Transition coordinator jobs near me - 999 jobs

Holder Construction, an Atlanta-based commercial construction company with operations throughout the United States, is seeking a highly motivated MEP Coordinator to join our Columbus, OH team. Primary Responsibilities Controls/power monitoring coordination including RFIs, submittals, graphics, testing, and checkout. CX lead, including CX schedule ownership, issue tracking and closure, CX checklist readiness reviews, and overall CX communication with client, engineer, and CX provider. Responsible for the specific mechanical and electrical construction needs of Aviation facilities (e.g., Airports) and other related construction projects. This position will supervise all Mechanical, Electrical, and Special Systems Trade contractors and vendors involved in the project. Coordinate all Mechanical, Electrical, and Special Systems schedules, budgets, reports, and documentation from pre-construction through close-out. Requirements For This Position Include 5+ years. commercial construction experience with large sophisticated mechanical and electrical systems. Position requires extensive experience managing the construction of aviation projects and complex electrical and mechanical infrastructure projects. Candidate must have experience in developing project scopes and schedules, coordinating change orders and RFIs, managing and tracking project budgets, and cost control. Strong experience managing professional relationships with owner's representatives, architects, engineers, and clients while supervising trade partners and vendors is a priority.

If you are a current Jazz employee please apply via the Internal Career site. Jazz Pharmaceuticals is a global biopharma company whose purpose is to innovate to transform the lives of patients and their families. We are dedicated to developing life-changing medicines for people with serious diseases - often with limited or no therapeutic options. We have a diverse portfolio of marketed medicines, including leading therapies for sleep disorders and epilepsy, and a growing portfolio of cancer treatments. Our patient-focused and science-driven approach powers pioneering research and development advancements across our robust pipeline of innovative therapeutics in oncology and neuroscience. Jazz is headquartered in Dublin, Ireland with research and development laboratories, manufacturing facilities and employees in multiple countries committed to serving patients worldwide. Please visit *************************** for more information. Brief Description: The Care System Liaison (CSL) will be the point of contact promoting and representing treatment of Individuals with Intellectual/Developmental Disabilities (I/DD) with Lennox-Gastaut Syndrome, Dravet Syndrome, Tuberous Sclerosis Complex in Long Term Care (LTC) facilities, the community housed patients, and personnel affiliated with assigned health care accounts. The CSL will execute provider-, practice-, and facility-level strategies as pre-specified in the strategic plan for the LTC system of care. The CSL will work with the Director, LTC to execute commercial strategic initiatives with affiliated providers, practices, some LTC pharmacies, and facilities. All strategies executed by the CSL will align with patient and account needs in addition to brand and corporate objectives and strategy. The execution of this strategy will drive impact for patients, add value for HCPs and increase performance of our Epilepsy product. The Care System Liaison will own working relationships with neurologists, other important practice-based HCPs affiliated with the IDD/LTC and community-based accounts, staff affiliated with targeted LTC pharmacies, nursing groups, and facility providers and staff. The CSL will work to alleviate barriers to prescribing medications for appropriate patients and enhance the availability of our Epilepsy product to patients. The CSL will be fully compliant during all sales/promotional activities regarding, state and federal regulations. The Care System Liaison will be assessed on how well he/she achieves key objectives which anchor to the CSL role and implements his/her portion of the strategic plan for the business unit (BU). Essential Functions Develop relationships with practice-based HCPs affiliated with the I/DD, LTC, and community-based accounts, staff affiliated with targeted LTC pharmacies, nursing groups and facility providers, staff within long term care accounts In partnership with the Director, Long Term Care, develop an account plan with clear objectives and targets Provide insights to evaluate competitive activity, identify key opportunities, and develop specific account or market objectives and tactics that optimize business performance Participate in local business and customer planning sessions and reviews with management and other BU members Partner with Director, Long Term Care and other relevant BU members to design account-specific strategies that support local pull-through of commercial strategies Attain objectives relating to his/her execution of assigned portions of the plan and achievement of goals for the role Develop a robust internal support network that influences brand strategy and executes tactics through frequent meetings and interactions Work cross-functionally with the LTC team to implement plans aligning to the CSL role Accumulate a deep understanding of needs and opportunities with affiliated providers, practices, and facilities, share information and relevant insights with LTC and BU colleagues Collaborate transversally with Government Affairs and Policy, Field Sales, Medical Affairs, Market Access, and Brand Marketing business partners Strong cross functional leadership, strategic thinking, business planning, communication skills, along with the results orientation, and business savvy to manage a complex national and regional market evolution Proactively review performance trends, plan execution and customer needs and opportunities with LTC and BU colleagues Manage accounts by providing and/or facilitating disease state education, market, and product knowledge to increase appropriate product utilization Support national, regional, and local LTC and IDD related organizations Required Knowledge, Skills, and Abilities 10+ years pharmaceutical industry experience preferred 3+ years experience in an I/DD and/or LTC large account access setting preferred. Successful biotech/pharma product launch experience with a documented track record of exceeding goals Demonstrated business acumen and a track record of sustained performance in exceeding goals and achieving objectives Proven experience working within health systems calling on interdisciplinary care teams and within private practice settings Strong analytical skills with the proven ability to effectively analyze data and appropriately integrate into strategic planning High learning agility and demonstrated scientific acumen Outstanding customer relationship, interpersonal and communication skills with the ability to effectively work with diverse audiences and influence cross functionally Must have excellent communication skills (verbal and written) Highly proficient in Microsoft Office (Word, Excel, Power Point, Outlook, CRM) Required/Preferred Education and Licenses Bachelor's degree required, MBA or other advanced degree preferred Jazz Pharmaceuticals is an equal opportunity/affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any characteristic protected by law. FOR US BASED CANDIDATES ONLY Jazz Pharmaceuticals, Inc. is committed to fair and equitable compensation practices and we strive to provide employees with total compensation packages that are market competitive. For this role, the full and complete base pay range is: $148,000.00 - $222,000.00 Individual compensation paid within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, and other pertinent factors. The goal is to ensure fair and competitive compensation aligned with the candidate's expertise and contributions, within the established pay framework and our Total Compensation philosophy. Internal equity considerations will also influence individual base pay decisions. This range will be reviewed on a regular basis. At Jazz, your base pay is only one part of your total compensation package. The successful candidate may also be eligible for a discretionary annual cash bonus or incentive compensation (depending on the role), in accordance with the terms of the Company's Global Cash Bonus Plan or Incentive Compensation Plan, as well as discretionary equity grants in accordance with Jazz's Long Term Equity Incentive Plan. The successful candidate will also be eligible to participate in various benefits offerings, including, but not limited to, medical, dental and vision insurance, 401k retirement savings plan, and flexible paid vacation. For more information on our Benefits offerings please click here: .

