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Coordinator jobs at Tenet Healthcare - 20 jobs

  • Inpatient Corporate Coding Coordinator - Remote based in US

    Tenet Healthcare Corporation 4.5company rating

    Coordinator job at Tenet Healthcare

    Who We Are We are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community. Our Story We started out as a small operation in California. In May 1969, we acquired four hospitals, some additional care facilities and real estate for the future development of hospitals. Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care. We have a rich history at Tenet. There are so many stories of compassionate care; so many 'firsts' in terms of medical innovation; so many examples of enhancing healthcare delivery and shaping a business that is truly centered around patients and community need. Tenet and our predecessors have enabled us to touch many different elements of healthcare and make a difference in the lives of others. Our Impact Today Today, we are leading health system and services platform that continues to evolve in lockstep with community need. Tenet's operations include three businesses - our hospitals and physicians, USPI and Conifer Health Solutions. Our impact spreads far and deep with 65 hospitals and approximately 510 outpatient centers and additional sites of care. We are differentiated by our top notch medical specialists and service lines that are tailored within each community we serve. The work Conifer is doing will help provide the foundation for better health for clients across the country, through the delivery of healthcare-focused revenue cycle management and value-based care solutions. Together as an enterprise, we work to save lives and can accept nothing less than excellence from ourselves in service of our patients and their families, every day. Under general supervision and with aid of Official Coding Guidelines, the Corporate Coding Coordinator codes diagnoses and procedures of inpatient accounts according to ICD-10-CM/PCS. The Corporate Coding Coordinator is responsible for assisting the Corporate Coding Manager with second level coding reviews and educates coders on correct coding. Assists the coding department with coding questions, reviews, or inquiries. * Performs second level coder reviews on accounts that are sent back from Revint, Iodine, coding audits, and coding/billing editor. * Provides coders with education and guidance on correct coding based on second level reviews. * Assists coding manager and coding department with coder questions, coding reviews, and coding inquiries. Codes inpatient accounts when coverage is needed. * Monitors and assists coding manager with DNFC management to goals. * Attends Tenet coding educations and maintains coding credentials. Required: * Associates Degree in Health Information Management * RHIT or CCS * 3-5 years acute hospital coding experience * Skilled and working knowledge of MS Office suite * Ability to analyze coding related reports and take action Preferred: * Bachelor's Degree in Health Information Management * RHIA and CCS * 5 plus years' experience in a large, complex, multi-system acute care hospital organization A pre-employment coding proficiency assessment will be administered. Compensation * Pay: $30.00-$45.00 per hour. Compensation depends on location, qualifications, and experience. * Position may be eligible for a signing bonus for qualified new hires, subject to employment status. Benefits The following benefits are available, subject to employment status: * Medical, dental, vision, disability, AD&D, and life insurance * Paid time off (vacation & sick leave) * Discretionary 401k match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance. * For Colorado employees, paid leave in accordance with Colorado's Healthy Families and Workplaces Act is available. #LI-CM7 Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********
    $30-45 hourly 10d ago
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  • Expanse Program Coordinator

    HCA Healthcare 4.5company rating

    Nashville, TN jobs

    **This is OUR story... and YOUR next chapter** At HCA Healthcare, our Digital Transformation and Innovation (DT&I) team is redefining what's possible inpatient care. By leveraging the power of artificial intelligence, automation, and digital technologies, DT&I is helping drive meaningful improvements in clinical outcomes, reduce manual workload, and expand the reach of our care teams. If you're passionate about using technology to improve human life, this is where your work truly matters **What you will accomplish in this role** The Expanse Program Coordinator reports directly to the AVP of Expanse Implementation, and is responsible to administratively support the Expanse Training and Go Live support team. This position is responsible for staffing, scheduling, and other administrative support tasks (ex: expense report approval), along with the planning, training and coordination associated with the Education and Go Live support team. This position will administratively support staff with the coordination of training and go live readiness. In addition, this position will have special project assignments. **Major Responsibilities:** + Assists with the department expense management, budget process, travel and meeting coordination + Coordinates or completes eSAF requirements for new team members, supports team equipment procurement and other onboarding needs + Participates in the program management of the field sourced support program, including communications, scheduling, travel coordination, and training / competency coordination + Perform administrative duties including Education and Support team schedule coordination, review and processing of expense reports, documentation / records management, meeting scheduling and organization, communication with internal departments and partners, onboarding new team members, and preparing meetings and taking/distributing notes + Coordinate, problem-solve, and manage expectations within all levels of organization + Coordinate and work with divisions, facilities, multi-disciplinary teams, including clinical and non-clinical staff in order to develop and implement procedures and programs **Education & Experience:** + Bachelor's degree preferred + 4 years of experience in an administrative coordination role required + Experience in a staffing coordination role preferred + Competence in Microsoft word, excel, PowerPoint, OneNote and other administrative software systems (competence at time of hire) + Professional ability to develop and design presentations related to subject matter provided to individual (competence and ability at time of hire) + Competence to management schedules, book travel and coordinate meetings + Ability to travel up to 10% required + Position is a work from home role with preference for Nashville based candidates At HCA Healthcare, we are committed to fostering a culture of growth that allows you to build the career of a lifetime. We encourage you to apply for our Expanse Program Coordinator today. We review all applications promptly, and qualified candidates will be contacted to continue the process. Join us! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
    $56k-73k yearly est. 10d ago
  • Expanse Program Coordinator

