Coordinator jobs at Tenet Healthcare

The TRA Staffing Coordinator is responsible for coordination of daily staffing with all designated facilities by effectively anticipating and scheduling needs with the facilities Staffing Coordinator, Nurse Managers and Nursing Supervisors. Education: Required: High school diploma or equivalent Experience: Minimum one year customer service experience required, staffing experience preferred, scheduling experience preferred, and workforce management preferred. Responsibilities for contacting facilities regarding progress toward filling outstanding needs. Ensure that approval is obtained for all OT booked by TRA and documents approval in note section of scheduling system. Coordinates confirmation process timely and accurately beginning 3 hours prior to the start of the confirmed shift ensuring that all TRA personnel are contacted. Re-routes all cancelled clinicians. Communicate staff changes to the appropriate parties in accordance with the Confirmation and Cancelation policy. Ensure all work orders are maintained in the system, closed with accurate reasons, and appropriate departments are notified. Ensures all orders with temp request are filled. Anticipates and provides resolution to issues based on the needs and expectations of our customers. Documents all staffing request and activity in the system(s). Addresses all action items outlines in the staffing office's shared email box. Reply's to all client and TRA clinical employee communications, and voice messages, in all systems. Answers all phone calls. Ensures employees comply with regulatory and TRA/Corporate directives, policies and procedures. Forwards Corrective Actions and facility's concerns to TRA chain of command. Serves as Liaison between staff, vendors and facilities to meet minimum staffing requirements within established parameters at booking. Establishes a harmonious relationship with facilities through cooperative contacts.

The Quality Coordinator 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

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

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. RN or LPN licensure required. Prefer candidate to live in/around Atlanta. Position Purpose: Responsible for developing, implementing, and conducting a variety of training programs. Manage the design, development and continuous improvement of a diverse set of learning programs and initiatives. Responsible for the ongoing education and training of the Population Health and Clinical Operations staff. Perform orientation and training classes for clinical and non-clinical operations staff and new hires, including instruction on member management software Conduct training classes on mandatory Education programs required of new employees. Conduct competency evaluations for staff member, providing recommendations for areas of improvement or retraining as needed. Assist with creating refreshers, tips, and newsletter articles Perform clinical call quality audits for competency analysis on clinical staff. Maintain records of training activities and employee progress May be required to take on additional responsibilities as needed to meet staff educational and training needs Performs other duties as assigned Complies with all policies and standards Education/Experience: Associate's or Bachelor's degree in Nursing or equivalent experience. 3+ years of nursing. At least 1 year of learning and development experience, including adult learning principles, instructional design methodologies, and learning technologies. Licenses/Certifications: Registered Nurse (RN) or Licensed Practical Nurse (LPN) Location: Remote-GAPay Range: $55,100.00 - $99,000.00 per year 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

