Post job

Primary Care jobs near me - 1,309 jobs

  • RN Care Manager - Exempt

    Boldage Pace

    Columbus, OH

    Join BoldAge PACE and Make a Difference! Why work with us? A People First Environment: We make what is important to those we serve important to us. Make an Impact: Enhance the quality of life for seniors. Professional Growth: Access to training and career development. Competitive Compensation Medical/Dental Generous PTO 401K with Match* Life Insurance Tuition Reimbursement Flexible Spending Account Employee Assistance Program BE PART OF OUR MISSION! Are you passionate about helping older adults live meaningful, independent lives at home with grace and dignity? BoldAge PACE is an all-inclusive program of care, personalized to meet the individual health and well-being needs of our participants. Our approach is simple: We listen to our participants and their caregivers to truly understand their needs and desires. Registered Nurse Care Manager SUMMARY: The RN Care Manager is responsible for assessing the care needs of participants, provides nursing and healthcare interventions, and evaluates outcomes of care of participants on an ongoing basis. In collaboration with the interdisciplinary team (IDT), develops plans of care to meet participants' needs. Delegates tasks to clinic, center, and homecare aides according to participant needs and care plans. Collaborates and communicates with the primary care provider, clinic staff, and other members of the IDT. Provides care to participants in the clinic, center, and participant homes as needed. ESSESNTIAL DUTIES AND RESPONSIBILITIES: Provide high quality clinical care and serves as a member of the PACE interdisciplinary team (IDT). Provide nursing care in the center, clinic, contracted facilities, and participants' homes according to each participant's plan of care. (NJ: in accordance with the State of New Jersey Nursing Practice Act, N.J.S.A. 45:11-23 et seq., as interpreted by the New Jersey State Board of Nursing, and written job descriptions. Services provided shall be documented in the participant's medical record). Participate in 24/7 “on-call” process for triage of participants and their needs. Assess, plan, and coordinate participants' home care services. Provide input to the IDT in developing home care plan interventions. The nursing care needs of the participant shall be assessed only by a registered professional nurse. Monitor participants' acute and chronic care needs in all settings. Provide coordination and direct care as indicated to promote continued care in the community or promote optimal institutional care (Assisted Living, Nursing Home, Hospital, etc.) as needed. Ensure timely follow-up by providers on specialist visits and will assist with obtaining specialist reports, facility documentation, and labs if needed. Reconcile facility MARs for your assigned panel of participants monthly to ensure accuracy and medication adherence, notify provider of any discrepancies. Notify participants of normal test results. Complete timely and accurate nursing assessments in accordance with policies and regulatory requirements. Implement nursing-related care plan interventions. Teach participants, caregivers and families about self-care, medications, healthy lifestyles, infection control and safety to promote optimal health and safety. Review and revises goals and approaches to participants' care in coordination with participant, family, caregiver and interdisciplinary team. Works collaboratively with the interdisciplinary team (IDT) to develop and implement comprehensive plans of care for participants. Develop and maintain positive relationships and communication with co-workers, participants and their families/significant others, and members of the community. Participate in all interdisciplinary team meetings. Assist the interdisciplinary team members in understanding the significant nursing, self-care and functional needs related to the participant's health problems. Performs the duties of Home Care Coordinator on the IDT as needed / assigned. May perform the duties of other IDT members based on professional licensing, competencies, and experience as needed. Actively participates in utilization review meetings and quality improvement projects / meetings. Evaluates the competence of CNAs and Home Care Aides and delegates tasks and duties to them as indicated. Participates in family meetings, staff meetings, in-service and training and orientation programs as required. Follows all PACE Program Policies and Procedures and Occupational Safety and Health Administration (OSHA) safety guidelines. Protects privacy and maintains confidentiality of all company procedures and information about employees, participants and families. Practices standard precautions and follows PACE Program Infection Control protocols. Performs other duties as required or requested. EXPERIENCE, EDUCATION AND CERTIFICATIONS: Bachelor of Science in Nursing Degree preferred. State RN License required **NJ: Licensed by the New Jersey State Board of Nursing. BLS required (must have within 90 days of employment). 1 year of experience working with a frail or elderly population preferred. If this is not present, training will be provided upon hiring (If applicable for the role). Experience in home care, long-term care and / or managed care preferred. 1 year experience providing care as an RN required. PRE-EMPLOYMENT REQUIREMENTS: Must have reliable transportation, a valid driver's license, and the minimum state required liability auto insurance. Be medically cleared for communicable diseases and have all immunizations up to date before engaging in direct participant contact. Pass a comprehensive criminal background check that may include, but is not limited to, federal and state Medicare/Medicaid exclusion lists, criminal history, education verification, license verification, reference check, and drug screen. Required immunizations BoldAge PACE provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. *Match begins after one year of employment Full time, days, Monday-Friday Full time, days, Monday-Friday
    $57k-76k yearly est. Auto-Apply 4d ago
  • Intensive Community Manager

    Chenmed

    Columbus, OH

    We're unique. You should be, too. We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great people to join our team. The Intensive Community Care Manager (ICCM) is a Registered Nurse (RN) who works with our highest complexity patients, their primary care physicians, and other members of the care team that provides hyperfocus case management and field nursing interventions to prevent unnecessary hospital arrivals, keep patients engaged in our intensive primary care model and maximize their healthy time at home. The Intensive Community Managers (ICCMs) will serve as a clinical lead for the Complex Care Team. They will assess, evaluate, and coordinate the team's efforts to stabilize our highest risk patients, with special areas of focus including safe transitions of care from facilities back to our primary care teams, stabilization of our highest risk ambulatory patients and outreach to patients who are assigned to us but are not engaged in care. This person will perform assessments and design comprehensive plans of care, and drive the actions needed to keep the most complex patients safely at home. This professional will also provide clinical supervision to other team members in delivering the plan of care and in other tasks necessary to meet their needs and engage them in care. As a clinical leader for the team, this person will also be deeply involved in prioritizing team efforts and may also become the direct supervisor for some team members. The Intensive Community Manager works in partnership with the PCPs to draft personalized care plans that address patient's immediate needs that cause a risk for unnecessary hospital arrivals. This position adheres to strict departmental goals/objectives, standards of performance, regulatory compliance, quality patient care compliance and policies and procedures. ESSENTIAL JOB DUTIES/RESPONSIBILITIES: Provides in-house, at facility, and telephonic visits to patients at high-risk for hospital admission and re-admission (as identified by CM Plan) with the main goal of preventing unnecessary hospital arrivals for patients that have consented to the program and after successfully completed full course of program. Provides home visits to perform field nursing interventions, assess patient, and the development of care plan to identify the goals, barriers, and interventions that will be addressing during the follow up patient visits. Once a patient has completed their episode of care management the register nurse (RN) will review patient chart for discharge and conduct final discharge with patient. Discharge from program may require formal approval from Complex Care Leadership Team Conducts supervisory visits with License Practical Nurse (LPN) and patient to provide any additional education patient may need and to oversee appropriate patient discharge from case management. Performs clinical, fall prevention, and social determination of Heath screening (SdoH) assessments to include disease-oriented assessment and monitoring, medication monitoring, health education and self-care instructions in the outpatient in home setting. Performs home field nursing interventions that have been agreed by PCP, Center Leadership, and Complex Care Leadership that would prevent hospital arrival. Such intervention may include taking vital signs, weighing patient, appropriate one time visits ordered by PCP and reviewed by the Manager for approval, and others as determined in Standard Operation Procedures (SOP) Coordinate the Plan of Care: Conducts/coordinates initial case management assessment of patients to determine outpatient needs and obtains patients consent to program. Ensures individual plan of care reflects patient needs and services available in the community or review of their benefits. Completes individual plan of care intervention with patients, family/care giver and care team members with a focus of incremental actions that will prevent unnecessary hospitalizations. Assesses the environment of care, e.g., safety and security. Conduct fall risk assessment as needed. Assesses the caregiver's capacity and willingness to provide care. Assesses and educations patient and caregiver educational needs. Coordinates, reports, documents and follows-up on multidisciplinary team meetings serving as host or lead for those conversations as needed. Helps patients navigate health care systems, connecting them with community resources; orchestrates multiple facets of health care delivery and assists with administrative and logistical tasks. Coordinates the delivery of services to effectively address patient needs. Facilitates and coaches' patients in using natural support and mainstream community resources to address supportive needs. Maintains ongoing communication with families, community providers and others as needed to promote the health and well-being of patients. Establishes a supportive and motivational relationship with patients that support patient self-management Monitors the quality, frequency, and appropriateness of HHA visits and other outpatient services. Assists patients and family with access to community/financial resources and refer cases to social worker and other programs available as appropriate. Collaborates closely with other members of the Complex Care and Clinica Strategy Team such as Hospital Care Managers and Post Hospital Care Coordinators and Manages to ensure patients in their program receive holistic care approval. Home visit under the direction of the patient's primary care physician to meet urgent patient needed with the aim of preventing unnecessary hospital arrivals Performs other duties as assigned and modified at manager's discretion. KNOWLEDGE, SKILLS AND ABILITIES: Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community Critical thinking skills Ability to work autonomously Ability to monitor, assess and record patients' progress and adjust and plan accordingly Ability to plan, implement and evaluate individual patient care plans Knowledge of nursing and case management theory and practice Knowledge of patient care charts and patient histories Knowledge of clinical and social services documentation procedures and standards Knowledge of community health services and social services support agencies and networks Organizing and coordinating skills Ability to communicate technical information to non-technical personnel Proficient in Microsoft Office Suite products including Excel, Word, PowerPoint, and Outlook, plus a variety of other word-processing, spreadsheet, database, e-mail and presentation software Ability and willingness to travel locally, regionally, and nationwide up to 10% of the time Spoken and written fluency in English. Bilingual a plus This job requires use and exercise of independent judgment EDUCATION AND EXPERIENCE CRITERIA: Associate degree in Nursing required Bachelor's Degree in nursing (BSN) or RN with bachelor's degree in home in a related clinical field preferred A valid, active Registered Nurse (RN) license in State of employment required. Compact License preferred for states where compact license is available A minimum of 2 years' clinical work experience required A minimum of 1 year of case management experience in community case management experience highly desired Certified Case Manager certification is preferred. Certification through the Commission for Case Manager Certification (CCMC) or the American Association of Managed Care Nurses (CMCN) desired This position requires possession and maintenance of a current, valid driver's license. Basic Life Support (BLS) certification from the American Heart Association (AMA) or American Red Cross required w/in first 90 days of employment PAY RANGE: $35.8 - $51.17 Hourly EMPLOYEE BENEFITS ****************************************************** We're ChenMed and we're transforming healthcare for seniors and changing America's healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We're growing rapidly as we seek to rescue more and more seniors from inadequate health care. ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people's lives every single day. Current Employee apply HERE Current Contingent Worker please see job aid HERE to apply #LI-Onsite
    $35.8-51.2 hourly 4d ago
  • Associate Medical Manager