    HCA 4.5company rating

    Nashville, TN jobs

    This is OUR story... and YOUR next chapter At HCA Healthcare, our Digital Transformation and Innovation (DT&I) team is redefining what's possible inpatient care. By leveraging the power of artificial intelligence, automation, and digital technologies, DT&I is helping drive meaningful improvements in clinical outcomes, reduce manual workload, and expand the reach of our care teams. If youre passionate about using technology to improve human life, this is where your work truly matters What you will accomplish in this role The Expanse Program Coordinator reports directly to the AVP of Expanse Implementation, and is responsible to administratively support the Expanse Training and Go Live support team. This position is responsible for staffing, scheduling, and other administrative support tasks (ex: expense report approval), along with the planning, training and coordination associated with the Education and Go Live support team. This position will administratively support staff with the coordination of training and go live readiness. In addition, this position will have special project assignments. Major Responsibilities: * Assists with the department expense management, budget process, travel and meeting coordination * Coordinates or completes eSAF requirements for new team members, supports team equipment procurement and other onboarding needs * Participates in the program management of the field sourced support program, including communications, scheduling, travel coordination, and training / competency coordination * Perform administrative duties including Education and Support team schedule coordination, review and processing of expense reports, documentation / records management, meeting scheduling and organization, communication with internal departments and partners, onboarding new team members, and preparing meetings and taking/distributing notes * Coordinate, problem-solve, and manage expectations within all levels of organization * Coordinate and work with divisions, facilities, multi-disciplinary teams, including clinical and non-clinical staff in order to develop and implement procedures and programs Education & Experience: * Bachelors degree preferred * 4 years of experience in an administrative coordination role required * Experience in a staffing coordination role preferred * Competence in Microsoft word, excel, PowerPoint, OneNote and other administrative software systems (competence at time of hire) * Professional ability to develop and design presentations related to subject matter provided to individual (competence and ability at time of hire) * Competence to management schedules, book travel and coordinate meetings * Ability to travel up to 10% required * Position is a work from home role with preference for Nashville based candidates At HCA Healthcare, we are committed to fostering a culture of growth that allows you to build the career of a lifetime. We encourage you to apply for our Expanse Program Coordinator today. We review all applications promptly, and qualified candidates will be contacted to continue the process. Join us! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
    $56k-73k yearly est. 12d ago
  • Quality Coordinator - Transitions of Care

    Community Health Systems 4.5company rating

    Remote

    The Quality Coordinator-Transitions of Care is dedicated to managing quality assurance processes and ensuring compliance with industry standards. This role involves coordinating with various departments to integrate quality systems, facilitating continuous improvement initiatives, and maintaining comprehensive documentation to support assessments and audits. The Quality Coordinator plays a crucial role in fostering a culture of quality and excellence within the organization, driving efforts to meet and exceed quality targets. Essential Functions Implements and monitors quality improvement initiatives to ensure adherence to best practices, policies, and regulatory requirements. Supports teams as a subject matter expert on quality-related workflows, ensuring staff adherence to established procedures. Coordinates and tracks patient outreach efforts to close gaps in care, ensuring timely follow-up on quality attribution reports. Optimizes provider schedules by ensuring appointments address preventive care and chronic disease management gaps. Monitors and analyzes key performance indicators (KPIs) related to quality measures, providing feedback and accountability to stakeholders. Conducts regular rounding with providers and staff to reinforce best practices and identify workflow improvement opportunities. Assists in medical record audits, ensuring compliance with payer requirements and timely submission of quality-related documentation. Facilitates training sessions and provides ongoing support to enhance staff competency in quality care initiatives. Collaborates with data analytics and population health teams to ensure accurate reporting and performance tracking. Maintains compliance with all payer-specific quality programs, ensuring proper documentation and adherence to incentive program requirements. Performs other duties as assigned. Complies with all policies and standards. Qualifications Associate Degree in Healthcare Administration, Nursing, Public Health, or a related field required Bachelor's Degree in Nursing or a related field preferred 2-4 years of experience in quality improvement, population health, or clinical operations within a healthcare setting required Experience in working with payer quality programs and regulatory reporting preferred Knowledge, Skills and Abilities Strong knowledge of quality improvement methodologies and healthcare regulatory requirements. Proficiency in electronic medical records (EMR) systems and quality reporting tools. Excellent communication and interpersonal skills to collaborate effectively with providers, staff, and leadership. Ability to analyze data, identify trends, and develop action plans for performance improvement. Strong organizational skills and attention to detail to ensure compliance with quality initiatives. Ability to adapt to evolving healthcare regulations and payer requirements. Strong problem-solving skills and the ability to drive accountability in a healthcare setting. Licenses and Certifications Certified Medical Assistant (CMA)-AAMA preferred or LPN - Licensed Practical Nurse - State Licensure preferred or RN - Registered Nurse - State Licensure and/or Compact State Licensure preferred CPHQ - Certified Professional in Healthcare Quality preferred
    $29k-53k yearly est. Auto-Apply 60d+ ago
  • Clinical Quality Coordinator-Transitions of Care

    Community Health Systems 4.5company rating

    Remote

    We are seeking a compassionate and organized Transition of Care Clinical Support team member to support patients as they move from hospital to home. In this role, you will conduct post-discharge phone interviews to assess patient needs, identify potential barriers to recovery, and help schedule timely follow-up appointments to reduce hospital readmissions. Ideal candidates are patient-focused, detail-oriented, and comfortable with phone-based patient interactions in a fast-paced healthcare environment. Must have a clinical background, RN, LPN, CMA etc. Essential Functions Implements and monitors quality improvement initiatives to ensure adherence to best practices, policies, and regulatory requirements. Supports teams as a subject matter expert on quality-related workflows, ensuring staff adherence to established procedures. Coordinates and tracks patient outreach efforts to close gaps in care, ensuring timely follow-up on quality attribution reports. Optimizes provider schedules by ensuring appointments address preventive care and chronic disease management gaps. Monitors and analyzes key performance indicators (KPIs) related to quality measures, providing feedback and accountability to stakeholders. Conducts regular rounding with providers and staff to reinforce best practices and identify workflow improvement opportunities. Assists in medical record audits, ensuring compliance with payer requirements and timely submission of quality-related documentation. Facilitates training sessions and provides ongoing support to enhance staff competency in quality care initiatives. Collaborates with data analytics and population health teams to ensure accurate reporting and performance tracking. Maintains compliance with all payer-specific quality programs, ensuring proper documentation and adherence to incentive program requirements. Performs other duties as assigned. Complies with all policies and standards. Qualifications Associate Degree in Healthcare Administration, Nursing, Public Health, or a related field required Bachelor's Degree in Nursing or a related field preferred 2-4 years of experience in quality improvement, population health, or clinical operations within a healthcare setting required Experience in working with payer quality programs and regulatory reporting preferred Knowledge, Skills and Abilities Strong knowledge of quality improvement methodologies and healthcare regulatory requirements. Proficiency in electronic medical records (EMR) systems and quality reporting tools. Excellent communication and interpersonal skills to collaborate effectively with providers, staff, and leadership. Ability to analyze data, identify trends, and develop action plans for performance improvement. Strong organizational skills and attention to detail to ensure compliance with quality initiatives. Ability to adapt to evolving healthcare regulations and payer requirements. Strong problem-solving skills and the ability to drive accountability in a healthcare setting. Licenses and Certifications Certified Medical Assistant (CMA)-AAMA preferred or LPN - Licensed Practical Nurse - State Licensure preferred or RN - Registered Nurse - State Licensure and/or Compact State Licensure preferred CPHQ - Certified Professional in Healthcare Quality preferred
    $29k-53k yearly est. Auto-Apply 60d+ ago
  • Central Authorization Coordinator PRN