Your experience matters At Columbus Springs - Dublin, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. In your role, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members. We believe that our collective efforts will shape a healthier future for the communities we serve. What we offer Fundamental to providing great care is supporting and rewarding our team. In addition to your base compensation, this position also offers: * Health (Medical, Dental, Vision) and 401K Benefits for full-time employees * Competitive Paid Time Off * Employee Assistance Program - mental, physical, and financial wellness assistance * Tuition Reimbursement/Assistance for qualified applicants * And much more... About Us People are our passion and purpose. Columbus Springs - Dublin is a 72 bed hospital located in Dublin, OH, and is part of Lifepoint Health, a diversified healthcare delivery network committed to making communities healthier with acute care, rehabilitation, and behavioral health facilities from coast to coast. From your first day to your next career milestone-your experience matters How you'll contribute The Quality Coordinator is responsible for the collection and analysis of data on Facility performance, incidents, and documentation to ensure provision of quality care. Assists in the development and delivery of Performance Improvement, Risk Management and Staff Development activities throughout the assigned Facility to ensure that all state, federal, TJC standards for care consistently met. Assists in investigating incidents as needed. Performs a wide range of activities to facilitate healthcare quality, regulatory compliance, risk management, and advocacy services for the Facility and the effective implementation of customer service initiatives provided by the Facility. Ability to effectively handle a wide variety of processes and tasks as delegated by the Director of Quality. Must demonstrate excellent communication and customer service skills. Essential functions: * Demonstrates excellent customer service skills in assisting patients and visitors in a prompt and courteous manner. * Reviews all patient, family or other written concerns regarding the Facility, staff and/or program according to policy * Organizes and prepares materials for various meetings as required. * Investigate patient concerns, take actions and provide mediation toward problem resolution in a timely manner * Tracks and trends all patient feedback, reporting results to Director of Quality. * Support the commitment of our Facility in adhering to Federal, State, and local rules and regulations governing ethical business practices for healthcare providers. * Assists with medical record audits and spot checks to monitor regulatory compliance and documentation quality. * Collects incident reports; records, analyzes, investigates data and reports to Quality Director. * Assist QA Director with projects that improve care for all patients across facilities. * Performs safety rounds on the units at facility to identify risks and safety concerns and reports these to unit supervisor immediately and to QA * Director as soon as possible. * Support the commitment of our Facility in adhering to Federal, State, and local rules and regulations governing ethical business practices for healthcare providers. Maintain patient confidentiality as outlined by HIPAA/42CFR Part II. Qualifications and requirements Education: Bachelor's degree in a health related field preferred. 3 years' experience in a healthcare facility, previous experience in a psychiatric health care facility preferred. License: Clinical license preferred Required Skills: Proficient in Microsoft Word and Excel. Ability to analyze complex information and use problem solving skills to determine appropriate solutions. Previous quality and patient advocacy experience preferred, strong customer service experience required. CPR certification and Crisis Prevention Training (CPI) within 30 days. May be required to work flexible hours and overtime. EEOC Statement: Columbus Springs - Dublin is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law.

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. This is a field-based role. Candidate must reside in Benton or Washington county Arkansas, with additional coverage in Carroll county. 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 License/Certification: For Arkansas Total Care plan - Bachelor's degree in social science/health-related field or a high school diploma with at least one (1) year of experience coordinating care for developmentally or intellectually disabled clients or behavioral health clients. This position is designated as safety sensitive in Arkansas and requires a driver's license, child and adult maltreatment check (before hire and recurring), and a drug screen (at time of hire and recurring). Must reside in AR or border city. Travel: 30%. required This is a field-based role. Candidate must reside in Benton or Washington county Arkansas, with additional coverage in Carroll county. Pay Range: $17.50 - $27.50 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

The Denial Coordinator is responsible for reviewing, tracking, and resolving denied claims, ensuring that appropriate appeals are submitted, and working closely with payers, internal departments, and revenue cycle teams to identify and address denial trends. This role plays a critical part in the denials management process, supporting efforts to improve claims resolution, reduce future denials, and ensure compliance with payer guidelines. As a Denial Appeals Coordinator at Community Health Systems (CHS) - PCCM, you'll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including medical, dental and vision, insurance, and 401k. Essential Functions * Monitors assigned denial pools and work queues in Artiva, HMS, Hyland, BARRT, and other host systems, ensuring timely follow-up on denials and appeals. * Conducts follow-up calls and payer portal research to track the status of submitted appeals and claim determinations, documenting all actions taken. * Communicates with key stakeholders across revenue cycle, billing, and clinical teams to resolve denial trends and improve claim submission accuracy. * Tracks and documents all denial and appeal activity, maintaining accurate records in system logs, account notes, and tracking reports. * Ensures compliance with all payer guidelines and regulatory requirements, keeping up to date with policy changes and appeal submission rules. * Manages BARRT requests (Outbound/Inbound) in a timely manner, ensuring that all required documentation and system updates are completed. * Identifies root causes of denials and collaborates with internal teams to implement process improvements that reduce future denials. * Prepares and submits appeal documentation, ensuring that all required medical records, forms, and supporting materials are included. * Performs other duties as assigned. * Maintains regular and reliable attendance. * Complies with all policies and standards. * This is a fully remote position Qualifications * H.S. Diploma or GED required * Associate Degree or higher in Healthcare Administration, Business, Finance, or a related field preferred * 1-3 years of experience in denials management, insurance claims processing, or revenue cycle operations required * Experience in revenue cycle processes in a hospital or physician office required * Experience with payer appeals, claim resolution, and healthcare billing systems preferred Knowledge, Skills and Abilities * Strong understanding of payer guidelines, claim adjudication processes, and denial management strategies. * Proficiency in Artiva, HMS, Hyland, BARRT, and other revenue cycle applications. * Excellent problem-solving skills, with the ability to analyze denial trends and recommend corrective actions. * Strong written and verbal communication skills, with the ability to engage effectively with payers, internal teams, and leadership. * Detail-oriented with strong organizational and documentation skills, ensuring compliance with payer appeal deadlines. * Ability to work independently and manage multiple priorities in a fast-paced environment. We know it's not just about finding a job. It's about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible. The Shared Services Center - Nashville provides business office support functions like billing, insurance follow-up, call center customer service, data entry and more for hospitals and healthcare providers. But we're not only about work. We know employing a skilled and engaged team of professionals is vitally important to our success, so we make sure to offer competitive benefits, recognition programs, professional development opportunities and a fun and engaging team environment. Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.