    Chenmed

    Columbus, OH

    We're unique. You should be, too. We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great people to join our team. The Clinical Director will directly supervise and train primary care providers (PCPs) in his/her assigned center. The incumbent in this role is accountable for maximizing overall core model execution, including improving clinical quality, efficiency, outcomes, and clinician/patient satisfaction. In addition to being accountable for the overall clinical outcomes of his/her assigned center, they will have a portion of their time allocated to direct patient care as a PCP and/or other clinical duties (amount dependent on number of direct reports). The remainder of their time is allocated to leadership responsibilities, including PCP performance, engagement, and building a strong clinical-operations synergy and culture. The allocation of time is dependent on several factors, including PCP capacity, market needs, size of centers, patient membership, and Market Clinical Director direction. ESSENTIAL JOB DUTIES/RESPONSIBILITIES: Independently provides care for patients with acute and chronic illnesses encountered in older adult patients. Takes full accountability for patient care and outcomes and appropriately seeks consultation from specialists when needed, though will still stay involved in, and be responsible for, the detailed care of the patient. Engages with the hospitalist whenever one of their patients is in the hospital (regardless of whether the hospitalist works for ChenMed or not). Responsible for assessment, diagnosis, treatment, management, education, health promotion and care coordination and documentation for patients with acute and complex chronic health needs. Leads their care team consisting of care promoter (medical assistant), care facilitator, and care coordinator for patients able to come to the office. For patients that are unable to come to the office-in hospital, SNF, LTC or homebound, engages with the transitional care team and others including case managers, acute and transitional-care physicians, and other resources that may be available depending on the market. Leads Super Huddle (SH) and Transforming Care Meeting (TCM) weekly, as well as supports Center Manager/Center General Manager center clinical leader and/or market clinical leader is not available, based on guidance from Market Chief Medical Officer. Fills in as needed for center clinical leadership needs, including monitoring daily center census as part of joint center accountability for outcomes. Plays an active role in the management of their center and helps cover for other providers who may be out for various reasons. It is also expected that each Clinical Director will take an active role as needed in recruiting patients for the center and recruiting and interviewing additional providers for the company. Managing, mentoring and coaching PCPs in his/her assigned center to deliver outstanding clinical outcomes, including sampling other PCP's daily huddles within their center Leadership rounding with the PCPs (reduced involvement of market clinical leader) Partnering with Center Operations Director/Market General Manager to drive continued improvement of center financial performance, and helping increase center membership Performs other duties as assigned and modified at manager's discretion. KNOWLEDGE, SKILLS AND ABILITIES: Proficient in Microsoft Office Suite products including Word, Excel, PowerPoint and Outlook, plus a variety of other applications used in the company Ability and willingness to travel locally as needed in their market, if applicable, nationally for initial training (2 weeks) and then occasionally regionally and nationally for recruiting or training purposes Fluency in English, verbal and written. There may be jobs in some centers that require fluency in other languages, and this will be made known at the time of application. This job requires use and exercise of independent judgment EDUCATION AND EXPERIENCE CRITERIA: MD or DO in Internal Medicine, Family Medicine, Geriatrics, or similar specialty required Current, active MD licensure in State of employment is required A minimum of 1-year clinical experience in geriatric, adult or family practice setting preferred, with Lead PCP ideally being a ChenMed PCP Partner Completion of Chen Medical training, including Masterful Conversations and meeting facilitation, as part of the individual development plan Board certification in Internal Medicine, Family Medicine, Geriatrics or similar specialty is preferred, Board Eligibility is required Once Board certified, PCP will maintain board certification in their terminal specialty by doing necessary MOC, CME and/or retaking board exams as required Must have a current DEA number for schedule II-V controlled substances Basic Life Support (BLS) certification from the American Heart Association (AMA) or American Red Cross required w/in first 90 days of employment PAY RANGE: $238,832 - $341,189 Salary EMPLOYEE BENEFITS We're ChenMed and we're transforming healthcare for seniors and changing America's healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We're growing rapidly as we seek to rescue more and more seniors from inadequate health care. ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people's lives every single day. Current Employee apply HERE Current Contingent Worker please see job aid HERE to apply
    $238.8k-341.2k yearly 20h ago
  • RN - Registered Nurse - Surgical Trauma Intermediate Care - Nights

    Mount Carmel Health System 4.6company rating

    Columbus, OH

    *Employment Type:* Full time *Shift:* 12 Hour Night Shift *Description:* *Registered Nurse RN* * Interested candidates are welcome to send resume to Laura Mangia, Senior Talent Acquisition Partner to [...@mchs.com](mailto:...@mchs.com). * The Surgical Intermediate Care Unit (SIMCU) at Mount Carmel East is 32 beds. The Registered Nurse (RN) would expect to see a mixture of post-surgical and trauma patients. This unit is great experience for new graduate RNs wanting to learn skills and/or see a wide variety of patient population. It can also make a great transition for those interested in the OR/PACU. The nurse-to-patient ratio is 4:1. The Registered Nurse RN, within the scope of the Ohio Nurse Practice Act, will provide care in an atmosphere sensitive to each person's physical, emotional, social and spiritual needs. The Registered Nurse, RN, collaborates in the spirit of teamwork is accountable for the delivery of patient care utilizing the Nursing Process within the standards, policies, procedures and guidelines of the Organization. *What you will do:* * Provides nursing care, ensures an environment of patient safety, promotes evidence-based practice and quality initiatives and exhibits professionalism in nursing practice within the model of the ANCC Magnet Recognition Program . * Assesses and evaluates patient care for an assigned group of patients, utilizing evidence based practice. Collaborates with patient and family to develop and implement a plan of care that includes physical, spiritual and educational components. * Accurately communicates pertinent information to appropriate team members in a timely manner. Keeps patient/family apprised/updated. * Documents accurately and completely pertinent assessments, interventions and outcomes for patients in accordance with documentation standards, policies, procedures and/or guidelines. * Assumes responsibility and accountability for care provided and documented by other licensed and unlicensed care givers as appropriate. *Minimum Qualifications:* * Education: Graduate from school of nursing. * Licensure / Certification: Current license to practice as a Registered Nurse in the State of Ohio. * For Casual RNs 2 years of experience is required. * All new graduate nurses with less than one (1) year of clinical experience are subject to participate and will be automatically enrolled in the Nurse Residency Program. *Position Highlights and Benefits:* * Mount Carmel Health System recognized by Forbes in 2025 as one of America's Best State Employers. * Competitive compensation and benefits packages including medical, dental, and vision with coverage starting on day one. * Retirement savings account with employer match starting on day one. * Generous paid time off programs. * Employee recognition programs. * Tuition/professional development reimbursement starting on day one. * Relocation assistance (geographic and position restrictions apply). * RN to BSN tuition 100% paid at Mount Carmel's College of Nursing. * Employee Referral Rewards program. * Mount Carmel offers DailyPay - if you're hired as an eligible colleague, you'll be able to see how much you've made every day and transfer your money any time before payday. You deserve to get paid every day! * Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups. *Ministry/Facility Information:* Mount Carmel, a member of Trinity Health, has been a transforming healing presence in Central Ohio for over 135 years. Mount Carmel serves over 1.3 million patients each year at our five hospitals, free-standing emergency centers, outpatient facilities, surgery centers, urgent care centers, primary care and specialty care physician offices, community outreach sites and homes across the region. Mount Carmel College of Nursing offers one of Ohio's largest undergraduate, graduate, and doctor of nursing programs. If you're seeking a rewarding career where your purpose, passion, and desire to make a difference come alive, we invite you to consider joining our team. Here, care is provided by all of us For All of You! *Our Commitment * Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
    $51k-67k yearly est. 8d ago
  • Customer Service Representative - Must live in Nevada

    Alignment Healthcare 4.7company rating

    Remote job

    Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together. The Regional Concierge Navigator provides outreach and support to all our members, ensuring they have access to the care they deserve. Supports our members to navigate through their health care and benefits. Connects the dots between our provider network, health plan operations, and supplemental vendors. Maintains a high knowledge of the member needs of their respective market and assist our members every step of the way to ensure they are never alone in their healthcare journey and have the highest level of coordinated care. Lays the groundwork for future and ongoing member support. Has familiarity with assigned markets and understands the meaningful contributions to members' healthcare outcomes. ENERAL DUTIES/RESPONSIBILITIES 1. Provides in-market, specialized member support in respective market or region. 2. Conducts in-market member engagement including Welcome Calls, New Member Onboarding, JSA Scheduling, High Quality PCP and Provider Terms, Product/Vendor Changes, CAHPS Proxy, Disenrollment Quality Assurance, and Proactive Service Recovery 3. Conducts case follow-ups and quality member issue resolution for all cases assigned. 4. Ensures members have access to PCP and specialists to coordinate care. 5. Educates members on gaps in care and assists with scheduling provider appointments. 6. Serves as the patient's liaison throughout the life cycle of the program by addressing program specific quality measures and adhering to company guidelines/standard operating procedures. 7. Makes appropriate and timely patient appointments, reminders, and confirmations and Mails letters and correspondence as needed. 8. Places regular/consistent outreaches to the patient 9. Communicates with PCP with any member updates and requests. 10. Assists with obtaining medical records from any healthcare providers involved in care or hospitals. 11. Helps members with any authorizations and referrals involved in their care plan. 12. Resolves incoming calls concerning members' eligibility, benefits, provider information, clinical, and pharmacy needs; coordinate membership changes such as member's primary care physician and proactively engage member with their wellness plan options. 13. Participates in on-site member engagement activities as needed, such as in-person member meetings, handling lobby calls at a retail or care center location, etc. (subject to change). 14. Other duties as assigned. Job Requirements: Experience: • Required: Minimum 1 year of customer service experience. • Preferred: High-volume inbound customer service experience, particularly for health plan or Medicare “Member Services” roles in health plan and supplemental benefits preferred. Telemarketing and/or member outreach experience preferred. Specialized experience in escalation or resolution units preferred. Education: • Required: High School Diploma or GED. Specialized Skills: • Required: Knowledge of ICD-10 and CPT codes. Keyboard typing 40+ words per minute. Ability to help members navigate access to care through Medicare Advantage or HMO, including referrals and authorizations. Ability to communicate positively, professionally and effectively with others; provide leadership, teach and collaborate with others. Effective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors; Language Skills: Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of the organization. Reasoning Skills: Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Ability to deal with problems involving a few concrete variables in standardized situations. Mathematical Skills: Ability to perform mathematical calculations and calculate simple statistics correctly Problem-Solving Skills: Effective problem solving, organizational and time management skills and ability to work in a fast-paced environment. • Preferred: Bilingual English/Spanish or English/Vietnamese or English/Mandarin. Fluency in written and verbal Spanish, Korean, or Vietnamese, a plus. Licensure: • Required: None Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Essential Physical Functions: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1 While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms. 2 The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus. Pay Range: $41,654.00 - $62,482.00 Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc. Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation. *DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at ******************************* If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health's talent acquisition team, please email ******************.
    $41.7k-62.5k yearly Auto-Apply 42d ago
  • Clinical Operations Lead

