Patient Care Coordinator jobs at UnitedHealth Group - 915 jobs

Explore opportunities with [agency name], a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. As the Scheduling Specialist you will managing patient referrals and visit schedules. Assigns patient assessments and other visits as ordered by the physician using an online scheduling system. Collaborate with the Team Leader to identify clinicians with the appropriate experience and skill set to match patient needs. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: * Utilizes an automated scheduling system to maintain a calendar of services for both episodic and per visit customers * Processes workflow for requested scheduled, missed, rescheduled, reassigned, declined, and delivered visits * Monitors pending referrals daily and assigns licensed professional and case manager for all start of care visits * Communicates daily with field staff regarding any visits unaddressed in late, pending, or incomplete status for resolution as appropriate 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: * High school education or equivalent experience Preferred Qualifications: * 1+ years of scheduling experience in a health care setting using an online scheduling system * Exceptional organizational, customer service, communication, and decision-making skills * Working knowledge of state and federal regulations governing OASIS visits, supervisory, and reassessment visits * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $14.00 to $27.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Insurance Analytics Specialist (Actuary)- Technology Ris... San Francisco, California, United States of America Insurance Analytics Specialist (Actuary)- Technology Ris... San Francisco, California, United States of America At Lockton, we're passionate about helping our people achieve their ultimate potential. Our people are curious, action-oriented and always striving to make ourselves and those around us better. We're active listeners working to ensure understanding and problem solvers developing innovative solutions. If you can see yourself delivering excellent service to clients, giving back to our communities and being a part of our caring culture, you belong here. About the Position Lockton is a global professional services firm with 6,500 Associates who advise clients on protecting their people, property and reputations. Lockton has grown to become the world's largest privately held, independent insurance broker by helping clients achieve their business objectives. To see the latest insights from Lockton's experts, check Lockton Market Update . A few of the reasons Associates love working at Lockton include: Opportunities for growth and advancement, including paid training and professional development 12-week paid parental leave A huge emphasis on community involvement Frequent athletic and wellness events Incredibly generous rewards; US Associates receive a Rolex for their 10 year anniversary! We seek an experienced Insurance Analytics Specialist/Actuary to join our team. In this role, you will be part of an engaging and dynamic brokering team building insurance products that uses creative analytics solutions to advocate for our clients. You will also serve as the daily liaison between our account team and our internal analytics partners, ensuring data completeness and quality, as well as managing workflow and work quality. The ideal candidate will have a strong foundation in insurance analytics, a solid understanding of fundamental insurance concepts, and the ability to transform complex data into actionable insights. Key Responsibilities Advanced Analytics for Bespoke Analysis • Perform sophisticated analytical research on specialized insurance topics, including innovative initiatives in autonomy and actuarial research • Design and implement analytical models to evaluate risk factors, pricing implications, and coverage considerations for specialized insurance scenarios • Translate complex insurance data into meaningful insights that drive strategic decision-making • Develop data visualization tools to communicate analytical findings to stakeholders at various levels effectively • Research industry trends and emerging risks to provide proactive recommendations on underwriting approaches • Support internal analytics initiatives by applying statistical techniques to uncover patterns and relationships within insurance data Data Review and Workload Management with our internal Analytics partners • Serve as the primary liaison between our team and internal analytics partners, anticipating their data requirements and questions • Conduct comprehensive data validation checks to ensure completeness and accuracy • Identify and resolve data discrepancies or missing elements independently • Develop and implement standardized data preparation procedures to ensure efficient workload management, streamline the review process, and minimize delays Qualifications Required Qualifications • Bachelor's degree in Analytics, Statistics, Actuarial Science, Finance, Economics, Insurance, or related field • At least 4-6 years of experience in insurance analytics, data analysis, or a related role within the insurance industry • Demonstrated understanding of fundamental insurance concepts, including supply/demand dynamics, loss components, and their interrelationships • Proficiency in data analysis tools such as Excel, SQL, and Python • Experience with data quality assurance processes and validation methodologies • Strong analytical skills with the ability to interpret complex datasets and identify meaningful patterns Preferred Qualifications • Insurance industry certifications such as ACAS, CPCU, or ARM • Experience working with claims data, policy information, and underwriting systems • Background in predictive modeling or machine learning applications in insurance • Knowledge of the forefront of technology innovations and related insurance implications • Experience with data visualization tools like Tableau or Power BI Skills and Competencies • Exceptional attention to detail and commitment to data accuracy and integrity • Strong critical thinking and problem-solving abilities to address complex analytical challenges • Collaborate effectively across internal teams and external partners by understanding diverse stakeholder priorities and delivering solutions that align technical requirements with organizational objectives • Excellent communication skills to adapt communication approaches and translate technical findings into business insights • Self-motivation and the ability to work independently while managing multiple priorities • Collaborative mindset with the ability to work effectively with cross-functional teams • Advanced knowledge of insurance industry terminology, products, and regulatory considerations Working Conditions This full-time position primarily operates in an office environment. The role may require occasional travel to meet with partners or attend industry events. Some flexibility in work scheduling may be necessary to meet project deadlines. Equal Opportunity Statement Lockton Companies is proud to provide everyone anequal opportunity to grow and advance. We are committed to an inclusive culture and environment where our people, clients and communities are treated with respect and dignity. At Lockton, supporting diversity, equity and inclusion is ingrained in our values, and we believe that we are at our best when we fully embrace everyone. We strive to cultivate a caring culture that learnsfrom, celebrates and thrives because of ourbreadth of differences. As such, we recognize that recruiting, developing and retaining people with diverse backgrounds and experiences is vital and enabling our people to thrive personally and professionally is critical to our long-term success. About Lockton Lockton is the largest privately held independent insurance brokerage in the world. Since 1966, our independence has allowed us to serve our clients, take care of our people and give back to our communities. As such, our 12,500+ Associates doing business in over 140 countries are empowered to do what's right every day. At Lockton, we believe in the power of all people. You belong at Lockton. How We Will Support You At Lockton, we empower you to be true to yourself in all that you do. Your success is our success, and we provide opportunities to help you grow and create a rewarding career path, however you envision it. We are ready to meet you where you are today, and as your needs change over time. In addition to industry-leading health insurance, we offer additional options to support your overall health and wellbeing. Any Employment Agency, person or entity that submits an unsolicited resume to this site does so with the understanding that the applicant's resume will become the property of Lockton Companies, Inc. Lockton Companies will have the right to hire that applicant at its discretion and without any fee owed to the submitting Employment Agency, person or entity. Employment Agencies, who have fee Agreements with Lockton Companies must submit applicants to the designated Lockton Companies Employment Coordinator to be eligible for placement fees. Manage Consent Preferences Always Active #J-18808-Ljbffr

