Care Coordinator - Forensics
Remote job
Lutheran Social Services of WI and Upper MI is currently seeking a Forensic Care Coordinator for our Operating Avenues for Re-Entry Success (OARS) program serving Marathon, Wood and Clark counties. This is a full-time, benefit eligible role. The position requires regular visits in the client's home and/or community and then is able to work from home for documentation and meeting purposes. The role is primarily, Monday through Friday, 1st shift, but will require flexibility to meet the needs of clients.
This role provides comprehensive person-centered case management. This requires ongoing learning in Motivational Interviewing through participation in monthly coaching and quarterly fidelity reviews as well as the use of other identified evidence-based practices. This role works with individuals in DHS's Outpatient Competency Restoration Program (OCRP), Jail-Based Competency Program (JBCR), Conditional Release Program (CR), and Opening Avenues to Reentry Success Program (OARS), or Supervised Release (SR). Forensic Care Coordinators work collaboratively with community service providers that have been identified to specifically address the needs of the client with a mental health diagnosis and/or substance use disorder. LSS works closely with the client's treatment team and natural supports to best support whether the client is released from jail, prison, mental health institutions, or the community. Forensic Care Coordinators working in CR, OCRP, JBCR or OARS can be asked to work with clients in any of those programs, but Supervised Release remains separate. Supervised Release Care Coordinators will not work in CR, OCRP, JBCR or OARS:
The CR program works with individuals found not guilty by reason of mental disease or defect. Forensic Coordinators provide professional testimony, write court documents, and understand the 917.17 WSS. The Forensic Coordinator works with mental health institutions, court systems, natural support, and community providers.
The OCRP and JBCR offer services to adults charged with a crime adjudicated not competent to stand trial but likely to regain competency. The Competency programs Forensic Coordinators understand the 971.14 WSS and are responsible for meeting clients in the community (OCRP) as well as in the Jail setting (JBCR). The Forensic Coordinator works with the jail system, providing legal education, community providers, the court system, institutions, and natural support.
· The OARS program, the Forensic Coordinator, understands the criminogenic needs of the client. This is a voluntary program. The Forensic Coordinator starts meeting with the client at the correctional institution in the pre-release stage and continues through post-release. The Forensic Coordinator works closely with the client and their treatment team for up to two years.
· Supervised Release specifically works with sexually violent people who are committed under WI statute 980. While they currently may be living at Sandridge Secure Treatment Center, the role of LSS is to provide service coordination and services to assist them with a transition to living in the community.
o Sexually violent person: This is someone who has a mental disorder that makes it likely the person will engage in future acts of sexual violence convicted of a sexually violent offense, adjudicated as delinquent for a sexually violent offense, or found not guilty of or not responsible for a sexually violent offense by reason of mental disease or defect. These people are committed under Wis. Stat. ch. 980.
DIRECT SERVICE REQUIREMENTS (Required of all employees providing direct services):
Promote client independence and growth, consistent with the service plan.
Provide services using a trauma-informed and person and/or family-centered model.
Provide services utilizing agency approved and supported evidence-based practices that have been indicated by the funder and/or agency.
Accurately complete time reporting.
Essential Duties and responsibilities:
This list of duties and responsibilities is not all-inclusive and may be expanded to include other duties and responsibilities, as management may deem necessary from time to time.
Assess client's needs utilizing the required assessment tool(s) (e.g. functional screen). Re-assess, as needed, and at least annually. Information to complete the assessment is gained via interviews, collateral contacts and prior records.
Work alongside the client, their family, his/her supports, and other service providers, develop and implement a comprehensive and individualized service plan.
When required by the program/service, coordinate and authorize services according to the service plan.
Provide services to assigned clients in alignment with the service plan.
Organize and plan work effectively.
Apply knowledge of community resources.
Apply knowledge of casework principles and methods.
Apply working knowledge of human behavior, dynamics of groups, interpersonal relations, and social interactions.
Apply working knowledge of social problems and their effects on individuals.
Work collaboratively with clients, service teams, and clinical supervisor to determine interventions.
Communicate effectively with team members and providers. When authorizing services, articulate the expectations of the service.
Establish and maintain effective and collaborative working relationships.
Complete documentation within required timelines and expectations per LSS, regulation, funders, and practice standards.
Maintain client records, primarily electronic files.
Make recommendations within the client team and scope of practice.
Testify at legal proceedings as required by law and/or role.
Coordinate and facilitate person and/or family-centered team meetings.
When supervision is a program requirement, actively engage in the clinical supervision process.
Attend and participate in staff development programs, including in-service training, staff meetings, and professional seminars.
Within your scope of practice, provide consultation to peers.
Understand productivity expectations. Meet or exceed the standards that have been established for the role and the program.
Perform other duties and special projects as required.
PERKS:
Public Service Loan Forgiveness (PSLF)
By being employed with LSS, which is a non-profit agency, you can be eligible for loan forgiveness under the Public Service Loan Forgiveness program.
Loans are eligible to be forgiven after 10 years of on-time and consistent payments through the income-based re-payment plan.
Assistance navigating the PSLF through Summer
Medical/Dental/Vision Insurance
Flex Spending for Dependent & Health Care
Mileage reimbursement
Paid Time Off
10 Paid Holidays
Ability to Contribute to 403B
LSS makes annual raises a priority for employees
Calm Wellness App - Premium Access
Student loan navigation program with
Summer, PBC
Early Earned Wage Access with UKG Wallet
Employee Assistance Program
Service Awards and Recognition
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Upon offer, candidates must successfully complete the necessary background, caregiver, medical and any other checks required, according to program requirements
.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
EDUCATION AND/OR EXPERIENCE:
The specific education and/or experience is determined by the service delivered and the funding stream requirements.
General Requirements:
· Bachelor's degree in relevant area of human services.
Acceptable human service degrees for this role include, but are not limited to, the following:
· Community Mental Health
· Substance Use
· Counseling/Guidance
· Criminal Justice
· Psychology
· Recreational Therapy
· Rehabilitation Counseling
· Social Worker
· Vocational Counseling
If not listed above, a transcript review as well as payer review may be requested of the applicant/potential employee.
CERTIFICATES, LICENSES, REGISTRATIONS:
Must have a valid driver's license and have reliable transportation to perform the essential duties of the role; a motor vehicle check (MVR) with a satisfactory driving record per the LSS Driver Safety Procedure is required, and ability to meet LSS auto insurance requirements.
TRAVEL: Daily travel may be required. Some overnight travel may be required
Transition and Recommendation Coordinator
Remote job
Who We Are: InGenius Prep was founded in 2013 by law students at Harvard and Yale. Since then, the company has grown to a team of more than 200 full-time employees and 600 part-time employees, with offices in the U.S., Canada, China, and other countries.
What We Do:
Our primary focus is assisting students in applying to U.S. colleges and graduate schools. Our company is fast-paced and exciting. We operate as a team, and everyone is given opportunities to advance within the organization.
How You'll Help:
We are seeking an exceptionally organized and proactive Transition and Recommendation Coordinator to be the key operational driver ensuring a seamless, high-quality experience through rapid, strategic assignment and logistical excellence. You will maximize student success by expertly matching profiles to counselors, drive operational efficiency by managing availability and workflow across Sales and Counseling, and contribute as a strategic partner to improve processes and satisfaction.
What You'll Do:
Coordinate directly with the sales team, providing expert counselor recommendations based on specific student needs and availability. Participate in sales forums/meetings to understand the sales needs.
Manage continued development and implementation of Counselor Recommendation App, which is the initial step in our matching process.
Handle ongoing troubleshooting with matching, scheduling, and capacity challenges with a solutions-oriented and rapid-response mindset.
Assist with the counselor transition process by offering solutions to student teams, helping them identify and secure appropriate replacement counselors as needed
Communicate clearly and professionally with all internal teams.
Support the Associate Director of US Undergraduate Services on key operational tasks and contribute to strategic process improvements.
Actively work to improve systems that enhance counselor utilization and student satisfaction.
You'll be a good fit if you:
Hold a bachelor's degree or higher.
Are exceptionally organized and detail-oriented, the type of person who thrives on order and efficiency.
Excel at problem-solving and navigating complex logistical challenges involving many moving parts.
Demonstrate a quick response rate and the drive to get things done swiftly.
Thrive in a fast-paced, high-volume environment and can expertly manage multiple, simultaneous priorities.
Possess clear, professional communication skills.
Have prior experience in higher education or higher education administration (preferred).
Location:
This is a Remote position, ideally located in the East Coast or Pacific Time Zone. Work is spread throughout the day so you should be prepared to work in the evenings and weekends based on a total of 40 hours per week.
Benefits:
InGenius Prep offers employees a competitive salary along with paid time off, parental leave, flexible working hours, professional development opportunities, and a fun, collaborative work environment.
Salary and Compensation:
Base Salary (45 - 55k)
What We Believe:
InGenius Prep is an equal opportunity employer, and all qualified candidates will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.
Care Coordinator - Transition of Care
Remote job
Coordinate and collaborate with Prison Facilities via in person. Knowledge of community resources that help support incarcerated population.
Coordinates care of individual clients with application to identified populations using assessment, care planning, implementations, coordination, monitoring and evaluation for cost effective and quality outcomes. Duties are typically performed during face-to-face home visits. Promotes the appropriate use of clinical and financial resources in order to improve the quality of care and member satisfaction. Assists with orientation and mentoring of new team members as appropriate.