    Centerwell

    Columbus, OH

    **Become a part of our caring community and help us put health first** Who We Are Humana's CenterWell Senior Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers in the country. CenterWell Medical Group is the newest line of business under the CenterWell umbrella, providing virtual wraparound services to a broad population of members who need it the most. We're a fast-growing organization changing how clinical care is delivered - using innovation, data, and technology to keep patients healthier. Our team is mission-driven, collaborative, and unafraid to challenge the status quo in healthcare. About the Role We're seeking a Clinical Operations Lead for CenterWell Medical Group who brings energy, creativity, and a bias toward action in transforming healthcare. This is a hands-on role for someone who loves to take big ideas and turn them into tangible results. Reporting directly to the Chief Medical Officer, this role will design, implement, and optimize clinical programs that drive quality, efficiency, and impact. The ideal candidate is an operational expert and is eager to be on the forefront of healthcare innovation. This role works closely with senior leaders, providers, operations, and technology teams to bring new care models to life - translating strategic vision into daily practice. They have deep expertise in clinical operations, including understanding the patient and provider experience. They thrive in a fast-paced environment, enjoy problem-solving, and are not afraid to roll up their sleeves. **Job Description** **Job Title:** Clinical Operations Lead **Location** : Remote, USA with preferred locations in Boston, MA or Washington, DC **What You'll Do** + Design and implement programming to support quality care, focusing on end-to-end operations and driving projects to completion (ex. Diabetes management program) + Act as a clinical operations escalation point for key internal stakeholders + Analyze performance data and develop frameworks for continuous improvement processes, including how to prioritize with business objectives in mind + Drive continuous improvement across quality, safety, and provider experience + Lead provider activation workstream - support license expansion, collaborative requirements, chart reviews, and cross-collaboration with legal, credentialing and technology stakeholders + Standardize and optimize workflows across clinical onboarding and training + Partner with business operations, technology partners, and subject matter experts to collaborate on business initiatives that support clinical workflows and provider performance **Requirements** + Bachelor's degree + 5+ years of experience in healthcare consulting, clinical operations, or a similar role + Experience working in innovative or rapidly scaling healthcare environments + Strong organizational and project management skills with a focus on execution and outcomes. + An understanding of telehealth and healthcare regulations, with a compliance mindset + A clear communicator who builds trust and alignment across clinical and non-clinical teams + A data-informed operator who can develop and execute new clinical programming while maintaining stakeholder alignment + Ability to work independently in a fast-paced, remote-friendly environment. + Must be able to travel as needed about 10% + Advanced Microsoft Office skills **Preferences** + Master's degree + Clinical background preferred (ex. RN, Pharmacist, NP, etc) + Startup or digital health experience a plus + Virtual care or value-based care experience + Experience implementing quality programs that focus on clinical outcomes + Remote, USA with preferred locations in Boston, MA or Washington, DC **Use your skills to make an impact** **Alert** Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website. **Interview Format - HireVue** As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. **Benefits** Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security-both today and in the future, including: Health benefits effective day 1 Paid time off, holidays, volunteer time and jury duty pay Recognition pay 401(k) retirement savings plan with employer match Tuition assistance Scholarships for eligible dependents Parental and caregiver leave Employee charity matching program Network Resource Groups (NRGs) Career development opportunities \#LI-MM1 \#LI-Onsite Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $115,200 - $158,400 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 03-30-2026 **About us** About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient's well-being. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options *************************************************************
    $115.2k-158.4k yearly Easy Apply 13d ago
  • APP Primary Care - Gahanna Health Center

    Ohiohealth 4.3company rating

    Gahanna, OH

    **We are more than a health system. We are a belief system.** We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities. ** Summary:** This position will see all ages with a great practice Flexible schedule of 5 eights or 4 tens The Advanced Practice Providers (APP), Physician Assistant (PA) or Advanced Practice Registered Nurse (APRN) including Clinical Nurse Specialist (CNS) or Nurse Practitioner (NP), work in collaboration with the physician in the outpatient setting (in-person or Telehealth). Primary care offices or clinics can include family medicine, pediatrics, or internal medicine. The Primary Care APP may perform minimally invasive procedures and generally works with a stable patient population. **Responsibilities And Duties:** Works under direction and in consultation/collaboration with physician and may perform services authorized by the supervising/collaborating physician that are part of the physician's normal course of practice and expertise. Promotes quality outcomes and initiatives. Must have a Supervision Agreement (SA) or Standard Care Arrangement (SCA) with a physician in like practice. Practices within applicable state laws, appropriate boards, and in accordance with his/her/their SA/SCA and delineation of privileges. **Minimum Qualifications:** AANP - American Association of Nurse Practitioners - American Association of Nurse Practitioners Certification Board, APRN - Advanced Practice Registered Nurse License - State of Ohio Board of Nursing, NCCPA - National Commission on Certification of Physician Assistants - American Association of Physician Assistants, PA - Physician Assistant - National Commission on the Certification of Physician Assistants **Additional Job Description:** **Work Shift:** Day **Scheduled Weekly Hours :** 40 **Department** PCP North Hamilton Road 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
    $36k-48k yearly est. 60d+ ago
  • Product Data Analyst

    Clover Health

    Remote job

    At Counterpart Health, we are transforming healthcare and improving patient care with our innovative tool, Counterpart Assistant. By supporting Primary Care Physicians (PCPs), we deliver improved outcomes at lower cost through early diagnosis and longitudinal care management of chronic conditions. As a Product Data Analyst, you will partner closely with product, clinical, analytics, and engineering teams to ensure that we build, measure, and optimize product capabilities with analytical rigor. You will be responsible for defining and instrumenting metrics, designing experiments, analyzing provider behavior, and delivering actionable insights that help Counterpart Assistant become the most impactful provider-facing platform in value-based care. As a Product Data Analyst, you will: Define, implement, and maintain product metrics and KPIs across adoption, usage, funnels, engagement, and clinical impact. Build and maintain dashboards and reporting in tools such as Looker, Mode, or similar, surfacing timely insights to product and clinical stakeholders. Design, run, and analyze A/B tests, multivariate experiments, and cohort analyses to validate feature impact and inform product strategy. Develop statistical models (e.g., regression, survival analysis, causal inference) to quantify the relationship between clinician behavior and clinical or business outcomes. Instrument features using product analytics tools (e.g., Pendo, Mixpanel, Amplitude), owning event schema design, funnel tracking, and behavioral segmentation. Query and transform data from cloud data warehouses (BigQuery, Snowflake, Redshift) using advanced SQL, and supplement with Python as needed. Partner with data engineering to validate data pipelines, ensure data quality, and maintain consistent and trustworthy metric definitions. Translate quantitative findings into clear recommendations that influence product direction and roadmap decisions. Monitor post-launch performance to identify adoption gaps, usability issues, or opportunities for iterative improvement. Support deep-dive analyses on provider workflows, care gap closure, chronic disease management, and population-level clinical metrics. Assist in occasional clinical validation or root-cause investigations, including anomalies in clinical outputs or edge-case usage patterns. Success in this Role Looks Like: Establishing clear, trusted KPIs and dashboards that guide product teams and leadership. Designing experiments and analyses that directly influence prioritization and product iteration. Improving the rigor, reliability, and completeness of product instrumentation across the platform. Delivering insights that meaningfully shape how clinicians engage with Counterpart Assistant. Developing repeatable analytics processes that scale as the product and team grow. Becoming a go-to analytical partner for PMs, clinical leaders, and engineering teams. You should get in touch if: 3+ years of hands-on experience in product analytics, growth analytics, or data science supporting SaaS or digital products. Deep experience designing and analyzing A/B tests, cohort analyses, and causal inference-based evaluations. Strong SQL skills, including complex joins, CTEs, and window functions, with experience in modern cloud data warehouses. Experience with dashboards and data visualization, delivering insights to cross-functional stakeholders. Hands-on experience with product analytics tools (Pendo, Amplitude, Mixpanel, or similar). Excellent cross-functional communication skills, with the ability to distill complex analyses into clear recommendations. A collaborative mindset and prior experience partnering with product, engineering, UX, and clinical teams. Preferred: experience in digital health, familiarity with EHR systems (Epic, Cerner), clinical terminologies (ICD, CPT, FHIR), or provider workflows. Preferred: experience with clinical or claims datasets, care gap analytics, and value-based care environments. Benefits Overview: Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions. Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare. Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location. Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews. Additional Perks: Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities Reimbursement for office setup expenses Monthly cell phone & internet stipend Remote-first culture, enabling collaboration with global teams Paid parental leave for all new parents And much more! About Counterpart Health: In 2018, Clover Health set out to do something unprecedented: build a clinically intuitive, AI-enabled solution that fits within physicians' workflows to help support the earlier diagnosis and management of chronic conditions. Years later, that vision is a reality, with thousands of practitioners using Counterpart Assistant during patient visits to improve disease management, reduce medical expenses, and drive success in value-based care. With an exceptional team of value-based care and technology experts, Counterpart Health is driving value-based care at the speed of software. Counterpart Health is a subsidiary of Clover Health. From Clover's inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one's identity. All of our employee's points of view are key to our success, and inclusion is everyone's responsibility. #LI-Remote Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company. A reasonable estimate of the base salary range for this role is $150,000 to $175,000. Final pay is based on several factors including but not limited to internal equity, market data, and the applicant's education, work experience, certifications, etc.
    $150k-175k yearly Auto-Apply 9d ago
  • Program Management Lead, Offshore Coding Operations