    HCA 4.5company rating

    Nashville, TN jobs

    Introduction Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) Central Authorization Coordinator PRN today with Work from Home. Benefits Work from Home offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: * Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. * Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. * Free counseling services and resources for emotional, physical and financial wellbeing * 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) * Employee Stock Purchase Plan with 10% off HCA Healthcare stock * Family support through fertility and family building benefits with Progyny and adoption assistance. * Referral services for child, elder and pet care, home and auto repair, event planning and more * Consumer discounts through Abenity and Consumer Discounts * Retirement readiness, rollover assistance services and preferred banking partnerships * Education assistance (tuition, student loan, certification support, dependent scholarships) * Colleague recognition program * Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) * Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. Come join our team as a(an) Central Authorization Coordinator PRN. We care for our community! Just last year, HCA Healthcare and our colleagues donated 13.8 million dollars to charitable organizations. Apply Today! Job Summary and Qualifications Under general supervision of the RVP/AVP for HCA Post-Acute Services Division, The Central Authorization Coordinator is responsible for managing/coordinating all day to day managed care admissions with the Post Acute Transition Specialists and/or admissions staff with all managed care payers. This includes utilizing a interdisciplinary approach to coordinate the insurance approval of care of all necessary types of post acute disposition patients to assure smooth, efficient functioning Post Acute Service Units and delivery of quality health care services. Post acute disposition can include but is not limited to: Inpatient Rehabilitation, Home Health, Hospice, LTACH, SNF, etc. The Central Authorization Coordinator acts as the business and clinical resource for the department. Utilizes quality improvement activities and audits as necessary, development of new programs and clinical procedures, and collaboration with Division Post Acute Service Units to promote efficiency and customer service and assists Market Managers and Program Directors as necessary. Assist AVP with coordination and management of central authorization program. Assumes additional supervisory/administrative responsibilities as assigned by AVP. Majority of the responsibilities involves central insurance authorization for the post acute service lines as needed. For the effective and efficient admissions process in the delivery of these services: Continuously evaluates, develops a plan and conducts business with insurance payers for the appropriate approval/authorization for post acute patients to meet the individual needs of medically referred patients in an efficient, productive manner and within the established guidelines for HCA and Nursing Professional Standards for Practice and Code of Ethics. To maintain accurate, current records on all patients according to policy and procedures. To assist with educational programs for departmental and hospital ASSOCIATES and to uphold the standards of the department and hospital by dealing with patients, visitors, ASSOCIATES and other medical professionals in a respectful, courteous manner. What qualifications you will need: * Associate Degree * Registered Nurse, or Licensed Practical / Vocational Nurse (LPN / LVN), or Licensed Physical Therapy, or Advance Practice Registered Nurse (APRN) * Minimum 1 years experience working with Managed Care insurance plans with working first hand knowledge/experience in approval/authorization process in post acute care services. * Must possess good interpersonal and program development skills. Nashville-based HCA Healthcare is one of the nations leading providers of healthcare services. Founded in 1968, HCA Healthcare created a new model for hospital care in the United States. In this model, we use combined resources to improve hospitals, deliver patient-focused care, and improve the practice of medicine. We have conducted several clinical studies. One of those studies includes a demonstration that full-term delivery is healthier than early elective delivery of babies. Another study identified a clinical protocol that can reduce bloodstream infections in ICU patients by 44 percent. We are a learning health system that uses its more than 31 million annual patient encounters to advance science, improve patient care and save lives. HCA affiliated facilities in the North Florida Division are a part of a quality healthcare network in North Florida. This network includes 15 affiliated hospitals, 5 surgery centers, and two consolidated service centers. Together, our network has over 3,100 beds, employs more than 14,000 team members, and has over 4,200 physicians on staff. HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "The great hospitals will always put the patient and the patients family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Central Authorization Coordinator PRN opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
    $48k-61k yearly est. 25d ago
  • Central Authorization Coordinator PRN

    HCA Healthcare 4.5company rating

    Nashville, TN jobs

    **Introduction** Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) Central Authorization Coordinator PRN today with Work from Home. **Benefits** Work from Home offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling services and resources for emotional, physical and financial wellbeing + 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny and adoption assistance. + Referral services for child, elder and pet care, home and auto repair, event planning and more + Consumer discounts through Abenity and Consumer Discounts + Retirement readiness, rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) + Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits (********************************************************************** **_Note: Eligibility for benefits may vary by location._** Come join our team as a(an) Central Authorization Coordinator PRN. We care for our community! Just last year, HCA Healthcare and our colleagues donated $13.8 million dollars to charitable organizations. Apply Today! **Job Summary and Qualifications** Under general supervision of the RVP/AVP for HCA Post-Acute Services Division, The Central Authorization Coordinator is responsible for managing/coordinating all day to day managed care admissions with the Post Acute Transition Specialists and/or admissions staff with all managed care payers. This includes utilizing a interdisciplinary approach to coordinate the insurance approval of care of all necessary types of post acute disposition patients to assure smooth, efficient functioning Post Acute Service Units and delivery of quality health care services. Post acute disposition can include but is not limited to: Inpatient Rehabilitation, Home Health, Hospice, LTACH, SNF, etc. The Central Authorization Coordinator acts as the business and clinical resource for the department. Utilizes quality improvement activities and audits as necessary, development of new programs and clinical procedures, and collaboration with Division Post Acute Service Units to promote efficiency and customer service and assists Market Managers and Program Directors as necessary. Assist AVP with coordination and management of central authorization program. Assumes additional supervisory/administrative responsibilities as assigned by AVP. Majority of the responsibilities involves central insurance authorization for the post acute service lines as needed. For the effective and efficient admissions process in the delivery of these services: Continuously evaluates, develops a plan and conducts business with insurance payers for the appropriate approval/authorization for post acute patients to meet the individual needs of medically referred patients in an efficient, productive manner and within the established guidelines for HCA and Nursing Professional Standards for Practice and Code of Ethics. To maintain accurate, current records on all patients according to policy and procedures. To assist with educational programs for departmental and hospital ASSOCIATES and to uphold the standards of the department and hospital by dealing with patients, visitors, ASSOCIATES and other medical professionals in a respectful, courteous manner. What qualifications you will need: + Associate Degree + Registered Nurse, or Licensed Practical / Vocational Nurse (LPN / LVN), or Licensed Physical Therapy, or Advance Practice Registered Nurse (APRN) + Minimum 1 years experience working with Managed Care insurance plans with working first hand knowledge/experience in approval/authorization process in post acute care services. + Must possess good interpersonal and program development skills. Nashville-based HCA Healthcare is one of the nation's leading providers of healthcare services. Founded in 1968, HCA Healthcare created a new model for hospital care in the United States. In this model, we use combined resources to improve hospitals, deliver patient-focused care, and improve the practice of medicine. We have conducted several clinical studies. One of those studies includes a demonstration that full-term delivery is healthier than early elective delivery of babies. Another study identified a clinical protocol that can reduce bloodstream infections in ICU patients by 44 percent. We are a learning health system that uses its more than 31 million annual patient encounters to advance science, improve patient care and save lives. HCA affiliated facilities in the North Florida Division are a part of a quality healthcare network in North Florida. This network includes 15 affiliated hospitals, 5 surgery centers, and two consolidated service centers. Together, our network has over 3,100 beds, employs more than 14,000 team members, and has over 4,200 physicians on staff. HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Central Authorization Coordinator PRN opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. **Unlock the possibilities and apply today!** We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
    $48k-61k yearly est. 24d ago
  • LTSS Service Care Coordinator