Provides care coordination to members with behavioral health conditions identified and assessed as requiring intensive interventions and oversight including multiple, clinical, social and community resources.
Conducts in depth health risk assessment and/or comprehensive needs assessment which includes, but is not limited to psycho-social, physical, medical, behavioral, environmental, and financial parameters.
Communicates and develops the care plan and serves as point of contact to ensure services are rendered appropriately, (i.e. during transition to home care, back up plans, community based services).
Implements, coordinates, and monitors strategies for members and families to improve health and quality of life outcomes.
Develops, documents and implements plan which provides appropriate resources to address social, physical, mental, emotional, spiritual and supportive needs.
Acts as an advocate for member`s care needs by identifying and addressing gaps in care.
Performs ongoing monitoring of the plan of care to evaluate effectiveness.
Measures the effectiveness of interventions as identified in the members care plan.
Assesses and reviews plan of care regularly to identify gaps in care, trends to improve health and quality of life outcomes.
Collects clinical path variance data that indicates potential areas for improvement of case and services provided.
Works with members and the interdisciplinary care plan team to adjust plan of care, when necessary.
Educates providers, supporting staff, members and families regarding care coordination role and health strategies with a focus on member-focused approach to care.
Facilitates a team approach to the coordination and cost effective delivery to quality care and services.
Facilitates a team approach, including the Interdisciplinary Care Plan team, to ensure appropriate interventions, cost effective delivery of quality care and services across the continuum.
Collaborates with the interdisciplinary care plan team which may include member, caregivers, member`s legal representative, physician, care providers, and ancillary support services to address care issues, specific member needs and disease processes whether, medical, behavioral, social, community based or long term care services. Utilizes licensed care coordination staff as appropriate for complex cases.
Provides assistance to members with questions and concerns regarding care, providers or delivery system.
Maintains professional relationship with external stakeholders, such as inpatient, outpatient and community resources.
Generates reports in accordance with care coordination goal.
The job duties listed above are representative and not intended to be all-inclusive of what may be expected of an employee assigned to this job. A leader may assign additional or other duties which would align with the intent of this job, without revision to the job description.
Other Job Requirements
Responsibilities
3-5 years experience in Social Work, Nursing, or Healthcare-related field, or relevant experience in lieu of degree., Experience in utilization management, quality assurance, home or facility care, community health, long term care or occupational health required.
Experience in analyzing trends based on decision support systems.
Business management skills to include, but not limited to, cost/benefit analysis, negotiation, and cost containment.
Knowledge of referral coordination to community and private/public resources.
Requires detailed knowledge of cost-effective coordination of care in terms of what and how work is to be done as well as why it is done, this level include interpretation of data.
Ability to make decisions that require significant analysis and investigation with solutions requiring significant original thinking.
Ability to determine appropriate courses of action in more complex situations that may not be addressed by existing policies or protocols.
Decisions include such matters as changing in staffing levels, order in which work is done, and application of established procedures.
Ability to maintain complete and accurate enrollee records.
Effective verbal and written communication skills. Ability to work well with clinicians, hospital officials and service agency contacts.
General Job Information
Title
Care Coordinator - Transition of Care
Grade
22
Work Experience - Required
Clinical, Quality
Work Experience - Preferred
Education - Required
GED, High School
Education - Preferred
Associate, Bachelor's
License and Certifications - Required
DL - Driver License, Valid In State - OtherOther
License and Certifications - Preferred
CCM - Certified Case Manager - Care MgmtCare Mgmt, LCSW - Licensed Clinical Social Worker - Care MgmtCare Mgmt, RN - Registered Nurse, State and/or Compact State Licensure - Care MgmtCare Mgmt
Salary Range
Salary Minimum:
$50,225
Salary Maximum:
$75,335
This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.
This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.
Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
Auto-ApplyCommunications and Outreach Coordinator - Planning and Economic Development Programs
Remote job
The Greater Nashville Regional Council (GNRC) is seeking an experienced planner or communications professional to lead public and stakeholder engagement activities for its planning and economic and community development programs. GNRC is responsible for preparing regional plans for transportation, environmental quality, economic development, solid waste and a growing list of additional topics. In addition, GNRC provides support to local governments by providing grant writing assistance, conducting research, and developing plans and public policies.
The Outreach Coordinator will be expected to:
Build and strengthen relationships with planning partners including elected officials, public agencies, business groups, universities and research institutions, community-based non-profit organizations, and advocates;
Develop and implement community and stakeholder engagement plans, methods, and tools for a variety of local and regional planning and policymaking initiatives;
Support public relations efforts by helping to draft press releases, maintain media contact lists, track press coverage, and assist with media outreach;
Develop, publish, and manage content for social media platforms and agencywide or project-based websites;
Assist with developing and/or editing written copy for GNRC materials and publications;
Assist with developing and editing presentations and in presenting material to boards, committees, stakeholder organizations, and the general public;
Assist with developing visualizations such as renderings, drawings, maps, and other graphics to help 1) communicate planning concepts to a variety of audiences and 2) translate community and stakeholder input for presentation to policymakers; 3) Prepare written reports and presentations on the findings, key takeaways, and lessons learned from outreach activities;
Participate in industry associations and continuing education opportunities to remain current on emerging and best practices related community engagement;
Work with GNRC management to ensure outreach activities stay coordinated across the organization; and
Lead special projects as identified by department heads or the executive team.
Qualifications: The preferred candidate will have two or more years of experience in community engagement in support of plans and public policies related to issues of growth and development, urban design, environmental sustainability, or public infrastructure. Strong writing, public speaking, and group facilitation skills are a must. A degree in communications, public relations, urban planning, public policy, public administration or related field is preferred. Foreign degrees and credentials will be considered.
Compensation: The minimum starting pay is $70,000. The offered pay rate will be subject to experience and qualifications. GNRC provides a fully paid pension through the Tennessee Consolidated Retirement System and offers a dollar for dollar match to a 401k up to 3% of gross salary. Inquire for more information about benefits.
Remote Work Policy: While GNRC provides flexibility for remote/hybrid working conditions, this is not a remote position. The selected candidate will be expected to work from the GNRC office with regularity.
Travel Expectations:
This position will require regular travel throughout the Middle Tennessee area. A valid driver's license and access to personal transportation is required.
GNRC was established by the TN General Assembly as an association of local governments empowered to convene local and state leaders for the purposes of planning and programming state and federal investments into a range of social services and public infrastructure. GNRC serves as the region's federally-recognized Area Agency on Aging and Disability (AAAD), Economic Development District (EDD) and administers the Metropolitan Planning Organization (MPO) on behalf of the Nashville Area MPO Transportation Policy Board . More information is available at GNRC.org.
Position open until filled.
GNRC is an EOE, AA Employer
V105 - Legal Case Status Coordinator
Remote job
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.
Auto-ApplyBehavioral Health Care Coordinator
Remote job
Who We Are
Imagine Pediatrics is a tech enabled, pediatrician led medical group reimagining care for children with special health care needs. We deliver 24/7 virtual first and in home medical, behavioral, and social care, working alongside families, providers, and health plans to break down barriers to quality care. We do not replace existing care teams; we enhance them, providing an extra layer of support with compassion, creativity, and an unwavering commitment to children with medical complexity.
The primary location for this role is remote, and expected schedule requirements are Monday to Friday, 8:00am - 5:00pm central.
What You'll Do
As a Behavioral Health Care Manager (BHCM) with Imagine Pediatrics, you will work with the families of medically complex children providing case management services in accordance with Case Management Society of American (CMSA) Standards of Practice for members enrolled in Imagine Pediatrics behavioral health program. You will work alongside pediatricians, nurses, care coordinators, and other healthcare professionals. Your primary responsibilities will include:
Monitor high-risk pediatric patients (up to 19 years old), some recently discharged from the hospital, ensuring appropriate follow-up and clinical management, and adjusting care plans as needed.
Conduct biopsychosocial assessments to address behavioral, social, emotional, and systemic needs of the patient and family.
Create and evaluate the effectiveness of the patient/family's care plan and modify based on families evolving needs and goal progression.
Provide intervention that is consistent with the social/emotional/physical needs of patients and caregivers such as mental health crises, behavioral issues, and family conflict.
Facilitate case management and support that requires clinical expertise in various systems with focus on helping patients and families negotiate the complexities involved with a mental health diagnosis.
Resource validated external services requested by the family to meet behavioral and social needs such as social services agencies and behavioral specialists.
Provides interventions in response to crisis to de-escalate and stabilize patient and family members
Provides psychoeducation on the nature of mental health diagnosis and progression, the importance of treatment adherence, and related information as appropriate
Collaborate with external care team members regularly including school systems, specialists, and DFPS as needed.
Participate in ongoing scheduled consultations with an interdisciplinary team to monitor patient progress
Represent Imagine Pediatrics commendably to patients, families, providers, and community
Performs other duties and assumes other responsibilities as assigned by manager
What You Bring & How You Qualify
First and foremost, you're passionate and committed to creating the world our sickest children deserve. You want an active role in building a diverse and values-driven culture. Things change quickly in a startup environment; you accept that and are willing to pivot quickly on priorities. In this role, you will need:
Masters' degree with major course work in social work or related field required
Provisional licenses (LMSW, PLPC, LAMFT) preferred
Minimum 3-5 years of post-graduate experience in health care social work/Case management in behavioral health Required.