    Centerwell

    Remote job

    **Become a part of our caring community and help us put health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Program Management Lead, Offshore Coding Operations works on problems of diverse scope and complexity ranging from moderate to substantial. The **Program Management Lead, Offshore Coding Operations** optimizes the effectiveness of the offshore coding (post-visit) team. The lead analyzes the performance of the offshore coding team and creates strategies to maximize associate output. The **Program Management Lead, Offshore Coding Operations** works on problems of diverse scope and complexity ranging from moderate to substantial. **Relationship Building:** + Cultivate relationships with onshore and offshore coding teams including leaders. + Serve as liaison and primary point of contact with the offshore (vendor) leaders. + Strategy: Advises coding leaders to develop functional strategies (often segment specific) on matters of significance. + In partnership with Coding Operational Excellence and Regional Coding Leaders, develop strategies for continuous improvement of offshore coding processes and quality. + Post-Visit/Offshore Coding Collaboration: + Partner with analytics to develop quality assurance program on post-visit reviews. (Frequency and sampling methodology to be determined). **Qualitative and Quantitative Analyses:** + Analyze trends and share results with coding leaders/teams. + Monitor quality and address performance gaps. + Research and interpret correct coding guidelines and internal business rules to respond to inquiries and issues. + May participate in coder education programs on coding compliance. + Follows state and federal regulations as well as internal policies and guidelines while analyzing coding information and medical records. **Mergers and Acquisitions:** + Partner with coding teams (consultative coders) on the special handling of Mergers & Acquisitions: + Other Duties: + Lead Special Projects for onshore and offshore coding teams. + Participate in chart reviews to identify educational opportunities. + Conduct research as needed. + Participate in Payer calls/chart reviews. + May participate in provider education programs on coding compliance. + Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, uses independent judgment requiring analysis of variable factors and determining the best course of action. **Use your skills to make an impact** **Proposed Requirements:** + Bachelor's degree in a relevant field (e.g., Health Information Management, Business Administration, Healthcare Administration) + Active professional certification required: RHIA, RHIT, CCS, CRC, or CPC + Minimum 5 years' progressive experience in medical coding operations + Minimum of 3 years' direct experience managing or optimizing offshore coding teams and vendor partnerships + Demonstrated success leading cross-functional initiatives and continuous improvement efforts in large, matrixed healthcare organizations + Experience collaborating with analytics, training, and operational excellence teams to drive quality and efficiency in coding workflows + Prior exposure to supporting mergers & acquisitions in a coding operations context preferred **Preferred Qualifications** + Master's degree preferred. **Knowledge, Skills, and Abilities** + Advanced understanding of medical coding guidelines, healthcare regulations (including HIPAA, state and federal compliance), and payer requirements + Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint) and relevant coding/audit software + Strong business acumen with proven strategic and critical thinking skills + Ability to analyze complex quantitative and qualitative data, synthesize findings, and communicate actionable insights to leadership + Outstanding verbal and written communication skills, with the ability to present to and influence diverse stakeholder groups + Effective relationship-building skills with both onshore and offshore teams, including vendor management and leadership liaison + Proven ability to work successfully in a fast-paced, dynamic, and matrixed environment + Commitment to continuous improvement, operational excellence, and collaborative problem-solving + Public speaking and group presentation experience required + Demonstrated ability to educate and mentor staff on coding compliance and best practices **Additional Information** + Preferred work hours: EST + Up to 20% travel nationally within CenterWell markets **Work at Home Requirements** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested + Satellite, cellular and microwave connection can be used only if approved by leadership + Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. + Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $104,000 - $143,000 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 01-02-2026 **About us** About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options *************************************************************
    $104k-143k yearly 56d ago
  • Director, Operations - Strategic Products (Temporary)

    Evergreen Nephrology

    Remote job

    Who We Are Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic, and comprehensive approach to kidney care. We believe patients living with kidney disease deserve the best care. We are committed to improving patient outcomes and improving quality of life by delaying disease progression, shifting care to the home, and accelerating kidney transplants. We help nephrologists focus on the right patients at the right time across the full care spectrum. We do this by providing them with the best-in-class interdisciplinary clinical resources, analytical insight and tools, and services to patients. We listen to the needs of our patients, our employees, and our client partners, continually working to push beyond the status quo in which the care system manages patients today. Who You Are You are devoted, compassionate, and enjoy being on the front lines of healthcare, changing the lives of patients by supporting them and the team by focusing on customers. You're excited about being part of a team that is building a healthcare delivery model that ensures the highest possible quality of life and best outcomes for those in our care. You believe people living with kidney disease deserve the best person-centered, holistic, comprehensive care and want to influence the healthcare system to drive towards that. You thrive in innovative and evolving environments with high rates of change. Your Role As a Director of Operations - Strategic Products with Evergreen Nephrology, you are responsible for overseeing day-to-day operations for non-VBC strategic initiatives across multiple provider practices to ensure efficiency, compliance, and strategic growth, while also leading the development and implementation of site engagement and implementation. This role requires strong relationship building, a data-driven approach, and the ability to manage budgets, staff, and multiple stakeholders in a fast-paced environment. Strategic initiatives include but not limited to prescription services and CMS's program for proactive chronic care management, transitions of care and advanced primary care management services. Note: This is a temporary, full-time, benefit-eligible role with a 6-month duration. There is a potential for conversion to an ongoing role. Role Responsibilities Plan and lead the implementation of strategic initiatives with provider partners, working collaboratively with the Market Operations team. Partner closely with practices, market operations, and staff to ensure strong early-stage performance and smooth activation of new services. Conduct regular follow-ups with new practice leaders to ensure stability, satisfaction, and achievement of success metrics. Build staffing models, account coverage plans, and hiring strategies based on implementation and growth needs. Ensure operational success at partner practices, measured by provider and patient satisfaction, achievement of key performance indicators, and sustained growth. Collaborate cross-functionally to design and execute strategies that drive client retention, engagement, and long-term partnership value. Evaluate existing agreements to identify opportunities for optimization, expansion of services, and enhanced value delivery. Develop data-driven retention and engagement plans tailored to each practice, addressing risks, challenges, and growth opportunities. Monitor key account metrics and provider satisfaction indicators to anticipate issues and implement proactive solutions. Lead practice-level and field-level strategic planning to ensure successful operations, including achievement of financial targets, provider satisfaction, and patient outcomes. Supervise, develop, and inspire teams across multiple sites, fostering trust, accountability, and a culture of continuous improvement. Manage budgets, oversee cost controls, and maintain site-level P&L accountability. Use data to monitor progress, identify operational gaps, and support informed decision-making. Collaborate with clinical and administrative staff, as well as external strategic partners, to align stakeholders and drive execution of shared goals. Other duties consistent with this role, as assigned. Required Qualifications At least 6-10 years' experience in driving large scale service operations (ideally in healthcare), improving patient satisfaction and clinical outcomes, meeting and exceeding financial targets At least 7 years of management experience, 5+ years in people management experience, leading high-performing teams 5+ years in people management experience, leading high-performing teams under a fast-moving, ambiguous environment Intermediate skills with MS Office Suite of products including Outlook and Teams Able to work effectively in a primarily remote environment: Home internet must support a minimum download speed of 25 Mbps and upload speed of 10 Mbps. Cable, Fiber, or DSL connections hardwired to the internet device are recommended Evergreen will provide remote employees with telephony applications and equipment to meet the business requirements for their role Employees must work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Preferred Qualifications Experience in digital health and/or leading clinicians in a remote, distributed environment Experience leading operations that require a high degree of change management and complexity Experience working in a start-up/technology environment Master's degree in business and/or Healthcare or related fields Compensation The pay range for this role is $160-$180k on an annualized basis. Exact pay is determined based on experience, education, demand for the role, and other role-specific factors. Note: This is a temporary, full-time, benefit-eligible role with a 6-month duration. There is a potential for conversion to an ongoing role. Benefits Evergreen Nephrology's total rewards program is designed to support you in and outside of work. You can expect: Flexible time off policy for full-time employees 12 paid holidays per year Medical, dental, vision and life insurance, including an HSA with employer match Reimbursement for continuing medical education for eligible roles A 401(k) program where Evergreen matches up to 4% of contributions after 6 months of employment Paid parental leave A robust training and development program that starts with onboarding and continues throughout your career with Evergreen Nephrology Evergreen Nephrology is an equal opportunity employer. Applicants will not be discriminated against because of race, color, creed, sex, sexual orientation, gender identity or expression, age, religion, national origin, citizenship status, disability, ancestry, marital status, veteran status, medical condition or any other protected category under local, state or federal laws. If you are an applicant with a disability who requires reasonable accommodation for any part of the hiring process, please contact us for assistance at *****************.
    $160k-180k yearly Auto-Apply 3d ago
  • National Sales Development Representative (Healthcare Services) - 100% Remote

