Health Care Coordinator jobs at UnitedHealth Group

This role works closely with Care Team Operations, Clinical Operations, Behavioral Health clinicians (LMFT/LCSW/LPCC), Community Health Workers (CHWs), Compliance, Finance (for authorizations), Care Operations Associates, and external partners including hospitals, primary care providers, behavioral health agencies, housing providers, and community-based organizations. Responsibilities Serve as the primary point of contact for assigned members with behavioral health and psychosocial complexity, building trust through consistent, trauma-informed engagement. Conduct comprehensive, holistic assessments addressing behavioral health, substance use, functional status, social determinants of health, safety risks, and care gaps. Develop, implement, and maintain person-centered care plans that integrate behavioral, medical, and social goals; update plans following transitions of care or changes in condition. Coordinate services across the continuum of care, including behavioral health providers, primary care, hospitals, housing supports, transportation, social services, and community-based organizations. Conduct required in-person home or community visits based on acuity, risk stratification, and payer requirements. Support Transitions of Care (TOCs) by completing timely follow-up, coordinating post-discharge services, and reinforcing discharge instructions and medication understanding. Utilize motivational interviewing, behavioral coaching, and health education to promote engagement, adherence, self-management, and long-term member stability. Identify, escalate, and address behavioral health risks, safety concerns, service delays, benefit lapses, and environmental barriers using HHN escalation protocols. Coordinate and track referrals, appointments, transportation, and follow-ups to ensure continuity and timeliness of care. Maintain accurate, timely, and audit-ready documentation of all assessments, encounters, and interventions in eClinicalWorks (ECW) and other HHN systems. Meet or exceed HHN and health plan productivity standards, including outreach cadence, encounter requirements, documentation timeliness, TOC completion, and quality measures. Actively participate in multidisciplinary case reviews, care conferences, team huddles, and escalations with nurses, behavioral health clinicians, CHWs, care operations, and compliance. Assist members with plan navigation, eligibility redeterminations, social service applications, housing resources, and crisis intervention support. Communicate professionally with members and care partners using HHN-approved channels, including phone, RingCentral, secure messaging, and SMS workflows. Contribute to continuous quality improvement efforts by identifying workflow gaps, documenting barriers, and sharing insights to improve care delivery. Uphold confidentiality and comply with all HIPAA, Medi-Cal, ECM, and payer regulatory requirements. Remain flexible and responsive to member needs, including field-based work and engagement in community settings. Skills Required Bilingual (English/Spanish) proficiency required to support member engagement and care coordination. Strong ability to build rapport and trust with diverse, high-need member populations. Proficiency in using eClinicalWorks (ECW), Google Suite (Docs, Sheets, Drive), RingCentral, and virtual communication tools. Ability to interpret and use PowerBI dashboards, reporting tools, and payer portals. Demonstrated skill in conducting holistic assessments and developing person-centered care plans. Experience with motivational interviewing, trauma-informed care, or health coaching. Strong organizational and time-management skills, with the ability to manage a complex caseload. Excellent written and verbal communication skills across in-person, telephonic, and digital channels. Ability to work independently, make sound decisions, and escalate appropriately. Knowledge of Medi-Cal, SDOH, community resources, and social service navigation. High attention to detail and commitment to accurate, audit-ready documentation. Ability to remain calm, patient, and professional while supporting members facing instability or crisis. Comfortable with field-based work, home visits, and interacting in diverse community environments. Cultural humility and demonstrated ability to work effectively across populations with varied lived experiences. Competencies Member Advocacy: Champions member needs with urgency and integrity. Operational Effectiveness: Executes workflows consistently and flags process gaps. Interpersonal Effectiveness: Builds rapport with diverse populations. Collaboration: Works effectively within an interdisciplinary care model. Decision Making: Uses judgment to escalate or intervene appropriately. Problem Solving: Identifies issues and creates practical, timely solutions. Adaptability: Thrives in a fast-growing, startup-style environment with evolving processes. Cultural Competence: Engages members with respect for their lived experiences. Documentation Excellence: Produces accurate, timely, audit-ready notes every time. Strong empathy, cultural competence, and commitment to providing individualized care. Ability to work effectively within a multidisciplinary team environment. Exceptional interpersonal and communication skills, with a focus on building trust and rapport with diverse populations. Job Requirements Education: Bachelor's degree in Social Work, Psychology, Public Health, Human Services, or related field. Licensure: Licensed LMFT, LCSW, LPCC.; certification in care coordination or CHW training is a plus. Experience: 1-3 years of care management or case management experience, preferably with high-need Medi-Cal populations. Experience in community-based work, homelessness services, behavioral health, or SUD settings strongly preferred. Familiarity with Medi-Cal, ECM, and community resource navigation. Travel Requirements: Regular travel for in-person home or community visits (up to 45%). Physical Requirements: Ability to perform home visits, climb stairs, sit/stand for prolonged periods, and lift up to 20 lbs if needed.

Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together we will achieve our mission to enhance the health and well-being of the people and communities we serve. The Behavioral Health (BH) Autism Care Management Coordinator's primary responsibility is to evaluate a member's BH condition through the review of medical records (including medical history and treatment records) to determine the medical necessity for Autism and Applied Behavioral Analysis services based on advanced knowledge and independent analysis of those medical records and application of appropriate medical necessity criteria. If necessary, the BH Autism Care Management Coordinator directly interacts with providers to obtain additional BH information. The BH Autism Care Management Coordinator has the authority to commit the company financially by independently authorizing services determined to be medically necessary based on their personal review. For those cases that do not meet established criteria, the BH Autism Care Management Coordinator provides relevant information regarding members BH condition to the Medical Director for their further review and evaluation. The BH Autism Care Management Coordinator has the authority to approve but cannot deny the care for patients. The BH Autism Care Management Coordinator is also responsible for maintaining regulatory compliance with federal, state and accreditation regulations. Additionally, the BH Autism Care Management Coordinator acts as a patient advocate and a resource for members when accessing and navigating the behavioral health care system. Key Responsibilities * Applies critical thinking and judgement based on advanced knowledge of Applied Behavioral Analysis (ABA) and other treatments for Autism Spectrum Disorder (ASD) to cases utilizing specified resources and guidelines to make approval determinations Utilizes resources such as; InterQual, Care Management Policy, Medical Policy and Electronic Desk References to determine the medical appropriateness of the proposed plan. * Utilizes the behavioral health criteria of InterQual, and/or Medical Policy to establish the need for authorization, continued care, intensity/dosage of ABA services and, and ancillary services. InterQual - It is the policy of the Medical Affairs Utilization Management (UM) Department to use InterQual (IQ) criteria for the case review process when required. IQ criteria are objective clinical statements that assist in determining the medical appropriateness of a proposed intervention which is a combination of evidence-based standards of care, current practices, and consensus from licensed specialists and/or primary care physicians. IQ criteria are used as a screening tool to support a clinical rationale for decision making. * Contacts servicing providers regarding treatment plans/plan of care and clarifies medical need for services. * Reviews Autism diagnostic evaluations, and requests for Applied Behavioral Analysis (ABA)services with providers to ensure valid diagnoses, and medically necessary services. Collaborates with providers to obtain and clarify required information for review. * Provides education and resources to caregivers/families and providers regarding autism benefits, Applied Behavior Analysis (ABA) treatment, company policy and procedures. Supports education of caregivers /families and providers on diagnostic, assessment and authorization processes and required documentation to facilitate efficient diagnosis, access to care and utilization management processes. § Assists providers with shaping of ABA services to ensure progress, proposes modifications to align with medical necessity criteria and supports alternative care planning when requests for services do not meet medical necessity criteria. § Identifies physical and BH conditions, family and social needs, barriers to progress and facilitates coordination with IBX Care Navigators and Case Management services as well as service providers (such as medical, speech, occupational therapy, physical therapy, IEP services) for comprehensive care coordination and services. * Identifies and refers cases in which the plan of care/services are not meeting established criteria to the Medical Director for further evaluation and determination. * Performs early identification of members for discharge planning support to ensure appropriate transition to services including community based and other appropriate services. * Appropriately refers utilization, access issues, or trends to Autism Care Management leadership, Quality Management Department, Network staff to support continuous quality improvement activities. * Ensures requests are covered within the members' benefit plan. * Ensures utilization decisions are compliant with state, federal and accreditation regulations. * Meets or exceeds regulatory turnaround time and departmental productivity goals when processing referral/authorization requests. * Ensure that all key functions are documented in accordance with the Care Management Coordination Policy. * Maintains the integrity of the system information by timely, accurate data entry. * Performs additional duties assigned. Qualifications Education/License: * Active unrestricted independent clinical mental health license (LCSW, LSW, LMFT or LPC, Psychologist) * Board Certified Behavior Analyst Certification Experience * 3+ years post independent licensure with facility based and /or outpatient psychiatric and/or substance use disorder treatment. * 3+ years BCBA certification experience specifically providing ABA services including oversight of paraprofessionals performing ABA services. * Experience providing case management or utilization management of members with autism spectrum disorder or complex psychiatric/SUD cases preferred. Knowledge & Skills * Knowledge of DSM V or most current diagnostic edition. Ability to identify medically necessary Autism and ABA care and collaborate with providers to implement solutions that directly influence the quality of care. * Exceptional communication, interpersonal, problem solving, facilitation and analytical skills. * Action oriented with strong ability to set priorities and obtain results. * Collaborator - builds team spirit and interdepartmental rapport, using effective problem solving and motivational strategy. * Open to change, comfortable with new ideas and methods; creates and acts on new opportunities; is flexible and adaptable. * Embrace the diversity of our workforce and show respect for our colleagues internally and externally. * Excellent organizational planning and prioritizing skills. * Ability to effectively utilize time management. * Proficiency utilizing Microsoft Word, Outlook, Excel, SharePoint, and Adobe programs. Ability to learn new systems as technology advances. Fully Remote: This role is designated by Independence as fully remote. The incumbent will not be required to report to one of Independence's physical office locations to perform the work. However, the work must be performed in the Tri-State Area of Delaware, New Jersey, or Pennsylvania. IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability. Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.

