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.

Join us as a **Registered Nurse (RN) - Quality Coordinator RN position** at Lower Keys Medical Center Unit: Quality Coordinator RN (2+ years of quality experience preferred) Shift: Remote or onsite Mon-Fri 8AM-4:00 PM Monthly Housing Stipend Student Loan Contribution: Up to $20k Other incentives include: Medical, Vision, Dental, 401k match & more available for Full and Part-Time roles **Job Summary** The Quality Coordinator - RN plans, coordinates, and implements quality management programs to ensure compliance with regulatory standards and the delivery of high-quality patient care. This role involves collecting, analyzing, and reporting performance data, collaborating with medical staff, and facilitating process improvements to achieve optimal patient outcomes. The Quality Coordinator supports accreditation efforts and continuous quality improvement initiatives. **Essential Functions** + Develops and implements quality management strategies, including data collection, analysis, and performance monitoring, to ensure compliance with regulatory and accreditation standards. + Conducts medical record reviews to evaluate patient care and identify opportunities for improvement, maintaining accuracy and timeliness. + Collaborates with healthcare teams to coordinate quality improvement initiatives, providing guidance and education on best practices and standards of care. + Abstracts core measure data and enters it accurately into hospital, corporate, and state databases, ensuring timely submission of quality reports. + Communicates effectively with peers, healthcare staff, and leadership, providing regular updates on quality measures, compliance, and performance metrics. + Supports the development and maintenance of quality-related policies and procedures, ensuring they align with regulatory requirements and reflect current clinical standards. + Assists in preparing data for presentations and reports, correlating information to support decision-making and strategic planning. + Participates in the development and implementation of process improvements, contributing to a culture of continuous quality enhancement and patient safety. + Performs other duties as assigned. + Maintains regular and reliable attendance. + Complies with all policies and standards. **Qualifications** + 2-4 years of experience in quality management, performance improvement, or a similar role in a healthcare setting preferred **Knowledge, Skills and Abilities** + Strong understanding of healthcare quality measures, regulatory standards, and accreditation requirements. + Excellent analytical skills for data collection, interpretation, and reporting to support quality initiatives. + Effective communication skills for interacting with healthcare teams, leadership, and external stakeholders. + Ability to adapt to change, implement process improvements, and foster a culture of quality and safety. + Proficiency in using electronic medical records (EMR) systems and quality reporting tools. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State Licensure required + CPHQ - Certified Professional in Healthcare Quality preferred Equal Employment Opportunity This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to ************************************************* to obtain the main telephone number of the facility and ask for Human Resources.

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

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

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 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. Position Purpose: This role will focus on ensuring that the administration of the pharmacy program is accurate and compliant by supporting various operational tasks. Perform duties to support the development, coordination and maintenance of the pharmacy program. Review benefit/formulary setup and testing (new and year over year). Conduct claims analysis Performs other duties as assigned Complies with all policies and standards Education/Experience: High School Diploma or GED 2+ years of pharmacy experience in managed care environment preferred License/Certification: Current state's Pharmacy Technician license preferred Location: Position is remote. Will work PST hours. 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

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 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. Location: Up to 25% travel. Prefer candidate to live in/around San Antonio, Austin, McAllen, Corpus Christi, or Temple, TX. Candidate MUST live in TX. Position Purpose: Supports administrative care management activities including performing outreach, answering inbound calls, and scheduling services. Serves as a point of contact to members, providers, and staff to resolve issues and documents member records in accordance with current state and regulatory guidelines. Provides outreach to members via phone to support with care plan next steps, community or health plan resources, questions or concerns related to scheduling and ongoing education for both the member and provider throughout care/service Provides support to members to connect them to other health plan and community resources to ensure they are receiving high-quality customer care/service May apply working knowledge of assigned health plan(s) activities and resources Serves as the front-line support on various member and/or provider inquiries, requests, or concerns which may include explaining care plan procedures, and protocols Supports member onboarding and day-to-day administrative duties including sending out welcome letters, related correspondence, and program educational materials to assist in the facilitation of a successful member/provider relationship Documents and maintains non-clinical member records to ensure standards of practice and policies are in accordance with state and regulatory requirements and provide to providers as needed Knowledge of existing benefits and resources locally and make referrals to address Social Determinants of Health (SDOH) needs 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 Location: Up to 25% travel. Prefer candidate to live in/around San Antonio, Austin, McAllen, Corpus Christi, or Temple, TX. Candidate MUST live in TX. 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