    Expressable

    Remote job

    Full-Time Non-Exempt Direct Hire 100% Remote - United States $70-80k Annual Salary + Bonus Potential We're a fast-growing, fully remote healthcare organization on a mission to improve access to care-and we know our people make that possible. As we expand, we are adding a new role to our sales team. We are seeking a self-motivated and accomplished National Sales Development Rep (SDR) to join our physician referral and client acquisition team. As an SDR, you will play a critical role in identifying and building out relationships with providers with the goal of acquiring client referrals to Expressable. The SDR is responsible for building, qualifying, and nurturing relationships with prospective referral partners, acting as the first line of education for new partners, promoting Expressable's care model, and arranging meetings with internal leadership to generate referrals. The ideal candidate has strong relationship-building and organizational skills; a proven track record in community outreach, provider education, and territory expansion; and is motivated by a quota-driven environment. This fully remote role works primarily out of a home office and includes following up on warm digital leads (~70%) with some cold calling (~30% involved). About Expressable Expressable is a virtual speech therapy practice on a mission to transform care delivery and expand access to high-quality services, serving thousands of clients since our inception in late 2019. We are passionate advocates of parent-focused intervention. Our e-learning platform contains thousands of home-based learning modules authored by our clinical team, helping SLPs empower caregivers to integrate speech therapy techniques into their child's daily life and improve outcomes. Our mission is to set a new standard in speech therapy by making every caregiver a champion of their loved one's success. We envision a world where everyone can fulfill their communication potential. The Sales Development Representative is responsible for establishing physician relationships across the United States and securing direct referrals to drive new client growth. WORK AUTHORIZATION: We are interested in every qualified candidate who is eligible to work in the United States. However, we are not able to sponsor visas at this time. Ideal Candidate: Will have prior experience selling healthcare services into PCPs (Primary Care Physicians) / Pediatric Clinics. No other experience will be considered. What You Would Be Doing at Expressable Build and maintain trusted relationships with primary and specialty physicians, medical staff, referral coordinators, and other relevant stakeholders Implement a mix of inbound and outbound strategies to raise awareness of Expressable's unique clinical approach. Manage provider accounts and serve as the main point of contact for all inquiries, referrals, client updates, new initiatives, etc. Execute sales plans on a monthly, quarterly, and annual basis within the assigned geographic region to meet targets. Maintain an up-to-date and accurate record of sales activities and account details. Utilize marketing materials and clinical resources to support sales efforts. What You Bring to Expressable Bachelor's degree Minimum of 3 years of sales experience in healthcare technology or virtual health services, pharmaceuticals, or other medical services Prior experience healthcare services into PCPs (Primary Care Physicians / Pediatric Clinics) Consultative selling style and related skills and experience Comfortable with and motivated by a quota-driven environment Generating provider referrals experience is preferred Familiarity with speech-language therapy practice is preferred KEY COMPETENCIES In addition to the competencies associated with our core values of empowerment, integrity, innovation, collaboration, and diversity, the Sales Development Representative should possess the following key competencies. Professionalism: Approaches others in a tactful manner. Reacts well under pressure. Treats others with respect and consideration regardless of their status or position. Accepts responsibility for own actions. Follows through on commitments. Initiative: Volunteers readily. Undertakes self-development activities. Seeks increased responsibilities. Takes independent actions and calculated risks. Looks for and takes advantage of opportunities. Asks for and offers help when needed. Generates suggestions for improving processes. Relationship Building: Builds both formal and informal professional relationships. Maintains and fosters relationships within, across, and external to organizational boundaries. Obtains and shares information, ideas, and problems. Solicits advice, support, championship, sponsorship, and commitment that result in smooth transitions of change and the development of mutually acceptable solutions. Planning/Organizing: Prioritizes and plans work activities. Uses time efficiently. Plans for additional resources. Sets goals and objectives. Adept at organization or scheduling other people and their tasks. Develops realistic action plans. Business Acumen: Understands business implications of decisions. Displays orientation to profitability. Demonstrates knowledge of market and competition. Aligns work with strategic goals. Physical Requirements and Work Environment The physical demands and work environment described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. This job consists of sedentary work that primarily involves sitting/standing. While performing the duties of this job, the employee is regularly required to type on a computer keyboard to write documentation and prepare reports. Visual and auditory acuity must be high enough to view computer screens, read documents communicated via electronic transmission such as email, shared drives, and chats, and participate in teleconferencing. This job operates in a remote home office utilizing standard office equipment such as computers, tablets, monitors, and telephone. Why Join Us? Exceptional paid time off policies that encourage and support life balance, including a winter break. 401k matching to ensure our staff have what they need to enjoy their retirement Health insurance options that ensure well being for the whole person and their family Company paid life, short-term disability, and long-term disability coverage Remote work environment that strives for connectivity through professional collaboration and personal connections NOTE Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. More about Expressable Expressable values people. From the technology we develop, the services we provide, and the culture we maintain, Expressable cares about the experience of our employees, clients, and prospects. We intentionally create and sustain supportive environments in which everyone - clients, caregivers, speech-language pathologists, and team members - can achieve their highest potential. We believe that building trusting and collaborative relationships is paramount to delivering quality care so we operate with the highest levels of honesty, transparency, and accountability as individuals and a collaborative team. We believe that transforming therapy happens through the steady and iterative problem solving of an interdisciplinary team. Expressable is an equal opportunity workplace. We celebrate and embrace diversity and are committed to building a team that represents a broad tapestry of backgrounds, perspectives, and skills. Expressable is committed to the full inclusion of all qualified individuals. In keeping with our commitment, Expressable will take the steps to ensure people with disabilities are provided reasonable accommodations. Accordingly, if reasonable accommodation is required to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please contact us at *****************. E-Verify Federal law requires all employers to verify the identity and employment eligibility of all person hired to work in the United States. Expressable participates in E-Verify. E-Verify Participation Poster E-Verify Right to Work Poster
    $70k-80k yearly Auto-Apply 60d+ ago
  • Care Coordinator I

    Integrated Resources 4.5company rating

    Columbus, OH

    Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. Job Description Title: Care Coordinator I Duration: 5+ Months (possible extension) Location: Columbus, OH Responsibilities : · Monday to Friday 8am to 5pm Working in Office- but need to be mobile as they will be making visit for home assessments While in office: Reviewing Assessment with medical directors to determine if patients are receiving the level of in home care and if they need referrals as well Working with children with special needs. · No clinical care Top Three Skill Sets: Experience with home health visit or case management, working with children and computer skills. · Working with home health agencies and/or Medicaid Interview. Face to Face Summary: · Responsible for the assessment and review, coordination and distribution of review decisions for members identified with medical, surgical, and long-term care, needs including home and community-based waiver recipients. · Interacts with Medical Directors, HCS department staff, various other staff and providers and practitioners to ensure timely receipt of decisions in accordance with Client policies, procedures and processes. Adheres to the company/department's confidentiality and HIPAA compliance programs. · Adheres to the company/department's fraud and abuse prevention/detection policies and programs. Essential Functions:- · Provides various care coordination activities in collaboration with the client's managed care organization (MCO), health care providers, other HCS staff, involved medical case managers/care coordinators, public agencies, and other providers as required. Documents all findings, contacts and interventions. · Maintains case-specific communication with state agencies, healthcare individuals and support systems to promote efficient and well-coordinated quality care. · Provides scheduled assessment and review of health needs, individualized care plans, and monitoring of Medicaid eligibility. · Confers with appropriate staff, including, but not limited to, case managers/care coordinators, medical directors, social workers, health care providers and practitioners, and state agency staff to provide timely and accurate service authorizations and reviews based on a recipient's current needs/functioning. · Communicates review decisions and prior authorizations to various professionals involved in the client's care, including practitioners and primary care providers (PCP). · Shared responsibilities for professional responses to client, provider and practitioner, and state agencies via telephone. · Assists other department team clients when needs are identified. · Establishes and maintains professional rapport with providers, clients, public agencies, and others involved in the client's care. Knowledge/Skills/Abilities: · Must have strong oral and written communications skill to ensure accurate exchange of information and to build rapport that will ensure the trust, confidence and cooperation of others in a work situation. · Must have the skills to learn and adapt to company policies and procedures as they relate to hospital authorization/denials, physician review, appeals, etc. · Must have the ability to successfully apply established guidelines and regulation to individual and specific situations. · Must have excellent organization skills to establish and maintain a variety of records necessary to provide complete and accurate information and documentation for relevant and appropriate medical determination. · Ability to perform independently and to handle multiple projects simultaneously. Must have excellent interpersonal skills. · Must be PC literate (Microsoft Office) and able to work in multiple database/systems simultaneously. Excellent verbal and written communication skills. · Ability to abide by policies. Maintain regular attendance based on agreed-upon schedule. · Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA). · Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers. Qualifications Required Education: · Unencumbered license to work as a Registered Nurse in the State of Ohio. · Required Experience: 0-2 year's clinical experience or equivalent combination of education and experience. · Desired Experience: 0-2 years' experience. Additional Information Kind Regards Sumit Agarwal 732-902-2125
    $39k-50k yearly est. 60d+ ago
  • Home Base Veteran Outreach Coordinator

    Massachusetts Eye and Ear Infirmary 4.4company rating

    Remote job

    Site: The General Hospital Corporation Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Home Base, a Red Sox Foundation and Massachusetts General Hospital program, is dedicated to healing the invisible wounds - including post-traumatic stress, traumatic brain injury, anxiety, depression, co-occurring substance use disorder, family relationship challenges and other issues associated with Military service - for Veterans of all eras, Service Members, Military Families and Families of the Fallen through world-class clinical care, wellness, education, and research. The Home Base Veteran Outreach Coordinator is a point of contact for veterans and their families seeking care and/or education regarding Post Traumatic Stress (PTS), Traumatic Brain Injury (TBI) and other combat-related stress. When not assigned to the Intensive Clinical Program, the Veteran Outreach Coordinator role changes to educate and provide outreach to New England-based veterans and their families about Post Traumatic Stress (PTS), Traumatic Brain Injury (TBI), and encourages the community to take advantage of services available through the Home Base Program. The Coordinator is an employee of MGH and works alongside a team of world class medical professionals to help educate veterans, their families, social workers, employers, community service providers, veterans' groups, and others as to how to recognize symptoms of PTS/TBI and the ways in which they or their loved ones can seek help. The Veteran Outreach Coordinator guides veterans through the treatment evaluation process in the Home Base Clinic and works closely with the clinical staff in the Home Base Program around patient case management and ongoing monitoring of patient needs. The Coordinator provides active patient outreach, including phone, email, in-person meetings and text messaging. Job Summary Summary Responsible for community outreach, engagement, and support to enhance access to behavioral health programs. The Outreach Coordinator collaborates with community partners, healthcare professionals, and social service agencies to promote mental health awareness and address the behavioral health needs of individuals. Does this position require Patient Care? Yes Essential Functions -Conduct proactive outreach within the community to identify individuals in need of behavioral health services. -Establish relationships with community organizations, schools, primary care providers, and other relevant stakeholders to enhance outreach efforts. -Conduct initial assessments to identify the behavioral health needs of individuals. -Provide information and referrals to appropriate behavioral health services and resources. -Respond to crisis situations and provide immediate support and intervention. -Collaborate with crisis intervention teams, law enforcement, and emergency services as needed. -Advocate for individuals with behavioral health needs to ensure they receive timely and appropriate care. -Conduct community education and awareness programs on mental health topics. Qualifications Education Bachelor's Degree preferred Experience - minimum of 1-3years of military experience with at least one deployment preferred but not required - must have honorable discharge (proof of DD 214 required). Knowledge, Skills and Abilities - Strong knowledge of behavioral health services, resources, and crisis intervention techniques. - Excellent communication, interpersonal, and organizational skills. - Ability to work independently and collaboratively within a team. - Sensitivity to the understanding of the social determinants of health. - Proficiency in using electronic health records and documentation systems. - Valid driver's license and reliable transportation for community outreach. Additional Job Details (if applicable) Physical Requirements Standing Frequently (34-66%) Walking Frequently (34-66%) Sitting Occasionally (3-33%) Lifting Frequently (34-66%) 35lbs+ (w/assisted device) Carrying Frequently (34-66%) 20lbs - 35lbs Pushing Occasionally (3-33%) Pulling Occasionally (3-33%) Climbing Rarely (Less than 2%) Balancing Frequently (34-66%) Stooping Occasionally (3-33%) Kneeling Occasionally (3-33%) Crouching Occasionally (3-33%) Crawling Rarely (Less than 2%) Reaching Frequently (34-66%) Gross Manipulation (Handling) Frequently (34-66%) Fine Manipulation (Fingering) Frequently (34-66%) Feeling Constantly (67-100%) Foot Use Rarely (Less than 2%) Vision - Far Constantly (67-100%) Vision - Near Constantly (67-100%) Talking Constantly (67-100%) Hearing Constantly (67-100%) Remote Type Hybrid Work Location One Constitution Wharf Scheduled Weekly Hours 40 Employee Type Regular Work Shift Rotating (United States of America) Pay Range $20.43 - $29.21/Hourly Grade 4 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: The General Hospital Corporation is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
    $20.4-29.2 hourly Auto-Apply 2d ago
  • Lead Care Manager (LCM)