Experience working with pediatric population and family systems required
Proficiency in motivational interviewing practices and/or techniques; goal setting and intervention; assessment of needs
Knowledge of social work including crisis prevention and intervention
Experience with providing telehealth services
Knowledge of MS Office Suite and ability to work in online platforms
Bilingual Spanish required
Strong knowledge of behavioral health principles and practices
Proficient in trauma-informed care practices
Strong knowledge of mental health common signs and symptoms and able to identify difficulties with coping
Role is remote with 10% travel necessary for training/education purposes
Ability to work afternoons and evenings
What We Offer (Benefits + Perks)
The role offers a base salary range of $70,000 - $77,000 in addition to annual bonus incentive, competitive company benefits package and eligibility to participate in an employee equity purchase program (as applicable). When determining compensation, we analyze and carefully consider several factors including job-related knowledge, skills and experience. These considerations may cause your compensation to vary.
We provide these additional benefits and perks:
Competitive medical, dental, and vision insurance
Healthcare and Dependent Care FSA; Company-funded HSA
401(k) with 4% match, vested 100% from day one
Employer-paid short and long-term disability
Life insurance at 1x annual salary
20 days PTO + 10 Company Holidays & 2 Floating Holidays
Paid new parent leave
Additional benefits to be detailed in offer
What We Live By
We're guided by our five core values:
Our Values:
Children First. We put the best interests of children above all. We know that the right decision is always the one that creates more safe days at home for the children we serve today and in the future.
Earn Trust. We listen first, speak second. We build lasting relationships by creating shared understanding and consistently following through on our commitments.
Innovate Today. We believe that small improvements lead to big impact. We stay curious by asking questions and leveraging new ideas to learn and scale.
Embrace Humanity. We lead with empathy and authenticity, presuming competence and good intentions. When we stumble, we use the opportunity to grow and understand how we can improve.
One Team, Diverse Perspectives. We actively seek a range of viewpoints to achieve better outcomes. Even when we see things differently, we stay aligned on our shared mission and support one another to move forward - together.
We Value Diversity, Equity, Inclusion and Belonging
We believe that creating a world where every child with complex medical conditions gets the care and support, they deserve requires a diverse team with diverse perspectives. We're proud to be an equal opportunity employer. People seeking employment at Imagine Pediatrics are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information, or characteristics (or those of a family member), pregnancy or other status protected by applicable law.
Auto-ApplyTemporary Coordinator, Social Impact & Cultural Engagement | Full-Time | Remote
Remote job
Oak View Group
Oak View Group is the global leader in venue development, management, and premium hospitality services for the live event industry. Offering an unmatched, 360-degree solution set for a collection of world-class owned venues and a client roster that includes the most influential, highest attended arenas, convention centers, music festivals, performing arts centers, and cultural institutions on the planet.
Position Summary
The Temporary Coordinator of Social Impact & Cultural Engagement will play a key role in supporting Oak View Group's DEI team in the execution of cultural engagement programs, employee resource group (ERG) initiatives, and social impact efforts. This role is ideal for someone who is passionate about creating inclusive experiences, highly organized, and skilled at administrative coordination. The Temporary Coordinator will contribute to the planning and execution of international programs like Ascend, assist in cultural campaigns, manage day-to-day logistics, and help keep DEI operations running smoothly.
This temporary role pays an hourly rate of $24.00 - $29.60
This position will remain open until December 5, 2025.
Responsibilities
Program & Project Support
Support the execution of signature DEI programs, including Ascend, ERG Roundtables, Campus Takeovers, and heritage month activations.
Help manage event logistics (scheduling, vendor coordination, run-of-show creation, materials preparation).
Track project timelines and deliverables for multi-stakeholder DEI initiatives.
Assist with speaker and partner coordination for webinars, panels, and summits.
Provide support on internship and mentorship experiences, including tracking engagement and collecting feedback.
Administrative & Operational Support
Manage calendars, schedule meetings, and prepare meeting agendas and notes.
Coordinate travel logistics, catering orders (e.g., Uber Eats vouchers), and material shipments for activations.
Maintain internal databases and program records (e.g., Ascend participant tracker, ERG membership lists).
Support budget tracking and expense reporting for DEI programs.
Assist with internal communications drafting, such as invitations, recaps, and program updates.
Employee Resource Groups & Cultural Engagement
Help organize monthly ERG leader roundtables and special ERG-led activations.
Coordinate swag and toolkit distribution for ERGs and cultural campaigns.
Assist in planning and executing internal summits and professional development events for ERG leaders.
Support engagement tracking and data collection to inform reporting and growth strategies.
Communications & Content Support
Draft social copy, emails, event briefs, and internal recaps in partnership with the Senior Director.
Assist in creating slide decks and one-pagers for programs and presentations.
Maintain DEI event calendars and help prepare internal newsletters or team updates.
Qualifications
Bachelor's degree or equivalent experience in DEI, HR, communications, business, public relations, social impact, or related fields.
1-2 years of relevant experience (internships or entry-level roles in DEI, event coordination, community engagement, or administrative support preferred).
Excellent organizational and time management skills.
Strong communication skills and attention to detail.
Proficient in Microsoft Office, and project tracking tools (e.g., Airtable, Monday.com, or similar platforms).
Experience working in fast-paced or cross-functional environments.
Passion for diversity, equity, and inclusion.
Strengthened by our Differences. United to Make a Difference
At OVG, we understand that to continue positively disrupting the sports and live entertainment industry, we need a diverse team to help us do it. We also believe that inclusivity drives innovation, strengthens our people, improves our service, and raises our excellence. Our success is rooted in creating environments that reflect and celebrate the diverse communities in which we operate and serve, and this is the reason we are committed to amplifying voices from all different backgrounds.
Equal Opportunity Employer
Oak View Group is committed to equal employment opportunity. We will not discriminate against employees or applicants for employment on any legally recognized basis (“protected class”) including, but not limited to veteran status, uniform service member status, race, color, religion, sex, national origin, age, physical or mental disability, genetic information or any other protected class under federal, state, or local law.
Auto-ApplyRN Case Management Coordinator - Renal
Remote job
We are currently hiring for a Case Management Coordinator to join BlueCross BlueShield of South Carolina. In this role as a Case Management Coordinator, care management interventions focus on improving care coordination and reducing the fragmentation of the services the recipients of care often experience, especially when multiple health care providers and different care settings are involved. Taken collectively, care management interventions are intended to enhance client safety, well-being, and quality of life. These interventions carefully consider health care costs through the professional care manager's recommendations of cost-effective and efficient alternatives for care. Thus, effective care management directly and positively impacts the health care delivery system, especially in realizing the goals of the "Triple Aim," which include improving the health outcomes of individuals and populations, enhancing the experience of health care, and reducing the cost of care. The professional care manager performs the primary functions of assessment, planning, facilitation, coordination, monitoring, evaluation, and advocacy. Integral to these functions is collaboration and ongoing communication with the client, client's family or family caregiver, and other health care professionals involved in the client's care.
Description
Job Description
Location
This position is full-time (40 hours/week) Monday-Friday from 8:00am-4:30pm or 8:30am - 5:00pm EST and will be fully remote.
What You'll Do:
Provides active care management, assesses service needs, develops and coordinates action plans in cooperation with members, monitors services and implements plans, to include member goals. Evaluates outcomes of plans, eligibility, level of benefits, place of service, length of stay, and medical necessity regarding requested services and benefit exceptions. Ensures accurate documentation of clinical information to support and determine medical necessity criteria and contract benefits. Provides telephonic support for members with chronic conditions, high-risk pregnancy or other at-risk conditions that consist of: intensive assessment/evaluation of condition, at-risk education based on members' identified needs, provides member-centered coaching utilizing motivational interviewing techniques in combination with reflective listening and readiness to change assessment to elicit behavior change and increase member program engagement.
Participates in direct intervention/patient education with members and providers regarding health care delivery system, utilization on networks and benefit plans. May identify, initiate, and participate in on-site reviews. Serves as member advocate through continued communication and education. Promotes enrollment in care management programs and/or health and disease management programs.
Provides appropriate communications (written, telephone) regarding requested services to both health care providers and members.
Performs medical or behavioral review/authorization process. Ensures coverage for appropriate services within benefit and medical necessity guidelines. 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).
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.
To Qualify for This Position, You'll Need the Following:
Required Education: Associates in a job-related field.
Degree Equivalency: Graduate of Accredited School of Nursing or 2 years job related work experience.
Required Experience: 4 years recent clinical in defined specialty area. Specialty areas include: oncology, cardiology, neonatology, maternity, rehabilitation services, mental health/chemical dependency, orthopedics, general medicine/surgery. Or, 4 years utilization review/case management/clinical/or combination; 2 of the 4 years must be clinical.
Required Skills and Abilities: Working knowledge of word processing software.
Knowledge of quality improvement processes and demonstrated ability with these activities.
Knowledge of contract language and application.
Ability to work independently, prioritize effectively, and make sound decisions.
Good judgment skills.
Demonstrated customer service, organizational, and presentation skills.
Demonstrated proficiency in 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 License/Certificate: An active, unrestricted RN license 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 licensure as counselor, or psychologist from the United States and in the state of hire (in Div. 75 only). For Div. 75 and Div. 6B, except for CC 426: URAC recognized Case Management Certification must be obtained within 4 years of hire as a Case Manager.
We Prefer That You Have the Following:
Preferred Work Experience: At least 4 years of renal nursing experience.
Prior hemodialysis, peritoneal dialysis, nephrology nursing, and/or access management experience.
7 years-healthcare program management.