    Centene 4.5company rating

    Remote

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. **Applicants for this role must live in the Monona or Ida county area as the position requires approximately 65% travel to visit members. We reimburse mileage at the current IRS rate. The work schedule is Monday - Friday, 8am - 5pm.** Position Purpose: Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service care plans/service plans for long-term care members and educates members and their families/caregivers on services and benefits available to meet member needs. Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome Assists with developing ongoing long-term care plans/service plans and works to identify providers, specialist, and/or community resources needed for long-term care Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members Provides resource support to members and their families/caregivers for various needs (e.g. employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs Interacts with long-term care healthcare providers and partners as appropriate to ensure member needs are met Collects, documents, and maintains long-term care member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators May perform on-site visits to assess member's needs and collaborates with providers or resources, as appropriate Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner Performs other duties as assigned Complies with all policies and standards Education/Experience: Requires a Bachelor's degree and 1+ years of experience with populations served, or RN with 6+ years of experience with population served. Pay Range: $22.94 - $38.79 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. 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 other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $22.9-38.8 hourly Auto-Apply 33d ago
  • LTSS Service Care Coordinator

    Centene 4.5company rating

    Remote

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. ***Remote role with up to 75% field based work.** Candidate must reside in one of the following counties within the state of Iowa: Black Hawk, Dallas, Des Moines, Freemont, Guthrie, Henry, Jasper, Jefferson, Johnson, Lee, Mahaska, Marion, Marshall, Page, Polk, Pottawattamie, Tama, Taylor, Warren, Washington, and surrounding areas. Position Purpose: Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service care plans/service plans for long-term care members and educates members and their families/caregivers on services and benefits available to meet member needs. Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome Assists with developing ongoing long-term care plans/service plans and works to identify providers, specialist, and/or community resources needed for long-term care Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members Provides resource support to members and their families/caregivers for various needs (e.g. employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs Interacts with long-term care healthcare providers and partners as appropriate to ensure member needs are met Collects, documents, and maintains long-term care member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators May perform on-site visits to assess member's needs and collaborates with providers or resources, as appropriate Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner Performs other duties as assigned Complies with all policies and standards Education/Experience: Requires a Bachelor's degree and 1 year of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. For Iowa Plan Only: Bachelor's degree required and 1+ years of experience with populations served, or RN with 6+ years of experience with population served. Pay Range: $22.50 - $38.02 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. 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 other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $22.5-38 hourly Auto-Apply 60d+ ago
  • LTSS Service Care Coordinator (Open)

    Centene 4.5company rating

    Remote

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. ***NOTE: This is a hybrid-remote role with 75% local home visits focusing on Physically Disabled/Elderly waiver services. Preference will be given to applicants with past case management, advocacy or home visits/community travel experience who are located in the following locations: 60201, 60202, 60203, 60204, 60645, 60626, 60646, 60659, 60660, 60630, 60625, 60640 (Nearby cities: Evanston, Skokie, Rogers Park, Sauganash, Forest Glen, North Park, Peterson Park, Edgewater, Jefferson Park, Lincoln Square, Albany Park, Uptown, Andersonville). Additional Details: • Department: Long Term Support Services, Case Management • Caseload: Physical Disability & Aging Waiver Members • Schedule: Monday-Friday, 8am-4:30pm (half hour lunch)*** Position Purpose: Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service care plans/service plans for long-term care members and educates members and their families/caregivers on services and benefits available to meet member needs. Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome Assists with developing ongoing long-term care plans/service plans and works to identify providers, specialist, and/or community resources needed for long-term care Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members Provides resource support to members and their families/caregivers for various needs (e.g. employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs Interacts with long-term care healthcare providers and partners as appropriate to ensure member needs are met Collects, documents, and maintains long-term care member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators May perform on-site visits to assess member's needs and collaborates with providers or resources, as appropriate Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner Performs other duties as assigned Complies with all policies and standards Education/Experience: Requires a Bachelor's degree and 1 year of related experience. For Illinois Plan Only: In addition to the requirements above the employee working on Physically Disabled/Elderly Candidate must meet one of the 3 following criteria: 1. RN licensed in Illinois. 2. Bachelor or Master's Degree prepared in human services related field. Bachelor's degree in Human Services related field defined as: Child, Family and Community Services, Early Child Development, Guidance and Counseling, Home Economics- Child and Family Services, Human Development Counseling, Human Service Administration, Human Services, Master of Divinity, Pastoral Care, Pastoral Counseling, Psychiatric Nursing, Psychiatry, Psychology, Public Administration, Rehabilitation Counseling, Social Science, Social Services/Social Work or Sociology. 3. LPN with one (1) year experience in conducting comprehensive assessments and provision of formal service for the elderly Pay Range: $22.50 - $38.02 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. 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 other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $22.5-38 hourly Auto-Apply 48d ago
  • Grievance & Appeals Coordinator I