Are you a compassionate individual who enjoys helping others achieve their personal health and wellness goals? If so, a career as a CHOICES Care Coordinator might be perfect for you\. **As a Care Coordinator, you will make a lasting impact on members' lives by ensuring their safety at home or within a community setting** \. In this role, you'll travel to member's homes for visits, while managing various demands and requests from both internal and external stakeholders\. We're seeking individuals who excel in problem\-solving through critical thinking, and who are adept at time management and prioritizing daily tasks\. You should be self\-motivated, flexible, and thrive in a fast\-paced environment\. Most importantly, you should have a passion for improving the quality of life for diverse members in their communities\. **You will be a great match for this role if you have:** - 3 years of experience in a clinical setting - Registered nurse with an active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Act; or Masters in Social Work with an active unrestricted license \(LCSW, LMSW, or LAPSW\)\. - Exceptional customer service skills - Must live within the following counties: Hickman, Lewis, and Perry Counties - Available for an 8:00am - 5:00pm EST\(no on call\) schedule, with the option \(upon management approval\) to work a compressed work week after 1 year\. **Job Responsibilities** + Partnering with members and families to identify needed supports and direct services to meet personal goals for good health, employment and independent or community living\. + Collaborates with a team of clinical and social support colleagues to meet the physical, behavioral health and long term service needs of each member\. + Conduct thorough and objective face\-to\-face visits with and assess each members situation to determine current status and needs, including physical, behavioral, functional, psycho\-social, financial, and employment and independent living expectations\. + Utilizing criteria for authorizing appropriate home and community based services and confirm those services are being provided and that members needs are being met\. + Valid Driver's License\. + TB Skin Test \(applies to coordinators that work in the field\)\. + Position requires 24 months in role before eligible to post for other internal positions\. + Various immunizations and/or associated medical tests may be required for this position\. **Job Qualifications** _Experience_ + 2 years \- Clinical experience required _Skills\\Certifications_ + PC Skills required \(Basic Microsoft Office and E\-Mail\) + Effective time management skills + Excellent oral and written communication skills + Strong interpersonal and organizational skills _License_ + Registered nurse with an active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Act; or Masters in Social Work with an active unrestricted license \(LCSW, LMSW, or LAPSW\)\. Employees who are required to operate either a BCBST\-owned vehicle or a personal or rental vehicle for company business on a routine basis\* will be automatically enrolled into the BCBST Driver Safety Program\. The employee will also be required to adhere to the guidelines set forth through the program\. This includes, maintaining a valid driver's license, auto insurance compliance with minimum liability requirements; as defined in the "Use of Non BCBST\-Owned Vehicle" Policy \(for employees driving personal or rental vehicles only\); and maintaining an acceptable motor vehicle record \(MVR\)\. \*The definition for "routine basis" is defined as daily, weekly or at regularly schedule times\. **Number of Openings Available** 1 **Worker Type:** Employee **Company:** VSHP Volunteer State Health Plan, Inc **Applying for this job indicates your acknowledgement and understanding of the following statements:** BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin,citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law\. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices \(****************************************************************** **BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity\. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via\-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered\. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means\.** As Tennessee's largest health benefit plan company, we've been helping Tennesseans find their own unique paths to good health since 1945\. More than that, we're your neighbors and friends - fellow Tennesseans with deep roots of caring tradition, a focused approach to physical, financial and community good health for today, and a bright outlook for an even healthier tomorrow\. At BCBST, we empower our employees to thrive both independently and collaboratively, creating a collective impact on the lives of our members\. We seek talented individuals who excel in a team environment, share responsibility, and embrace accountability\. We're also seeking candidates who are proficient in the Microsoft Office suite, including Microsoft Teams, organized, and capable of managing multiple assignments or projects simultaneously\. Additional, strong interpersonal abilities along with strong oral and written communication skills are important across all roles at BCBST\. BCBST is a remote\-first organization with many employees working primarily from their homes\. Each position within the company is classified as either fully remote, partially remote, or office based\. BCBST hires employees for remote positions from across the U\.S\. with the exception of the following states: California, Massachusetts, New Hampshire, New Jersey, and New York\. Applicants living in these states may move to an approved state prior to starting a position with BCBST at their own expense\.If the position requires the individual to reside in Chattanooga, TN, they may be eligible for relocation assistance\.

Are you a compassionate individual who enjoys helping others achieve their personal health and wellness goals? If so, a career as a CHOICES Care Coordinator might be perfect for you. As a Care Coordinator, you will make a lasting impact on members' lives by ensuring their safety at home or within a community setting. In this role, you'll travel to member's homes for visits, while managing various demands and requests from both internal and external stakeholders. We're seeking individuals who excel in problem-solving through critical thinking, and who are adept at time management and prioritizing daily tasks. You should be self-motivated, flexible, and thrive in a fast-paced environment. Most importantly, you should have a passion for improving the quality of life for diverse members in their communities. You will be a great match for this role if you have: • 3 years of experience in a clinical setting • Registered nurse with an active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Act; or Masters in Social Work with an active unrestricted license (LCSW, LMSW, or LAPSW). • Exceptional customer service skills • Must live within the following counties: Memphis/Shelby County • Available for an 8:00am - 5:00pm EST(no on call) schedule, with the option (upon management approval) to work a compressed work week after 1 year. Job Responsibilities Partnering with members and families to identify needed supports and direct services to meet personal goals for good health, employment and independent or community living. Collaborates with a team of clinical and social support colleagues to meet the physical, behavioral health and long term service needs of each member. Conduct thorough and objective face-to-face visits with and assess each members situation to determine current status and needs, including physical, behavioral, functional, psycho-social, financial, and employment and independent living expectations. Utilizing criteria for authorizing appropriate home and community based services and confirm those services are being provided and that members needs are being met. Valid Driver's License. TB Skin Test (applies to coordinators that work in the field). Position requires 24 months in role before eligible to post for other internal positions. Various immunizations and/or associated medical tests may be required for this position. Job Qualifications Experience 2 years - Clinical experience required Skills\Certifications PC Skills required (Basic Microsoft Office and E-Mail) Effective time management skills Excellent oral and written communication skills Strong interpersonal and organizational skills License Registered nurse with an active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Act; or Masters in Social Work with an active unrestricted license (LCSW, LMSW, or LAPSW). Employees who are required to operate either a BCBST-owned vehicle or a personal or rental vehicle for company business on a routine basis* will be automatically enrolled into the BCBST Driver Safety Program. The employee will also be required to adhere to the guidelines set forth through the program. This includes, maintaining a valid driver's license, auto insurance compliance with minimum liability requirements; as defined in the “Use of Non BCBST-Owned Vehicle” Policy (for employees driving personal or rental vehicles only); and maintaining an acceptable motor vehicle record (MVR). *The definition for "routine basis" is defined as daily, weekly or at regularly schedule times. Number of Openings Available 1 Worker Type: Employee Company: VSHP Volunteer State Health Plan, Inc Applying for this job indicates your acknowledgement and understanding of the following statements: BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.

About Judi Health Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health™, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and Judi , the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform. Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit **************** Applications Due January 5th, 2026 Position Summary: The PGY1 Managed Care Resident helps to ensure safe and cost-effective medication therapy for our members, supports initiatives to maintain the drug benefit for commercial, Medicare, Medicaid, and health insurance marketplace clients, and plays an active role in the development and maintenance of formularies and clinical programs as part of their learning experience. Position Responsibilities: Support initiatives to maintain the drug benefit for commercial, Medicare, Medicaid, and health insurance marketplace clients Play an active role in the development and maintenance of formularies for multiple lines of business Analyze pharmacy cost of care, trends, and coordinate the development of appropriate utilization management edits including step therapy, prior authorization, and quantity limits Design pharmacy benefits for populations of patients based on client-specific elections Create pharmaceutical pipeline newsletters / publications / presentations Provide clinical resource including support of the prior authorization unit and clinical call center Analyze utilization data and creates reports for group plan sponsors (i.e., employers, labor unions, etc.) Participate in the development and maintenance of clinical programs such as drug utilization review, medication therapy management, adherence, and disease management programs Evaluate industry data to improve existing clinical programs and make recommendations with a focus on clinical offerings and value proposition Support the clinical client management team, as needed Observe and participate in committee activities related to the pharmacy program Design, manage, and complete a clinical residency project for presentation at a conference with the intent to publish research findings Supervise pharmacy students and further develop the student program, including coordination with preceptors as needed Support quality improvement projects, as needed Support request for information and request for proposal submissions, as needed Support general business needs and operations, as required All employees are responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance. Minimum Qualifications: Doctor of Pharmacy (PharmD) Degree from an accredited School of Pharmacy completed prior to start of residency program Strong academic performance with a minimum of 2.8 GPA and successful completion of all APPE rotations Licensed Pharmacist or eligible for licensure (must be licensed by September 30th of the residency year) Proficient in Microsoft office Suite with emphasis on Microsoft Excel Ability to balance multiple complex projects simultaneously Excellent communication and interpersonal skills, and ability to work with team members, executive management, and business partners in a polished and professional manner Ability to work independently, virtually, and in a team environment to produce solutions from concept to final deliverables required Familiarity working with large data sets Exceptional written and verbal communication skills Extremely flexible, highly organized, and able to shift priorities easily Attention to detail and commitment to delivering high quality work product This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Salary Range$50,000-$50,000 USD All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at *********************************************