Do you want to work with people that make work enjoyable? Do you want a rewarding career? If you are passionate about helping others reach their goals and live their best life, come work with us! CRSI is looking for a dynamic leader who will be responsible for programs and individual related activities. This individual will provide supervision over direct care and/or other support staff in residential homes. Not only do you get to work with teams across the organization and build long term lasting relationships, CRSI also offers: Generous Paid Time Off (PTO) Paid Holidays Health, Dental and Vision Benefits Employee Assistance Program Retirement Plan Life and AD&D Benefits Short Term and Long-Term Disability Benefits Tuition Reimbursement Duties also include: Maintaining continued awareness of new developments in programming, active treatment, and other related areas for persons with developmental disabilities. Performing investigations, reports, and notifications and reviewing trends and patterns. Participating in committees and Peer Review process. Coordinating with nursing staff and medical personnel for health care needs for all individuals. QUALIFICATIONS: Must have a minimum of 1-5 years' experience and a Bachelor's Degree in Special Education, Social Work, Psychology, developmental disabilities, Nursing, or related Human services field. Technology skills and computer literacy required. Must have strong communication, writing, time management, and organizational skills. Need to be proficient in Microsoft Office suite, particularly Word, Excel, and Outlook. Must be self-motivated and have the ability to work with minimal supervision and be able to handle highly confidential information. Must possess strong leadership abilities and a willingness to work effectively with other administrative staff, ancillary services personnel, and habilitation program staff. Compensation details: 25.5-25.5 PIc56a924aa5e2-37***********8

Outreach Resources: Provide resources who are trusted members of the communities served and/or have an unusually close understanding of the communities to facilitate access to health care services, improve the quality and cultural competency of those services, and improve member health outcomes. Outreach Coordinator Resources work to increase health literacy, reduce costs of services, and improve care. Pay Rate $20.00 hrly. Monday - Friday 8:00-5:00 pm Work remotely and local Travel is required Job Description The overall approach for outreach workers is fluid and flexible based on identified quality and member outcome needs. The primary focus of the Outreach resources will be as follows: Understand Member history and the physical, behavioral, and social factors that may be leading to less-than-ideal health outcomes or persistent gaps in care. Utilize a whole health approach when interacting with Members and caregivers. Working with Case Management to place outreach resources at point of care facilities to better facilitate member engagement and action. Facilitate real time gap closure initiatives including but not limited to immunizations, telehealth visits, A1c tests, lead tests, and blood pressure readings. Pivot priorities as necessary month to month based on HEDIS performance. Engage member in care coordination and case management as necessary. Educate member on health care benefits and services and monitor for over and/or underutilization. Requirements: Vaccinated Covid and Flu Home Visits Required Driver's License required High School Diploma/GED required Preferred: Community Outreach Experience preferred

NOTE: THIS IS A REPOSTING OF (CS-2025-36997-12518). IF YOU APPLIED UNDER THE PREVIOUS POSTING WHICH WAS OPEN FROM DECEMBER 16, 2025 TO DECEMBER 29, 2025, YOU CANNOT SUBMIT A NEW APPLICATION. Are you eager to elevate your career while showcasing your exceptional knowledge and organizational abilities? The Department of Transportation is on the lookout for a motivated Roadway Programs Coordinator to join the Bureau of Maintenance and Operations' Emergency Incident Management Section. If you are ready to embrace this exciting and rewarding role, we encourage you to apply today! DESCRIPTION OF WORK In this role, you will oversee various programs related to the development, planning, and execution of functions managed by the Emergency and Incident Management Section within the Bureau. Reporting to the Section Chief, your responsibilities will include managing the weather service contract for statewide stockpile-specific point forecasting, assisting Districts and Counties in utilizing the forecasting site, and coordinating user licenses and training. You will also act as Area Commander during emergency and weather events, formulating and implementing immediate plans to address maintenance and traffic concerns, such as detours and travel restrictions. Additionally, you will instruct National Incident Management System courses through PennDOT and coordinate the Disaster Recovery Program. Interested in learning more? Additional details regarding this position can be found in the position description. Work Schedule and Additional Information: Full-time employment Work hours are 7:00 AM to 3:00 PM, Monday - Friday, with a 30-minute lunch. This is an essential position and you will be on call on a 24/7 weekly rotation. Overnight travel may occasionally be required. Telework: You may have the opportunity to work from home (telework) part-time. In order to telework, you must have a securely configured high-speed internet connection and work from an approved location inside Pennsylvania. If you are unable to telework, you will have the option to report to the headquarters office in Harrisburg. The ability to telework is subject to change at any time. Additional details may be provided during the interview. Salary: In some cases, the starting salary may be non-negotiable. You will receive further communication regarding this position via email. Check your email, including spam/junk folders, for these notices. REQUIRED EXPERIENCE, TRAINING & ELIGIBILITY QUALIFICATIONS Minimum Experience and Training Requirements: One year of experience as a Roadway Programs Specialist or Roadway Programs Technician Supervisor (Commonwealth job title or equivalent Federal Government job title, as determined by the Office of Administration); or Three years of experience in the analysis, development, and implementation of methods and techniques used in a roadway maintenance management system; and an associate's degree in a field of business administration, computer science, highway engineering technology or closely related program; or One year of experience in the analysis, development, and implementation of methods and techniques used in a roadway maintenance management system; and a bachelor's degree in business administration, computer science, mathematics, statistics, or civil engineering related discipline; or Any equivalent combination of experience and training. Other Requirements: You must meet the PA residency requirement. For more information on ways to meet PA residency requirements, follow the link and click on Residency. You must be able to perform essential job functions. How to Apply: Resumes, cover letters, and similar documents will not be reviewed, and the information contained therein will not be considered for the purposes of determining your eligibility for the position. Information to support your eligibility for the position must be provided on the application (i.e., relevant, detailed experience/education). If you are claiming education in your answers to the supplemental application questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are acceptable. Your application must be submitted by the posting closing date . Late applications and other required materials will not be accepted. Failure to comply with the above application requirements may eliminate you from consideration for this position. Veterans: Pennsylvania law (51 Pa. C.S. *7103) provides employment preference for qualified veterans for appointment to many state and local government jobs. To learn more about employment preferences for veterans, go to ************************************************ and click on Veterans. Telecommunications Relay Service (TRS): 711 (hearing and speech disabilities or other individuals). If you are contacted for an interview and need accommodations due to a disability, please discuss your request for accommodations with the interviewer in advance of your interview date. The Commonwealth is an equal employment opportunity employer and is committed to a diverse workforce. The Commonwealth values inclusion as we seek to recruit, develop, and retain the most qualified people to serve the citizens of Pennsylvania. The Commonwealth does not discriminate on the basis of race, color, religious creed, ancestry, union membership, age, gender, sexual orientation, gender identity or expression, national origin, AIDS or HIV status, disability, or any other categories protected by applicable federal or state law. All diverse candidates are encouraged to apply. EXAMINATION INFORMATION Completing the application, including all supplemental questions, serves as your exam for this position. No additional exam is required at a test center (also referred to as a written exam). Your score is based on the detailed information you provide on your application and in response to the supplemental questions. Your score is valid for this specific posting only. You must provide complete and accurate information or: your score may be lower than deserved. you may be disqualified. You may only apply/test once for this posting. Your results will be provided via email.