    Centene 4.5company rating

    Remote

    You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT While this position is remote, candidates for this position must be able to accommodate a 8am-5pm PST schedule. Position Purpose: Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members. Gather, analyze and report verbal and written member and provider complaints, grievances and appeals Prepare response letters for member and provider complaints, grievances and appeals Maintain files on individual appeals and grievances May coordinate the Grievance and Appeals Committee Support the pay-for-performance programs, including data entry, tracking, organizing, and researching information Assist with HEDIS production functions including data entry, calls to provider's offices, and claims research. Manage large volumes of documents including copying, faxing and scanning incoming mail Performs other duties as assigned. Complies with all policies and standards. Education/Experience: High school diploma or equivalent. Associate's degree preferred. 2+ years grievance or appeals, claims, related managed care experience, or relevant experience. Pay Range: $19.43 - $32.98 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. 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 other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $19.4-33 hourly Auto-Apply 3d ago
  • Grievance & Appeals Coordinator I

    Centene 4.5company rating

    Remote

    You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. This role will be remote; however, the candidate must reside in Arizona per our contract with the state. Position Purpose: Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members. Gather, analyze and report verbal and written member and provider complaints, grievances and appeals Prepare response letters for member and provider complaints, grievances and appeals Maintain files on individual appeals and grievances May coordinate the Grievance and Appeals Committee Support the pay-for-performance programs, including data entry, tracking, organizing, and researching information Assist with HEDIS production functions including data entry, calls to provider's offices, and claims research Manage large volumes of documents including copying, faxing and scanning incoming mail Performs other duties as assigned Complies with all policies and standards Education/Experience: High school diploma or equivalent. Associate's degree preferred. 2+ years grievance or appeals, claims, related managed care experience, or relevant experience. Pay Range: $19.43 - $32.98 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. 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 other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $19.4-33 hourly Auto-Apply 3d ago
  • Community Resource Coordinator II

    Centene 4.5company rating

    Remote

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Supports community connection activities including connecting members to community resources to support their care management journey and provide necessary care resources in a cost-effective manner. Provides members with known community resources and supports the care team to identify member community support and provide health education as appropriate. Provides support to members to connect them to known community and care resources in a cost- effective manner Supports the coordination of community outreach resources available to members and promotes awareness of care/services Serves as support for members on community and care resource inquiries and opportunities available to members Supports all member related correspondence and educational materials to assist in the facilitation of a successful community connection Documents and maintains all community resources to ensure standards of practice and policies are in accordance with health plan requirements Provide assistance to the clinical team of nurses and social workers. Activities include, but are not limited to outreach, community education, informal guidance and member support Conduct non-clinical general health assessments in order to refer members to appropriate care/services, resolve concerns on member's behalf, and gather information for medical providers and staff working within the organization Conduct non-medical assessments such as home safety, assessment of the community/environment resources, transportation, employment, and others to be able to refer to appropriate care/services, resolve concerns on member's behalf, and gather information for medical providers in staff working within our organization Conduct telephonic and/or in-person outreach to locate individuals and families in the community who are hard to reach May make visits to individual homes and/or community organizations Working Knowledge of Social Determinants of Health (SDOH) barriers Performs other duties as assigned Complies with all policies and standards We are seeking a Community Resource Coordinator II to join our team! The ideal candidate will bring expertise in: Must Reside in Orange County or Orlando, FL Proficient in Microsoft Applications Field Work (50%) Excellent Customer Service and Communication Skills Community and Care Resources Bilingual (Spanish) Assessments Telephonic Education/Experience: Requires a High School diploma or GED Requires 1 - 2 years of related experience Pay Range: $17.84 - $28.02 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. 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 other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $17.8-28 hourly Auto-Apply 3d ago
  • Resident Engagement Coordinator

    Brookdale Senior Living 4.2company rating

    Beavercreek, OH jobs

    Recognized by Newsweek in 2024 and 2025 as one of America's Greatest Workplaces for Diversity Grow your career with Brookdale! Our Resident Engagement Coordinators have opportunities for advancement by exploring a new career in positions such as Resident Engagement Managers, Business Office Coordinators and even Sales Managers. Make Lives Better Including Your Own. If you want to work in an environment where you can become your best possible self, join us! You'll earn more than a paycheck; you can find opportunities to grow your career through professional development, as well as ongoing programs catered to your overall health and wellness. Full suite of health insurance, life insurance and retirement plans are available and vary by employment status. Part and Full Time Benefits Eligibility Medical, Dental, Vision insurance 401(k) Associate assistance program Employee discounts Referral program Early access to earned wages for hourly associates (outside of CA) Optional voluntary benefits including ID theft protection and pet insurance Full Time Only Benefits Eligibility Paid Time Off Paid holidays Company provided life insurance Adoption benefit Disability (short and long term) Flexible Spending Accounts Health Savings Account Optional life and dependent life insurance Optional voluntary benefits including accident, critical illness and hospital indemnity Insurance, and legal plan Tuition reimbursement Base pay in range will be determined by applicant's skills and experience. Role is also eligible for team based bonus opportunities. Temporary associates are not benefits eligible but may participate in the company's 401(k) program. Veterans, transitioning active duty military personnel, and military spouses are encouraged to apply. To support our associates in their journey to become a U.S. citizen, Brookdale offers to advance fees for naturalization (Form N-400) application costs, up to $725, less applicable taxes and withholding, for qualified associates who have been with us for at least a year. The application window is anticipated to close within 30 days of the date of the posting. Responsibilities Utilizes a person-centered approach starting with positive perceptions of aging, while building relationships and connections amongst residents. Develops a monthly calendar, in partnership with residents, based on residents' shared interests. Collaborates with community leadership team to plan, coordinate, and execute special events at the community including, but not limited to, holiday, family, educational, and other marketing events. Plans and schedules meaningful opportunities for resident engagement outside the community, which may include driving a community vehicle. This job description represents an overview of the responsibilities for the above-referenced position. It is not intended to represent a comprehensive list of responsibilities. An associate should perform all duties as assigned by their supervisor. Qualifications Education and Experience A minimum of 1 year of direct experience with adults, coordinating, planning, and executing programs is required. High school diploma or general education diploma (GED) required. Bachelor's Degree in therapeutic recreation, gerontology, health care, education, or other related field preferred. Leadership experience preferred. Certifications, Licenses, and Other Special Requirements Must have a valid driver's license and may be required to obtain a commercial driver's license based on the needs of the community Management/Decision Making Makes standard and routine decisions based on detailed guidelines with use of independent judgment and discretion. Solves problems using clear, detailed guidelines or by reporting them to a supervisor. Physical Demands and Working Conditions Standing Walking Sitting Use hands and fingers to handle or feel Reach with hands and arms Stoop, kneel, crouch, or crawl Talk or hear Ability to lift: up to 50 pounds Vision Requires interaction with co-workers, residents or vendors Occasional weekend, evening or night work if needed to ensure shift coverage On-Call on an as needed basis Possible exposure to communicable diseases and infections Exposure to latex Possible exposure to blood-borne pathogens Possible exposure to various drugs, chemical, infectious, or biological hazards Subject to injury from falls, burns, odors, or cuts from equipment Requires Driving: Drives residents (Tier 1) Brookdale is an equal opportunity employer and a drug-free workplace.
    $30k-35k yearly est. Auto-Apply 60d+ ago
  • Field Care Coordinator - Eastern Shore, VA Market - Remote