* -------------------------------------------------------------- The Intensive Care Coordinator (ICC) is responsible for developing and implementing member-centric, individualized care plans and providing telephonic and community-based care coordination for members with high health care needs, including members with complex behavioral concerns, severe and persistent mental illness, substance use disorders, and/or receiving facility based, in-home or community-based psychiatric services. The ICC utilizes clinical expertise in behavioral health conditions and knowledge regarding the adult and children's system of care to provide coordination that is member driven, strengths based, and culturally and linguistically appropriate. The ICC acts as the primary care coordination liaison for providers working with members involved in, on waitlists for, or who may qualify for, Wraparound or Choice Model Services. NOTE: This hybrid role averages 2-3 partial days per week in the community, with the remainder of work done remotely from home. Estimated Hiring Range: $81,000.00 - $99,000.00 Bonus Target: Bonus - SIP Target, 5% Annual Current CareOregon Employees: Please use the internal Workday site to submit an application for this job. * -------------------------------------------------------------- Essential Responsibilities Assessment and Care Planning * Assess for and identify care coordination needs. * Identify risk factors and service needs that may impact member outcomes and address appropriately. * Utilize a trauma-informed approach to provide member-centric care and support. * Assist in helping members move through the continuum of care based on clinical/medical need. * Coordinate with providers to ensure consideration is given to unique needs in integrated planning and that care plans are timely and effective. * Identify suspected abuse and neglect issues and appropriately report to mandated authorities. * Implement care coordination plan in collaboration with member, providers, case workers and other relevant parties. * Work closely and collaborate with behavioral health treatment providers, crisis services, Developmental Disability, APD, DHS, etc. Intensive Care Coordination * Provide telephonic and community-based care coordination to eligible members and families. * Provide support and coordination for members receiving treatment in the higher levels of behavioral health care such as psychiatric residential treatment, intensive community based or psychiatric day treatment. * Ensure treatment recommendations are understood by the member and provider and assist members through transitions to the next level of care or treatment provider. * Facilitate communication between members, their support systems other community-based partners and clinical care providers and ensure care plans are shared, as appropriate. * Forward relevant information of members requiring special consideration of benefits to Medical Management Review RNs or to affiliated CareOregon programs. * Serve as a resource to the organization on mental health and substance use topics and issues. * Accept assignment of and maintain a caseload of members. * Effectively coordinate an interdisciplinary team for integrated care plan support of complex members. * May participate in monthly state hospital IDT meetings as well as discharge planning meetings. * Participate in CCO/APD IDT meetings to coordinate care services for OHP members in long term care services. * Collaborate with community providers, state and county case workers, community partners, vendors, agencies, Choice contractors, wraparound teams, and other relevant parties * Provide direction as appropriate to non-clinical Care Coordination staff involved with the member Transition Assistance * Assist in transition/discharge planning for members discharging from acute care settings or those who are transitioning from long term care, the Oregon State Hospital or other residential facilities to ensure a smooth transition back to community-based supports. * Ensure discharge/transition plans are evaluated holistically from physical and behavioral health perspectives. * Ensure members on the state hospital Ready to Transition (RTT) list are prioritized for referral into appropriate transition setting through collaboration with and community partners including the CHOICE ENCC. * May compile and distribute referral packets to residential and foster care facilities as needed. * Coordinate care for members residing outside of service area as required in contract. Compliance * Maintain unit compliance with Coordinated Care Organization requirements. * Maintain tracking data for program evaluation and reporting purposes. * Maintain timely and accurate documentation about each member per program policies and procedures. * Maintain working knowledge of COA and OHP benefits, including Addictions and Mental health benefits. * Report member complaints to Appeals and Grievance team for investigation and follow-up, per protocol. * Participate in quality and organizational process improvement activities and teams when requested. * Assist Quality Assurance (QA) staff in identifying behavioral health providers with practice patterns which are not in conformity to best practice standards. * Maintain unit compliance with the Model of Care requirements if applicable. Organizational Responsibilities * Perform work in alignment with the organization's mission, vision and values. * Support the organization's commitment to equity, diversity and inclusion by fostering a culture of open mindedness, cultural awareness, compassion and respect for all individuals. * Strive to meet annual business goals in support of the organization's strategic goals. * Adhere to the organization's policies, procedures and other relevant compliance needs. * Perform other duties as needed. Experience and/or Education Required * Master's degree in social work, counseling or other behavioral health field * Minimum 2 years' experience in mental health and/or drug and alcohol treatment for the population being served * Valid driver's license, acceptable driving record, and automobile liability coverage or access to an insured vehicle Preferred * Experience with a similar population in health plan case management/care coordination or behavioral health integration in a person-centered primary care home, experience administering the Oregon Health Plan (OHP) (Medicaid) and the Centers for Medicare and Medicaid Services (CMS) (Medicare) benefits * Related experience in the use of Motivational Interviewing (MI) * Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), or equivalent * Certification as CCM (Certified Case Manager) and/or Certified Alcohol Drug Counselor II or III (CADC II or III) Knowledge, Skills and Abilities Required Knowledge * Knowledge of current version of the Diagnostic and Statistical Manual of Mental Disorders (DSM) criteria for mental health and substance dependence/abuse diagnoses, ASAM (American Society of Addiction Medicine) criteria for alcohol and/or drug dependence treatment and Mental health * Knowledge of best practices and treatment modalities * Knowledge of co-morbidities that indicate potential for psychiatric de-compensation and/or relapse * Knowledge of side effects of psychotropic medications that may impact health status and adherence with treatment recommendations and behavioral health integration in primary care settings * Knowledge of the Oregon Health Plan benefit package, eligibility categories, and Oregon Medical Assistance Program (MAP) rules and regulations * Knowledge of Medicare parts A and B benefit packages and the Centers for Medicare and Medicaid Services (CMS) rules and regulations and community resources * Knowledge of community resources Skills and Abilities * Ability to exercise sound clinical judgment, independent analysis, critical thinking skills, and knowledge of behavioral health conditions to link members with appropriate providers * Ability to meet department standards for competency in the use of motivational interviewing within 12 months of hire, collaborate with members, providers, and community partners to develop plans to address complex care needs and monitor and evaluate a plan of care for optimal outcomes * Ability to work in an environment with diverse individuals and groups * Ability to establish collaborative relationships and effectively lead a multidisciplinary team * Ability to manage multiple tasks and to remain flexible in a dynamic work environment and work autonomously and effectively set priorities * Ability to participate in work-related continuing education when offered or directed * Ability to provide excellent customer service and verbal and written communication * Basic word processing skills * Ability to learn, focus, understand, and evaluate information and determine appropriate actions * Ability to accept direction and feedback, as well as tolerate and manage stress * Ability to see, read, hear, speak clearly, and perform repetitive finger and wrist movement for at least 6 hours/day * Ability to operate a motor vehicle Working Conditions Work Environment(s): ☒ Indoor/Office ☒ Community ☐ Facilities/Security ☒ Outdoor Exposure Member/Patient Facing: ☐ No ☒ Telephonic ☒ In Person Hazards: May include, but not limited to, physical, ergonomic, and biological hazards. Equipment: General office equipment and/or mobile technology Travel: Requires travel outside of the workplace at least weekly; the employee's personal vehicle may be used. Driving infractions will be monitored in accordance with organizational policy. If you receive an offer of employment for this position, it is contingent on the satisfactory completion of a pre-employment background check, immunization review, and drug screen (including THC/Marijuana). CareOregon is a federal contractor and must comply with all federal laws. If you receive an offer of employment for this position, it is contingent on the satisfactory completion of a pre-employment background check, immunization review, and drug screen (including THC/Marijuana). CareOregon is a federal contractor and must comply with all federal laws. We offer a strong Total Rewards Program. This includes competitive pay, bonus opportunity, and a comprehensive benefits package. Eligibility for bonuses and benefits is dependent on factors such as the position type and the number of scheduled weekly hours. Benefits-eligible employees qualify for benefits beginning on the first of the month on or after their start date. CareOregon offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). We also offer a strong retirement plan with employer contributions. Benefits-eligible employees accrue PTO and Paid State Sick Time based on hours worked/scheduled hours and the primary work state. Employees may also receive paid holidays, volunteer time, jury duty, bereavement leave, and more, depending on eligibility. Non-benefits eligible employees can enjoy 401(k) contributions, Paid State Sick Time, wellness and employee assistance program benefits, and other perks. Please contact your recruiter for more information. We are an equal opportunity employer CareOregon is an equal opportunity employer. The organization selects the best individual for the job based upon job related qualifications, regardless of race, color, religion, sexual orientation, national origin, gender, gender identity, gender expression, genetic information, age, veteran status, ancestry, marital status or disability. The organization will make a reasonable accommodation to known physical or mental limitations of a qualified applicant or employee with a disability unless the accommodation will impose an undue hardship on the operation of our organization.