    Heritage Health Network 3.9company rating

    Remote job

    The Bilingual Lead Care Manager partners with Care Team Operations, Clinical Operations, Compliance, Community Health Workers, Behavioral Health staff, and external providers (medical, housing, and social services) to ensure seamless, culturally responsive, member-centered care coordination. The bilingual LCM additionally supports members with limited English proficiency by facilitating communication, translation, and cultural interpretation as needed. Responsibilities Serve as the primary point of contact for assigned members, building trust and maintaining active engagement through consistent outreach, relationship-based strategies, and a trauma-informed approach. Provide all communication in the member's preferred language. Conduct comprehensive assessments (physical, behavioral, functional, social) and develop person-centered care plans that reflect the member's goals, risks, preferences, cultural needs, and social determinants of health. Implement, monitor, and update care plans following transitions of care, significant changes in condition, or required reassessments; ensure timely and compliant submission of all care plans. Coordinate services across the continuum-including medical, behavioral health, housing, transportation, social services, and community programs-to reduce fragmentation and remove barriers to care. Conduct required in-person home or community visits based on member need and risk stratification and maintain a compliant monthly visit structure. Utilize motivational interviewing, coaching, and health education to promote behavioral change, self-management, and long-term member stability. Identify gaps in care, service delays, lapses in benefits, unmet needs, and environmental risks; collaborate with internal and external partners to resolve issues quickly and effectively. Maintain accurate, timely, audit-ready documentation of all interactions, assessments, and interventions using required HHN platforms, including eClinicalWorks (ECW), Google Suite, RingCentral, PowerBI dashboards, and payer portals. Meet or exceed HHN and payer productivity standards, including encounter metrics, outreach requirements, documentation timelines, and quality measures. Actively participate in multidisciplinary case reviews, team huddles, care conferences, and escalations with nurses, behavioral health staff, CHWs, care operations, and compliance. Coordinate and schedule appointments with primary care, specialists, behavioral health providers, and community partners; manage referrals, transportation, and follow-ups to ensure continuity of care. Support hospital discharge (TOC) planning through follow-up scheduling, care transitions, medication reconciliation support, and education on discharge instructions. Assist members in navigating plan eligibility, redeterminations, documentation, social service applications, housing resources, and crisis interventions. Maintain active and professional communication with members and care partners through HHN-approved channels, including RingCentral, secure messaging, SMS workflows, and phone. Participate in HHN's continuous quality improvement efforts, identifying workflow gaps, documenting barriers, sharing insights, and contributing to best-practice development. Uphold confidentiality and adhere to all HIPAA and payer regulatory requirements across all areas of care delivery. Open to seeing patients in their home or their location of preference. Provide real-time interpretation and translation support (verbal and written) for members and families with limited English proficiency. Help bridge cultural gaps that may impact communication, trust, adherence, or engagement. Skills Required Fluency in English and another language (Spanish preferred); ability to read, write, and speak at a professional level. Strong ability to build rapport and trust with diverse, high-need member populations. Proficiency in using eClinicalWorks (ECW), Google Suite (Docs, Sheets, Drive), RingCentral, and virtual communication tools. Ability to interpret and use PowerBI dashboards, reporting tools, and payer portals. Demonstrated skill in conducting holistic assessments and developing person-centered care plans. Experience with motivational interviewing, trauma-informed care, or health coaching. Strong organizational and time-management skills, with the ability to manage a complex caseload. Excellent written and verbal communication skills across in-person, telephonic, and digital channels. Ability to work independently, make sound decisions, and escalate appropriately. Knowledge of Medi-Cal, SDOH, community resources, and social service navigation. High attention to detail and commitment to accurate, audit-ready documentation. Ability to remain calm, patient, and professional while supporting members facing instability or crisis. Comfortable with field-based work, home visits, and interacting in diverse community environments. Cultural humility and demonstrated ability to work effectively across populations with varied lived experiences. Competencies Member Advocacy: Champions member needs with urgency and integrity. Operational Effectiveness: Executes workflows consistently and flags process gaps. Interpersonal Effectiveness: Builds rapport with diverse populations. Collaboration: Works effectively within an interdisciplinary care model. Decision Making: Uses judgment to escalate or intervene appropriately. Problem Solving: Identifies issues and creates practical, timely solutions. Adaptability: Thrives in a fast-growing, startup-style environment with evolving processes. Cultural Competence: Engages members with respect for their lived experiences. Documentation Excellence: Produces accurate, timely, audit-ready notes every time. Strong empathy, cultural competence, and commitment to providing individualized care. Ability to work effectively within a multidisciplinary team environment. Exceptional interpersonal and communication skills, with a focus on building trust and rapport with diverse populations. Bilingual Communication (interpretation + translation) Job Requirements Education: Bachelor's degree in Social Work, Psychology, Public Health, Human Services, or related field preferred; equivalent experience considered. Licensure: Not required; certification in care coordination or CHW training is a plus. Experience: 1-3 years of care management or case management experience, preferably with high-need Medi-Cal populations. Experience in community-based work, homelessness services, behavioral health, or SUD settings strongly preferred. Familiarity with Medi-Cal, ECM, and community resource navigation. Travel Requirements: Regular travel for in-person home or community visits (up to 45%). Physical Requirements: Ability to perform home visits, climb stairs, sit/stand for prolonged periods, and lift up to 20 lbs if needed.
    $36k-47k yearly est. 4d ago
  • Clinical Talent Acquisition Partner

    American Family Care, Inc. 3.8company rating

    Remote job

    Benefits: * 401(k) * Flexible schedule * Health insurance * Opportunity for advancement * Paid time off American Family Care (AFC) is one the largest urgent care network in the U.S. providing services seven days a week on a walk-in basis at over 400 center locations. Our state-of-the-art centers focus on the episodic treatment of acute illnesses and injuries, workers' compensation, and occupational medicine. Each location is equipped with an onsite lab and in-house x-ray capability. Position Summary The Clinical Recruiter is responsible for leading the full-cycle recruitment process for clinical and healthcare positions across the organization. This role partners closely with hiring managers, department leaders, and HR partners to identify, attract, and hire top clinical talent. The Clinical Talent Acquisition Partner leverages market insights and sourcing strategies to fill critical roles efficiently while ensuring an exceptional candidate experience and alignment with organizational goals. Key Responsibilities * Manage the end-to-end recruitment process for clinical positions. At AFC, those roles include our Medical Receptionist, Medical Assistant, Radiologic Technologist (Xray Technician), and Center Administrator roles. * Collaborate with hiring managers to develop strategic staffing plans, including definition of role requirements and success profiles. * Develop and implement innovative sourcing strategies to attract passive and active candidates through professional associations, job boards, social media and industry events. * Conduct thorough candidate screening and interviews to ensure alignment with organizational culture and position requirements. * Manage candidate and hiring manager communications to ensure a positive and professional experience throughout the hiring process for our key stakeholders. * Partner with HR and leadership to negotiate offers and manage the onboarding process for selected candidates. * Maintain a strong pipeline of qualified clinical professionals for future openings and workforce planning. * Utilize ATS and recruitment analytics to track metrics, evaluate effectiveness of sourcing strategies, and report on key recruitment KPIs. * Ensure compliance with EEO, ADA, and other employment laws and regulations throughout the recruitment process. Qualifications Education: * Bachelor's degree in Human Resources, Healthcare Administration or Business Administration preferred but not required. * HR or recruitment certification (e.g., SHRM-CP, PHR, RACR, or AIRS) is a plus. Experience: * 2+ years of recruitment experience, with a preference for at least 2 years within clinical recruitment. * Proven success filling a wide variety of clinical roles in hospitals, health systems, or health center settings. * Experience with Applicant Tracking Systems (ATS) and recruitment analytics tools. Skills & Competencies: * Understanding of clinical job functions and healthcare workforce trends. * Strong relationship-building and stakeholder management skills. * Excellent communication, negotiation, and organizational abilities. * Demonstrated ability to manage multiple priorities in a fast-paced environment. * Strategic thinker with a data-driven and proactive approach to recruiting. Key Performance Indicators (KPIs): * Time-to-fill and quality-of-hire metrics * Candidate and hiring manager satisfaction scores * Diversity and inclusion hiring goals * Retention rate of new hires This is a remote position. Compensation: $70,000.00 - $80,000.00 per year We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. PS: It's All About You! American Family Care has pioneered the concept of convenient, patient-centric healthcare. Today, with more than 250 clinics and 800 in-network physicians caring for over 6 million patients a year, AFC is the nation's leading provider of urgent care, accessible primary care, and occupational medicine. Ranked by Inc. magazine as one of the fastest-growing companies in the U.S., AFC's stated mission is to provide the best healthcare possible, in a kind and caring environment, while respecting the rights of all patients, in an economical manner, at times and locations convenient to the patient. If you are looking for an opportunity where you can make a difference in the lives of others, join us on our mission. We invite you to grow with us and experience for yourself the satisfying and fulfilling work that the healthcare industry provides. Please note that a position may be for a company-owned or franchise location. Each franchise-owned and operated location recruits, hires, trains, and manages their own employees, sets their own employment policies and procedures, and provides compensation and benefits determined by that franchise owner. Company-owned locations provide a comprehensive benefits package including medical, dental, vision, disability, life insurance, matching 401(k), and more. We are an Equal Opportunity Employer.
    $70k-80k yearly 28d ago
  • Director of Clinical Operations (Nurse Practitioner or Physician Assistant)