    Unitedhealth Group Inc. 4.6company rating

    Cape Charles, VA jobs

    At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. This is a field-based position with a home-based office in Eastern Shore, VA Market. The Field Care Coordinator is responsible for facilitating, promoting, and advocating for the enrollees' ongoing self-sufficiency and independence. This position is responsible for assessment and planning for an identified group of patients. Additionally, the care coordinator is responsible for assessing the availability of natural supports such as the enrollee's representative or family members to ensure the ongoing mental and physical health of those natural supports. The Field Care Coordinator collaborates with the Interdisciplinary Team to coordinate the delivery of comprehensive, efficient, cost-effective patient care. The Field Care Coordinator will be traveling into enrollees' homes, nursing facilities, Adult Day Health, and Adult Living Facilities (ALF) to conduct in-depth assessments and develop the plan of care. The Field Care Coordinator actively assists enrollees with care transitions in collaboration with the Interdisciplinary Team and the acute or skilled facility staff, and the enrollees and / or the enrollees' representatives. Field Care Coordinators act as liaison between the Health Plan, the Commonwealth, enrollees, and their families. Field Care Coordinators follow established professional standards of care, Commonwealth guidelines and policy and procedures. If you are located in commutable distance of Eastern Shore, VA Market, you will have the flexibility to work remotely* as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary Responsibilities: * Engage members face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs * Develop and implement person centered care plans to address needs including management of chronic health conditions, health promotion and wellness, social determinants of health, medication management and member safety in alignment with evidence-based guidelines * Partner and collaborate with internal care team, providers, and community resources/partners to implement care plan * Provide education and coaching to support member self-management of care needs and lifestyle changes to promote health * Support proactive discharge planning and manage/coordinate Care Transition following ER visit, inpatient or Skilled Nursing Facility (SNF) admission * Advocate for members and families as needed to ensure the member's needs and choices are fully represented and supported by the health care team You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Current and unrestricted Licensed Practical Nurse in the state of Virginia OR Social Work or Human Services (or related field) with a 4-year degree * 3+ years of care coordination or behavioral health experience and/or work in a healthcare environment * 1+ years of experience with MS Office, including Word, Excel, and Outlook * Experience working with members who have medical needs, the elderly, individuals with physical disabilities and / or those who may have communication barriers * Driver's license and reliable transportation and the ability to travel within assigned territory to meet with members and providers Preferred Qualifications: * CCM certification * Experience working with Medicaid / Medicare population * Experience working in team-based care * Long term care / geriatric experience * Background in Managed Care Physical Requirements: * Ability to transition from office to field locations multiple times per day * Ability to navigate multiple locations/terrains to visit employees, members and/or providers * Ability to transport equipment to and from field locations needed for visits (ex. laptop, stethoscope, etc.) * Ability to remain stationary for long periods of time to complete computer or tablet work duties * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $23.89 to $42.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable. #UHCPJ At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
    $23.9-42.7 hourly 3d ago
  • Field Care Coordinator - Eastern Shore, VA Market - Remote

    Unitedhealth Group 4.6company rating

    Cape Charles, VA jobs

    At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start **Caring. Connecting. Growing together.** **This is a field-based position with a home-based office in Eastern Shore, VA Market.** The Field Care Coordinator is responsible for facilitating, promoting, and advocating for the enrollees' ongoing self-sufficiency and independence. This position is responsible for assessment and planning for an identified group of patients. Additionally, the care coordinator is responsible for assessing the availability of natural supports such as the enrollee's representative or family members to ensure the ongoing mental and physical health of those natural supports. The Field Care Coordinator collaborates with the Interdisciplinary Team to coordinate the delivery of comprehensive, efficient, cost-effective patient care. The Field Care Coordinator will be traveling into enrollees' homes, nursing facilities, Adult Day Health, and Adult Living Facilities (ALF) to conduct in-depth assessments and develop the plan of care. The Field Care Coordinator actively assists enrollees with care transitions in collaboration with the Interdisciplinary Team and the acute or skilled facility staff, and the enrollees and / or the enrollees' representatives. Field Care Coordinators act as liaison between the Health Plan, the Commonwealth, enrollees, and their families. Field Care Coordinators follow established professional standards of care, Commonwealth guidelines and policy and procedures. If you are located in commutable distance of Eastern Shore, VA Market, you will have the flexibility to work remotely* as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. **Primary Responsibilities:** + Engage members face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs + Develop and implement person centered care plans to address needs including management of chronic health conditions, health promotion and wellness, social determinants of health, medication management and member safety in alignment with evidence-based guidelines + Partner and collaborate with internal care team, providers, and community resources/partners to implement care plan + Provide education and coaching to support member self-management of care needs and lifestyle changes to promote health + Support proactive discharge planning and manage/coordinate Care Transition following ER visit, inpatient or Skilled Nursing Facility (SNF) admission + Advocate for members and families as needed to ensure the member's needs and choices are fully represented and supported by the health care team You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + Current and unrestricted Licensed Practical Nurse in the state of Virginia OR Social Work or Human Services (or related field) with a 4-year degree + 3+ years of care coordination or behavioral health experience and/or work in a healthcare environment + 1+ years of experience with MS Office, including Word, Excel, and Outlook + Experience working with members who have medical needs, the elderly, individuals with physical disabilities and / or those who may have communication barriers + Driver's license and reliable transportation and the ability to travel within assigned territory to meet with members and providers **Preferred Qualifications:** + CCM certification + Experience working with Medicaid / Medicare population + Experience working in team-based care + Long term care / geriatric experience + Background in Managed Care **Physical Requirements:** + Ability to transition from office to field locations multiple times per day + Ability to navigate multiple locations/terrains to visit employees, members and/or providers + Ability to transport equipment to and from field locations needed for visits (ex. laptop, stethoscope, etc.) + Ability to remain stationary for long periods of time to complete computer or tablet work duties *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $23.89 to $42.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable. \#UHCPJ _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
    $23.9-42.7 hourly 27d ago
  • Dining Services Coordinator