Are you a compassionate individual who enjoys helping others achieve their personal health and wellness goals? If so, a career as a CHOICES Care Coordinator might be perfect for you\. **As a Care Coordinator, you will make a lasting impact on members' lives by ensuring their safety at home or within a community setting** \. In this role, you'll travel to member's homes for visits, while managing various demands and requests from both internal and external stakeholders\. We're seeking individuals who excel in problem\-solving through critical thinking, and who are adept at time management and prioritizing daily tasks\. You should be self\-motivated, flexible, and thrive in a fast\-paced environment\. Most importantly, you should have a passion for improving the quality of life for diverse members in their communities\. **You will be a great match for this role if you have:** - 3 years of experience in a clinical setting - Registered nurse with an active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Act; or Masters in Social Work with an active unrestricted license \(LCSW, LMSW, or LAPSW\)\. - Exceptional customer service skills - Must live within the following counties: Memphis/Shelby County - Available for an 8:00am - 5:00pm EST\(no on call\) schedule, with the option \(upon management approval\) to work a compressed work week after 1 year\. **Job Responsibilities** + Partnering with members and families to identify needed supports and direct services to meet personal goals for good health, employment and independent or community living\. + Collaborates with a team of clinical and social support colleagues to meet the physical, behavioral health and long term service needs of each member\. + Conduct thorough and objective face\-to\-face visits with and assess each members situation to determine current status and needs, including physical, behavioral, functional, psycho\-social, financial, and employment and independent living expectations\. + Utilizing criteria for authorizing appropriate home and community based services and confirm those services are being provided and that members needs are being met\. + Valid Driver's License\. + TB Skin Test \(applies to coordinators that work in the field\)\. + Position requires 24 months in role before eligible to post for other internal positions\. + Various immunizations and/or associated medical tests may be required for this position\. **Job Qualifications** _Experience_ + 2 years \- Clinical experience required _Skills\\Certifications_ + PC Skills required \(Basic Microsoft Office and E\-Mail\) + Effective time management skills + Excellent oral and written communication skills + Strong interpersonal and organizational skills _License_ + Registered nurse with an active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Act; or Masters in Social Work with an active unrestricted license \(LCSW, LMSW, or LAPSW\)\. Employees who are required to operate either a BCBST\-owned vehicle or a personal or rental vehicle for company business on a routine basis\* will be automatically enrolled into the BCBST Driver Safety Program\. The employee will also be required to adhere to the guidelines set forth through the program\. This includes, maintaining a valid driver's license, auto insurance compliance with minimum liability requirements; as defined in the "Use of Non BCBST\-Owned Vehicle" Policy \(for employees driving personal or rental vehicles only\); and maintaining an acceptable motor vehicle record \(MVR\)\. \*The definition for "routine basis" is defined as daily, weekly or at regularly schedule times\. **Number of Openings Available** 1 **Worker Type:** Employee **Company:** VSHP Volunteer State Health Plan, Inc **Applying for this job indicates your acknowledgement and understanding of the following statements:** BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin,citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law\. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices \(****************************************************************** **BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity\. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via\-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered\. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means\.** As Tennessee's largest health benefit plan company, we've been helping Tennesseans find their own unique paths to good health since 1945\. More than that, we're your neighbors and friends - fellow Tennesseans with deep roots of caring tradition, a focused approach to physical, financial and community good health for today, and a bright outlook for an even healthier tomorrow\. At BCBST, we empower our employees to thrive both independently and collaboratively, creating a collective impact on the lives of our members\. We seek talented individuals who excel in a team environment, share responsibility, and embrace accountability\. We're also seeking candidates who are proficient in the Microsoft Office suite, including Microsoft Teams, organized, and capable of managing multiple assignments or projects simultaneously\. Additional, strong interpersonal abilities along with strong oral and written communication skills are important across all roles at BCBST\. BCBST is a remote\-first organization with many employees working primarily from their homes\. Each position within the company is classified as either fully remote, partially remote, or office based\. BCBST hires employees for remote positions from across the U\.S\. with the exception of the following states: California, Massachusetts, New Hampshire, New Jersey, and New York\. Applicants living in these states may move to an approved state prior to starting a position with BCBST at their own expense\.If the position requires the individual to reside in Chattanooga, TN, they may be eligible for relocation assistance\.

FLSA Status: Non-Exempt Department: Health Services Reports To: Director, Behavioral Health The Behavioral Health Services Personal Care Coordinator is responsible for supporting and coordinating internal and external resources for members referred to case management programs for all lines of business in compliance with all applicable state and federal regulatory requirements, SCFHP policies and procedures, and business requirements. ESSENTIAL DUTIES AND RESPONSIBILITIES To perform this job successfully, an individual must be able to satisfactorily perform each essential duty listed below. * Work with case managers to assist members navigating the healthcare delivery system and home and community-based service to facilitate access related to medical, psychosocial and behavioral health benefits and services. * Monitor and respond to inbound case management inquiries and referrals and escalate to clinical staff, as appropriate. * Provide outreach to members to facilitate timely completion of Health Risk Assessments (HRA's) by telephone, mail or in person, as needed. * Support the coordination of member care with PCP, Specialists, Behavioral Health and Long Term Services and Supports providers and other stakeholders to assist member to achieve or maintain a level of functional independence which allows them to remain at home or in the community. * Assist with coordinating the involvement of the interdisciplinary care team (ICT) members including the member and/or their family/responsible party to implement the individualized care plan (ICP). Oversee correspondence related to care plans. Document ICT meetings following SCFHP policies and procedures. * Support successful transition of care for members who move between care settings by coordinating services for medical appointments, pharmacy assistance and by facilitating utilization review. Assist to ensure follow up for psychiatric hospitalizations for members to obtain psychiatric/behavioral health care. * Follow UM policies and procedures for new authorization requests. May conduct data entry into the authorization software application system and determination notification to member and/or provider in accordance with regulatory timeframes. * Produce and distribute internal reports that may include QI reports, member admission and discharge reports and external stakeholder reports, as appropriate. * Follow established Health Services policies and procedures and use available resources to respond to member and/or provider inquiries and resolve any concerns in an accurate, timely, respectful, professional and culturally competent manner. * Maintain knowledge of current resources in communities served by our members to support case management goals. * Develop effective and professional working relationships with internal and external stakeholders and partners. Communicate effectively with members and providers orally and in writing. * May support and conduct non-clinical training in accordance with training guidelines and protocols; provide input and develop training and reference materials. May develop Behavioral Health department orientation binder and assist with onboarding of new employees. * Identify issues and trends (data, systems, member, provider, other) as well as general departmental questions/concerns; report relevant information to management; and make recommendations to improve operations. * Collaborate with team members on improvement efforts across-departments regarding quality improvement projects, optimization of utilization management, and member satisfaction. * Attend and actively participate in daily, weekly, and monthly departmental meetings, in-services, training, coaching sessions and external stakeholder meetings. * Understanding of Behavioral Health and 1115 Waiver programs, including Alcohol and Drug Services and assess members for appropriate referrals into these programs. May be required to facilitate Behavioral Health Treatment (BHT) services, including identification of providers, timely access to assessment and treatment. * Perform other duties as required or assigned. REQUIREMENTS - Required (R) Desired (D) The requirements listed below are representative of the knowledge, skill, and/or ability required or desired. * Bachelor's Degree in a health related field or equivalent experience, training or coursework. (R) * Minimum three years of relevant experience in a healthcare or community setting providing care coordination of health and/or social services. (R) * Maintenance of a valid California driver's license and acceptable driving record, in order to drive to and from offsite meetings or events; or ability to use other means of transportation to attend offsite meetings or events. (R) * Knowledge of Medicare and/or Medi-Cal benefits, community resources and principals of case management. (D) Knowledge of medical terminology. (D) * Knowledge of Santa Clara County Health and Social Services. (D) * Proficient in adapting to changing situations and efficiently alternating focus between telephone and non-telephone tasks to support department operations as dictated by business needs. (R) * Ability to consistently meet accuracy and timeline requirements to maintain regulatory compliance. (R) * Ability to work within an interdisciplinary team structure. (R) * Working knowledge of and the ability to efficiently operate all applicable computer software including computer applications such as Outlook, Word, Excel, and specific case management programs. (R ) * Ability to use a keyboard with moderate speed and a high level of accuracy. (R) * Excellent communication skills including the ability to express oneself clearly and concisely when providing service to SCFHP internal departments, members, providers and outside entities over the telephone, in person or in writing. (R) * Ability to think and work effectively under pressure and accurately prioritize and complete tasks within established timeframes. (R) * Ability to assume responsibility and exercise good judgment when making decisions within the scope of the position. (R) * Ability to maintain confidentiality. (R) * Ability to comply with all SCFHP policies and procedures. (R) * Ability to perform the job safely and with respect to others, to property and to individual safety. (R) WORKING CONDITIONS Generally, duties are primarily performed in an office environment while sitting or standing at a desk. Incumbents are subject to frequent contact with and interruptions by co-workers, supervisors, and plan members or providers in person, by telephone, and by work-related electronic communications. PHYSICAL REQUIREMENTS Incumbents must be able to perform the essential functions of this job, with or without reasonable accommodation: * Mobility Requirements: regular bending at the waist, and reaching overhead, above the shoulders and horizontally, to retrieve and store files and supplies and sit or stand for extended periods of time; (R) * Lifting Requirements: regularly lift and carry files, notebooks, and office supplies that may weigh up to 5 pounds; (R) * Visual Requirements: ability to read information in printed materials and on a computer screen; perform close-up work; clarity of vision is required at 20 inches or less; (R) * Dexterity Requirements: regular use of hands, wrists, and finger movements; ability to perform repetitive motion (keyboard); writing (note-taking); ability to operate a computer keyboard and other office equipment (R) * Hearing/Talking Requirements: ability to hear normal speech, hear and talk to exchange information in person and on telephone; (R) * Reasoning Requirements: ability to think and work effectively under pressure; ability to effectively serve customers; decision making, maintain a concentrated level of attention to information communicated in person and by telephone throughout a typical workday; attention to detail. (R) ENVIRONMENTAL CONDITIONS General office conditions. May be exposed to moderate noise levels