The Community Based Waiver Service Coordinator, Duals Integrated Care is responsible for managing and coordinating services for individuals who require long-term care support and are eligible for community-based waiver programs, ensuring that members receive the necessary services and supports to live independently in their communities while also coordinating care across various healthcare and social service systems. Essential Functions: Engage with member in a variety of community-based settings to establish an effective, care coordination relationship, while considering the cultural and linguistic needs of each member. Conduct comprehensive assessments to determine the needs of members eligible for community-based waiver services. Develop individualized service plans that outline the necessary supports and services, ensuring they align with the individual's preferences and goals. Serve as the primary point of contact for members and their families, coordinating care across multiple providers and services, including healthcare, social services, and community resources. Facilitate access to necessary services such as home health care, personal care assistance, transportation, and other community-based supports. Regularly monitor the implementation of service plans to ensure that services are being delivered effectively and that individual needs are being met. Conduct follow-up assessments to evaluate the effectiveness of services and make adjustments to person-centered care plans as needed. Advocate for the rights and needs of members receiving waiver services, ensuring they have access to the full range of benefits and supports available to them. Empower members and their families/caregivers to make informed decisions about their care and support options. Build and maintain relationships with healthcare providers, community organizations, and other stakeholders to facilitate integrated care. Lead and collaborate with interdisciplinary care team (ICT) to discuss individual cases, coordinate care strategies, and create holistic care plans that address medical and non-medical needs. Provide education and resources to members and their families/caregivers about available services, benefits, and community resources. Offer guidance on navigating the healthcare system and accessing necessary supports. Maintain accurate and up-to-date records of member interactions, care/service plans, and progress notes. Assist in preparation of reports and documentation required for compliance with state and federal regulatory requirements. Respond to crises or emergencies involving members receiving waiver services, coordinating immediate interventions and support as needed. Evaluate member satisfaction through open communication and monitoring of concerns or issues. Regular travel to conduct member, provider and community-based visits as needed and per the regulatory requirements of the program. Report abuse, neglect, or exploitation of older adults as a mandated reporter as required by State law. Regularly verify and collaborate with Job and Family Service to establish and/or maintain Medicaid eligibility. On-call responsibilities as assigned. Perform any other job duties as requested. Education and Experience: Nursing degree from an accredited nursing program or Bachelor's degree in health care field or equivalent years of relevant work experience is required. Minimum of 1 year paid clinical experience in home and community-based services is required. Medicaid and/or Medicare managed care experience is preferred Competencies, Knowledge and Skills: Intermediate proficiency level with Microsoft Office, including Outlook, Word, and Excel Prior experience in care coordination, case management, or working with dual-eligible populations is highly beneficial. Understanding of Medicare and Medicaid programs, as well community resources and services available to dual-eligible beneficiaries. Strong interpersonal and communication skills to effectively engage with members, families, and healthcare providers. Awareness of and sensitivity to the diverse backgrounds and needs of the populations served. Ability to manage multiple cases and priorities while maintaining attention to detail. Adhere to code of ethics that aligns with professional practice, including maintaining confidentiality. Decision making and problem-solving skills. Knowledge of local resources for older adults and persons with disabilities. Licensure and Certification: Current and unrestricted license as a Registered Nurse (RN), Licensed Social Worker (LSW), or Licensed Independent Social Worker (LISW) in the State assigned is required. Case Management Certification is highly preferred. Must have valid driver's license, vehicle and verifiable insurance. Employment in this position is conditional pending successful clearance of a driver's license record check and verified insurance. If the driver's license record results are unacceptable, the offer will be withdrawn or, if employee has started employment in position, employment in the position will be terminated. Employment in this position is conditional pending successful clearance of a criminal background check. Results of the criminal background check may necessitate an offer of employment being withdrawn or, if employee has started in position, termination of employment. To help protect our employees, members, and the communities we serve from acquiring communicable diseases, Influenza vaccination is a requirement of this position. CareSource requires annual proof of Influenza vaccination for designated positions during Influenza season (October 1 - March 31) as a condition of continued employment. Employees hired during Influenza season will have thirty (30) days from their hire date to complete the required vaccination and have record of immunization verified. CareSource adheres to all federal, state, and local regulations. CareSource provides reasonable accommodations to qualified individuals with disabilities or medical conditions, sincerely held religious beliefs, or as required by state law to enable the employee to perform the essential functions of the position. Request for accommodations will be completed through an interactive review process. Working Conditions: This is a mobile position, meaning that regular travel to different work locations, including homes, offices or other public settings, is essential. Will be exposed to weather conditions typical of the location and may be required to stand and/or sit for long periods of time. Must reside in the same territory they are assigned to work in; exceptions may be considered, due to business need. May be required to travel greater than 50% of time to perform work duties. Required to use general office equipment, such as a telephone, photocopier, fax machine, and personal computer. Flexible hours, including possible evenings and/or weekends as needed to serve the needs of our members. Compensation Range: $62,700.00 - $100,400.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package. Compensation Type: Salary Competencies: - Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business This is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds. #LI-ST1

About the Organisation Almost half of Australian adults will experience a mental health illness at some point in their life. You can make a meaningful difference to the Australian community by joining the Life Without Barriers team. Our mental health teams provide client-led, recovery-orientated mental health support, creating positive change in such a vital industry. Life Without Barriers is a leading social purpose organisation of 8,000 employees working in more than 500 communities across Australia. We support children, young people and families, people with disability, older people and people with mental illness. We work with people who are homeless and refugees and asylum seekers. Join a community of people dedicated to breaking down barriers. We want to employ people who reflect the diversity of our clients to ensure we can support each client's individual needs and wants. We encourage people of Aboriginal and Torres Strait Islander background and people with disability to apply. About the Role As a Transition Coordinator - Mental Health you will lead our From Hospital to Home transition service. In this pivotal role, you will oversee staff and daily operations, coordinating the smooth and safe transition of individuals from hospital care into our service and ultimately into longer term, community-based NDIS funded supports. You will thrive in a dynamic environment, bringing a strong understanding of the mental health system, the NDIS and a commitment to delivering recovery focused, person-centred support. This is a full-time, maximum term contract position until 30 September 2026, based at our Swan View House, with some flexibility to work remotely from time to time. Key Responsibilities Lead and manage the hospital to home transition process for individuals with complex mental health needs. Coordinate all aspects of support planning, delivery and transition in and out of the service in collaboration with individuals' stakeholders. Build strong, collaborative relationships with stakeholders including hospitals, mental health teams, NDIS providers and government agencies. Lead and supervise a multidisciplinary support team, including rostering, and assist with recruitment and performance management. Deliver recovery-oriented services and ensure individuals understand and exercise their rights. Facilitate individual safety planning, stakeholder meetings and service reviews. Maintain accurate and timely records and reports, ensuring compliance with LWB, NDIS and funder's requirements. Identify service improvements and implement quality and process enhancements. Provide mental health support as required. Skills & Experience Social work, allied health or psychology or other relevant qualification, undergraduate degree or higher A current Australian Driver's Licence and First Aid Certificate. Extensive experience in community services, NDIS or mental health sector. Strong understanding of WA's mental health system and the NDIS framework, including Practice Standards and Safeguarding Requirements. Proven ability to work both independently and as part of a multidisciplinary team. High-level communication, documentation and stakeholder engagement skills. Strong organisational, administrative and time management skills, with the ability to meet competing priorities and KPIs. Experience in behaviour support processes, risk assessment and recovery-focused planning. Successful candidates will be required to clear probity checks including National Criminal History Record Check and NDIS Worker Screening check. Benefits Opportunity to join a truly inclusive and values based organisation. Be supported by a well established and highly regarded Mental Health team. Non-profit salary packaging benefits with Maxxia and other employee discounts How to Apply Include your resume and covering letter in one document, click ‘Apply' and follow the prompts. For any enquiries, please contact Kestra Caller at ********************** Candidates with disabilities who require adjustments to the recruitment process or the application form in an alternate format can visit ******************************* for information on our access and inclusion work and how to contact us directly. Applications close at midnight on Sunday the 25th of January