Preferred Education: Bachelor's degree- Nursing
Preferred Skills and Abilities: Working knowledge of spreadsheet, database software. Thorough knowledge/understanding of claims/coding analysis, requirements, and processes.
Preferred Licenses and Certificates: Case Manager certification, clinical certification in specialty area.
Our Comprehensive Benefits Package Includes the Following:
We offer our employees great benefits and rewards. You will be eligible to participate in the benefits for 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. Management will conduct interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the preferred qualifications.
Pay Range Information:
Range Minimum
$53,462.00
Range Midpoint
$77,860.00
Range Maximum
$102,258.00
Pay Transparency Statement:
Please note that this range represents the pay range for this and other positions that fall into this pay grade. Compensation decisions within the range will be dependent upon a variety of factors, including experience, geographic location, and internal equity.
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.
Auto-ApplyBilingual Health Coordinator (RN, temporary, remote)
Remote job
Description & Requirements The Health Specialist-Coordinator role will support our CDC INFO program. Provides advanced and accurate clinical inquiry responses to health related, disease control and prevention issues, including questions related to bioterrorism, first responders and national emergency situations from medical and other health care professionals, educators, and government agencies.
- Must hold a current, active RN license
- Position is remote and temporary through August 31, 2026
- Must be available to work the occasional weekend or holiday depending on business needs
- Computer equipment is not provided for this project. See below for equipment requirements
- Will work an 8-hour day between Monday - Friday 8:00 AM - 8:00 PM EST
- Must pass a bilingual Spanish/English assessment
Essential Duties and Responsibilities:
- Provides advanced clinical inquiry responses (verbal and written) to health-related inquiries from consumers, educators or medical/health professionals.
- Provides medical subject matter expertise.
- Performs advanced database searches.
- Composes documents, reports, and correspondence.
- Documents all incoming inquiries.
- Participates in special projects as required.
- Provide subject matter expertise on CDC topics covered by CDC-INFO which includes, for example, HIV/AIDS, Immunizations, Environmental Health, NIOSH; Tuberculosis and Statistics.
- Respond to inquiries resulting from current events, such as food outbreaks, natural
disasters and other events.
- Perform advanced database searches
- Perform assigned work in accordance with quality assurance measures
- Respond to medical personnel and clinicians in both verbal and written formats
Education and Experience Requirements:
- Bachelor's Degree in Nursing and current RN license is required.
- The ability to Read, Speak and Write in both English and Spanish is required.
- Experience in medical, scientific and public health discipline
- Clinical knowledge of and experience in CDC related topics.
- Proficient internet search skills.
- Working knowledge of Microsoft Office and ability to learn and utilize software applications
- Excellent listening, comprehension, communications (verbal and written), problem solving and customer service skills
- Ability to work independently and communicate effectively
- Must have demonstrated excellent interpersonal and leadership skills and the ability to organize simultaneous tasks
- For this position you are required to provide your own home office equipment, personal computer or laptop.
NOTE *Tablets, iPads, and Chromebooks are not permitted. OS for Windows - Windows 10 or Windows 11 OS for Mac - Big Sur (11.0.1+); Catalina (10.15); Monterey (12.3)
Home Office Requirements:
- Hardwired internet (ethernet) connection.
- Required Internet speeds - Minimum download 25mbps or higher and minimum upload speed 10mbps or higher (you can test this by going to (1) *******************
- Private work area and adequate power source.
-Video calls may be requested on occasion. Proper background and attire are required.
Minimum Requirements
- High School diploma or equivalent with 2-4 years of experience.
- May have additional training or education in area of specialization.
- Must be fluent in English and specified secondary language.
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
For positions on this contract, Maximus will pay the prevailing wage rate for the location in which the employee is working, as determined by the Department of Labor. That wage rate will vary depending on locality. An applicant's salary history will not be used in determining compensation.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
34.85
Maximum Salary
$
68.55
Easy ApplyRussian Speaking Care Coordinator RPM and CCM
Remote job
Benefits:
401(k)
401(k) matching
Bonus based on performance
Competitive salary
Flexible schedule
Health insurance
Paid time off
Vision insurance
Benefits/Perks
Flexible Scheduling
Competitive Compensation
Careers Advancement
Job SummaryWe are seeking a Russian speaking Care Coordinator who will be responsible for overseeing the chronic care management (CCM) services and remote patient monitoring (RPM) programs. In this fully remote, flexible, role, you will work collaboratively with patients to determine their medical needs, develop the best course of action, and oversee their treatment plans, ensuring each client gets high-quality, individualized care. The ideal candidate is compassionate, patient, and knowledgeable about healthcare practices. Responsibilities
Collaborate with physicians, patients, families, and healthcare staff
Coordinate a variety of healthcare programs
Review daily measures
Oversee a monthly patient roster, ensuring comprehensive care for each individual
Aiming for a patient engagement rate of 90% or higher
Develop individualized care plans
Educate patients on their healthcare options
Create goals and monitor progress toward goals
Recruit and train staff
Qualifications
Previous experience as a Care Coordinator or in a similar position is preferred
Certification as a medical assistant or higher is required (licensing required in NY state)
Fluency in Russian language is a must
Strong problem-solving and organizational skills
Ability to manage multiple projects or tasks and prioritize appropriately
Ability to work in fast-paced situations and make sound decisions quickly
Excellent interpersonal skills and high level of compassion
Strong verbal and written communication skills
Comfortable learning and using EHR platforms
This is a remote position.
Compensation: $20.00 - $30.00 per hour
Auto-ApplyFamily Services Coordinator; Intensive Home-Based Treatment
Remote job
Job Details Entry Canton, OH Full Time 4 Year Degree Up to 50% Nonprofit - Social ServicesDescription
Family Services Coordinator; Intensive Home-Based Treatment
Compensation: $48,000 per year.
Family Service Coordinators with National Youth Advocate Program work in the community as part of an integral service team. Under the general supervision of the Clinical Supervisor or designee, this position works closely with youth, family and community partners, providing advocacy and support toward the ultimate goal of living safely and successfully in the community.
Working at NYAP:
• Generous Time off: 22 Days of Paid Time Off + 11 Paid Holidays, Half Day Friday's during the summer!
Health and Wellness: Comprehensive healthcare packages for you and your family; Paid Parental leave.
• Professional Growth: CEU's, ongoing training/education, student loan repayment program, and supervision hours.
• And So Much More: 401K and 401K Matching flexible hours, mileage reimbursement, phone allowance.
Responsibilities
• Provides in home supportive services, transportation, parenting education, counseling, community resource referral, advocacy, and interventions to the clients and family.
• Travels daily, to provide community-based services to, and on behalf of, youth and families
• Coordinates and monitors services for the youth and family in the community, including mental health, medical, educational, psychological, vocational, and social services.
• Establishes and maintains strong relationship with assigned clients, and family.
• Provides safety assessment, crisis response, and behavioral stabilization services as required to assure safety and stability for youth served.
• Work under the guidance / supervision of a therapist.
• On-Call Duties
• Must be available to work evenings hours.
• Home visits are required
• Productivity: 40% productivity required.
Minimum Qualifications
• Bachelor's degree in Social Work or comparable Human Services field from an accredited institution.
• 2 years of work experience working in direct service with youth and families strongly preferred.
• A willingness to work flexible and non-traditional hours with afternoon and evening availability.
• Must have a valid driver's license, reliable transportation, automotive insurance, and a good driving record.
• Proficient use of desktop and laptop computers, smart phones and tablets, printers, fax machines and photocopiers as well as software including word processing, spreadsheet and database programs.
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.
Work From Home-Online Hotel Coordinator-Entry Level
Remote job
Job Title: Work From Home-Online Hotel Coordinator-Entry Level About Destination Knot:Destination Knot is a travel planning company dedicated to creating unforgettable experiences for every type of traveler. From romantic getaways and family vacations to group trips and business stays, we provide personalized hotel and resort booking services with care and attention to detail.
Position Overview: We're looking for a motivated and detail-oriented Online Hotel Coordinator to join our remote team. This is an entry-level role ideal for someone eager to begin a career in the travel industry. You'll help match clients with the perfect hotel accommodations, manage bookings, and provide outstanding customer support throughout the planning process.
Key Responsibilities:Assist clients in researching and booking hotel and resort accommodations Respond to inquiries via email, phone, or chat in a timely, professional manner Review client preferences to recommend suitable lodging options based on budget, location, and travel dates Manage reservation details and updates using booking tools and systems Maintain accurate client records and documentation Support post-booking needs such as changes, special requests, or follow-up questions Stay informed on current travel trends, hotel promotions, and destination offerings
Qualifications:No prior travel industry experience required-training provided Strong communication and customer service skills Organized, dependable, and detail-oriented Comfortable working remotely and managing tasks independently Tech-savvy with basic knowledge of online platforms (booking systems a plus) Must be 18 years or older with reliable internet access and a computer Passion for travel and helping others plan great experiences
What We Offer:Remote, flexible work environment Entry-level onboarding and continuous training Supportive team and professional development opportunities Access to industry tools and hotel booking platforms Travel perks and performance-based incentives
Work Environment: This is a remote position with flexible hours. It's perfect for individuals who are self-motivated, enthusiastic, and ready to start a fulfilling path in the travel and hospitality industry.