    Brookdale Senior Living 4.2company rating

    Westlake, OH jobs

    Recognized by Newsweek in 2024 and 2025 as one of America's Greatest Workplaces for Diversity Make Lives Better Including Your Own. If you want to work in an environment where you can become your best possible self, join us! You'll earn more than a paycheck; you can find opportunities to grow your career through professional development, as well as ongoing programs catered to your overall health and wellness. Full suite of health insurance, life insurance and retirement plans are available and vary by employment status. Part and Full Time Benefits Eligibility * Medical, Dental, Vision insurance * 401(k) * Associate assistance program * Employee discounts * Referral program * Early access to earned wages for hourly associates (outside of CA) * Optional voluntary benefits including ID theft protection and pet insurance Full Time Only Benefits Eligibility * Paid Time Off * Paid holidays * Company provided life insurance * Adoption benefit * Disability (short and long term) * Flexible Spending Accounts * Health Savings Account * Optional life and dependent life insurance * Optional voluntary benefits including accident, critical illness and hospital indemnity Insurance, and legal plan * Tuition reimbursement Base pay in range will be determined by applicant's skills and experience. Role is also eligible for team based bonus opportunities. Temporary associates are not benefits eligible but may participate in the company's 401(k) program. Veterans, transitioning active duty military personnel, and military spouses are encouraged to apply. To support our associates in their journey to become a U.S. citizen, Brookdale offers to advance fees for naturalization (Form N-400) application costs, up to $725, less applicable taxes and withholding, for qualified associates who have been with us for at least a year. The application window is anticipated to close within 30 days of the date of the posting. Have a passion for food and serving seniors? Then being a dining services coordinator at Brookdale is for you! As a serving coordinator, you will provide superior customer service by directing and coordinating the dining experience of residents and guests in an upscale atmosphere. Here you will have work-life balance with defined schedules and be a valued member of the team. You are not just serving, you are enriching lives. Become part of our family, grow your skills and career, and have the satisfaction of helping make seniors' lives brighter every day. What it takes to be a Dining Service Coordinator at Brookdale Our Dining Service Coordinators plan, direct, coordinate activities of the dining services department, and provide food services for residents and employees. In addition, you will establish departmental regulations and procedures in conformance with administrative policies as well as develop standards for organization and supervision of dining services. Brookdale is an equal opportunity employer and a drug-free workplace.
    $33k-44k yearly est. 12d ago
  • UR COORDINATOR

    Universal Health Services 4.4company rating

    Willoughby, OH jobs

    Responsibilities Windsor Laurelwood Center for Behavioral Health is seeking a Utilization Review Coordinator (UR Coordinator) to perform the process of utilization review to ensure appropriate reimbursement by third party payers. This includes managing the denial/appeals process, as well as the flow, organization, and reporting of information. Qualifications The specific duties of the Utilization Review Coordinator include but are not limited to: * Obtaining preauthorization for admissions and continued stays according to third party guidelines within one business day of admission (unless otherwise required), including researching and obtaining any necessary insurance contact information, and coordinating scheduled meetings between hospital and insurance doctors. * Managing and performing the processes for retrospective authorizations and denials/appeals. * Timely communicating preauthorization outcomes, follow-up instructions, options, and related information to relevant hospital staff and patients. This includes responding to all calls and emails within one business day unless otherwise required. * Documenting activity in Billing and UR software, and preparing reports for meetings and management review. * Organizing and filing documents for ease of access in approved locations. * Assisting in compiling information for data analysis relating to preauthorization and reimbursement. * Providing assistance to hospital staff in determining the likelihood of insurances covering treatment. * Maintaining patient confidentiality in accordance with state and federal law. * Participating in hospital information meetings, required in-service education and training, and hospital-wide performance improvement and compliance activities. * Promote and incorporate service excellence standards into job responsibilities and interactions. This includes incorporating service recovery skills into difficult patient discussions, and respecting the rights of patients and staff not to participate in or listen to conversations where frustrations and grievances are expressed in an unproductive manner. OTHER SKILLS, ABILITIES AND REQUIREMENTS: * Knowledge of behavioral health systems and Utilization Management required. * Two years of UR experience in a hospital or healthcare insurance setting required. * MSW, BSN, RN, CDP, or LICSW license in good standing preferred. EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success. Notice At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: ************************* or **************.
    $37k-47k yearly est. 20d ago
  • Memory Care Program Coordinator