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. The hours for this position are Monday - Friday, from 8am to 5pm MST. This position is remote, but candidates must reside within the state of Arizona. Position Purpose: Analyze and resolve verbal and written claims and authorization grievance/appeals from providers and members. Resolve all State inquires related to complaints, grievances and appeals. Review and process member and provider grievances and appeals within federal, state and organizational regulations and policies and procedures Review claim grievance for reconsideration and either approve/deny based on determination level or prepare for medical review presentation. Prepare cases for medical review as necessary Review and determine if claim grievance includes a potential quality or access issue Collaborate with subject matter experts within the organization to obtain benefit and/or clinical opinions/interpretations of complex cases Serve as liaison between member, provider regulatory agencies and internal staff. Correspond with key individuals regarding grievance and appeal decisions. Act as subject matter expert regarding grievances and appeals. Lead Appeals and Grievance Committee Performs other duties as assigned Complies with all policies and standards Education/Experience: Bachelor's degree in related field or equivalent experience. 2+ years of claims, contracting, or related experience in a managed care environment. Pay Range: $22.79 - $38.84 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

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 travel for (1) home visits focusing on Physically Disabled/Elderly waiver services as well as (2) visits to assist members residing in Supportive Living facilities (SLF) occasionally. Preference will be given to applicants with waiver, case management, advocacy or home visits/community travel experience who reside within the following zip codes in Cook, Kane, DuPage, Will County, Illinois: 60101, 60103, 60105, 60106, 60108, 60109, 60116, 60117, 60119, 60122, 60126, 60128, 60132, 60134, 60137, 60138, 60139, 60143, 60144, 60147, 60148, 60151, 60157, 60172, 60174, 60175, 60181, 60183, 60184, 60185, 60186, 60187, 60188, 60189, 60190, 60191, 60197, 60199, 60399, 60440, 60446, 60490, 60502, 60503, 60504, 60505, 60506, 60507, 60510, 60511, 60514, 60515, 60516, 60517, 60519, 60521, 60522, 60523, 60527, 60532, 60538, 60539, 60540, 60542, 60544, 60554, 60555, 60559, 60561, 60563, 60564, 60565, 60566, 60567, 60568, 60572, 60585, 60586, 60598, 60599, 60666. Nearby cities include Aurora, Naperville, Bolingbrook, Downers Grove, Wheaton, Elmhurst, Bartlett, Carol Stream, Plainfield, and Woodridge. • Department: LTSS Case Management - Community • Caseload: Physical Disability & Aging Waiver Members • Schedule: Monday through Friday, 8-4:30 pm CT with 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 ****Residency in the area mentioned above is needed for this role as well as the willingness to complete 75% local travel. **** 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