Auto-ApplyReimbursement Coordinator, Home Infusion Peachtree Corners, GA remote hold
Remote job
Reimbursement Coordinator, Home Infusion Peachtree Corners, GA remote hold
Experience level: Mid-senior Experience required: 2 Years Education level: High school or equivalent Job function: Finance Industry: Accounting Compensation: position: 1 Visa sponsorship eligibility: No
Note: When submitting your candidates, please include their answers to the 5 prescreen questions and please ensure you are asking the pre-screening questions LIVE instead of via email.
Job Description:
Are you an experienced professional with a minimum of 2 years of home infusion billing and accounts receivable experience? If so, we have an exciting opportunity for you as a Home Infusion Reimbursement Coordinator. In this role, you will be a key player in ensuring accurate and timely reimbursement for home infusion services navigating the complexities of billing, claims, and compliance.
Key Responsibilities:
As a Home Infusion Reimbursement Coordinator, your primary focus will be on orchestrating the reimbursement process for home infusion services. This includes managing billing procedures, resolving complex claims, and staying abreast of regulatory changes to maintain compliance. Engage with internal and external stakeholders to streamline processes and optimize revenue outcomes. Your role will also involve collaborating with cross-functional teams to achieve service and sales goals.
Lets talk about Qualifications and Experience
Required:
Minimum of 2 years of home infusion billing experience.
2 years of experience in maintaining HIPAA standards.
Proficient in using computers and Microsoft products (Excel and Word).
Strong motivation in billing, claims, and document management.
Effective communication skills and problem-solving abilities.
High school diploma required; equivalent education and experience considered.
Preferred:
Broad knowledge of routines and procedures.
Proven track record of working towards and exceeding metrics.
PMO Notes:
This is a high-priority role.
The team is in severe need of additional support and is looking to move quickly to fill these openings.
When submitting your candidates, please include their answers to the 5 prescreen questions.
Please ensure you are asking the pre-screening questions LIVE instead of via email.
We want to know that the candidates are able to be successful in this position and knowing basic Home Infusion will help with the process.
It is a remote position; the candidate can be located anywhere in the U.S.
No timezone preference.
Flexible schedule to work MondayFriday with adjustable hours.
The approved compensation range is up to $25/hour.
This pay rate is firm.
We highly recommend posting the job under a different title. Some examples: "Billing Coordinator, Home Infusion" OR "Payor Analyst, Home Infusion" OR "Reimbursement Coordinator, Home Infusion" OR "RCM Specialist, Home Infusion"
The candidate must have Home Infusion experience.
We are looking for at least 2 years of experience as they have to understand the home infusion reimbursement process.
At least 1 year of experience must be recent/current exp.
In addition to Home Infusion experience, they should have knowledge from a Front End Billing perspective.
The team clarified that the Front End Billing exp they need is not intake (qualifying patients, test claims, etc.).
They need the skillset to create infusion claims (bill medical payors, not the RX payors/NCPP).
In an ideal world, they also have knowledge of Collections. This is a plus, but not required.
Both Home Infusion and Front End Billing experience are required.
Soft Skills: The candidate should be motivated, have critical thinking skills, and be able to take ownership of their job duties.
Recommended to target candidates from CVS Health/Quorum, as their home infusion departments are closing.
Emphasize reaching out directly to potential candidates, especially via LinkedIn searches and personalized messages.
MUST HAVE:
High school diploma required; equivalent education and experience considered.
2 years of home infusion billing experience.
2 years of experience in home infusion reimbursement process.
2 years of experience in maintaining HIPAA standards.
This role primarily focuses on Accounts Receivable, so candidates should have relevant experience in this area.
Accounts Receivable and Collections (specifically Payor Collections, not Patient Collections).
Experience in Front-End Billing.
Proficient in using computers and Microsoft products (Excel and Word).
Strong motivation in billing, claims, and document management.
Care Coordinator (Bilingual Preferred)
Remote job
About Us:
At Kooth, our mission is to create a welcoming space for effective personalized digital mental health care that is available to all. We do this by leveraging an early intervention model and theory of change that empowers young people (13-25 years old) to overcome challenges, unlock their full potential, and lead fulfilling lives. We're not just a service; we're a culture of care - committed to inclusivity, innovation, and impact.
Our culture is driven by our values - Alongside You, Flexible, Compassionate, Committed, and Safe. These values are present in the work that we do, the environment in which we do it, and in the relationships we have with our service users, peers, and leaders. With Kooth, you will be a part of something bigger than yourself. We offer more than just a job. We offer you the chance to positively impact one of the greatest challenges of our time.
What We're Looking For:
Responsible for providing support within Kooth's Contact Center and Care Coordination Services, the Care Coordinator will play a dual role. They will handle inbound calls in the Contact Center while also supporting Care Coordination for our service users. Responsibilities include responding to inquiries about the Kooth platform, assisting with account creation, and scheduling coaching sessions with Kooth practitioners. Additionally, the Care Coordinator will coordinate appointments or services with external agencies and providers to ensure that Kooth service users receive the care and support they need.
What You'll Do:Main responsibilities:
Call Center Support:
Memorize scripts for products and services, and refer to them during calls
Build positive service user experience by going above and beyond with customer service, answering questions, providing support, and ensuring schedules, cancellations, and appointment confirmations are handled appropriately
Provide helpful solutions to service user needs or concerns
Meet SLA targets and achieve all objectives for service, productivity, and quality
Create and maintain record of daily problems and remedial actions taken
Care Coordination:
Build a positive service user experience by going above and beyond to support the service user in coordination with the practitioners.
Develop and maintain relationships with external organizations, including relationships with affiliate network providers.
Communicate with service users and external resources/providers as appropriate in order to provide a seamless transition/ care experience
Contact insurance carriers to verify a patient's insurance eligibility, benefits, and requirements
Clearly document all communications and contacts with referral partners and service users in standardized documentation and messaging
Handle practitioner referrals and service user outreach; maintain clear and concise communications with service users and service agencies
Scheduling with Kooth Practitioners:
Understand practitioner schedules and schedule according to availability
Successfully connect calls between the Kooth service user and the translation vendor in support of coaching and telecoaching sessions
Deliver Superior Service User Experience:
Deliver an extremely high degree of compassion, motivation, and commitment related to support for service users
Provide exceptional customer service and build rapport with service users
Professional and courteous demeanor in all forms of communication
Takes ownership and applies rigor to all tasks assigned and understands the direct impact this role has on business operations and service delivery.
Must have a quiet work environment to take and make phone calls
Requirements
What You'll Bring:
6 months or more of experience with healthcare referrals /care coordination
Experience with inbound call center
Experience within a physician practice or large health system is strongly preferred
Bilingual English and Spanish (preferred)
Benefits
What You'll Get:
Compensation: This role offers an hourly rate of $23-$25, based on experience. We're committed to transparency and value our candidates time, which is why we share salary ranges in all states-regardless of local requirements. Final compensation will be based on a variety of factors, including your education, experience, skills, and overall alignment with the role.
Kooth offers a competitive base salary, employee equity program, and comprehensive benefits including:
Excellent Medical, Dental, and Vision Coverage
401(K) Retirement Plan with company match
Generous Paid Time Off and paid holidays
Remote-first flexibility and work-from-home support
Paid parental leave
Learning & development opportunities
Equal Employment Opportunity:
Kooth is committed to creating an inclusive workplace and provides equal employment opportunities to all individuals regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law. All employment decisions are based on merit, qualifications, and business needs.
Reasonable Accommodations:
Kooth is committed to providing reasonable accommodations for candidates with disabilities, sincerely held religious beliefs, or other protected reasons under applicable law. If you require accommodations during the application or interview process, please contact our HR team.
Ready to Join Us?
If you're ready to make a meaningful impact and be part of a team that values purpose-driven work, apply today. Together, we're shaping the future of digital mental health care.
Auto-ApplyPharmacy Care Coordinator - Engagement Specialist
Remote job
We're opening eyes, hearts, and minds to the impact that a pharmacy team can have in changing lives. As part of Catalyst Health Group, Stellus Rx improves ease and outcomes in every moment that matters, along every health journey.
Join our group of talented, committed team members-pharmacists, pharmacy care coordinators, technologists, product strategists and more-to create and expand the delivery of personalized health support that people didn't even know could be possible.
The Pharmacy Care Coordinator - Engagement Specialist help our communities thrive by helping connect newly-referred patients to our Stellus Engage pharmacy team. The Pharmacy Care Coordinator - Engagement Specialist assists the Account Management team under the direction and supervision of the Clinical Pharmacy Specialists and Clinical Client Liaisons by providing support in identifying, outreaching, and educating patients about Stellus engage services through various communication channels.
You will work closely with Stellus Rx leaders and across the organization, as we work collaboratively to unlock the health of millions of Americans by turning "use as prescribed" into a guarantee, not a direction. We are a culture that is unabashedly driven by purpose. We are making a difference to our patients and team members while growing at an accelerated rate. If you love serving others and would like to make a material difference in an industry‐transforming organization, then we invite you to apply to this role. Learn more about us at stellusrx.com.
Accountabilities:
This individual will need a broad working knowledge of the Stellus Engage service model or similar pharmacy-support services to drive enrollment growth and stellar patient satisfaction. You will develop superior customer experience knowledge and effectively educate and engage patients about the positive clinical impact pharmacy services can provide for them.