Total Care Connect (TCC) is a mobile integrated health organization delivering in-home clinical and preventive care to members across Ohio and surrounding regions. We support health plans, health systems, and value-based organizations by reaching members where they are - in their homes and communities - to improve access, close care gaps, and reduce avoidable utilization. As a tech-enabled, field-based care delivery organization, our teams provide a range of services including preventive care, chronic condition support, transition-of-care visits, member engagement, and navigation. We operate with a focus on high-quality member experience, operational excellence, and coordinated care across clinical, administrative, and remote teams. Position Summary The Transition of Care Coordinator (Clinical) is responsible for reviewing daily hospital discharge notifications (ADT feeds), triaging member needs, and coordinating timely post-discharge in-home or telehealth visits. This role serves as the clinical support layer for TCC's Engagement and Care Coordination teams and plays a critical part in ensuring a safe transition for members returning home after hospitalization. Compensation Salary $70,000 - $75,000, commensurate with experience. Key Responsibilities Clinical Triage Review daily ADT/discharge alerts to identify eligible members. Assess discharge diagnoses, risk level, and clinical appropriateness for TCC services. Prioritize outreach based on clinical needs and post-acute risk factors. Determine the appropriate intervention pathway Member Engagement & Coordination Conduct initial outreach to recently discharged members. Confirm discharge details, evaluate immediate needs, and assess potential barriers to care. Coordinate with the Care Coordination team to ensure visits are scheduled within required timeframes (24-72 hours). Support members with education, planning, and navigation during early post-discharge periods. Communication & Partner Support Serve as a clinical liaison to health plan case managers, hospital teams, and discharge planners. Provide status updates and close-loop communication back to referral partners. Ensure accurate documentation in TCC's care platform and maintain program compliance. Program Support & Workflow Development Assist in building and improving TOC workflows, SOPs, and process standards. Monitor TOC metrics including engagement rates, timeliness of visits, and readmission risk indicators. Collaborate across internal teams to improve operational effectiveness. Qualifications Required (one of the following): Licensed Practical Nurse (LPN), or Medical Assistant (MA) with strong post-acute or hospital experience, or Experience in Case Management Preferred: Experience reviewing ADT feeds or discharge summaries. Familiarity with Medicaid and DSNP populations. Experience in home-based care, case management, community paramedicine, or value-based care. Strong communication and documentation skills. Why This Role Matters This role ensures members have a safe, supported transition from hospital to home and enables TCC to deliver timely post-acute care. The Coordinator directly impacts readmission reduction, quality outcomes, and care continuity for our health plan and provider partners.

HealthPartners is looking for a Certified Adult/Geriatric or Family Nurse Practitioner to join our Home-Based Medicine Team. Being a part of our team means you will have an impact on the care that our patients receive every day. As a Home-Based Medicine Nurse Practitioner/Care Coordinator, you will be part of the largest multi-specialty care system in the Twin Cities. This position will provide both telehealth and fieldwork with seeing patients in their homes. Local travel required. This individual will provide the primary health care for patients at home. * Provide care coordination to achieve patient centered, high quality and cost-effective care across the continuum * Provide nursing leadership in defining and achieving program goals in a changing healthcare environment * Utilizes principals of quality of life, maintenance of optimal function and the patient's advanced directives in developing plan of care * Supportive, patient-centered practice * MN RN and APRN licensure required along with prescriptive authority * Home Based Medicine experience (NP or RN) preferred * Must be able to provide own transportation for local travel. You will be joining a team that is supportive and respectful of one another and deeply committed to the mission of HealthPartners. Here, you'll become a partner for good, helping to improve the health and well-being of our patients, members and community. Our commitment to excellence, compassion, partnership and integrity is behind everything we do. It's the type of work that makes a difference, the kind of work you can be proud of. We hope you'll join us. WORK SCHEDULE: 8am - 5:00 pm BENEFITS: HealthPartners benefit offerings (for 0.5 FTE or greater) include medical insurance, dental insurance, 401k with company contribution and match, 457(b) with company contribution, life insurance, AD&D insurance, disability insurance, malpractice insurance for work done on behalf of HealthPartners as well as a CME reimbursement account. Our clinician well-being program provides a wealth of information, tools, and resources tailored to meet the unique needs of our health care professionals, including physicians, advanced practice clinicians (APCs) and dentists. HealthPartners is a qualified non-profit employer under the federal Public Service Loan Forgiveness program. TO APPLY: For additional information, please contact Judy Brown, Sr. Physician and APC Recruiter, *********************************. For immediate consideration, please apply online.

An ECM Coordinator supports department staff with administrative tasks related to a member's medical condition(s), department case work, communication with internal and external stakeholders, and manage audits. This role will engage with members to offer support and resources related to their medical condition(s) through Allied Care. ESSENTIAL FUNCTIONS Facilitate reviews, referrals, and outreach for referral-based proprietary strategies as well as engaging with members across Medical Management products Document all engagement accurately and concisely within the Microsoft Customer Relationship Management (CRM) system Manage escalated and time sensitive case management questions received from members, broker relationships, and internal and external Allied stakeholders Collaborate with strategic vendor partners to provide supportive services and support to members Lead and facilitate claims auditing in conjunction with ECM Coordinators. Complete department auditing related to daily tasks to ensure accuracy and identify escalations Identify impactful scenarios through appropriate closing summaries in timely fashion. Share impactful scenarios with the department's leadership team to deliver to internal departments, such as Sales, Operations, and Executive leadership Identifying escalations for department leadership team, as appropriate Other duties as assigned EDUCATION Bachelor's Degree or equivalent work experience, required EXPERIENCE AND SKILLS At least 3-5 years of administrative support experience required. Focus on patient-provider engagement, needs assessments, coordination of care, and or patient treatment adherence within the healthcare or social service industry preferred Understanding of intermittent medical terminology such as CPT, HCPC, and diagnostic codes Understanding of basic benefit plan design terminology such as deductible, out-of-pocket, prescription drugs, physical medicine services, etc. Strong verbal and written communication skills Strong analytical and problem-solving skills COMPETENCIES Communication Customer Focus Accountability Functional/Technical Job Skills PHYSICAL DEMANDS This is a standard desk role - long periods of sitting and working on a computer are required. WORK ENVIROMENT Remote Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive. The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate. Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life & Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend. Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role. Protect Yourself from Hiring Scams Important Notice About Our Hiring Process To keep your experience safe and transparent, please note: All interviews are conducted via video. No job offer will ever be made without a video interview with Human Resources and/or the Hiring Manager. If someone contacts you claiming to represent us and offers a position without a video interview, it is not legitimate. We never ask for payment or personal financial information during the hiring process. For your security, please verify all job opportunities through our official careers page: Current Career Opportunities at Allied Benefit Systems Your security matters to us-thank you for helping us maintain a fair and trustworthy process!