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. The hours for this position are Monday - Friday, from 8am to 5pm MST. This position is remote, but candidates must reside within the state of Arizona. 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: $19.04 - $32.35 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

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 occasional local travel (up to 10%) for home visits and team meetings. Preference will be given to individuals who (1) reside in the following Illinois Counties: Perry, Jackson, Union, Alexander, Pulaski, Johnson, Williamson, Franklin, Jefferson, Wayne, Hamilton, Saline, Pope, Hardin, Gallatin, White, Edwards, Wabash; (2) have worked in the child welfare or foster care or post adoption family space, (3) who have a combination of experience in service coordination, case management, community advocacy, behavioral health while using varius office software such as outlook, excel, electronic medical record platforms proficiently.*** Additional Details: • Line of Business: Illinois Health Plan • Department: MED-Medical Management (Case Management) • Caseload: Youth Care/Foster Care (ages 0-21) • Schedule: Monday through Friday, 8am-5pm central Position Purpose: Works with senior care management team to support 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. Serves as a liaison alongside care managers and providers to ensure proper coordination of care for members and interacts with members by performing member outreach telephonically or through home-visits. 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 plans Develops in-depth knowledge of care management services including responding to some complex or escalated issues Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care Performs service assessments/screening for members with some complex needs and documents the member's care needs. Documents and maintains member records in accordance with state and regulatory requirements and distribution to providers as needed Works with care management team with triaging, adjusting, and escalating complex requests to management 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 cased organizations, and Disease Manager Provide education on benefits and resources available May assist with training and development needs Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Requires a High School diploma or GED. Requires 2 - 4 years of related experience License/Certification: For Illinois Youth Care plan only: Bachelor's degree in nursing, social sciences, social work, or related field; One (1) year of supervised clinical experience in a human-services field. Must reside in IL Pay Range: $20.00 - $34.03 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

Explore opportunities with [agency name], a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. As the CORE Coordinator, you will support administrative and operational activities in the home health referral process to ensure complete, timely, and accurate referrals are processed and transitioned to the agency for evaluation and care. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: * Receives and reviews referrals and ensures timely and accurate responses * Ensures referrals include all required elements * Identifies any missing criteria requiring follow-up and communicates with appropriate team members for completion * Provides administrative support to CORE team by triaging incoming calls and entering referrals into the operating system * Communicates accurate referral information within CORE and to business development and clinical/operational teams * Actively uses systems supporting referral processes, including Forcura, e-portals, and Homecare Homebase * Serves as a liaison between operations and business development * Understands and supports admission criteria, both clinical and socio-economic, to facilitate timely decision-making and admissions * Provides general information about agency services to patients, their families, and referral sources, including timelines for patients requiring authorization for services * Ensures non-admits are labeled timely, thoroughly, and accurately * Travel may be required 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: * Exceptional organizational, time management, communication, and telephone skills * Proficiency with Microsoft Office and referral systems like Forcura, e-portals, and Homecare Homebase * Knowledge of admission criteria and general agency services * Proven excellent customer service skills * Proven solid organizational and multitasking abilities Preferred Qualifications: * Associate's degree * Familiarity with healthcare referral processes * 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 $14.00 to $27.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. 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.