Roles and Responsibilities:
Assumes responsibility for a broad range of activities in the patient engagement workflow from patient outreach through scheduling
Acts as a liaison for the patient between the referring physician or employer group and Engage pharmacist team
Complete patient outreach via phone call and text message (SMS) to connect with referred patients about Stellus Engage services
Confidently educate patients on Stellus Engage services and connection back to the PCP referral or employer group benefits
Coordinate scheduling of patients with respective Engage pharmacist for CMA/IMA
Professionally interact with patients on phone calls and text messages (SMS)
Monitor referral queue and workflow for new patient referral funnel and support in referral entry from Leading Reach or other defined referral channel into Engage platform
Support in UAT for application needs related to Account Management team sign off
Understand confidentiality with respect to patient/client care; complying with all federal and state laws applicable to the confidentiality of protected health information (PHI) and electronic protected health information (EPHI); and follow HIPAA guidelines regarding readily identifiable protected health information.
Complete tasks as assigned, related to the referral workflow and Account Management in general
Accessing, inputting, and retrieving information through the Pharmacy's computer network to maintain accurate records.
Comply with established procedures, rules, and regulations.
Completes clear and concise documentation in Care Management programs.
Promoting teamwork, professional services and clear communication
Minimum Qualifications and Requirements:
High school diploma or equivalent.
Pharmacy technician license or pharmacy technician trainee license from the Texas State Board.
Strong communication and customer service skills.
Ability to read and transcribe pharmaceutical information.
Sit for long periods of time, stand for intermittent periods of time.
Flexibility to work from home..
PC literate, including Microsoft Office products.
Analytical and interpretive skills.
Strong organizational skills.
Excellent interpersonal skills.
Ability to work in a team environment.
In-depth knowledge of patient servicing.
Ability to handle conflict and confront challenging issues in a fast work environment.
Ability to meet or exceed Performance Competencies.
Able to influence and motivate others through persuasive points-of-view.
Care Coordinator
Remote job
What We Strive For
At Strive Health, we're driven by a purpose: transforming the broken kidney care system. Through early identification, engagement, and comprehensive coordinated care, we significantly improve outcomes for people with kidney disease, reducing emergency dialysis and inpatient utilization. Our high-touch care model integrates with local providers and uses predictive data to identify and support at-risk patients along their entire care journey. We embrace diversity, celebrate successes, and support each other, making Strive the destination for top talent in healthcare. Join us in making a real difference.
Benefits & Perks
Hybrid-Remote Flexibility - Work from home while fulfilling in-person needs at the office, clinic, or patient home visits.
Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance programs, employer-paid and voluntary life and disability insurance, plus health and flexible spending accounts.
Financial & Retirement Support - Competitive compensation with a performance-based discretionary bonus program, 401k with employer match, and financial wellness resources.
Time Off & Leave - Paid holidays, flexible vacation time, sick time, and paid birthgiving, bonding, sabbatical, and living donor leaves.
Wellness & Growth - Family forming services through Maven Maternity at no cost and physical wellness perks, mental health support, and an annual professional development stipend.
What You'll Do
The Care Coordinator works collaboratively with the care team to provide ongoing support and communication to chronic kidney disease (CKD) and End-Stage Renal Disease (ESRD) patients. This individual acts as a single point-of-contact to coordinate resources along the care delivery spectrum, identify gaps, and provide proactive follow-up. The Care Coordinator is responsible for making sure the patient's care at various locations is connected and there are no gaps in care or communication. This role will report to the Lead, Care Coordinator.
The Day to Day
Performs outbound calls to patients to understand their clinical needs and connect them with appropriate resources. Performs outbound calls to providers to make appointments for patients or follow up on care. Answers inbound calls from patients, providers, and other resources.
Follows up with patients to ensure their needs are met and schedules future check-ins. Notifies patients of location and appointment times as needed.
Coordinates with clinical resources and providers to ensure smooth continuum of care for patients. Assists with completing applications for resources, paperwork for provider visits, etc.
Monitors patient hospitalizations and follows up as necessary with care team members and outside resources to confirm Strive gathers all relevant patient information.
Provides patients with education materials and sends communications to primary care physicians, nephrologists, and specialists for new enrollments/appointments.
Collaborates well with all levels of a clinical team (from Medical Assistants to Physicians) and partners closely with the Strive Nurse Practitioner (NP) to manage all pieces of care related to resources, appointments, care transitions, and care gaps.
Provides in-person patient care which may include standing, sitting, walking, pushing, pulling, and lifting.
Minimum Qualifications
2+ years combined of related education, experience, or certification.
Current BLS or CPR Certification required.
Internet Connectivity - Min Speeds: 3.8Mbps/3.0Mbps (up/down): Latency
Efficient and reliable transportation, including an active driver's license, allowing for travel across an assigned region to meet patient needs. Locations may include offices, clinics, and patient homes.
Preferred Qualifications
Active Community Health Worker (CHW) Certification.
Customer service experience.
Intermediate proficiency in MS Word, Excel, PowerPoint, and Outlook.
About You
Excellent verbal and written communication skills.
Skilled at dealing with confidential information and/or issues using discretion and judgment.
Communicates clearly, respectfully, and thoughtfully.
Hourly Range: $22.25-$25.00
Strive Health is an equal opportunity employer and drug free workplace. At this time Strive Health is unable to provide work visa sponsorship. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Please apply even if you feel you do not meet all the qualifications. If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to **********************************.
We do not accept unsolicited resumes from outside recruiters/placement agencies. Strive Health will not pay fees associated with resumes presented through unsolicited means.
#LI-Hybrid
Auto-ApplyRecovery Care Coordinator (must be a Certified Recovery Specialist or meet criteria to obtain CRS)
Remote job
Are you looking for a role in a company that's solving one of the greatest challenges of our lifetime?
Ophelia helps people end their opioid use and restore their quality of life with respect for their time and dignity. Our mission is to make evidence-based treatments for opioid use disorder (OUD) accessible to everyone... and we're looking to bring more people onto our team to help us achieve it. Ophelia is a venture-backed, healthcare startup that helps individuals with OUD by providing FDA-approved medication and clinical care through a telehealth platform. Our approach is discreet, convenient, and affordable. We've been successfully operating in 14 states for almost four years and we're excited to continue our growth. We are a team of physicians, scientists, entrepreneurs, researchers and White House advisors, backed by leading technology and healthcare investors working to re-imagine and re-build OUD treatment in America. Important Role Note: We are looking for someone who is interested in becoming a Certified Recovery Specialist to support our patients in care coordination. We will cover your training to become certified. Please note that there are several requirements to enroll in a Certified Recovery Specialist program. They are: 1. Must either live or work in Pennsylvania. 2. A minimum of 18 months of recovery in a continuous manner of personal, lived experience. 3. Minimum high school diploma/GED. Veterans may provide discharge documentation in lieu of a high school diploma/GED. If you meet these above requirements and are interested in working on our fast-paced Care Coordination team, please read on! Care Coordination at Ophelia As one of the first members of the Ophelia team that a patient will interact with, our Care Coordinators are integral to creating a best-in-class patient experience that supports Ophelia's ability to grow and achieve our mission. Care Coordinators work directly with patients to take care of a wide variety of non-clinical needs, as well as collaborating with clinicians to ensure patients are safe and delighted with their care. In this role, you will be responsible for following defined processes and protocols that ensure our patients receive consistent, high quality care. You will engage directly with Ophelia patients providing support across a wide range of areas including successfully filling pharmacy prescriptions, obtaining prior authorizations from a patient's health insurance plan, rescheduling an upcoming visit with a member of the Ophelia clinical team, collecting required documentation to allow members of Ophelia's clinical team to coordinate care with other health care providers the patient is seeing outside of Ophelia and providing quality referrals. To be successful in this role you must become proficient in various technology platforms and channels of communication that Ophelia team members use to both provide support to our patients and to partner with cross-functional teams on improving processes and workflows. This role reports to the Lead Care Coordinator. In this role, you will:
Practice active listening, empathy, and solution-focused approaches to collaboratively engage with patients seeking support on a wide range of issues
Use effective written skills to complete professional documentation and to interact with patients, clinicians and external stakeholders through various communication channels
Prioritize effectively across multiple channels: switching between calls, messages, meetings, texts, and Slack to deliver patient-centered care
Follow care team protocols and utilize good judgment to identify barriers or disruptions to care and use appropriate strategies to overcome those barriers
Interact and problem-solve with multi-disciplinary teams such as Enrollment Coordinators, Financial Counselors, Clinicians and Tech team to ensure a safe and excellent patient experience
Resolve issues related to prescriptions and insurance/pharmacy authorizations
Follow Ophelia's policies and maintain all confidentiality, compliance, and ethical standards
Work autonomously and as part of a team within established procedures and practices
Consistently practice our cultural values: champion our patients, communicate with kindness, learn and share freely, and get results
We're looking for someone who has:
Experience delivering outstanding patient experience or customer support, ideally at a consumer-focused healthcare company
Experience de-escalating highly emotional conversations and communicating with empathy and respect to vulnerable patient populations
A collaborative mindset and ability to build rapport in a remote first work environment
The ability to remain calm and composed under pressure; experience in a fast-paced, frequently changing start-up environment a plus
Strong organizational skills and a keen eye for detail: experience maintaining patient records and accuracy in responses
High integrity, honesty, ability to build trust and maintain a strong sense of accountability
A bias for action and getting things done: proactively taking on work without prompting, swiftly implement solutions, and achieving results efficiently and effectively
Tech-savvy: you must be comfortable using various computer platforms and navigating new systems, and efficient in tech-related tasks
Experience solving problems that do not have clear or obvious solutions
Required: Meets criteria for CRS as outlined above, or has CRS certification already
Our Benefits Include:
Remote work anywhere in the United States
Competitive medical, vision, and health insurance (many plans are fully covered for the employee!)