Basic Function Responsible for supervising site staff, recruiting students, facilitating the youth program activities, maintaining the site, and performing program-related assignments as needed by the Youth Program Manager. This position is 40 hours per week at our site located at 525 Bernhard Rd, Whitehall, OH 43213 Responsibilities Coordinate the development and implementation of all aspects of the summer programs. Manage all day-to-day operations of the program sites, including organization, maintenance, cleaning, safety, and security. Maintain student files, progress reports, attendance, and other necessary participant documents Establish and maintain relationships and communication with youth, parents, and staff regarding students' needs and progress. Establish and maintain communication with the participant's school regarding student needs. Assist in facilitating partnerships with agencies that provide services to students and families. Complete reports and administrative tasks on a timely basis Provide site updates and create newsletters Coordinate and recruit tutors and tutor volunteers Plan curriculum activities and supervise implementation. Supervise, manage, and evaluate staff. Perform tasks pertinent to achieving goals and objectives required by the Youth Program grant, or as deemed necessary by the Program Director. Skills Oral communication, Professionalism, Interpersonal, Written communication, Computer literacy, Time Management, Organizational, Programming, Management, Organization Cultural Competency, Trauma Informed Education Bachelor's degree in education and/or social services preferred or a combination of some college and relevant experience. Experience Teaching and previous experience working with youth in educational programs. Supervisory experience and experience working with diverse populations

For ambitious, culturally diverse, curious minds seeking booming careers, Job Duck unlocks and nurtures your potential. We connect you with rewarding, remote job opportunities with US-based employers who recognize and appreciate your skills, allowing you to not just survive but thrive. As a lifestyle company, we ensure that everybody working here has a fantastic time, which is why we've earned the Great Place to Work Certification every year since 2022! Job Description: Step into a role where your communication skills and calm demeanor make a real difference every day. As a Legal Case Status Coordinator with Job Duck, you'll be the steady point of contact for clients, helping them feel supported and informed while attorneys focus on their cases. You'll coordinate court dates, manage case statuses, and ensure attorneys have the right documents and instructions before heading to court. This position is perfect for someone who enjoys solving problems independently, thrives in fast-paced environments, and brings empathy and professionalism to every interaction. If you're resourceful, tech-savvy, and comfortable working with clients in distress, you'll find this role both rewarding and impactful. • Monthly Salary Range: 1,150 to 1,220 USD Responsibilities include, but are not limited to: Respond to inquiries with professionalism and care Organize and confirm court dates for attorneys Act as a buffer between clients and attorneys, managing expectations and flow of information Serve as the primary contact for clients, offering clear and compassionate communication Check case statuses with courts and filing services Share instructions and necessary documents for court appearances Manage daily call volume as needed Requirements: 1-2 years of experience in customer support inside a law firm Excellent communication skills in both English and Spanish Strong customer service or client-facing background required Familiarity with assisting clients with legal cases is preferred Ability to work independently and manage tasks without constant supervision Solid writing and organizational abilities Key Skills Clear and confident communication Strong customer service instincts are a must Ability to follow detailed instructions is a must Proactivity is a must Independent thinking and problem-solving Calm and composed under pressure Professional presence and reliability Common sense and attention to detail Tech-savvy Patient and empathetic Self-directed and resourceful Software: CRM familiarity is a plus, OpenPhone, Slack, Google Suite, Dropbox Expected call volume: Some calls involved Working Schedule: Monday to Friday Location: Remote || PST (Pacific Standard Time) Work Shift: 8:00 AM - 5:00 PM [PST][PDT] (United States of America) Languages: English, Spanish Ready to dive in? Apply now and make sure to follow all the instructions! Our application process involves multiple stages, and submitting your application is just the first step. Every candidate must successfully pass each stage to move forward in the process. Please keep an eye on your email and WhatsApp for the next steps. A recruiter will be assigned to guide you through the application process. Be sure to check your spam folder as well.

OUR PURPOSE We are focused on Good Living for the Greater Good. This means providing a true sense of home and belonging for our Neighbors and Prometheans and giving our time and resources to bring positive change locally and beyond. It also means supporting you in your career goals with the very best working experience, and that starts with us having fun in the work we do together. YOUR ROLE AND IMPACT Some companies call them “Property Administrators”, but at Prometheus our Home Base Coordinators do so much more. Our Senior Home Base Coordinators focus on the administration of multiple properties, and your role is a constant blend of: Financial Administration - Whether it is managing rent collections, reviewing ledgers, processing final account statements, or tracking invoices, you are on top if it all. You make every detail count and count every detail. Leasing Administration - You will provide support to the leasing team in qualifying future Neighbors - verifying applications, performing credit investigations, creating all associated documentation accompanying the rental agreements, and recertifications specifically related to Below Market Rate Housing or similar. Customer Service - You are a problem solver that makes renting easy. When Neighbors have questions about policies or deposit charges, you help them find the answers. When the office gets busy, you are the first one to jump in and answer the phones and provide support to the leasing team in qualifying future Neighbors. JOB QUALIFICATIONS Your Experience - Prometheans come from all walks of life and from all over the globe. We're also very diverse in that we hire talent with experience in other industries and who bring different skill sets and ideas to our company. You should bring a passion for working in a customer service, working knowledge of housing rental laws & ordinances, and enjoy solving problems. Your Cultural Traits - Although we're a highly dispersed organization by the nature of our business, our Prometheans are strongly united by our Purpose, Mission and our Cultural Traits. These are the defining characteristics of a Promethean: Team Oriented, Communicator, Entrepreneurial, Passionate, Self-Starter, Creative, Principled, and Brand Ambassador. Your Education - A Bachelor's degree is preferred and a High school diploma or general education degree (GED) is required. COMPENSATION & BENEFITS We offer a variety of benefits that take compensation well beyond a paycheck. This includes traditional benefits and benefits you might not expect or know about. The provided salary range is based on a number of factors, including location, job-related skills, experience and qualifications. Compensation Pay Range: $33.25 to 40.25 per hour Discretionary Semi-Annual Bonus Plan Benefits & Perks Medical; Vision; Dental:100% Company-paid plans (including eligible dependents) and affordable buy-up options Life insurance; Accidental Death & Dismemberment Insurance; Long Term Disability Behavioral Health Program Accessible 24/7 Tax-Free Flexible Spending Accounts 401(K) Retirement Plan with Employer Matching Recognition & Rewards Program (Torch) Vacation: 10 days per year with accrual increasing over time Anniversary Vacation: 40-hour Vacation Granted at Tenured Milestones Sick Leave: 9 days per year 12 paid holidays, including your birthday! Paid Volunteer Time Tenured-based Housing discounts Educational Assistance, Tuition Reimbursement Learn more about these and other perks of being a Promethean by exploring our full Benefits Guide. Prometheus is proud to be an equal opportunity workplace. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, veteran status, or any other status protected under federal, state or local law. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. If you'd like more information about your EEO rights as an applicant under Federal Employment Laws, please check out these FMLA, EEO, and EPPA pages.