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start **Caring. Connecting. Growing together** As a part of the care management team, the Care Coordinator will be the primary care manager for a panel of members with chronic and complex health care needs. This position will provide support to the broader team with clinical and non-clinical activities to support a person-centered approach to care coordination. Care coordination activities will focus on supporting members' medical, behavioral, and socioeconomic needs to promote appropriate utilization of services and improved quality of care. This is a fast-paced working environment that requires the ability to multitask with attention to detail and excellent organizational skills. If you are located in Ada, Adams, Canyon, Gem, Owyhee, Payette, or Washington Counties, ID, you will have the flexibility to work remotely* as you take on some tough challenges. This is a hybrid- based position up to 75% of time in field when business requires with a home - based office. You will work from home when not in the field. **Primary Responsibilities:** + Serve as the primary care manager for dual eligible members + Engage people face-to-face and/or telephonically to complete a comprehensive needs assessment or wellness assessment (as appropriate), including assessment of medical, behavioral, functional, cultural, and social drivers of health (SDoH) Develop and implement individualized, person-centered care plans inclusive of goals, opportunities and interventions aligned with a person's readiness to change to support the best health and quality of life outcomes by meeting them where they are in their health journey + Partner and collaborate with the internal care team, providers, and community resources/partners to implement care plans and remove obstacles so the member can successfully stay in or return to the community (when appropriate + Assist members with obtaining necessary HCBS supports and services + Provide referral and linkage as appropriate and accepted by the individual being served (may include internal consult opportunities such as Housing Navigator, Pharmacy Team, Peer Specialist, etc. or community-based provider referrals such as PCP, specialists, medication assisted therapy referrals, etc.) + Support proactive discharge planning and manage/coordinate care transition following ER visit, inpatient or Skilled Nursing Facility + Provide education and coaching to support member self-management of care needs and lifestyle changes to promote health + Advocate for people and families, as needed, to ensure that the member's needs and choices are fully represented and supported by the health care team + Support Provider and Facility nonclinical questions (credentialing, claims, etc.) connecting them to the correct Health Plan and/or UHC resources 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:** + Must meet one of the following current and unrestricted Idaho license in one of the below: + RN + LCSW, LMSW, LSW, LCPC, LPC, LMFT, LAMFT + LPN/LVN + Two-year degree (or higher) AND 2+ years of experience in Healthcare or Healthcare related industry + 1+ years of experience working with people that have Medicaid / Medicare or who have significant social drivers of health (SDoH) needs + 1+ years of experience with MS Office, including Word, Excel, and Outlook + Driver's License and access to reliable transportation and the ability to travel within assigned territory to meet with members and providers up to 75% of time depending on member and business needs + Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI) + Reside in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service + Reside in Ada, Adams, Canyon, Gem, Owyhee, Payette, or Washington County, Idaho **Preferred Qualifications:** + CCM certification + Two-year degree and 2+ years of experience, preferably as a Healthcare Paraprofessional + Experience working with an Electronic Health Records (EHR) system for documentation + Demonstrated experience / additional training or certifications in care in rural settings homelessness, food insecurity, behavioral health, co-occurring conditions, IDD, Person Centered Care, Motivational Interviewing, Stages of Change, Trauma-Informed Care + Experience supporting individuals with complex and chronic conditions including those residing in a nursing facility or that meet nursing facility level of care within the community + Background in Managed Care + Experience working in team-based care + Bilingual in Spanish or other language specific to market populations *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 _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: 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