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: For this role we are seeking candidates who live in North Carolina*** Position Purpose: Primary contact for assigned market(s) for all Sales Operations functions to include onboarding new agents and supporting assigned market(s). Fully supports metric driven sales goal attainment. Thrives in a fast-paced environment, while striving toward quality support and problem resolution for our field sales teams. Supports communication efforts between internal shared services departments, field leadership and external partners to achieve enrollment goals. Accountable to create and utilize reporting to influence sales goal attainment. Supports key National strategic field retail partnerships. Supports relationships between external vendor partners and field sales. Acts as the primary contact for assigned field sales markets/teams to support system access to sales and event support systems (Ascend, Salesforce, LiveVox, etc). Support vendor invoice and contract submissions and requests through Coupa (or related systems) Acts as the primary contact for assigned field sales markets/teams for ad-hoc questions, concerns and requests by monitoring and responding to inquiries received by email and/or phone. Provides first level support for sales systems access issues; maintains user request log for system access requests Acts as liaison between field sales teams and escalation teams in the Call Center and sales systems teams to research and resolve issues and escalates issues to Sales Operations Managers as necessary. Tracks and reports back to Sales Operations Managers on local field marketing request submissions to ensure placement aligns with request. Creates reporting to monitor activities across all channels to measure progress against sales goals. Coordinates with the training team to identify new hire sales associates scheduled for training and notify Sales Support of training complete new hires Provides problem resolution within targeted Service Level Agreements and serves as first line of contact for escalated field sales concerns and issues. Aims to provide first call resolution when able. Conducts outreach to sales partners relating to certifications, applications, events, etc. Education/Experience: High School or GED required. An Associate's Degree in a related field preferred. A minimal of 2 years of experience in customer service or office related area required. 2+ years of experience in health insurance, policy and procedures technical writing and/or agent certification preferred. License/Certification: N/APay Range: $15.58 - $26.73 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

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.** The Field Care Coordinator will be the primary care manager for a panel of members with low-to-medium complexity medical/behavioral needs. Care coordination activities will focus on supporting member's medical, behavioral, and socioeconomic needs to promote appropriate utilization of services and improved quality of care. This position is full - time (40 hours / week) Monday - Friday. Employees are required to have flexibility to work any of our 8 - hour shift schedules during our normal business hours of 8am to 5pm. It may be necessary, given the business need, to work occasional overtime. This position is a field - based position with a home - based office. You will work from home when not in the field. If you are located in or within commutable driving distance to Las Cruces, NM, you will have the flexibility to work remotely* as you take on some tough challenges. **Primary Responsibilities:** + Engage members face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs + Develop and implement person centered care plans to address needs including management of chronic health conditions, health promotion and wellness, social determinants of health, medication management and member safety in alignment with evidence-based guidelines + Partner and collaborate with internal care team, providers, and community resources/partners to implement care plan + Provide education and coaching to support member self-management of care needs and lifestyle changes to promote health + Support proactive discharge planning and manage/coordinate Care Transition following ER visit, inpatient or Skilled Nursing Facility (SNF) admission + Advocate for members and families as needed to ensure the member's needs and choices are fully represented and supported by the health care team + Create a positive experience and relationship with the member + Practice cultural sensitivity and cultural competence in daily care + Learn and listen to member needs and barriers to help promote self-advocating + Collaborating with clinical team of social aspects that might impact treatment plan + Proactively engage the member to manage their own health and healthcare + As needed, help the member engage with mental health and substance use treatment + Provide member education and health literacy on community resources and benefits to encourage self sufficiency + Support member to engage in work or volunteer activities, if desired, and develop stronger social supports through deeper connections with friends, family, and their community + Partner with care team (community, providers, internal staff) + Knowledge and continued learning of community cultures and values + Conduct Comprehensive Needs Assessment (CNA) + 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, etc.) + Ability to remain stationary for long periods of time to complete computer or tablet work duties 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:** + Bachelor's degree OR 2+ years of relevant health care experience + Meet one of the following: + LPN with 2+ years of clinical experience + 2-year degree or higher with 2+ years of clinical experience + 5+ years of relevant experience, including 2 years of clinical experience + 1+ years of experience with MS Office, including Word, Excel, and Outlook + Reliable transportation and the ability to travel up to 50% of the time within assigned territory to meet with members and providers + Have a designated workspace inside the home with access to high - speed internet availability + Ability to travel locally up to 50% of the time + Reside in New Mexico or within commutable driving distance **Preferred Qualifications:** + Bachelor's degree (4-year degree) + Commission for Case Manager (CCM) certification + 4+ years of clinical experience + 1+ year of care coordination experience at a Managed Care Organization / Health Plan + Background in Managed Care + Experience with DSNP population + Experience with Medicare + Experience working in team-based care + Reside in New Mexico *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 $23.41 to $41.83 per hour based on full-time employment. We comply with all minimum wage laws as applicable. **Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. _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._

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. 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) Qualifications Requires at least one year of direct experience with adults. Leadership experience and a degree in a related field are preferred (therapeutic recreation, gerontology, health care, education or other related field). 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. Brookdale is an equal opportunity employer and a drug-free workplace.