Cardinal Health Sonexus™ Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products. Responsibilities Investigate and resolve patient/physician inquiries and concerns in a timely manner Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalate Proactive follow-up with various contacts to ensure patient access to therapy Demonstrate superior customer support talents Prioritize multiple, concurrent assignments and work with a sense of urgency Must communicate clearly and effectively in both a written and verbal format Must demonstrate a superior willingness to help external and internal customers Working alongside teammates to best support the needs of the patient population or will transfer caller to appropriate team member (when applicable) Maintain accurate and detailed notations for every interaction using the appropriate database for the inquiry Must self-audit intake activities to ensure accuracy and efficiency for the program Make outbound calls to patient and/or provider to discuss any missing information as applicable Assess patient's financial ability to afford therapy and provide hand on guidance to appropriate financial assistance Documentation must be clear and accurate and stored in the appropriate sections of the database Must track any payer/plan issues and report any changes, updates, or trends to management Handle escalations and ensure proper communication of the resolution within required timeframe agreed upon by the client Ability to effectively mediate situations in which parties are in disagreement to facilitate a positive outcome Concurrently handle multiple outstanding issues and ensure all items are resolved in a timely manner to the satisfaction of all parties Support team with call overflow and intake when needed Proactively following up with various partners including the insurance payers, specialty pharmacies, support organizations, and the patient/physician to facilitate coverage and delivery of product in a timely manner. Qualifications 3-6 years of experience, preferred High School Diploma, GED or technical certification in related field or equivalent experience preferred What is expected of you and others at this level Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments In-depth knowledge in technical or specialty area Applies advanced skills to resolve complex problems independently May modify process to resolve situations Works independently within established procedures; may receive general guidance on new assignments May provide general guidance or technical assistance to less experienced team members TRAINING AND WORK SCHEDULES: Your new hire training will take place 8:00am-5:00pm CT, mandatory attendance is required. This position is full-time (40 hours/week). Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CT. REMOTE DETAILS: You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following: Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable. Download speed of 15Mbps (megabyte per second) Upload speed of 5Mbps (megabyte per second) Ping Rate Maximum of 30ms (milliseconds) Hardwired to the router Surge protector with Network Line Protection for CAH issued equipment Anticipated hourly range: $21.50 per hour - $30.70 per hour Bonus eligible: No Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being. Medical, dental and vision coverage Paid time off plan Health savings account (HSA) 401k savings plan Access to wages before pay day with my FlexPay Flexible spending accounts (FSAs) Short- and long-term disability coverage Work-Life resources Paid parental leave Healthy lifestyle programs Application window anticipated to close: 3/6/2026 *if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity. Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply. Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law. To read and review this privacy notice click here

Madison County OhioRISE Moderate Care Coordinator Compensation: $47,000 An OhioRise Moderate Care Coordinator is a professional working under Ohio Medicaid's OhioRise program serving children with complex needs across behavioral health, juvenile justice, child welfare, developmental disabilities, education and others. Moderate Care Coordinators work to deliver community based, wraparound care coordination. As a Care Coordinator, you'll guide children and families through the OhioRise program, helping them access the right services, build stronger support systems, and achieve better health outcomes. This role is all about collaboration, compassion, and advocacy as well as empowering families while working alongside providers and community partners to ensure care is coordinated and effective. Working at NYAP Generous Time off: 22 Days of Paid Time Off + 11 Paid Holidays, Summer hours during the summer! Professional Growth: CEU's, ongoing training/education, tuition reimbursement, and supervision hours Health and Wellness: Comprehensive healthcare packages for you and your family And So Much More: Retirement Matching (401K), flexible hours, mileage reimbursement, phone allowance, paid parental leave What is OhioRISE? The Ohio Department of Medicaid (ODM) is committed to improving the health of Ohioans and strengthening communities and families through quality care. In 2020, ODM introduced a new vision for Ohio's Medicaid program - one that strengthens Ohio's future and ensures everyone has the chance to live life to its full potential. OhioRISE, or Resilience through Integrated Systems and Excellence, is Ohio's first highly integrated care program for youth with complex behavioral health and multi-system needs. National Youth Advocate Program is proud to announce that we were selected as the Care Management Entity (CME) in Catchment Area C, made up of 11 Ohio counties: Allen, Auglaize, Champaign, Clark, Darke, Hardin, Greene, Logan, Madison, Miami, and Shelby. The CME is responsible for delivering wraparound care coordination for children and youth enrolled in OhioRISE who have moderate behavioral health needs, and for helping to grow the system of care in the communities served to ensure the behavioral health needs of children and their families are met. As a result, NYAP is seeking a fulltime CME Moderate Care Coordinator which will cultivate flexible, family-focused, community-based responsive services based on the High-Fidelity Wrap Around model of care coordination covering all of Madison County and overlap into Clark County as needed. Under direct supervision of the Care Coordination Supervisor, this employee will aim to achieve the ultimate goal to keep youth in their homes, communities, and schools by assessing and delivering the appropriate services needed and reducing unnecessary out-of-home placement and potential custody relinquishment. Responsibilities: Cultivate flexible, family-focused, community-based responsive services based on the High Fidelity Wrap Around model of care coordination Develop and maintain the Wraparound Team, including coordinating and leading team meetings Coordinate and supervise implementation of the Plan of Care, including a Transition Plan and Crisis Plan with providers and community resources; update plan as necessary Ensure family support and stabilization during crises Provide and document the initial and ongoing Life Domain Assessment Maintain all service documentation requirements, evaluation outcome requirements and data as required Provide services in a timely manner and in accordance with Plan of Care and/or Crisis Plan Utilize and monitor Flexible Funding and service coordination Obtain weekly reports from subcontracted providers Participate in after hours on-call response Attend Program staff meetings, supervision and any other meetings as required Participate in the Agency and Program CQI Peer review process Perform duties to reflect Agency policies and procedures and comply with regulatory standards Meet Agency training requirements Report all MUl's to Site Manager and Supervisor immediately Other duties as assigned Qualifications An MCC Care Coordinator will be a licensed or an unlicensed practitioner in accordance with rule 5160-27-01 of the Administrative Code MCC care coordinators will complete the high-fidelity wraparound training program provided by an independent validation entity recognized by ODM MCC Care Coordinators will successfully complete skill and competency-based training to provide MCC MCC Care Coordinators will have experience providing community-based services to children and youth and their families or caregivers in areas of children's behavioral health, child welfare, intellectual and developmental disabilities, juvenile justice, or a related public sector human services or behavioral health care field for: (i) three years with a high school diploma or equivalent; or (ii) two years with an associate's degree or bachelor's degree; or (iii) one year with a Master's degree or higher CME Moderate Care Coordinators will: Have a background and experience in one or more of the following areas of expertise: family systems, community systems and resources, case management, child and family counseling or therapy, child protection, or child development Be culturally competent or responsive with training and experience necessary to manage complex cases Have the qualifications and experience needed to work with children and families who are experiencing SED, trauma, co-occurring behavioral health disorders and who are engaged with one or more child- serving systems (e.g., child welfare, juvenile justice, education) Live in one of the counties included in Catchment Area C Driving and Vehicle Requirements Valid driver's license Reliable personal transportation Good driving record Minimum automobile insurance coverage of $100,000/$300,000 bodily injury liability Apply today! www.nyap.org/employment Benefits listed are for eligible employees as outlined by our benefit policy. Qualifications An Equal Opportunity Employer, including disability/veterans.