    Curana Health

    Columbus, OH

    At Curana Health, we're on a mission to radically improve the health, happiness, and dignity of older adults-and we're looking for passionate people to help us do it. As a national leader in value-based care, we offer senior living communities and skilled nursing facilities a wide range of solutions (including on-site primary care services, Accountable Care Organizations, and Medicare Advantage Special Needs Plans) proven to enhance health outcomes, streamline operations, and create new financial opportunities. Founded in 2021, we've grown quickly-now serving 200,000+ seniors in 1,500+ communities across 32 states. Our team includes more than 1,000 clinicians alongside care coordinators, analysts, operators, and professionals from all backgrounds, all working together to deliver high-quality, proactive solutions for senior living operators and those they care for. If you're looking to make a meaningful impact on the senior healthcare landscape, you're in the right place-and we look forward to working with you. For more information about our company, visit CuranaHealth.com. Summary As our Director of Clinical Operations, you'll play a pivotal leadership role in shaping high-quality, compassionate care for older adults while guiding and supporting the clinical teams who serve them every day. This is a role for a leader who thrives on building strong relationships, developing teams, and improving outcomes. You'll oversee clinical operations across assigned geographies-ensuring quality, compliance, and patient experience remain at the center of everything we do. Essential Duties & Responsibilities Lead with purpose: Provide strategic leadership in clinical operations, ensuring high-quality patient care, clinical compliance, and an exceptional patient experience. Develop and mentor teams: Recruit, hire, onboard, and coach Advanced Practice Providers (APPs) and other staff to build a collaborative, high-performing culture. Drive quality improvement: Monitor and analyze clinical and quality metrics, identify opportunities, and implement initiatives that enhance care delivery. Build strong partnerships: Collaborate with senior living facilities, administrators, and care teams to optimize coordination and improve resident outcomes. Shape the future of care: Actively participate in value-based care initiatives and company-wide programs that transform how seniors experience healthcare. Ensure operational excellence: Manage clinical schedules, budgets, and workflows to balance efficiency, quality, and patient needs. Champion compliance and safety: Ensure adherence to all healthcare regulations, accreditation standards, and patient safety requirements. Be a trusted voice: Serve as a liaison with physicians, healthcare organizations, regulators, and community stakeholders. What We Offer We know that caring for seniors takes more than just medical expertise-it takes support, tools, and opportunities to grow. That's why Curana offers: Autonomy of practice backed by strong clinical and administrative support. Cutting-edge care model that empowers you to transform senior healthcare. Data-driven tools & AI solutions to better understand and manage patient needs. Streamlined communication with smart texting and modern tech platforms. Professional development including CME support Work-life balance supported by generous paid time off. Benefits Medical, Dental, Vision insurance 401(k) with company match Company-paid short- and long-term disability Comprehensive malpractice coverage UpToDate subscription for clinical decision support Qualifications Current and unrestricted active license as a Nurse Practitioner (NP) or Physician Assistant (PA) in the relevant jurisdiction. 2+ years of clinical experience as an NP or PA in primary care, geriatrics, or senior living settings. Proven leadership ability with experience managing or mentoring clinical teams. Strong knowledge of primary care and geriatric medicine, with a passion for caring for older adults. Exceptional communication, interpersonal, and team-building skills. Analytical mindset with the ability to use data to drive improvements and decisions. Education Master's degree in Nursing (MSN) or Physician Assistant studies (PA). Travel Travel within region to visit providers and facilities. This role requires travel to and from one or more assigned facilities using a personal vehicle. A valid driver's license, current auto insurance, and an acceptable driving record are required. Periodic motor vehicle (MVR) checks may be conducted as a condition of, and/or for, continued employment. We're thrilled to announce that Curana Health has been named the 147 th fastest growing, privately owned company in the nation on Inc. magazine's prestigious Inc. 5000 list. Curana also ranked 16 th in the “Healthcare & Medical” industry category and 21 st in Texas. This recognition underscores Curana Health's impact in transforming senior housing by supporting operator stability and ensuring seniors receive the high-quality care they deserve.
    $19k-34k yearly est. Auto-Apply 60d+ ago
  • Care Navigator (Remote LPN) - New York License Required

    Healthsnap 3.8company rating

    Remote job

    We are hiring LPNs in multiple states to support patients who are enrolled in chronic care management and/or remote patient monitoring programs. This is done in partnership with the patients' care team which may include primary or specialty physician practices or healthcare systems. Successful candidates will bring experience in educating patients on chronic diseases such as hypertension and diabetes. This is a full-time 40-hours-per-week role Monday-Friday. As a Care Navigator, you will be trained in HealthSnap's remote patient monitoring platform and will be responsible for communicating with enrolled patients in conjunction with the patients' care team. Care Navigators typically have an assigned group of patients for which the Care Navigator is responsible for assisting throughout the month. Care Navigators also assist with other patients or patient tasks as assigned. Above all else, you will play an essential role in establishing a relationship with assigned patients that allows you to empower them to manage their chronic illnesses and improve their health. **New York Nursing License Required ** Please note: Pay is state-specific. The posted range applies to NY residents; candidates in other states will receive compensation aligned with their state of residence. ** Additional Compact Nursing License Preferred ** Key Responsibilities: Patient Support: Complete phone consultations with patients enrolled in care management and/or remote patient monitoring programs providing support and education about their chronic conditions. Education and Empowerment: Educate patients about their health conditions and empower them with lifestyle and behavior strategies to actively manage their chronic conditions. Assist patients to set and reach goals in line with their provider-approved care plans. Documentation: Maintain accurate and up-to-date patient records, ensuring all interactions and care plans are documented per protocol. Problem Solving: Address patient concerns and barriers to care, working to find practical solutions to improve patient adherence and outcomes. Communication: Provide clear, compassionate, and effective communication to patients. Follow approved workflows regarding communicating patient needs to their providers. Continuous Improvement: Participate in training sessions, team meetings, and quality improvement initiatives to enhance the care navigation process and patient experience. Evaluation and Responding: Respond to remotely transmitted patient data such as blood pressure, blood glucose, weight, and pulse oximetry according to approved partner workflows. Qualifications: Education: A current, valid, and in good standing Multistate/Compact Nursing License (LPN/LVN) Additional state licenses may be required and will be reimbursed by HealthSnap Experience: 3+ years of experience in primary care practice, cardiology, internal medicine, home care, or chronic care management/remote patient monitoring Skills: Strong communication and interpersonal skills Excellent organizational and time management abilities Proficiency in using electronic health records (EHR) and care management software Ability to work independently and as part of a team Empathy and a patient-centered approach to care Technical Requirements: Reliable internet connection and HIPAA-compliant work area and proficiency with virtual communication tools (e.g., Zoom, Slack) Benefits: Competitive salary and benefits package Opportunity for professional growth and development Collaborative and inclusive work environment Meaningful work that makes a positive impact on healthcare accessibility and outcomes We embrace diversity and are an equal-opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. No matter your background, your orientation, or your identity expression, if you are passionate about improving the future of healthcare through lifestyle change, we want to hear from you! Actual compensation will be based on factors such as the candidate's qualifications, experience, and geographic location.
    $33k-47k yearly est. 60d+ ago
  • Vice President of Sales Growth & Business Development

    PM Pediatrics 4.3company rating

    Remote job

    It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. SummaryThe Vice President of Sales Growth and Business Development will lead growth strategies to expand the organization's urgent care and mental health footprint. This executive will focus on developing referral partnerships with large medical systems, school districts, building payer partnerships to position the organization as a primary provider of urgent care and mental health services, and driving strategic acquisitions as part of the expansion strategy. This role will report to the Chief Commercial Officer.Description Responsibilities: Provider & Health System Referral Growth Develop partnerships with large medical systems (hospitals, integrated delivery networks, specialty groups) to create referral pipelines into the organization's urgent care and mental health services. Build strong provider relationships (primary care, pediatrics, and specialty practices) to ensure continuous patient referrals. Establish integrated care pathways that connect urgent care and primary care with behavioral health services. School District Partnerships Develop partnerships with public and private school districts for urgent care and mental health referral programs. Engage with school leadership and county officials to explore right source of funding including grants or insurance programs Payer Partnerships Negotiate agreements with commercial payers, Medicaid, and Medicare Advantage plans to establish the organization as a preferred or primary provider of mental health services across markets. Support payer population health strategies by integrating behavioral health into their outpatient programs. Business Development Leadership Develop and execute a growth roadmap that combines partnerships, referrals, payer contracting, and acquisitions. Build and lead a business development team with clear metrics for referral volume, payer contracts, and acquisitions closed. Monitor market trends and competitive dynamics in behavioral health to anticipate opportunities and risks. Practice Acquisition & Expansion Strategy Identify, evaluate, and acquire small to mid-sized independent mental health practices as part of the national expansion plan. Lead all stages of the acquisition process including sourcing, due diligence and negotiation. Metrics for Success New Customer Growth: Directly responsible for new customer growth with proven ROI Referral Growth: % increase in referral volume from providers and large health systems Payer Partnerships: Number of new payer contracts executed positioning organization as a preferred behavioral health provider; % increase in covered lives. Revenue Impact: Contribution of partnerships, payer contracts, and acquisitions to top-line growth. Competencies & Attributes Strategic Growth Mindset: Skilled in balancing partnerships, payer deals, and acquisitions to scale services. Relationship Builder: Effective at influencing health system and payer executives. Execution-Oriented: Moves rapidly from strategy to measurable outcomes. Mission-Driven: Committed to expanding access to quality health services. Compensation & Benefits Competitive executive compensation (base + performance-based incentives). Comprehensive health, dental, and vision insurance. 401(k) with company match. Professional development and executive leadership growth opportunities. Qualifications Bachelor's degree required; MBA, MHA, or related advanced degree preferred. 10+ years of progressive experience in healthcare business development, partnerships, or M&A. Proven track record in health services (urgent care, behavioral health, and other similar services) including payer negotiations, system-level partnerships, and acquisitions. Strong executive network across payers, health systems, and provider groups. Excellent negotiation, communication, and executive relationship skills. Ability to travel nationally (30-40%). EEO Statement PM Pediatric Care is an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, disability status, protected veteran status or any other characteristic protected by law.
    $138k-214k yearly est. Auto-Apply 45d ago
  • Upcoming PatientPoint Internship Opportunities