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 optimized. Ready to make a difference? Join us to start **Caring. Connecting. Growing together** As a part of the care management team, the Care Coordinator will be the primary care manager for a panel of members with chronic and complex health care needs. This position will provide support to the broader team with clinical and non-clinical activities to support a person-centered approach to care coordination. Care coordination activities will focus on supporting members' medical, behavioral, and socioeconomic needs to promote appropriate utilization of services and improved quality of care. This is a fast-paced working environment that requires the ability to multitask with attention to detail and excellent organizational skills. If you are located in Ada, Adams, Canyon, Gem, Owyhee, Payette, or Washington Counties, ID, you will have the flexibility to work remotely* as you take on some tough challenges. This is a hybrid- based position up to 75% of time in field when business requires with a home - based office. You will work from home when not in the field. **Primary Responsibilities:** + Serve as the primary care manager for dual eligible members + Engage people face-to-face and/or telephonically to complete a comprehensive needs assessment or wellness assessment (as appropriate), including assessment of medical, behavioral, functional, cultural, and social drivers of health (SDoH) Develop and implement individualized, person-centered care plans inclusive of goals, opportunities and interventions aligned with a person's readiness to change to support the best health and quality of life outcomes by meeting them where they are in their health journey + Partner and collaborate with the internal care team, providers, and community resources/partners to implement care plans and remove obstacles so the member can successfully stay in or return to the community (when appropriate + Assist members with obtaining necessary HCBS supports and services + Provide referral and linkage as appropriate and accepted by the individual being served (may include internal consult opportunities such as Housing Navigator, Pharmacy Team, Peer Specialist, etc. or community-based provider referrals such as PCP, specialists, medication assisted therapy referrals, etc.) + Support proactive discharge planning and manage/coordinate care transition following ER visit, inpatient or Skilled Nursing Facility + Provide education and coaching to support member self-management of care needs and lifestyle changes to promote health + Advocate for people and families, as needed, to ensure that the member's needs and choices are fully represented and supported by the health care team + Support Provider and Facility nonclinical questions (credentialing, claims, etc.) connecting them to the correct Health Plan and/or UHC resources 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:** + Must meet one of the following current and unrestricted Idaho license in one of the below: + RN + LCSW, LMSW, LSW, LCPC, LPC, LMFT, LAMFT + LPN/LVN + Two-year degree (or higher) AND 2+ years of experience in Healthcare or Healthcare related industry + 1+ years of experience working with people that have Medicaid / Medicare or who have significant social drivers of health (SDoH) needs + 1+ years of experience with MS Office, including Word, Excel, and Outlook + Driver's License and access to reliable transportation and the ability to travel within assigned territory to meet with members and providers up to 75% of time depending on member and business needs + Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI) + Reside in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service + Reside in Ada, Adams, Canyon, Gem, Owyhee, Payette, or Washington County, Idaho **Preferred Qualifications:** + CCM certification + Two-year degree and 2+ years of experience, preferably as a Healthcare Paraprofessional + Experience working with an Electronic Health Records (EHR) system for documentation + Demonstrated experience / additional training or certifications in care in rural settings homelessness, food insecurity, behavioral health, co-occurring conditions, IDD, Person Centered Care, Motivational Interviewing, Stages of Change, Trauma-Informed Care + Experience supporting individuals with complex and chronic conditions including those residing in a nursing facility or that meet nursing facility level of care within the community + Background in Managed Care + Experience working in team-based care + Bilingual in Spanish or other language specific to market populations *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 _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._