New York Psychotherapy and Counseling Center (NYPCC) is a leading non-profit organization in New York that has been caring for the community for over 40 years. We are founded on the belief that everyone, no matter age, race or socioeconomic status, is entitled to the best possible mental health treatment. With seven treatment facilities within Brooklyn, Queens, and the Bronx, we assist children, families, and individuals with behavioral and emotional challenges in becoming more productive, independent members of society. Why Work at NYPCC? Medical, Dental, and Vision Insurance is Paid for by NYPCC 100% Paid Time Off and Company Paid Holidays Annual Rate Increases We pay down your student loans! Loan Forgiveness 403B Retirement Plan Professional Development through NYPCC Academy Are You a Good Fit? We are currently seeking an energetic, bright, and self-motivated Care Coordinatorto join our team. This is a full-time position that will be based out of our state-of-the-art Child and Family Health Center located at 579 Courtlandt Ave, Bronx, NY. Gateway to Wellnessis a Health Home Care Management initiative being implemented by New York Psychotherapy & Counseling Center (NYPCC) to supplement and enhance the current behavioral health services we offer and provide throughout the NYC area. Job Responsibilities: Manage a 85+ caseload of Health Home Care clients Assist in developing a Comprehensive Care Plan Address various service needs (e.g. Housing, Benefits, medical care, transportation, education, employment, Crisis Intervention and other supportive services to enhance client's quality of life) Work as a member of Care Team including; Supervisor, Clinicians, verbal Psychotherapists, and Psychiatrists Successfully execute advocacy, assessment, service planning, creating linkages/referrals and ongoing documentation and monitoring of Electronic Health Records Contact individuals diagnosed with mental illness, substance abuse disorders and chronic medical conditions that significantly impact functioning on a monthly basis in person and by phone Job Qualifications: MUSTbe bilingual (English/Spanish) Bachelor's Degree required Experience with GSI Health Home Software required Experience with HARP clients preferred Possess knowledge of various resources and services within a community to assist with overall service delivery and linking members to the services they need or want based on a client-centered service plan Possess excellent verbal and written communication skills to be able to provide linguistically appropriate services to their assigned caseload Communicate with other professionals, a network of providers and managed care organizations regarding client statuses, level of functioning and needs for additional services NYPCC is a fast-paced, energetic, dynamic environment that employs people with a passion for our mission. We offer a very competitive salary with full benefits including; Medical, Dental, Vision, Paid Time Off, Salary Increases, Bonuses, 403b Retirement Plan and more. Perkins and other loan forgiveness may also be available, in addition to our Student Loan Pay Down incentive. NYPCC is an Equal Opportunity Employer

Job DescriptionMCCN Care Coordinator 40hrs per week (Hybrid - Remote flexibility when not working in the field) General Statement of Duties: The MCCN Care Coordinator will provide LTSS care coordination activities to youth and adult Enrollees of MCCN to facilitate the appropriate delivery of health care services and improve health outcomes. Such activities may include organizing care and facilitating communication across medical, behavioral health, LTSS, social, and pharmacy providers, agencies, and supports. This position requires regular travel within the Southeast Region. Efforts will be made to contain travel within 1 hour of the Brockton office or the applicant's home, but occasional travel outside 1 hour radius may occur. Responsibilities: Work collaboratively and effectively with care management, including Assigned or Engaged Enrollee, medical team and other providers to provide LTSS care management services. Work collaboratively with the care team to complete and utilize the Comprehensive Assessment results, and work with Assigned or Engaged Enrollee to develop or update the LTSS Person Centered Treatment Plan within 122 days of assignment. Ensure that the LTSS Person Centered Treatment Plan meets the requirements of EOHHS and notify the care team if changes have occurred to Assigned or Engaged Enrollee's functional status, including Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) needs, since the completion of the Comprehensive Assessment. Ensure the Assigned or Engaged Enrollee receives necessary assistance and accommodations to prepare for, fully participate in, and to the extent preferred, direct the care planning process. Ensure that the Assigned or Engaged Enrollee receives assistance in understanding LTSS terms and LTSS concepts, including but not limited to information on their functional status; how family members, social supports and other individuals of their choosing can be involved in the care planning process; self-directed care options and assistance available to self-direct care; and LTSS services or programs that are available to meet their needs and for which they are potentially eligible. Inform the Assigned or Engaged Enrollee about his or her options for specific LTSS services and programs and providers that may meet their needs. Assess the Assigned or Engaged Enrollee for social services and identify community and social services and resources that may support the health and wellbeing of the Assigned or Engaged Enrollee. Conduct assessment for Flexible Services for all Assigned or Engaged Enrollees who are enrolled in an ACO. If Flexible Services are identified, make recommendation to ACO for approval. Coordinate all aspects of service delivery and promote integration with health care providers, BH providers, LTSS providers and community/social service provides that the Assigned or Engaged Enrollee may be receiving, as outlined in the LTSS Person Centered Treatment Plan. Participate in Enrollee's care team meetings to ensure effective communication among all disciplines involved in individual's care. Provide health and wellness coaching as directed by the Engaged Enrollee's care team and as indicated in the Enrollee's LTSS Person Centered Treatment Plan. Maintain regular contact with Assigned or Engaged Enrollee to monitor and coordinate LTSS Person Centered Treatment Plan including quarterly face-to-face meetings. Care Coordination activities include visiting locations in which the Enrollee is known to reside or visit; Conducting face-to-face home visits with the Enrollee on an initial and quarterly basis; complete in person follow up after discharge visit within 7 days following an Enrollee's inpatient discharge, discharge from twenty-four (24) hour diversionary setting, or transition to a community setting. Support transitions of care by completing a follow up within seven (7) calendar days following an Enrollee's emergency department (ED) discharge. Coordinates clinical services and other supports for the Enrollee, as needed Contacting the Enrollee's providers and collaterals to ensure accurate contact information when Assigned or Engaged Enrollees become unreachable. Qualifications: BA in social work, human services, nursing, psychology, sociology, or related field from an accredited college/university OR an Associate's degree and at least one year professional experience in the field OR at least three years of relevant professional experience. Experience working with individuals with complex LTSS needs and credentialed as a community health worker, health outreach worker, peer specialist, or recovery coach desired. Care Coordination and Behavioral Health experience preferred. Experience in navigating individual and family service systems and demonstrated the capacity to work collaboratively and effectively with families and community-based colleagues. Ability to use Electronic Health Records (EHR) Systems to document and coordinate services. Must be able to perform each essential duty satisfactorily. Strong interpersonal skills in terms of developing a working relationship with a variety of individuals in a variety of context. Ability to communicate effectively verbally and in writing. Strong organization skills with Attention to detail, multi-tasking skills, Prioritization skills, Analytical skills, Problem-solving skills, and Team skills. Strongly prefer that a candidate will have a demonstrated understanding of and competence of Health Equity and in serving culturally diverse populations. Commitment to MCCN values and mission. Ability to travel on a regular basis; Must have valid driver's license and access to an automobile. Ability to read and speak English. Fluency in other languages, including Spanish, Cape Verdean Creole, Haitian Creole preferred. Strongly preferred experience in Microsoft Products and software i.e., Teams, Excel, Word, Outlook, etc. Strong computer knowledge, including proficiency in contemporary Windows operating systems and Windows office suites with an emphasis on Word and Excel; ability to learn new systems; experience entering and working with data; and comfort and experience using mobile technologies. Knowledge regarding psychiatric rehab and understanding of recovery model. Strongly prefer that a candidate will have a demonstrated understanding of and competence of Health Equity and in serving culturally diverse populations. Must be able to perform each essential duty satisfactorily. Must hold a valid drivers' license. Must have access to an operational and insured vehicle and be willing to use it to transport members. Must have ability to read English and communicate effectively in the primary language of the program to which he/she is assigned. EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER We at BAMSI appreciate your interest and consideration of roles in our organization. BAMSI is an equal opportunity and Affirmative Action Employer encouraging diversity in the workplace. All qualified applicants will receive consideration for employment without regard to their race, color, creed, religion, ancestry, national origin, sex, sexual orientation, gender identify, age, marital status, family responsibilities, pregnancy, genetic information, protected veteran or military status and regardless of whether the qualified applicants are individuals with disabilities. EEO is the Law ***************************************** Reasonable Accommodations for Applying/Recruitment Reasonable accommodations are adjustments made to remove workplace obstacles for qualified individuals with disabilities to apply for and perform their jobs. Applicants who qualify under the Americans with Disabilities Act, as amended, may be eligible for a reasonable accommodation in BAMSI's application and selection process. A request for an accommodation will not affect opportunities for employment within BAMSI. Arrangements can be made if you have a disability that requires an accommodation for completing an application form, interviewing or any part of the employment process. Requesting accommodations, in writing or verbally, can be initiated by a BAMSI employee, qualified applicant, or by someone acting on that person's behalf. Either call ************ or, send letter to Talent Acquisition, 15 Christy's Dr Brockton, MA 02301. Note: please do not use these contacts to follow-up on job inquiries.