    Brookdale Senior Living 4.2company rating

    Mount Vernon, OH jobs

    Recognized by Newsweek in 2024 and 2025 as one of America's Greatest Workplaces for Diversity Grow your career with Brookdale! Our Clare Bridge Program Coordinators have opportunities for advancement by exploring a new career in positions such as Clare Bridge Program Managers, Resident Programs Coordinators and Business Office Managers. Make Lives Better Including Your Own. If you want to work in an environment where you can become your best possible self, join us! You'll earn more than a paycheck; you can find opportunities to grow your career through professional development, as well as ongoing programs catered to your overall health and wellness. Full suite of health insurance, life insurance and retirement plans are available and vary by employment status. Part and Full Time Benefits Eligibility * Medical, Dental, Vision insurance * 401(k) * Associate assistance program * Employee discounts * Referral program * Early access to earned wages for hourly associates (outside of CA) * Optional voluntary benefits including ID theft protection and pet insurance Full Time Only Benefits Eligibility * Paid Time Off * Paid holidays * Company provided life insurance * Adoption benefit * Disability (short and long term) * Flexible Spending Accounts * Health Savings Account * Optional life and dependent life insurance * Optional voluntary benefits including accident, critical illness and hospital indemnity Insurance, and legal plan * Tuition reimbursement Base pay in range will be determined by applicant's skills and experience. Role is also eligible for team based bonus opportunities. Temporary associates are not benefits eligible but may participate in the company's 401(k) program. Veterans, transitioning active duty military personnel, and military spouses are encouraged to apply. To support our associates in their journey to become a U.S. citizen, Brookdale offers to advance fees for naturalization (Form N-400) application costs, up to $725, less applicable taxes and withholding, for qualified associates who have been with us for at least a year. The application window is anticipated to close within 30 days of the date of the posting. Job Summary In alignment with Brookdale's Resident and Family Engagement philosophy, plans, coordinates and facilitates a calendar of person centered dementia friendly programs that meet specific needs of each and all residents within the dementia care community. Provides person centered programs while engaging residents in meaningful and purposeful dementia care programs within the Brookdale community enhancing their quality of life. Recognizes individual abilities and needs while encouraging independence and ensuring resident habits, historical routines, interests and preferences are honored in the provision of care and programming. Essential Functions * Designs a 7 day a week person centered program that is engaging, creative and meets the needs and interests of the individual residents. Promotes and engages residents in the 7 domains of well-being programs in a dementia friendly structured environment; including sensory focused small group programming for residents who cannot participate in a larger group setting. * Develops a monthly calendar, in partnership with residents, based on residents' shared interests. Ensures person centered special events and daily path programs are scheduled and executed as scheduled. * Ensures dementia care programs are in compliance with Brookdale Excellence Standards Tool (BEST), Divisional Dementia Care Site visit tool, state, federal, and other regulations and meet Brookdale's mission, policies, procedures and dementia care standards as assigned by the Executive Director. * Collaborates with community leadership educating & providing resources to families and associates regarding Alzheimer's disease and other dementias. This includes how to engage residents and lead programs on an ongoing basis. This includes facilitating and coordinating dementia focused in-services and or events for families or computer based and situation specific training for associates including Understanding Alzheimer's & Dementia Care (UADC), as required by Brookdale. * May provide direct supervision of Clare Bridge Program Assistant/s, as required by Executive Director, which includes assisting with hiring, coaching, and counseling program assistant associate and conducting the documenting corrective action, as needed. Completes job performance evaluations. May act in supervisory capacity in absence of Manager or Executive Director. * Collaborates with community leadership in planning, coordinating, appropriately decorating, and participating in special events including holidays, signature programs, National Walk to End Alzheimer's, family socials, educational and marketing events. * Reports changes in residents' overall health to clinical partner, including changes in behavior; takes actions to address concerns in a timely manner and collaborates with the team in exploring approaches and interventions to address behavioral expressions. * Oversees social media content to ensure alignment with Brookdale's culture, brand, and social media guidance and Brookdale standards. * Plans and schedules programming events outside the community, which may include driving a community motor vehicle. * Maintains and adheres to department monthly budget and expense control and may manage volunteer program. * Performs personal care, housekeeping and dietary responsibilities, as needed, to ensure service quality is maintained in accordance with Clare Bridge Program standards. Has completed training and qualifications based on state regulations to ensure service quality is maintained in accordance with Clare Bridge Program standards. This job description represents an overview of the responsibilities for the above referenced position. It is not intended to represent a comprehensive list of responsibilities. An associate should perform all duties as assigned by his/ her supervisor. Education and Experience Bachelor's Degree in therapeutic recreation, gerontology, education or related field preferred. Minimum two years of direct programming experience with older adults and persons with dementia preferred; or equivalent combination of education and experience. Certifications, Licenses, and other Special Requirements Must have a valid driver's license and a current 3-year driving abstract with no more than one moving violation as a condition of employment and may be required to obtain a commercial driver's license based on the needs of the community Physical Demands and Working Conditions * Standing * Walking * Sitting * Use hands and fingers to handle or feel * Reach with hands and arms * Climb or balance * Stoop, kneel, crouch, or crawl * Talk or hear * Ability to lift: Up to 50 pounds * Vision * Requires interaction with co-workers, residents or vendors * Occasional weekend, evening or night work if needed to ensure shift coverage * Possible exposure to communicable diseases and infections * Potential injury from transferring, repositioning, or lifting residents * Exposure to latex * Possible exposure to blood-borne pathogens * Possible exposure to various drugs, chemical, infections, or biological hazards * Subject to injury from falls, burns, odors, or cuts from equipment * Requires Travel: occasionally Management/Decision Making Uses limited independent judgment to make decisions based on precedents and established guidelines. Solves problems using standard procedures and precedents. Knows when to refer issues to supervisor and when to handle them personally. Knowledge and Skills Has a working knowledge of a skill or discipline that requires basic analytic ability. Has an overall understanding of the work environment and process. Has working knowledge of the organization. Basic typing skills are essential along with basic knowledge of PC's and word processing software, preferably in the Microsoft Windows environment. Brookdale is an equal opportunity employer and a drug-free workplace.
    $31k-38k yearly est. 10d ago
  • Care Coordinator II

    Centene 4.5company rating

    Remote

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. ***POSITION IS REMOTE BUT CANDIDATE MUST RESIDE IN THE STATE OF MISSOURI*** Position Purpose: Supports care management activities and the teams assigned to members to ensure services are delivered by the healthcare providers and partners and continuity of care/member satisfaction is achieved. Interacts with members by performing member outreach telephonically or through home-visits and documents the plan for care/services of activities. Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plan Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care/service May support performing service assessments/screenings for members and documenting the member's care needs Supports documenting and maintaining member records in accordance with state and regulatory requirements and distribution to providers as needed Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards Ability to identify needs and make referrals to Care Manager, community based organizations, and Disease Manager Provide education on benefits and resources available Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Requires a High School diploma or GED. Requires 1 - 2 years of related experience Pay Range: $17.84 - $28.02 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. 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 other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $17.8-28 hourly Auto-Apply 3d ago

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