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._

Internships at UnitedHealth Group. If you want an intern experience that will dramatically shape your career, consider a company that's dramatically shaping our entire health care system. UnitedHealth Group internship opportunities will provide a hands-on view of a rapidly evolving, incredibly challenging marketplace of ideas, products and services. You'll work side by side with some of the smartest people in the business on assignments that matter. So here we are. You have a lot to learn. We have a lot to do. It's the perfect storm. Join us to start Caring. Connecting. Growing together. You'll be at the intersection of sales and healthcare, about to create the next incredible solution for insurance customers primarily under the age of 65. If you want to advance your learning in a technology environment that's always pushing the envelope, you've come to the right place. The UnitedHealthOne team, part of UnitedHealthcare's thriving family of businesses, is a team of people who are passionate about using consultative sales to help improve the lives of millions and make health care work better for all. Throughout your 6-month Co-op Early Careers internship experience, you'll be licensed and credentialed as an Insurance Professional. You'll be trained on the tools and products, as well as the sales and compliance techniques to serve as a trusted agent for potential customers. In addition, the Co-op also offers networking, collaboration opportunities as well as mentorship from experienced insurance professionals and leaders. The intent of our Co-op program is to provide return internship opportunities or full-time employment opportunities at UnitedHealthOne, depending on eligibility. This Co-op position will be available for the Summer/Fall semester, TBD (unlicensed). If already licensed with an active Life and Health Insurance License when hired The internship will take place from Summer 2026 - mid December 2026. Hours of the role: * First 8 weeks 40 hours per week (orientation. Pre-licensing prep, and training will be Monday - Friday 8:00am - 4:45pm ET * Ability to work 40 hours per week during full hours of operation, 8am - 10:45pm ET, based upon business need (orientation, pre-licensing preparation, and training is typically 8:00am - 4:45pm ET for approximately the first 8 weeks; evening & weekends may be required post-training, with notice given on change of hours) Commitment Expectations: * Generally, this means that students have limited, additional coursework (0 - 6 credit hours for the fall semester), along with outside commitments that are flexible to the agreed-upon work hours for the duration of the Co-op * This is not a situation where hours and location of work are at the discretion of the student; hours are agreed upon, in advance, with the Co-op supervisor, and work location needs to be a protected health information (PHI) compliant space (no coffee shops or generally other 'open' Wi-Fi networks are to be used) You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on this fulfilling opportunity. Primary Responsibilities: * Successfully become licensed in health & life within your resident state within the first 30 days of Co-op, if not already licensed * Successfully pass FFM (Federally Facilitated Marketplace) and other potential state based exchanged certifications within first 90 days of Co-op * Handle leads from both a dedicated carrier leadsource (UHC) and a multi-carrier leadsource (HealthMarkets) * Receive inbound calls from leadsources and offer available ACA (Affordable Care Act) products based on an established sales process that includes required scripting and highly compliant, needs-based selling * Conduct follow-up calls to consumers who have not yet purchased the product(s) discussed on a previous call, which may include calls made by other licensed agents, to help close the sale * Handle chats with prospective customers according to training and guidelines for the lines of business identified 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: * Currently pursuing a Bachelor's degree from an accredited college/university * Actively enrolled in an accredited college/university during the duration of the Co-op. Not intended for graduating seniors * Must be eligible to work in the U.S. without company sponsorship, now or in the future, for employment-based work authorization. F-1 visa holders with Curricular Practical Training (CPT) or Optional Practical Training (OPT) who will require visa sponsorship, TN visa holders, current H-1B visa holders, and/or those requiring green card sponsorship will not be considered Preferred Qualifications: * Pursuing a degree in Sales, Business, Communication, Healthcare, or Insurance * Intermediate Microsoft Office skills (Outlook, Word, Excel, Powerpoint) * Eagerness to learn about the healthcare system & insurance * Solid communication skills (both written and verbal) * Good problem-solving skills with attention to detail * Ability to work independently with minimal supervision in a fast-paced team environment 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 $18.00 to $32.00 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.

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.

**Explore opportunities with CPS,** part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind **Caring. Connecting. Growing together** As a **Clinical Coordinator** you'll be responsible for leading clinical pharmacy programs and services at the site level as well as staffing duties. **Primary Responsibilities:** + Serve as a clinical resource for the provision of pharmaceutical care and clinical pharmacy services at both Methodist Hospital sites + Build effective relationships with other healthcare professionals and departments within the hospital and company + Promote clinically rational drug therapy and sound pharmaceutical care through the development of new (or expansion of existing) pharmacy practice programs, drug therapy policies, and other programs + Provides training, education and orientation to various health care providers regarding medication use and safety + Precepts pharmacy students on clinical rotations + Participate and assist the Pharmacy Management in all activities as assigned including assisting with IV pump management, formulary management and medication guidelines **Pharmacy location:** Located within Marietta Memorial Hospital, 401 Matthew Street, Marietta, OH 45750 **Hours:** Open 24/7 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:** + Graduate of an accredited PharmD program + Active applicable state Pharmacist license in good standing + Completion of a PGY1 OR 2 years recent clinical work experience working in a hospital setting required + 1+ years of experience as a supervisory pharmacist involved with program development **Hospital Requirements: (may be required)** + (PPD) TB Skin Test - Proof of negative TB skin test within the last 12 months + (MMR) Measles, Mumps and Rubella or A Blood Titer proving immunity + Varicella - (2) documented doses or A Blood Titer proving + Hep B3 Series (or declination) + (Flu) Influenza-required for hire between Oct 1st-April 30th + COVID Vaccine 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 salary for this role will range from $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable. _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._