Why Ability Matters is Different: Are you outgoing and looking to be involved in the community? Are you dedicated, timely and focused on the success of others? Ability Matters is a mission driven, high-end agency founded to support people with autism and other neurological disabilities through education, housing, intervention and day services support. · Over 160 families served · A team of over 330 professionals · 191% growth over the last 5 years · Twice recognized by the Better Business Bureau for Ethics · Awarded the Diversity in Business Award · Awarded the SMART 50 for Innovation Why You'll Love Working Here Best-in-Class Pay & Benefits Work-Life Balance Career Growth & Training Supportive & Inclusive Culture Purpose-Driven Work Position Details Position Type: Administrative / Coordination Total Hours: 40 hours weekly Pay Rate: $20.00 per hour Shift Differential: Additional $1.00 per hour for weekend shifts worked with individuals Position Summary The Attendance Management Coordinator (AMC) plays a critical role in supporting services for individuals with developmental disabilities by managing staff attendance, responding to call-offs, and coordinating coverage to maintain continuity of care. This position works closely with schedulers and leadership to ensure staffing needs are met while following established attendance and coverage protocols. Scheduled Work Hours On-Site Shift Coverage (24 hours): Friday: 3:00 PM - 11:00 PM Saturday: 7:00 AM - 3:00 PM 3:00 PM - 11:00 PM Sunday: 7:00 AM - 3:00 PM 3:00 PM - 11:00 PM Remote Administrative Hours (16 hours): Remote administrative and on-call support hours are completed over the weekend and aligned with assigned shift coverage. Ability Matters is an EEO Employer - M/F/Disability/Protected Veteran Status View all jobs at this company

Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and established clinical criteria to service requests. Utilizes clinical proficiency and claims knowledge/analysis to assess, plan, implement, coordinate, monitor, and evaluate medical necessity and/or care plan compliance, options, and services required to support members in managing their health, chronic illness, or acute illness. Utilizes available resources to promote quality, cost effective outcomes. Description Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies, allowing us to build on various business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team! Position Purpose: Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and established clinical criteria to service requests. Utilizes clinical proficiency and claims knowledge/analysis to assess, plan, implement, coordinate, monitor, and evaluate medical necessity and/or care plan compliance, options, and services required to support members in managing their health, chronic illness, or acute illness. Utilizes available resources to promote quality, cost effective outcomes. Location: This is a remote position. What You'll Do: Performs medical or behavioral review/authorization process. Ensures coverage for appropriate services within benefit and medical necessity guidelines. Evaluates outcomes of plans, eligibility, level of benefits, place of service, length of stay, and medical necessity regarding requested services and benefit exceptions. May initiate/coordinate discharge planning or alternative treatment plans as necessary and appropriate. Ensures accurate documentation of clinical information to support and determine medical necessity criteria and contract benefits. Utilizes allocated resources to back up review determinations. Identifies and makes referrals to appropriate staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of Care Referrals, etc.). Participates in data collection/input into system for clinical information flow and proper claims adjudication. Demonstrates compliance with all applicable legislation and guidelines for all regulatory bodies, which may include but is not limited to ERISA, NCQA, URAC, DOI (State), and DOL (Federal). 1Provides patient education with members and providers regarding health care delivery system, utilization on networks and benefit plans. Serves as member advocate through continued communication and education. Promotes enrollment in care management programs and/or health and disease management programs. Maintains current knowledge of contracts and network status of all service providers and applies appropriately. Assists with claims information, discussion, and/or resolution and refers to appropriate internal support areas to ensure proper processing of authorized or unauthorized services. Provides appropriate communications (written, telephone) regarding requested services to both health care providers and members. To Qualify For This Position, You'll Need The Following: Required Education: Associate's in a job related field. Degree Equivalency: Graduate of Accredited School of Nursing or 2 years job related work experience . Required Work Experience: 2 years clinical experience. Required Skills and Abilities: Working knowledge of word processing software. Ability to work independently, prioritize effectively, and make sound decisions. Good judgment skills. Demonstrated customer service, organizational, and presentation skills. Demonstrated proficiency in typing, spelling, punctuation, and grammar skills. Demonstrated oral and written communication skills. Ability to persuade, negotiate, or influence others. Analytical or critical thinking skills. Ability to handle confidential or sensitive information with discretion. Required Software and Tools: Microsoft Office. Required Licenses and Certificates: Active, unrestricted RN licensure from the United States and in the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC), OR, active, unrestricted LMSW (Licensed Master of Social Work) licensure from the United States and in the state of hire, OR active, unrestricted licensure as Counselor, or Psychologist from the United States and in the state of hire. We Prefer That You Have The Following: Preferred Education: Bachelor's degree- Nursing. Preferred Work Experience: work experience in healthcare program management, utilization review, or clinical experience in defined specialty. Specialty areas are oncology, cardiology, neonatology, maternity, rehabilitation services, mental health/chemical dependency, orthopedic, general medicine/surgery. Preferred Skills and Abilities: Working knowledge of spreadsheet, database software. Knowledge of contract language and application. Thorough knowledge/understanding of claims/coding analysis/requirements/processes. Our Comprehensive Benefits Package Includes The Following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment. Subsidized health plans, dental and vision coverage 401k retirement savings plan with company match Life Insurance Paid Time Off (PTO) On-site cafeterias and fitness centers in major locations Education Assistance Service Recognition National discounts to movies, theaters, zoos, theme parks and more What We Can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company. What To Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email ************************ or call ************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information.