    Patientpoint 4.4company rating

    Remote job

    Join PatientPoint to be part of a dynamic team creating change in and around the doctor's office. As a leading digital health company, we innovate to positively impact patient behaviors. Our purpose-driven approach offers an inspirational career opportunity where you can contribute to improving health outcomes for millions of patients nationwide. Why Join our Internship Talent Community? Are you a student or recent graduate looking to kickstart your career with valuable real-world experience? PatientPoint is excited to invite passionate and talented individuals to join our Internship Talent Community. This is your opportunity to gain hands-on experience, develop your skills, and make meaningful contributions to our innovative projects and initiatives. Receive Career Resources and Insights: Gain access to career resources, industry insights, and potential internship opportunities. Get Noticed by Our Recruiters: Our recruiters actively seek out promising talent within our Internship Talent Community. Be the first to know about exciting openings that align with your skills and career aspirations. Stay Connected: By joining, you'll be a part of our monthly newsletter, "Inside PatientPoint," packed with valuable content such as recruitment advice, profiles of our teammates, industry updates, and more. Internship Opportunities in Various Areas: Data & Tech: Engineering: Work with our Engineering & Product teams to create products and systems that surprise and delight customers, enhance operational efficiency, and solve complex problems. Data & Analytics: Join our DnA team to harmonize data, improve patient education impact, optimize sponsor ads, and predict positive ROI outcomes. IT Security, DevOps, and TechOps: Ensure our equipment and tools run smoothly and securely. Manage, secure, operate, and optimize servers, networks, storage, databases, and more. Sales: Account Management: Provide top-notch service, communication, and support for program deliverables. Develop and maintain positive client relationships with a creative and analytical approach. Field Services & Customer Support: Offer technical assistance and exceptional customer service to resolve issues promptly, combining technical skills with strong interpersonal abilities. Inside Sales: Utilize technology and effective communication to engage with customers, build relationships, and drive sales growth. Outside Sales: Bring your entrepreneurial spirit to sell patient engagement and education digital programs within a designated territory. Corporate Roles: Creative & Marketing: Work on award-winning, life-changing content across various specialties including oncology, primary care, rheumatology, dermatology, OB/GYN, and pediatrics. Product: Help digitally enhance current and future products in a dynamic, entrepreneurial environment by maintaining a "can-do" attitude amid changing priorities. What are the Benefits of Joining Our Internship Talent Community? By becoming a member of our Internship Talent Community, you'll not only stay informed about potential internship opportunities but also be part of a vibrant network of professionals. Your profile will be accessible to our recruiting team, allowing us to contact you if there is a potential internship that matches your skills and qualifications. We look forward to hearing from you and hopefully getting in touch soon! In the meantime, here's a little more about PatientPoint and what we offer. About PatientPoint: PatientPoint is the Point of Change company, transforming the healthcare experience through the strategic delivery of behavior-changing content at critical moments of care. As the nation's largest and most impactful digital network in 30,000 physician offices, we connect patients, providers and health brands with relevant information that is proven to drive healthier decisions and better outcomes. Learn more at patientpoint.com. Latest News & Innovations: Named A Best Place to Work Across Multiple Prestigious Platforms! Read More Featured on Built In's article "Companies That Pay Well". Read More Now Culture Content Certified by VentureFizz. Read More What We Offer: We know you bring your whole self to work every day, and we are committed to supporting our full-time teammates with a comprehensive range of modernized benefits and cultural perks. We offer competitive compensation, flexible time off to recharge, hybrid work options, mental and emotional wellness resources, a 401K plan, and more. While these benefits are available to full-time team members, we strive to create a positive and supportive environment for all teammates. PatientPoint recognizes that privacy is important to you. Please read the PatientPoint privacy policy, we want you to be familiar with how we may collect, use, and disclose your information. Employer is EOE/M/F/D/V
    $28k-40k yearly est. Auto-Apply 2d ago
  • Healthcare Scheduling, Connection Advisor Intermediate, Remote, Bilingual Spanish

    Hcmc

    Remote job

    Healthcare Scheduling, Connection Advisor Intermediate, Remote, Bilingual Spanish (251598) Hennepin Healthcare is an integrated system of care that includes HCMC, a nationally recognized Level I Adult Trauma Center and Level I Pediatric Trauma Center and acute care hospital, as well as a clinic system with primary care clinics located in Minneapolis and across Hennepin County. The comprehensive healthcare system includes a 473-bed academic medical center, a large outpatient Clinic & Specialty Center, and a network of clinics in the North Loop, Whittier, and East Lake Street neighborhoods of Minneapolis, and in the suburban communities of Brooklyn Park, Golden Valley, Richfield, and St. Anthony Village. Hennepin Healthcare has a large psychiatric program, home care, and operates a research institute, philanthropic foundation, and Hennepin EMS. The system is operated by Hennepin Healthcare System, Inc. , a subsidiary corporation of Hennepin County. Equal Employment Opportunities: We believe equity is essential for optimal health outcomes and are committed to achieve optimal health for all by actively eliminating barriers due to racism, poverty, gender identity, and other determinants of health. We are committed to equitable care and working in an environment that celebrates, promotes, and protects diversity, equity, inclusion, and belonging. We are committed to bringing in individuals with new cultural perspectives to assist in creating a more equitable healthcare organization. SUMMARYThe Connection Center is a fast-paced, high-volume inbound call center where our schedulers play a critical role in delivering exceptional service. Team members are expected to multitask efficiently-speaking with patients, scheduling appointments, documenting conversations, and resolving escalations-all while maintaining professionalism and composure in a dynamic environment. We are currently seeking a Connection Advisor Intermediate, Bilingual Spanish to join our Connection Center team. This Full-Time role (80 hours per pay period) will primarily work remotely (days). The Connection Center is open Monday through Friday, 7:30 AM to 5:30 PM. Shifts will be based on the current business needs and staff seniority. The schedule will be decided following the 4-week training period. The training period will be scheduled on Monday through Friday, 8:00 AM to 5:30 PM, and will be held on campus for only 1 week. Working remotely will start after the training period has been completed. Individuals will need a quiet working environment, high-speed internet, fire alarm, and desk space. Hennepin Healthcare will supply computers, monitors, keyboard, mouse, and phone. Employees will need to be within 100-mile radius of our downtown campus. Purpose of this position: Under general supervision, the Connection Advisor Intermediate answers incoming calls and meets caller's needs; confirms all patient demographic information is current and complete, verifies insurance information, schedules, cancels, or reschedules appointments for assigned clinic or services using call center, electronic health record and department technology. Answers inquiries and questions, troubleshoots basic and more complex issues and provides information as needed. RESPONSIBILITIESAnswers assigned calls for more complex clinics and services; prioritizes, screens, and/or redirects calls as needed. Answers questions, handles routine matters and takes messages. Schedules, cancels and reschedules appointments for patients following standard work and departmental policies and procedures Handles complex scheduling that often requires multiple appointments or with different providers andmodalities Obtains and accurately captures demographic information and patient's health insurance information provided by the patient or caller Accurately completes multiple types of patient registrations in a professional, customer-oriented,timely manner while following departmental policies and procedures Assists with shadowing and mentoring newly onboarded Connection Advisor Associate and Connection Advisor Intermediate team members Recommends and supports change and process improvement initiatives while working to upholdstandard process workflows and provide feedback as needed Completes training and continuing education courses to ensure compliance with Federal, State, and HHS guidelines and follows current best practices Completes all work assignments within the time allowed Requests and processes payments for co-pays, pre-pays, and outstanding balances Meets all key performance and call quality standards Transfers calls to Hennepin Healthcare Nurse Line and/or escalates calls to Team Coordinator or Supervisor as needed Performs other duties as assigned, but only after appropriate training QUALIFICATIONSMinimum Qualifications: High School DiplomaOne year data look-up/data entry experience Two years' experience in customer service involving complex analytical problem-solving skills One year experience in a call center with emphasis in a customer service/medical industry6 months of Connection Advisor Associate experience or specialized clinic operational experience One year of remote work experience Bilingual Spanish-OR-An approved equivalent combination of education and experience Preferred Qualifications:One year of post-secondary education Healthcare Call Center experience Working knowledge of Epic cadence and prelude Patient registration experience Knowledge/Skills/Abilities:Excellent organizational, analytical, critical thinking, and written and verbal communication skills Ability to work cohesively, effectively, and respectfully with individuals from a variety of economic, social, and culturally diverse backgrounds Ability to work in a team environment as well as independently Critical thinking skills and ability to analyze situations quickly and escalate as needed Ability to exceed quality standards, including accuracy in patient registrations, scheduling, data entry, and customer service expectations Technical proficiency in basic computer skills and applications like Microsoft Office, Outlook, and softphones Basic knowledge of medical terminology and health insurance Ability to work in a fast-paced, highly structured, and continually changing environment High level of attention to detail Active listening skills Ability to work independently and remotely Ability to become technically competent and are familiar with HHS's computerized systems and ability basic troubleshooting that support operations You've made the right choice in considering Hennepin Healthcare for your employment. We offer a wealth of opportunities for individuals who want to make an impact in our patients' lives. We are dedicated to providing Equal Employment Opportunities to both current and prospective employees. We are driven to connect talented individuals with life-changing career opportunities, enabling you to provide exceptional care without exception. Thank you for considering Hennepin Healthcare as a future employer. Please Note: Offers of employment from Hennepin Healthcare are conditional and contingent upon successful clearance of all background checks and pre-employment requirements. Department: Connection CenterPrimary Location: MN-Minneapolis-Downtown CampusStandard Hours/FTE Status: FTE = 1. 00 (80 hours per pay period) Shift Detail: DayJob Level: StaffEmployee Status: Regular Eligible for Benefits: YesUnion/Non Union: UnionMin:21. 92Max: 28. 36 Job Posting: Oct-13-2025
    $53k-96k yearly est. Auto-Apply 3h ago

Learn more about Primary Care jobs

Jobs that use Primary Care