20 days of PTO per year
10 company holidays
401k Contribution Platform
Additional benefits offered through our benefits provider such as life insurance, short and long term disability, financial wellness, virtual primary care, among others!
Ophelia Compensation Overview
We set compensation based on the level and skills required for the role. We value pay transparency and equity, and are committed to fair pay. In order to prevent pay disparities and reduce time spent in negotiations, we take a “first and best” offer approach: this means we're not holding any compensation back from our candidates, and you can feel confident that our pay is fair and does not vary based on the strength of someone's negotiation skills.
Compensation is dynamic at Ophelia: as long as the company performs well and meets our targets, there will be opportunities for increased compensation annually. We're happy to discuss this approach and our bands if you have questions during the interview process.
Compensation Range$45,000-$48,000 USD
Interested in learning more about Ophelia and this role? Apply to work with us!
Auto-ApplyVirtual Care Coordinator
Remote job
Bond Vet is on a mission to strengthen the human-animal bond through better pet care. We offer primary and urgent care, so we're there for pets when they need us most. Our clinics are designed with pets and people in mind: warm, friendly, and highly sniffable. We balance this design with a strong focus on technology, all built in-house, which means we can easily innovate our systems to improve the veterinary team, pet, and client experience.
Role Summary
Bond Vet is redefining the veterinary care experience-combining compassionate, high-quality medicine with modern technology and thoughtful design. Our Virtual Care team plays a critical role in supporting our clinics and ensuring clients feel informed, supported, and cared for from their very first interaction. The Virtual The Virtual Care Coordinator (VCC) is the first point of contact for clients calling Bond Vet. They deliver an exceptional client experience through scheduling, communication, and administrative support. VCCs handle high-volume calls, emails, and digital messages across Yellow AI IVR, chatbot, and text platforms, escalating medical or complex issues to Virtual Nurses or clinics.
This role ensures smooth clinic operations, accurate documentation, and fast, helpful client service.
Key Focus Areas
Deliver exceptional first-touch client experience
Manage scheduling, service questions, and general inquiries
Serve as the administrative backbone for record handling and rescheduling
Triage non-medical inquiries and escalate appropriately
Support Virtual Nurses and clinics by preparing accurate client data and routing needs
Core Responsibilities
Client Communication & Experience
Answer a high volume of calls from existing and prospective clients
Navigate Yellow AI IVR outcomes, stepping in when escalations require human support
Respond to emails, texts, and chatbot escalations within expected SLAs
Build rapport quickly with clients and create a welcoming, helpful experience
Call Triage & Routing
Schedule appointments based on client needs and clinic availability
Transfer medical inquiries, prescription questions, and complex concerns to Virtual Nurses
Route calls to clinics for updates on hospitalized cases, surgery check-ins, Echo/AUS scheduling, and urgent needs
Use judgment to escalate Yellow AI or chatbot misroutes
Records, Email, & Admin Work
Retrieve, upload, and organize records from external clinics
Input vaccine and diagnostic history into Vetspire
Send records to clients, insurance companies, and referral hospitals
Close out non-essential messages to support inbox cleanliness
Assist with clinic reschedules (doctor out sick, clinic opening adjustments, etc.)
Digital Platform Navigation
GoTo: calls
Vetspire: records, message management, documentation
Slack: communication with virtual and clinic teams
Yellow AI: escalations and routing management, Gmail inboxes
Platform Responsibilities
Yellow AI IVR: handle escalated client calls that require human scheduling or problem-solving
Chatbot: respond when bot cannot answer or needs human verification
Text/SMS: manage text escalations that require manual follow-up
Email: manage heavy-volume inboxes related to records and client requests
Performance Goals
~75 calls per shift (depending on staffing and call mix)
200+ emails per Gmail shift
Timely, accurate documentation in Vetspire
High first-call resolution and client satisfaction
Role Requirements
1+ year in veterinary assistant/reception or client service within a veterinary practice
Strong multitasking skills in a high-volume environment
Excellent written and verbal communication
High attention to detail
Comfort with AI-assisted platforms and digital communication systems
Schedule: 8a-6p, 10a-8p; two weekends per 4 week schedule block
Pay: $15 - $18 per hour
At Bond Vet, we're proud to be vet founded and vet led. We are on a mission to enhance the human-animal bond through innovative urgent and primary care combined with seasoned expertise, friendliness, and compassion. Our clinics combine modern design, seamless technology, and a collaborative culture. We believe veterinary professionals deserve a career they love, not just a job. Our unique offerings include work-life flexibility, competitive pay and the chance to shape your own path. With industry-leading NPS scores, our approach resonates. Join us for a rewarding career where we work happy, feel empowered and are obsessed with pets. bondvet.com
By submitting an application, you agree to receive SMS messages from Bond Vet regarding your application and interview process, including, but not limited to, your interviews, scheduling, offers, reference checks, background checks, and general communication throughout the process. Opt out anytime by messaging STOP. Text HELP for help. Message frequency varies and message and data rates may apply. Find more information in our privacy policy.
Employment with Bond Vet is contingent upon the Company's completion of a satisfactory investigation of your background.
Auto-ApplyBilingual Care Coordinator
Remote job
Are you passionate about helping people navigate their healthcare journey? Do you thrive in a dynamic environment where you can make a real difference? We are seeking a bilingual Care Coordinator who is fluent in both Spanish and English to join our team. Be part of a mission-driven organization dedicated to improving patient outcomes and providing exceptional care.
About Us:
Honeydew is transforming skincare by making it accessible and affordable for everyone. Our team is dedicated to providing compassionate, personalized care to help patients achieve their skin health goals. We're seeking a highly organized and empathetic Care Coordinator to join our team and be a vital part of our mission.
Job Description:
As a Care Coordinator, you'll play a critical role in ensuring our patients receive the support and guidance they need throughout their skincare journey. This full-time, fully remote role focuses on patient communication, coordinating care, and managing essential administrative tasks to provide a seamless experience.
Responsibilities:
Serve as the primary point of contact for patients, providing guidance, support, and information about their care plans - in both English and Spanish.
Answer patient inquiries related to appointments, medical services, and treatment options with empathy and professionalism.
Ensure that all patient information and communications are accurately documented in our healthcare system.
Act as a liaison between patients, insurance providers, and medical teams to facilitate seamless care delivery.
Collaborate with healthcare professionals to develop personalized care plans for patients.
Continuously monitor patient progress and provide ongoing support, addressing any concerns or obstacles that arise.
Provide translating services between the patient and provider during initial consultations as needed.
Qualifications:
Previous experience in a healthcare setting, preferably in a care coordination, patient support, or administrative role.
Fluency in both Spanish and English is required.
Exceptional communication skills, both verbal and written, with the ability to convey complex information clearly.
Strong organizational skills and attention to detail to manage multiple tasks and priorities.
Proficiency in using healthcare management software or similar systems.
Ability to work independently and as part of a multidisciplinary team.
A positive attitude, empathy, and a genuine passion for helping others.
Benefits:
• Flexible remote schedule.
• Opportunity to make a meaningful impact on patients' lives.
• Join a mission-driven, innovative team dedicated to revolutionizing skincare.
Pay: $16.00 per hour
Auto-Apply1915(i) Waiver Care Coordinator (Franklin/Granville/Vance)
Remote job
LOCATION: Remote - must live in or near Franklin, Granville, or Vance County, NC. Incumbent in this role is required to reside in North Carolina or within 40 miles of the North Carolina border. This position requires travel.
GENERAL STATEMENT OF JOB
The 1915(i) Waiver Care Coordinator (“Care Coordinator”) is responsible for providing proactive intervention and coordination of care to eligible Vaya Health members and recipients (“members”) to ensure that these individuals receive appropriate assessment and services. Care Coordinator is also responsible for providing care coordination activities and monitoring to individuals who have been deemed eligible for 1915i services by North Carolina Department of Health and Human Services (DHHS). Care Coordinator works with the member and care team to alleviate inappropriate levels of care or care gaps, coordinate multidisciplinary team care planning, linkage and/or coordination of services across the 1915i service array and other healthcare network(s) including the MH, SU, intellectual/ developmental disability (“I/DD”), traumatic brain injury (“TBI”) physical health, pharmacy, long-term services and supports (“LTSS”) and unmet health-related resource needs. Care Coordinator support and may provide transition planning assistance to state, and community hospitals and residential facilities and track individuals discharged from facility settings to ensure they follow up with aftercare services and receive needed assistance to prevent further hospitalization. This is a mobile position with work done in a variety of locations, including members' home communities. The Care Coordinator also works with other Vaya staff, members, relatives, caregivers/ natural supports, providers, and community stakeholders. As further described below, essential job functions of the Care Coordinator include, but may not be limited to:
Utilization of and proficiency with Vaya's Care Management software platform/ administrative health record (“AHR”)
Outreach and engagement
Compliance with HIPAA requirements, including Authorization for Release of Information (“ROI”) practices
Performing NC Medicaid 1915i Assessment tool to gather information on the member's relevant diagnosis, activities of daily living, instrumental activities of daily living, social and work-related needs, cognitive and behavioral needs, and services the member is interested in receiving
Adherence to Medication List and Continuity of Care processes
Participation in interdisciplinary care team meetings, comprehensive care planning, and ongoing care management
Transitional Care Management
Diversion from institutional placement
This position is required to meet NC Residency requirements as defined by the NC Department of Health and Human Services (“NCDHHS” or “Department”).
