000/year. Job Requirements: Ability to pass a background check Must live in and be eligible to work in the United States Information Security Roles and Responsibilities: All staff at Arine are expected to be part of its Information Security Management Program and undergo periodic training on Information Security Awareness and HIPAA guidelines. Each user is responsible to maintain a secure working environment and follow all policies and procedures. Upon hire, each person is assigned and must complete trainings before access is granted for their specific role within Arine. Arine is an equal opportunity employer. We are committed to creating a diverse and inclusive workplace where all employees are treated with fairness and respect. We do not discriminate on the basis of race, ethnicity, color, religion, gender, sexual orientation, age, disability, or any other legally protected status. Our hiring decisions and employment practices are based solely on qualifications, merit, and business needs. We encourage individuals from all backgrounds to apply and join us in our mission. Check our website at ******************** . This is a unique opportunity to join a growing start-up revolutionizing the healthcare industry! Job Offers: Arine uses the arine.io domain and email addresses for all official communications. If you received communication from any other domain, please consider it spam. Note to Recruitment Agencies: We appreciate your interest in finding talent for Arine, but please be advised that we do not accept unsolicited resumes from recruitment agencies. All resumes submitted to Arine without a prior written agreement in place will be considered property of Arine, and no fee will be paid in the event of a hire. Thank you for your understanding.$155k-175k yearly Auto-Apply 21d agoLicensed Counselor - Part time, fully remote
CIFC Asset Mgmt
Remote job
CT Institute For Communities, Inc. / CIFC Health is seeking to hire CT licensed behavioral health clinicians (LCSW, LPC, LMFT) to provide community-based therapy to CIFC Health adult and pediatric patients. Therapist will provide remote / tele treatment to clients. This position will be part time evening and/ or weekends, schedules will be based on clinicians availability after 3pm and on weekends. Clinician will perform diagnostic psychosocial evaluations, develop care plan with clients and their families, offers individual, family, or group therapy as appropriate, conduct care coordination, and documents all clinical interventions in accordance with CIFC Health policy and state regulatory expectations. ROLE AND RESPONSIBILITIES CLINICAL Completes initial behavioral health evaluations; individual, group and family psychotherapy with children and/or adults in an outpatient clinic. Consults with providers within and outside the agency regarding the treatment plan and progress of the patients. Coordinates as needed with psychiatric consultants for diagnostic and consultative needs; refers as necessary for medication management. Attends clinical Team Meetings as assigned Meets productivity standards as outlined annually during employee's performance appraisal review with a focus on quality clinical care. Encourages clients to express their feelings and discuss what is happening in their lives, helping them to develop insight into themselves or their relationships. Perform crisis interventions with clients. Assess for immediate safety concerns, including: high risk patients/clients who may be at risk for homicide, suicide and domestic violence. Guide clients in the development of skills or strategies for dealing with identified goals. Develop and implement treatment plans based on clinical experience and knowledge according to state regulatory and joint commission standards. Evaluate the effectiveness of ongoing treatment on clients' progress in resolving identified problems and moving towards defined objectives. Modify treatment activities or approaches, as needed, to comply with changes in clients' status. Work with and Support family members to assist them in understanding, dealing with, or supporting clients or patients. Maintain awareness within discipline about new developments in the field Gather information about community mental health needs or resources that could be used in conjunction with therapy. ADMINISTRATIVE Completes all documentation required by state regulations, and CHC Behavioral Health department by laws in a timely manner, included by not limited to intake, prior authorization request, progress notes, treatment plan documentation, and discharge. Completes and locks all treatment notes no later than 72 hours following visit. Completes reports as required for outside agencies such as DCF, Family Relations, probation, and others with appropriate releases signed by clients. Participates as a member of agency wide committees as assigned. Requirements Must hold current CT LCSW, LPC, or LMFT License issued by DPH. Bilingual candidates strongly encouraged to apply. Competitive compensation. GDCHC / CIFC Health is a NACHC approved site, eligible for the submission of loan forgiveness applications. Closing Date: Open Until Filled CIFC is an Equal Opportunity Employer/Provider. Salary Description $38.46 - $43.59 per hour$38.5-43.6 hourly 60d+ ago