is Remote (US/Canada) No agencies please Maximus (****************************** is a mission-driven consumer performance medicine telehealth company that provides men and women with content, community, and clinical support to optimize their health, wellness, and hormones. Maximus has achieved profitability, 8-figure ARR, and is doubling year over year - with a strong cash position. We have raised $15M from top Silicon Valley VCs such as Founders Fund and 8VC as well as leading angel investors/operators from companies like Bulletproof, Tinder, Coinbase, Daily Stoic, & Shopify. Position Summary In this role as a Care Coordinator supporting Maximus patients, you will be instrumental in delivering a seamless care experience. Your primary responsibilities include managing provider video conferencing schedules, coordinating with lab and pharmacy partners, and overseeing patient messaging queues. You will also serve as a key contributor to our patient concierge experience. The ideal candidate is driven by a passion for lifestyle, wellness, and fitness, constantly seeks innovative approaches to their work, and is eager to shape the overall patient journey. Key Responsibilities Video Conferencing & Scheduling Coordinate and maintain provider schedules for video consultations, ensuring efficient appointment booking and minimizing scheduling conflicts. Monitor upcoming telehealth appointments, confirm patient/provider availability, and troubleshoot any technical issues that may arise. Lab & Pharmacy Coordination Liaise with laboratory partners to manage test orders, track results, and ensure timely communication of lab outcomes to providers and patients. Collaborate with pharmacy partners to facilitate prescription orders, refills, and medication-related inquiries. Messaging Queue Management Oversee and triage patient messages in digital platforms, ensuring inquiries are addressed promptly and directed to the appropriate clinical team member. Escalate urgent or complex issues to the appropriate care team members, keeping patients informed of next steps. Patient Communication & Support Provide friendly and empathetic support to patients, answering questions related to appointments, lab tests, prescriptions, and follow-ups. Educate patients on the use of telehealth platforms, including troubleshooting basic technical issues and sharing best practices for virtual visits. Digital Healthcare Administration Maintain accurate and up-to-date electronic health records (EHR), ensuring data integrity and confidentiality. Identify opportunities to streamline workflows and enhance patient experiences, bringing recommendations to leadership. Quality Assurance & Compliance Ensure compliance with all relevant healthcare regulations and company policies, including HIPAA and data privacy laws. Participate in team meetings to review patient feedback, address operational challenges, and discuss quality improvement initiatives. Qualifications Experience: 1-3 years of experience in a care coordinator, healthcare administration, or telehealth support role. Education: Associate's or Bachelor's degree in Healthcare Administration, Public Health, or a related field preferred. Technical Skills: Familiarity with EHR systems, telehealth platforms, scheduling software, and basic troubleshooting of common technical issues. Communication Skills: Excellent verbal and written communication skills to effectively coordinate with patients, providers, and partners. Organizational Skills: Strong attention to detail and ability to manage multiple tasks efficiently in a fast-paced, digital environment. Interpersonal Skills: Empathetic, patient-focused approach with a commitment to delivering high-quality care and exceptional patient experiences. Compliance Knowledge: Understanding of healthcare regulations, especially HIPAA and data privacy guidelines. What We Offer (Benefits): Full Suite: Medical, Dental, Vision, Life Insurance Flexible vacation/time-off policies Fully remote work environment Maximus is an equal opportunity employer, which not only includes standard protected categories, but the additional freedom from discrimination against your free speech and beliefs, as long as they are aligned with company values. We celebrate intellectual diversity. Note: We utilize AI note-taking technology during our interview sessions to ensure we capture all answers and details accurately. Candidates are also encouraged to use AI note-takers for their own records if they wish.

Job Description We are seeking a Care Coordinator! Perry County, OH Join our team! Integrated Services for Behavioral Health (ISBH) is a community-minded, forward-thinking behavioral health organization helping people along the road to health and well-being. We meet people in their homes and communities and help connect them to their needed resources. We serve Southeastern and Central Ohio with a comprehensive array of behavioral health and other services - working with local partners to promote healthy people and strong communities. Our services are intended to be collaborative and personalized for the individual. The Care Coordinator's job responsibilities involve service linkage and care coordination, engaging and working with children, youth, and families with significant behavioral health needs. Care Coordination team members should have a thorough understanding of local communities, be skilled at developing working relationships with community agencies, and identify potential community supports for development to assist families/caregivers working collaboratively with Child and Family Teams. Care Coordination staff ensure children, youth, and families have a voice and choice in all coordinated care and services provided. The pay range for this position is $20.19 - $25.03 per hour based on experience, education, and/or licensure. Essential Functions: Joins with family to identify care coordination needs/services in line with service delivery standards and program outcomes to ensure the best outcomes for children, youth, and families. Works with families to define cultural factors that influence strengths, functioning, and family interaction styles to ensure ongoing engagement and success in care planning. Identifies strengths of children, youth, and families for utilization in care coordination engagement and supporting healthy outcomes. Coordinates family-based services for children, youth, and families in their home, school, and community. Ensures with family that services identified on care plans are the most appropriate, least restrictive, and meet the safety and treatment needs of the child, youth, and family. Engages and builds positive relationships with children, youth, and families in coordination with child and family teams to support the successful integration of team members and care plans. Develop collaborative and creative partnerships with community resources to meet the diverse needs of youth and families. Maintains necessary documentation, participates in program evaluation, attends team and program planning meetings, cross-systems training, and acquires knowledge of community resources. Remains current with all training requirements, including but not limited to High Fidelity Wraparound, MI, Cultural Humility, etc. All other duties as assigned. Minimum Requirements: Experience providing services and/or support to children and families connected to behavioral health, child welfare, developmental disabilities, juvenile justice, or a related public sector human services or behavioral healthcare field: three years with a high school diploma or equivalent; or two years with an associate degree or bachelor's degree; or one year with a master's degree or higher Knowledge and experience in Hi-Fidelity Wraparound preferred (Certification provided at time of employment). Two years of experience in a coordinated supportive services or care coordination role preferred. Experience working with people with autism spectrum disorders and developmental disabilities preferred. Experience in one or more of the following areas: family systems community systems and resources case management child and family counseling or therapy child protection child development Be culturally humble or responsive with training and experience to manage complex cases Have the qualifications and experience needed to work with children and families who are experiencing serious emotional disturbance (SED), trauma, co-occurring behavioral health disorders, and who are engaged with one or more child-serving systems (e.g., child welfare, intellectual and developmental disabilities, juvenile justice, education) Excellent organizational skills with the ability to stay focused and prioritize multiple tasks Demonstrates a high degree of cultural awareness. Experience with multi-need individuals and families. Broad knowledge of community service systems. Willing to participate in and lead cross-systems care coordination. Able to effectively communicate through verbal/written expression. Must be able to operate in an Internet-based, automated office environment. Valid Driver's License required Enjoy a great work environment with an excellent salary, generous paid time off, and a strong benefits package! Benefits include: Medical Dental Vision Short-term Disability Long-term Disability 401K w/ Employer Match Employee Assistance Program (EAP) provides support and resources to help you and your family with a range of issues. To learn more about our organization: ***************** OUR MISSION Delivering exceptional care through connection OUR VALUES Dignity - We meet people where they are on their journey with respect and hope Collaboration - We listen to understand and ask how we can best support the people and communities we serve Wellbeing - We celebrate one another's strengths, and we support one another in being well Excellence - We demand high-quality care for those we serve, and are a leader in how we care for one another as a team Innovation - We deeply value a range of perspectives and experiences, knowing it is what inspires us to stretch past where we are and reach towards what we know is possible We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.