ESSENTIAL JOB FUNCTIONS
Assessment, Care Planning and Interdisciplinary Care Team :
Ensures identification, assessment, and appropriate person-centered care planning for members.
Meets with members to complete a standardized NC Medicaid 1915i Assessment
Links members with appropriate and necessary formal/ informal services and supports across all health domains (i.e., medical, and behavioral health home)
Supports the care team in development of a person-centered care plan (“Care Plan”) to help define what is important to members for their health and prioritize goals that help them live the life they want in the community of their choice.
Ensure the Care Plan includes specific services, including 1915(i) services to address mental health, substance use or I/DD, medical and social needs as well as personal goals
Ensure the Care Plan includes all elements required by NCDHHS
Use information collected in the assessment process to learn about member's needs and assist in care planning
Ensure members of the care team are involved in the assessment as indicated by the member/LRP and that other available clinical information is reviewed and incorporated into the assessment as necessary
Work with members to identify barriers and help resolve dissatisfaction with services or community-based interventions
Reviews clinical assessments conducted by providers and partners with licensed staff for clinical consultation as needed to ensure all areas of the member's needs are addressed. Help members refine and formulate treatment goals, identifying interventions, measurements, and barriers to the goals
Ensures that member/legally responsible person (“LRP”) is/are informed of available services, referral processes (e.g., requirements for specific service), etc.
Provides information to member/LRP regarding their choice of service providers, ensuring objectivity in the process
Works in an integrated care team including, but not limited to, an RN (Registered Nurse) and pharmacist along with the member to address needs and goals in the most effective way ensuring that member/LRP have the opportunity to decide who they want involved
Supports and may facilitate care team meetings where member Care Plan is discussed and reviewed
Solicits input from the care team and monitors progress
Ensures that the assessment, Care Plan, and other relevant information is provided to the care team
Consults with care management licensed professionals, care management supervisors, and other colleagues as needed to support effective and appropriate member care/planning process
Support Monitoring/Coordination, Documentation and Fiscal Accountability :
Serves as a collaborative partner in identifying system barriers through work with community stakeholders.
Works in partnership with other Vaya departments to identify and address gaps in services/ access to care within Vaya's catchment.
Participates in cross-functional clinical and non-clinical meetings and other projects as needed/ requested to support the department and organization.
Participates in routine multidisciplinary huddles including RN, Pharmacist, M.D. to present complex clinical case presentation and needs, providing support to other CMs (Care Manager) and receiving support and feedback regarding CM interventions for clients' medical, behavioral health, intellectual /developmental disability, medication, and other needs.
Works with 1915 (i) Care Coordination manager in participating in high-risk multidisciplinary complex case staffing as needed to include Vaya CMO/ Deputy CMO, Utilization Management, Provider Network, and Care Management leadership to address barriers, identify need for specialized services to meet client needs within or outside the current behavioral health system.
Ensure that services are monitored (including direct observation of service delivery) in all settings at required frequency and for compliance with standards
Monitors provision of services to informally measure quality of care delivered by providers and identify potential non-compliance with standards.
Ensures the health and safety of members receiving care management, recognize and report critical incidents, and escalate concerns about health and safety to care management leadership as needed.
Supports problem-solving and goal-oriented partnership with member/LRP, providers, and other stakeholders.
Promotes member satisfaction through ongoing communication and timely follow-up on any concerns/issues.
Supports and assists members/families on services and resources by using educational opportunities to present information.
Make announced/unannounced monitoring visits, including nights/weekends as applicable.
Promote satisfaction through ongoing communication and timely follow-up on any concerns/issues
Monitor services to ensure that they are delivered as outlined in individualized service plan and address any deviations in service
Verifies member's continuing eligibility for Medicaid, and proactively responds to a member's planned movement outside Vaya's catchment area to ensure changes in their Medicaid county of eligibility are addressed prior to any loss of service. Alerts supervisor and other appropriate Vaya staff if there is a change in member Medicaid eligibility/status.
Maintain electronic health record compliance/quality according to Vaya policy
Proactively monitor own documentation to ensure that issues/errors are resolved as quickly as possible
Ensure accurate/timely submission of Service Authorization Requests (SARS) for all Vaya funded services/supports
Proactively monitors own documentation within the AHR to ensure completeness, accuracy and follow through on care management tasks.
Works with 1915 (i) Care Coordination Manager to ensure all clinical and non-clinical documentation (e.g., goals, plans, progress notes, etc.) meet all applicable federal, state, and Vaya requirements, including requirements within Vaya's contracts with NCDHHS.
Participates in all required Vaya/ Care Management trainings and maintains all required training proficiencies.
Other duties as assigned .
KNOWLEDGE, SKILLS, & ABILITIES
Ability to express ideas clearly/concisely and communicate in a highly effective manner
Ability to drive and sit for extended periods of time (including in rural areas)
Effective interpersonal skills and ability to represent Vaya in a professional manner
Ability to initiate and build relationships with people in an open, friendly, and accepting manner
Attention to detail and satisfactory organizational skills
Ability to make prompt independent decisions based upon relevant facts.
A result and success-oriented mentality, conveying a sense of urgency and driving issues to closure
Comfort with adapting and adjusting to multiple demands, shifting priorities, ambiguity, and rapid change
Thorough knowledge of standard office practices, procedures, equipment, and techniques and intermediate to advanced proficiency in Microsoft office products (Word, Excel, Power Point, Outlook, Teams, etc.), and Vaya systems, to include the care management platform, data analysis, and secondary research
Understanding of the Diagnostic and Statistical Manual of Mental Disorders (current version) within their scope and have considerable knowledge of the MH/SU/IDD/TBI service array provided through the network of Vaya providers.
Experience and knowledge of the NC Medicaid program, NC Medicaid Transformation, Tailored Plans, state-funded services, and accreditation requirements are preferred.
Ability to complete and maintain all trainings and proficiencies required by Vaya, however delivered, including but not limited to the following:
BH I/DD Tailored Plan eligibility and services
Whole-person health and unmet resource needs (Adverse Childhood Experiences, Trauma, cultural humility)
Community integration (Independent living skills; transition and diversion, supportive housing, employment, etc)
Components of Health Home Care Management (Health Home overview, working in a multidisciplinary care team, etc)
Health promotion (Common physical comorbidities, self-management, use of IT, care planning, ongoing coordination)
Other care management skills (Transitional care management, motivational interviewing, Person-centered needs assessment and care planning, etc)
Serving members with I/DD or TBI (Understanding various I/DD and TBI diagnoses, HCBS, Accessing assistive technologies, etc)
Serving children (Child and family centered teams, understanding of the “System of Care” approach)
Serving pregnant and postpartum women with Substance Use Disorder (SUD) or with SUD history
Serving members with LTSS needs (Coordinating with supported employment resources)
Job functions with higher consequences of error may be identified, and proficiency demonstrated and measured through job simulation exercises administered by the supervisor where a minimum threshold is required of the position.
EDUCATION & EXPERIENCE REQUIREMENTS
Bachelor's degree in a field related to health, psychology, sociology, social work, nursing or another relevant human services area is preferred. Required years of work experience (include any required experience in a specific industry or field of study):
Serving members with BH conditions:
Two (2) years of experience working directly with individuals with BH conditions
Serving members or recipients with an I/DD or Traumatic Brain Injury (TBI)
Two (2) years of experience working directly with individuals with I/DD or TBI
Serving members with LTSS needs
Minimum requirements defined above
Two (2) years of prior Long-tern Services and Supports and/or Home Community Based Services coordination, care delivery monitoring and care management experience.
This experience may be concurrent with the two years of experience working directly with individuals with BH conditions, an I/DD, or a TBI, described above
OR a combination of education and experience as follows:
A graduate of a college or university with a Bachelor's degree in a human services field and two years of full-time accumulated experience with population served
OR
A graduate of a college or university with a Bachelor's degree is in field other than Human Services and four years of full-time accumulated experience with population served
OR
A graduate of a college or university with a Bachelor's Degree in Nursing and licensed as RN, and four years of full-time accumulated experience with population served. Experience can be before or after obtaining RN licensure.
OR
Please note, if a graduate of a college or university with a Master's level degree in Human Services, although only one year is needed to reach QP status, the incumbent must still have at least two years of experience with the population served
*Must meet the criteria of being a North Carolina Qualified Professional with the population served in 10A NCAC 27G .0104
Licensure/Certification Required:
If Bachelor's degree in nursing and RN, incumbent must be licensed to practice in the State of North Carolina by the North Carolina Board of Nursing.
PHYSICAL REQUIREMENTS
Close visual acuity to perform activities such as preparation and analysis of documents; viewing a computer terminal; and extensive reading.
Physical activity in this position includes crouching, reaching, walking, talking, hearing and repetitive motion of hands, wrists, and fingers.
Sedentary work with lifting requirements up to 10 pounds, sitting for extended periods of time.
Mental concentration is required in all aspects of work.
Ability to drive and sit for extended periods of time (including in rural areas)
RESIDENCY REQUIREMENT: The person in this position is required to reside in North Carolina or within 40 miles of the North Carolina border.
SALARY: Depending on qualifications & experience of candidate. This position is non-exempt and is eligible for overtime compensation.
DEADLINE FOR APPLICATION: Open Until Filled
APPLY: Vaya Health accepts online applications in our Career Center, please visit ******************************************
Vaya Health is an equal opportunity employer.
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