Broker Relations Representative | Individual Health Specialist Professional Insurance Planners and Consultants of Iowa (PIPAC) Cedar Falls, IA About Professional Insurance Planners and Consultants of Iowa (PIPAC) Professional Insurance Planners and Consultants of Iowa, or PIPAC, headquartered in Cedar Falls, Iowa, is a leading marketing organization of life and health insurance products that assists agents in finding the right product fit for their clients. PIPAC partners with insurance carriers and markets these products through independent agencies throughout the Midwest. PIPAC provides independent agents with quality products at competitive prices with “Positively Outrageous Service.” For more information, visit ************** Job Summary PIPAC Health and Life Brokerage, an Integrity partner, is seeking a reliable and dedicated full-time service-oriented representative in our Cedar Falls office to provide sales and administrative support to independent insurance agents operating in individual health insurance and Medicare markets. The ideal candidate will possess strong communication and computer skills, a helpful friendly attitude, and the ability to work independently in an often fast-paced environment. Primary Responsibilities: Handle inbound and outbound agent communication related to policy applications and service-related issues. Be knowledgeable in all individual health and Medicare products offered through PIPAC. Staying up to date on industry trends and changes in insurance policies and coverage options. Build and maintain strong working relationships with agents and carriers. Advise and educate agents on individual health insurance and Medicare products. Understand and promote available quoting and enrollment tools and platforms. Process enrollments, policy changes, and claim issues in a timely manner according to carrier guidelines. Update and maintain database records and electronic files. Primary Skills & Requirements: Associate's degree and 2-3 years of customer service-related experience; or equivalent combination of education and experience. Excellent verbal/written communication and interpersonal skills. Proficiency with computer programs and Microsoft Office applications. Dependable, highly organized self-starter with a positive attitude and passion for providing great customer service. Benefits Available Medical/Dental/Vision Insurance 401(k) Retirement Plan Paid Holidays PTO Community Service PTO FSA/HSA Life Insurance Short-Term and Long-Term Disability About Integrity Integrity is one of the nation's leading independent distributors of life, health and wealth insurance products. With a strong insurtech focus, we embrace a broad and innovative approach to serving agents and clients alike. Integrity is driven by a singular purpose: to help people protect their life, health and wealth so they can prepare for the good days ahead. Integrity offers you the opportunity to start a career in a family-like environment that is rewarding and cutting edge. Why? Because we put our people first! At Integrity, you can start a new career path at company you'll love, and we'll love you back. We're proud of the work we do and the culture we've built, where we celebrate your hard work and support you daily. Joining us means being part of a hyper-growth company with tons of professional opportunities for you to accelerate your career. Integrity offers our people a competitive compensation package, including benefits that make work more fun and give you and your family peace of mind. Headquartered in Dallas, Texas, Integrity is committed to meeting Americans wherever they are - in person, over the phone or online. Integrity's employees support hundreds of thousands of independent agents who serve the needs of millions of clients nationwide. For more information, visit Integrity.com. Integrity, LLC is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, national origin, disability, veteran status, or any other characteristic protected by federal, state, or local law. In addition, Integrity, LLC will provide reasonable accommodations for qualified individuals with disabilities.

Broker Relations Representative | Individual Health Specialist Professional Insurance Planners and Consultants of Iowa (PIPAC) Cedar Falls, IA About Professional Insurance Planners and Consultants of Iowa (PIPAC) Professional Insurance Planners and Consultants of Iowa, or PIPAC, headquartered in Cedar Falls, Iowa, is a leading marketing organization of life and health insurance products that assists agents in finding the right product fit for their clients. PIPAC partners with insurance carriers and markets these products through independent agencies throughout the Midwest. PIPAC provides independent agents with quality products at competitive prices with "Positively Outrageous Service." For more information, visit ************** Job Summary PIPAC Health and Life Brokerage, an Integrity partner, is seeking a reliable and dedicated full-time service-oriented representative in our Cedar Falls office to provide sales and administrative support to independent insurance agents operating in individual health insurance and Medicare markets. The ideal candidate will possess strong communication and computer skills, a helpful friendly attitude, and the ability to work independently in an often fast-paced environment. Primary Responsibilities: * Handle inbound and outbound agent communication related to policy applications and service-related issues. * Be knowledgeable in all individual health and Medicare products offered through PIPAC. Staying up to date on industry trends and changes in insurance policies and coverage options. * Build and maintain strong working relationships with agents and carriers. * Advise and educate agents on individual health insurance and Medicare products. * Understand and promote available quoting and enrollment tools and platforms. * Process enrollments, policy changes, and claim issues in a timely manner according to carrier guidelines. * Update and maintain database records and electronic files. Primary Skills & Requirements: * Associate's degree and 2-3 years of customer service-related experience; or equivalent combination of education and experience. * Excellent verbal/written communication and interpersonal skills. * Proficiency with computer programs and Microsoft Office applications. * Dependable, highly organized self-starter with a positive attitude and passion for providing great customer service. Benefits Available * Medical/Dental/Vision Insurance * 401(k) Retirement Plan * Paid Holidays * PTO * Community Service PTO * FSA/HSA * Life Insurance * Short-Term and Long-Term Disability About Integrity Integrity is one of the nation's leading independent distributors of life, health and wealth insurance products. With a strong insurtech focus, we embrace a broad and innovative approach to serving agents and clients alike. Integrity is driven by a singular purpose: to help people protect their life, health and wealth so they can prepare for the good days ahead. Integrity offers you the opportunity to start a career in a family-like environment that is rewarding and cutting edge. Why? Because we put our people first! At Integrity, you can start a new career path at company you'll love, and we'll love you back. We're proud of the work we do and the culture we've built, where we celebrate your hard work and support you daily. Joining us means being part of a hyper-growth company with tons of professional opportunities for you to accelerate your career. Integrity offers our people a competitive compensation package, including benefits that make work more fun and give you and your family peace of mind. Headquartered in Dallas, Texas, Integrity is committed to meeting Americans wherever they are - in person, over the phone or online. Integrity's employees support hundreds of thousands of independent agents who serve the needs of millions of clients nationwide. For more information, visit Integrity.com. Integrity, LLC is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, national origin, disability, veteran status, or any other characteristic protected by federal, state, or local law. In addition, Integrity, LLC will provide reasonable accommodations for qualified individuals with disabilities.

Skills: Health Care Program Coordinator The Health Care Program Coordinator will be responsible for coordinating and managing health care programs in the Harrisburg, PA area. The ideal candidate will have experience in health care program coordination, as well as strong organizational and communication skills. Responsibilities: • Manage and balance priorities including, but not limited to, personal task queue, reports, and projects. • Build LTSS Authorizations based on the Participant Care Plans and follow scope of approval guidelines. • Setup LTSS services based on Participant Care Plans through Provider outreach and Service Coordinator collaboration. • Complete in-depth research to correct authorization discrepancies. • Effectively communicate authorization decisions with Providers and Service Coordinators. • Conduct comprehensive authorization reviews for denied claims and?report on findings and necessary action plan. Requirements: • High school graduate with 3+ years' experience in a professional office setting within a healthcare environment, or a 4 year college degree from an accredited institution. • Strong organizational and communication skills • Ability to work independently and as part of a team • Knowledge of relevant regulations and guidelines • Proficiency in Microsoft Office and other relevant software Ability to commute/relocate: • Harrisburg, PA 17110: Reliably commute or plan to relocate before starting work (Preferred) Application Question(s): • Are you willing to submit to a background check? Benefits: • Health insurance • Dental insurance • Vision insurance • Paid time off

ComForCare Home Care is a franchise of premier in-home care providers. We take time to understand the needs of our clients and work diligently to keep them safe at home. With ComForCare, clients can live independently and continue to do the things they love. As a Scheduler at ComForCare, you will oversee the scheduling and coordination of client services, manage staffing assignments, ensure compliance with agency policies and regulations, and maintain confidentiality of client and employee information Learn more about how we show we value our team and why they love working at ComForCare. Why Join ComForCare: Competitive salary based on experience Mileage reimbursement Tuition Assistance Discounted Prescription medications Paid Time Off (PTO) Paid Training Work with a team committed to excellence in home care Company support for educational and learning opportunities Bonus opportunities /performance bonus On-Call Pay We know the industry better than anyone. Make a meaningful difference by ensuring that clients receive timely and effective care while fostering a supportive, positive environment for employees. KEY RESPONSIBILITIES: Scheduling & Coordination Create and maintain weekly caregiver schedules, ensuring client needs are met. Quickly respond to call-offs and arrange coverage. Communicate schedule updates to caregivers, clients, and families. Maintain accurate records in scheduling software. Caregiving (Primary Backup Support) Provide in-home care when primary caregivers are unavailable. Assist clients with activities of daily living (ADLs) such as personal care, meal preparation, light housekeeping, and companionship. Follow care plans and company standards to ensure quality service. This position requires the person to be in-office during normal business hours and provide one-call support as needed or required by the supervisor/manager. QUALIFICATIONS: Previous scheduling or office coordination experience (preferred). Experience in caregiving, home care, or healthcare (required). Strong communication and problem-solving skills. Ability to multitask and adapt to changing priorities. Reliable transportation and valid driver's license. Must pass background check and meet state caregiving requirements. PERSONAL CHARACTERISTICS: A positive, can-do attitude, with the resilience to thrive in a fast-paced environment. Strong communication and interpersonal skills to build relationships with clients, families, and team members. A problem-solver, with the ability to navigate challenges and find effective solutions. Empathy, humility, and a genuine desire to support both clients and team members. Willingness to go the extra mile when needed-be available after hours, weekends, and on-call as necessary. Job Type: Full-time PAY: $41,700 per year + Bonus + On-Call Pay Compensation: $41,700.00 per year Live your best life possible while helping others live theirs. Our Caregivers are the heart and soul of what we do. For that reason, we put our CaregiversFirst each and every day. At ComForCare, it is our CaregiverFirst promise, that our caregivers will be: Treated with respect and dignity. Provided exceptional training on a regular and ongoing basis. Are never alone in the field - support is always available. Thoughtfully matched with clients that they are compatible with. Join our team and be a part of a certified Great Place To Work ! Thousands of ComForCare employees were surveyed and the response was overwhelmingly positive, with 90% agreeing that ComForCare is in fact a Great Place To Work . By selecting the positions below, you acknowledge that you are applying for employment with an independently owned and operated ComForCare franchisee, a separate company and employer from ComForCare and any of its affiliates or subsidiaries. You understand that each independent franchisee is solely responsible for all decisions relating to employment including (and without limitation to) hiring and termination, and ComForCare does not accept, review or store my application. Any questions about your application or the hiring process must be directed to the locally owned and operated ComForCare franchisee. Equal Opportunity Employer: Disability/Veteran.