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. * 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. 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.

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. 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. Qualifications Requires at least one year of direct experience with adults. Leadership experience and a degree in a related field are preferred (therapeutic recreation, gerontology, health care, education or other related field). 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.

Explore opportunities with Lafayette Home Office, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. As the CORE Clinical Coordinator, you will support administrative and operational activities in the home health referral process to ensure complete, timely, and accurate referrals are processed and transitioned to the agency for evaluation and care. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: * Required to travel 50% of the time * Receives and reviews referrals and ensures timely and accurate responses * Provides clinical review of referrals for non-clinical team members and may assist with obtaining verbal orders when needed * Ensures referrals include all required elements * Identifies any missing criteria requiring follow-up and communicates with appropriate team members for completion * Provides administrative support to CORE team by triaging incoming calls and entering referrals into the operating system * Communicates accurate referral information within CORE and to business development and clinical/operational teams * Actively uses systems supporting referral processes, including Forcura, e-portals, and Homecare Homebase * Serves as a liaison between operations and business development * Understands and supports admission criteria, both clinical and socio-economic, to facilitate timely decision-making and admissions * Provides general information about agency services to patients, their families, and referral sources, including timelines for patients requiring authorization for services * Ensures non-admits are labeled timely, thoroughly, and accurately 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: * Clinical background * Exceptional organizational, time management, communication, and telephone skills * Proficiency with Microsoft Office and referral systems like Forcura, e-portals, and Homecare Homebase * Knowledge of clinical practices and admission criteria * Proven excellent customer service skills * Proven solid organizational and multitasking abilities * Proven ability to work flexible hours and independently Preferred Qualification: * Familiarity with healthcare referral processes * 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 $17.74 to $31.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. 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.

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. Responsibilities Responsible for planning, developing, organizing, implementing, evaluating, and directing the Social Service Department in accordance with current existing federal, state and Brookdale standards. Ensures the resident's psychosocial concrete needs are identified and met in accordance with federal, state, and Brookdale requirements. Meets with administration, medical and nursing staff, and other related departments in planning social services, as directed. Involves the resident/family in planning social service programs when possible. Interviews residents/families as necessary and in a private setting. Obtains information concerning the resident's personal and family problems, past illnesses, etc. Provides consultation to members of our staff, community agencies, etc., in efforts to solve the needs and problems of the resident through the development of social service programs. Provides information to resident/families as to Medicare/Medicaid, and other financial assistance programs available to the resident. Participates in community planning related to the interests of the facility and the services and needs of the resident and family. Plans resident's discharge. Develops and implements social care plans and resident assessments. Maintains records of outside referrals. Communicates needs and plan of care to resident, families, responsible parties, and appropriate staff. Assists in coordinating resident's financial affairs. Assists with coordination of resident room moves. 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. Qualifications Education and Experience Bachelor's Degree in Social Work or Human Service field is required. Minimum of one (1) year of supervised work experience in a health care setting working directly with individuals, preferably the elderly. Certifications, Licenses, and Other Special Requirements None Management/Decision Making Applies existing guidelines and procedures to make varied decisions within a department. Uses sound judgment and experience to solve moderately complex problems based on precedent, example, reasonableness or a combination of these. Knowledge and Skills Possesses extensive knowledge of a distinct skill or function and a thorough understanding of the organization and work environment. Has working knowledge of a functional discipline. Physical Demands and Working Conditions Standing Requires interaction with co-workers, residents or vendors Walking Sitting Use hands and fingers to handle or feel On-Call on an as needed basis Reach with hands and arms Possible exposure to communicable diseases and infections Stoop, kneel, crouch, or crawl Talk or hear Ability to lift: Up to 25 pounds Requires Travel: Occasionally Vision Brookdale is an equal opportunity employer and a drug-free workplace.