Intensive Care Coordinator at AllCare Health with the Population Health team in Grants Pass, Oregon! We Are Seeking Qualified Candidates to Join Our Team! AllCare Health offers competitive wages, an excellent benefits package including affordable healthcare, 401k retirement, wellness programs, and flexible schedule options. Summary of the Position This position is responsible for identifying social determinants of health needs for all AllCare Medicaid, Medicare, and Medicare dual eligible members of all ages, assisting in navigating the community-based network of services, providing benefit education, facilitating communication between the member and their providers, and assisting in member development of a self-management plan by performing the following duties. Essential Duties Assessment, planning, implementing, coordinating and requesting services required to meet member's health care needs to ensure timely access to medical, behavioral health, and community services and to ensure that all services are provided within HIPAA guidelines. Acts as an advocate for members in problem resolution and facilitates collaboration with the interdisciplinary care team (ICT) in order to assist members to develop a knowledge base that will allow self-reliance. Conducts thorough planning to determine and document specific objectives, goals, and actions to meet the member's identified needs, including re-evaluation of the individualized care plan (ICP). Job Duties Assumes responsibility for a mixed acuity case load. Conducts engagement activities and provides benefit information to members including those with mental health, physical health, and oral health care needs. Facilitates consents and gathers clinical information. Acts as a key liaison in keeping lines of communication open between members, the ICT, provider, behavioral health, chemical dependency vendor, and/or DHS caseworker. Refers members and collaborates with internal staff from the Enrollment, Member Services, Utilization Management, and Quality Management Departments. Facilitates communication and coordinates community support and social service systems to ensure continuity of services. Ensures accurate and complete Care Management System documentation. Provides care coordination in a variety of settings as the need dictates (i.e., in the office, provider offices, other healthcare facilities, and member homes). Develops and maintains a strong information base of community resources. Demonstrates boundaries regarding confidentiality and personal relationships. Assesses member learning style and develops teaching approaches appropriate to reading and comprehension skills. Helps members choose actions that will bring goals and objectives to completion in a timely manner. Collaborates with providers of care to ensure appropriate access to services and follow up on the results of referrals. Assists as needed in quality initiatives for the department. Coordinates care needs for the Dual Special Needs Population (DSNP) member to ensure compliance with the Special Needs Model of Care (SNP MOC). Prepares for and participates in all required DSNP trainings, education, and member audits. Participates in initial, annual, and ongoing trainings. Acts as preceptor during the onboarding of new hire employees. Works collaboratively in a team environment with a spirit of cooperation. Respectfully takes direction from care coordination leaders. Meets all required training including those listed in Relias Learning Module System (LMS). Maintains punctual, regular and predictable attendance. Works collaboratively in a team environment with a spirit of cooperation. Other duties as assigned. On Call Responsibilities This position requires on-call responsibilities. During on call shifts, this role is either waiting to be engaged or in an engaged state. Schedules are provided in varying formats to ensure qualified personnel is available during our business requirements, for each area of responsibility. Required on call times may change throughout the year depending on business needs. Supervisory Responsibilities This position does not have any supervisory responsibilities. Clinical Supervision This position receives clinical supervision from an assigned clinician. Supervision needs will be evaluated based on clinical experience and performance. Job Requirements May require the use of personal vehicle for local travel (subject to mileage reimbursement). Qualifications Ability to perform essential job duties with or without reasonable accommodation and without posing a direct threat to safety or health of employee or others. 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. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties. Being bilingual in another language, including American Sign Language (ASL), is an invaluable skill that enhances our ability to deliver culturally responsive care. We strongly encourage you to apply if you are bilingual. All relevant experience can be listed in your resume to perform essential duties of the position including the following: lived, volunteer, professional, or a combination of experience and education . Education High school diploma or general education degree (GED). Experience Six months to one-year related experience and/or training in related field is required. Working knowledge of the Oregon Health Plan and Medicare with special attention to the rules and policies affecting members with disabilities and members age 65 and over. Certificates, Licenses, and/or Registrations Valid Oregon Driver's License and vehicle insurance. Mental Health First Aid Certification or willing to become certified within 90 days of hire. Traditional Health Worker certification through OHA is preferred (Requires NPI number). Technical Skills Familiarity with the Healthcare industry. Excellent organization and time-management skills. Excellent computer skills, including the Microsoft Office Suite (Outlook, Word, PowerPoint, and Excel). Knowledge of and compliance with HIPAA regulations. Knowledge of the widespread impact of trauma and paths for recovery Knowledge of the Oregon Health Plan and Medicare with special attention to the rules and policies affecting members with disabilities and members age 65 and over. Interpersonal Skills Demonstrate accountability, inspiring trust and confidence from others. Self-resolve most conflicts or misunderstandings with minimal need for direct supervision. Work with high initiative, energy and effectiveness in a fast-past environment. Effectively and professionally communicate with team members and customers. Collaborate within a multidisciplinary, diverse team to provide professional service. Interact positively with customers to satisfy needs and resolve problems in a pleasant and professional manner. Prioritize and organize work according to competing timelines. Allocate your time so that you can complete tasks within established deadlines. Adapt to change, learn quickly, and work with ambiguity. Use creativity and resourcefulness to solve new problems. Cope and self-manage during stressful situations. Maintain an attentive and empathetic demeanor. Maintain a high degree of professionalism and confidentiality. Effectively work with people with mental illness and from diverse backgrounds and experiences. Provide respectful and understanding service to customers within a multicultural environment. Create a pleasant experience for all customers, such as being personable and attentive. Meet timelines for goals safely and with high level of quality. Negotiate, consider many viewpoints and settle differences quickly. Make decisions independently in accordance with established policies and procedures. Seek out information to learn more about our environment and community. Commit to being culturally aware. Bilingual Skills Bilingual in English/Spanish is preferred for this position. Language Skills Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization. Mathematical Skills Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Ability to apply concepts of basic algebra and geometry. Computer Skills Has advanced basic computer job skills including logging on to systems, ability to communicate by email, ability to compose documents, enter database information, create presentations, download forms, and preserve/backup important data. Reasoning Ability Ability to solve practical problems and work with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Physical Demands & Work Environment The physical demands described here are representative of those that must be met by an employee to successfully perform the essential duties of this job. The work environment characteristics described here are representative of those an employee encounters while performing the essential duties of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties. The employee must occasionally lift and/or move up to 50 pounds. While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear. The employee is occasionally required to stand; walk and reach with hands and arms. The noise level in the work environment is usually moderate. The employee must be able to work onsite as needed. The employee must be able to work from a home office as needed. The employee must be able to travel locally as needed. The employee has exposure to communicable disease and body fluids. Because of exposure to patient records of all types, the highest standard of patient confidentiality and privacy as established by business policy and HIPAA requirements must be maintained. Company Overview AllCare Health Website: ****************************** AllCare Health is incorporated as an Oregon Benefit Corporation and has earned the coveted Certified B Corp status since 2017. As such, AllCare Health considers its impact on community, society, and the environment in all business decisions. We have long recognized the value in social, economic, and environmental concerns of our employees, customers, and community members. (Learn more about B Corps at *************************************** AllCare Health headquarters are located in Grants Pass in Southern Oregon on the Rogue River, surrounded by mountains, forests, small farms, and breathtaking views. This thriving and energetic community is ideal for families and outdoor enthusiasts, with a temperate Pacific Northwest climate. We enjoy easy access to outdoor sports and recreation, river rafting, fishing, hiking, biking, wineries, outdoor concerts, the world-famous Ashland Shakespeare Festival, the stunning Oregon coast, magnificent redwood forests, pristine beaches, and much more. The AllCare Health family of businesses is guided by our corporate principles: Purpose | Working together with our communities to improve the health and well-being of everyone. Values | Trust, Innovation, Relationships, and Voice. Vision | Thriving, Inclusive, and Equitable communities. Brand Promise | Changing Healthcare to Work for You. AllCare Health is dedicated to building a diverse and authentic workplace centered in belonging and serving our growing community. If you are excited about this open position but your experience does not align perfectly with every qualification in this post, we encourage you to apply anyway or reach out to our human resources department. You may just be the right candidate for this role or others. If you need accommodations, help in the application process, or wish to receive this job announcement in an alternative format, please call ************ and ask for Human Resources. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sexual orientation, gender identity, sex, age, protected veteran or disabled status, or genetic information. Monday - Friday; 8:00am - 5:00pm w/ a 1 hour unpaid lunch & two paid 15 minute breaks 40 hours per week

At Elara Caring, we have a unique opportunity to play a huge role in the growth of an entire home care industry. Here, each employee has the chance to make a real difference by carrying out our mission every day. Join our elite team of healthcare professionals, providing the Right Care, at the Right Time, in the Right Place. : Full Time Monday-Friday 8am-5pm $22-$25 Bilingual (Spanish) At Elara Caring, we care where you are and believe the best place for your care is where you live. We know there's no place like home, and that's why our teams continue to provide high-quality care to more than 60,000 patients each day in their preferred home setting. Wherever our patients call home and wherever they are on their health journey, we care. Each team member has a part to play in this mission. This means you have countless ways to make a difference as an Community Health Specialist. Being a part of something this great starts by carrying out our mission every day through your true calling: developing an amazing team of compassionate and dedicated healthcare providers. To continue to be an industry pioneer delivering unparalleled care, we need a Community Health Specialist with commitment and compassion. Are you one of them? If so, apply today! Why Join the Elara Caring mission? You'll work in a collaborative environment You'll be rewarded with a unique opportunity to make a difference Outstanding compensation package Medical, dental and vision benefits available 401K match and paid time off for full-time staff COVID-19 Prepared with Personal Protective Equipment and precautions As a Community Health Specialist, you'll contribute to our success in the following ways: Performing community informational service events. Delivers and picks up orders, progress notes to physicians, medical forms/records from physician offices and facilities and explains any documents and facilitates patient care communications; obtains requested signatures. Implements provider relations strategies to positively affect referral base and revenue in assigned territory. Identifies and visits case managers, discharge planners, social workers, physicians and any other potential and/or repeat referral sources on a scheduled and regular basis. Maintains working knowledge of industry competitors as a continuous measure to ensure Elara Caring's ability to retain and grow market share. Collaborates with Leadership to plan, implement and participate in trade shows and other opportunities to promote Elara Caring in the community for referral generation or field staff recruitment purposes. Collaborates with Leadership in contract assessment, preparation, and negotiation, as necessary. Serves as educational resource to potential referral sources including, but not limited to, case managers and discharge planners regarding the spectrum of home health care services available from the Agency. Markets Elara Caring services by maintaining active membership in local networking groups, attending meetings and events. Receives referrals from physicians, hospitals, and other agencies and works with the applicable inter-company departments to support patient admission. Serves as a liaison between the agency, physicians, facilities, referral sources, and hospitals in the community. Promotes Elara Caring's mission and vision statement and administrative policies to ensure quality of care. Maintains patient and staff privacy and confidentiality pursuant to HIPAA Privacy Final Rule. Performs other duties/projects as assigned. What is Required? Experience in the Home Health industry is preferred Strong verbal and written communication skills Effective organizational and interaction skills Knowledge of healthcare industry is preferred Demonstrates flexibility, enthusiasm, and willingness to cooperate while working with others or in place of others Demonstrates a clear understanding of how the referral source makes decisions and understands who the decision makers are Demonstrates commitment, professional growth, and competency Must have dependable vehicle, valid drivers license and current auto insurance in accordance with the laws of the state. This is not a comprehensive list of all job responsibilities ; a full will be provided. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace. #ElaraGA We value the unique skills of veterans and military spouses. We encourage applications from military veterans and their families. Elara Caring provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to sex (including pregnancy, childbirth or related medical conditions), race, color, age (40 and older), national origin, religion, disability, genetic information, marital status, sexual orientation, gender identity, gender reassignment, protected veteran status, or any other basis prohibited under applicable federal, state or local law. Elara Caring participates in E-Verify and we will provide the Federal Government with your Form I-9 information to confirm that you are authorized to work in the United States. Employers like Elara Caring can only use E-Verify once you have accepted the job offer and completed the Form I-9. At Elara Caring, pay and compensation are determined by a variety of factors, including education, job-related knowledge, skills, training, and experience. Our compensation structure reflects the cost of labor across different U.S. geographic markets, and may vary based on location. This is not a comprehensive list of all job responsibilities and requirements; upon request, a job description can be provided. If you are an individual with a disability and are unable or limited in your ability to use or access our career site as a result of your disability, you may request reasonable accommodations by reaching out to ********************.

Job DescriptionClient Care Coordinator Department: Boca Health Marketing Reports to: National Director of Strategic Development Salary: Competitive, based on experience Founded in 2016, Boca Recovery Center is a nationally recognized addiction treatment provider specializing in substance use disorders and co-occurring mental health conditions. With locations in Florida, New Jersey, Indiana, and Massachusetts, we deliver evidence-based clinical care in a supportive, structured environment. Our team is committed to providing trauma-informed, client-centered services that promote lasting recovery. Position Overview We are seeking a dedicated and compassionate Client Care Coordinator to support clients through their treatment journey and ensure a successful transition into aftercare services. This role manages client care from admission through discharge, with a strong focus on aftercare planning, engagement, group facilitation, and collaboration with outreach, clinical, operations, and alumni teams. The Client Care Coordinator also provides support in AMA prevention and case management tasks such as FMLA and short-term disability processes. Key ResponsibilitiesAftercare & Discharge Planning Develop and implement individualized aftercare plans in coordination with clients, families, and clinical staff. Facilitate referrals and placements into outpatient programs, sober living, and recovery housing. Document and communicate all discharge planning details with the treatment team and referral sources. Client Engagement & Support Assist clients in navigating legal, family, or logistical barriers to treatment and recovery. Participate in AMA blocking efforts, providing motivational support and involving family/support systems. Maintain consistent, supportive communication with clients during treatment and facilitate smooth post-discharge transitions. Group Facilitation Lead engaging group sessions focused on relapse prevention, life skills, recovery maintenance, and aftercare education. Encourage active participation and provide resources for continued care and long-term recovery. Case Management Support Support clients in completing FMLA, short-term disability, and related medical leave documentation. Coordinate with employers, EAPs, and insurance providers to ensure continuity of care. Provide assistance with housing, transportation, and employment resources during the discharge process. Team Coordination & Communication Serve as liaison between Clinical, Outreach, Alumni, and operational teams to ensure seamless care coordination. Actively participate in interdisciplinary team meetings and case conferences. Maintain accurate and timely documentation within the Electronic Health Records (EHR) system. Key Performance Indicators (KPIs) Aftercare Placement Rate: 90% of eligible clients discharged with confirmed aftercare plan and placement. Timeliness of Aftercare Planning: Initial plan started within 5 days of admission; finalized at least 72 hours before discharge. AMA Intervention Success Rate: 60% of clients receiving intervention remain in treatment for at least 72 additional hours. Client Satisfaction: 85% positive feedback on aftercare planning and support from client satisfaction surveys. Requirements Associate's Degree in Psychology, Social Work, Counseling, or related field (required) 1-2 years of experience in behavioral health or substance use treatment setting Familiarity with aftercare planning, FMLA/disability documentation, and case management preferred Strong interpersonal, communication, and documentation skills Ability to work both independently and collaboratively within a multidisciplinary team Knowledge of community resources and treatment continuum Experience using Electronic Health Records (EHR) preferred Group facilitation experience is a plus Benefits Boca Recovery Center offers a comprehensive benefits package, including: Health Insurance Retirement Plans Disability Coverage Paid Time Off Continuing Education & Professional Development Opportunities Join Boca Recovery Center and make a meaningful impact through expert, compassionate care in a mission-driven environment focused on recovery and wellness.

Are you a compassionate individual who enjoys helping others achieve their personal health and wellness goals? If so, a career as a CHOICES Care Coordinator might be perfect for you. As a Care Coordinator, you will make a lasting impact on members' lives by ensuring their safety at home or within a community setting. In this role, you'll travel to member's homes for visits, while managing various demands and requests from both internal and external stakeholders. We're seeking individuals who excel in problem-solving through critical thinking, and who are adept at time management and prioritizing daily tasks. You should be self-motivated, flexible, and thrive in a fast-paced environment. Most importantly, you should have a passion for improving the quality of life for diverse members in their communities. You will be a great match for this role if you have: • 3 years of experience in a clinical setting • Registered nurse with an active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Act; or Masters in Social Work with an active unrestricted license (LCSW, LMSW, or LAPSW). • Exceptional customer service skills • Must live within the following counties: Hickman, Lewis, and Perry Counties • Available for an 8:00am - 5:00pm EST(no on call) schedule, with the option (upon management approval) to work a compressed work week after 1 year. Job Responsibilities Partnering with members and families to identify needed supports and direct services to meet personal goals for good health, employment and independent or community living. Collaborates with a team of clinical and social support colleagues to meet the physical, behavioral health and long term service needs of each member. Conduct thorough and objective face-to-face visits with and assess each members situation to determine current status and needs, including physical, behavioral, functional, psycho-social, financial, and employment and independent living expectations. Utilizing criteria for authorizing appropriate home and community based services and confirm those services are being provided and that members needs are being met. Valid Driver's License. TB Skin Test (applies to coordinators that work in the field). Position requires 24 months in role before eligible to post for other internal positions. Various immunizations and/or associated medical tests may be required for this position. Job Qualifications Experience 2 years - Clinical experience required Skills\Certifications PC Skills required (Basic Microsoft Office and E-Mail) Effective time management skills Excellent oral and written communication skills Strong interpersonal and organizational skills License Registered nurse with an active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Act; or Masters in Social Work with an active unrestricted license (LCSW, LMSW, or LAPSW). Employees who are required to operate either a BCBST-owned vehicle or a personal or rental vehicle for company business on a routine basis* will be automatically enrolled into the BCBST Driver Safety Program. The employee will also be required to adhere to the guidelines set forth through the program. This includes, maintaining a valid driver's license, auto insurance compliance with minimum liability requirements; as defined in the “Use of Non BCBST-Owned Vehicle” Policy (for employees driving personal or rental vehicles only); and maintaining an acceptable motor vehicle record (MVR). *The definition for "routine basis" is defined as daily, weekly or at regularly schedule times. Number of Openings Available 1 Worker Type: Employee Company: VSHP Volunteer State Health Plan, Inc Applying for this job indicates your acknowledgement and understanding of the following statements: BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together The RN Clinical Care Coordinator will be the primary care manager for a panel of members with complex medical/behavioral needs. Care coordination activities will focus on supporting members' medical, behavioral, and socioeconomic needs to promote appropriate utilization of services and improved quality of care. This is a home-office based position with field responsibilities. You will spend approximately 50% to 75% of the time in the field within an assigned coverage area. Candidates must be in Franklin County, OH and willing to commute to surrounding counties. If you reside in Franklin County, OH or surrounding counties, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: * Engage members face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs * Develop and implement person centered care plans to address needs including management of chronic health conditions, health promotion and wellness, social determinants of health, medication management and member safety in alignment with evidence-based guidelines * Partner and collaborate with internal care team, providers, and community resources/partners to implement care plan * Provide education and coaching to support member self-management of care needs and lifestyle changes to promote health * Support proactive discharge planning and manage/coordinate Care Transition following ER visit, inpatient or Skilled Nursing Facility (SNF) admission * Advocate for members and families as needed to ensure the member's needs and choices are fully represented and supported by the health care team You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Current, unrestricted independent licensure as a Registered Nurse in Ohio * 2+ years of clinical experience as an RN * 1+ years of experience with MS Office, including Word, Excel, and Outlook * Reliable transportation and the ability to travel up to 75% within Franklin County, OH and surrounding counties in OH to meet with members and providers * Reside in Franklin County, OH and surrounding counties Preferred Qualifications: * BSN, Master's Degree or Higher in Clinical Field * CCM certification * 1+ years of community case management experience coordinating care for individuals with complex needs * Experience working in team-based care * Background in Managed Care * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable. #UHCPJ At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.