Bankers Life , one of the most respected brands in the Financial Services industry, is seeking ambitious individuals to grow our team of Insurance Professionals. We offer award-winning training, access to mentors, and a workday that can be built around your lifestyle and an opportunity to advance your career within a leadership role. As an Insurance Professional, you will: Build a client base by growing relationships with your network and providing guidance Gain expertise through sponsored coursework and proprietary agent development training Guide clients through important financial decisions using the latest software and our expansive product portfolio Own your career by utilizing company sponsored leadership development programs to increase your potential for advancement to our mid or upper-level management roles Build manage, and lead teams of Insurance Professionals What makes a great Insurance Professional? Strong relationship building and communication skills Self-motivation to network and prospect for new clients, while demonstrating strong time management skills A competitive and entrepreneurial spirit to achieve success both for yourself and others The ability to present complicated concepts effectively What we offer: Highly competitive commission structure designed to grow with you Passive income opportunities and bonus programs Fully paid study programs for insurance licensing, SIE, Series 6, Series 63, CFP Award-winning training - Bankers Life has been named as a Training Apex Award Winner for the twelfth consecutive year Flexible in-office schedules once you complete your agent training Progressive advancement opportunities Retirement savings program and more Bankers Life , a subsidiary of CNO Financial, is a Fortune 500 company with a strong commitment to diversity and inclusion. We value an inclusive and belonging environment where everyone's different viewpoints bring new successes! Please visit our career site to learn more about our mission: ********************************

Nurses and Social Workers! VIVA HEALTH, ranked one of the nation's Best Places to Work by Modern Healthcare, is currently seeking a Care Coordinator in Mobile, AL! VIVA HEALTH knows that nursing and social work is not just a job, it is a calling. If you would like to fulfill your calling in healthcare, check us out! We offer regular hours with no mandatory nights or weekends. This way you can do what you love at work and can take care of the people you love at home! We also offer a great benefits package including tuition reimbursement for employees and dependents, paid parental leave, and paid day for community service, just to name a few! VIVA HEALTH employees are a part of the communities they serve and proudly partner with members on their healthcare journeys. Come join our team! Care Coordinators use psychosocial and/or clinical knowledge to provide non-clinical services for Medicaid recipients to improve the medical compliance and health outcomes of the populations served. This position identifies barriers to medical compliance such as lack of transportation, illiteracy, or other social determinants that impact a member's health, and ensures services are delivered and continuity of care is maintained. The position analyzes the home and community environment and makes autonomous decisions regarding appropriate care plans and goals using a thorough knowledge of available community resources. These services are provided primarily in community and home settings via phone and/or in person. Local daytime travel is required via a reliable means of transportation insured following Company policy. This position will have work-from-home opportunities. GENERAL CARE COORDINATION REQUIRED: Licensed BSN/ADN Licensed BSW PREFERRED: Licensed MSW and/or Certified Case Manager (CCM) designation Experience in case management, human services, public health, or experience with the underinsured population Also requires a valid driver's license in good standing, willingness to submit to vaccine testing and screening, and may require significant face-to-face member contact with duties performed away from the principal place of business. All positions require excellent interview and telephone skills as well as the ability to deal with recipients in a caring and helpful manner. The Care Coordinators should have a working knowledge of health-related service delivery systems and excellent communication and relationship skills. This position requires the ability to analyze varied environmental factors to members' well-being and work independently in an autonomous setting and the ability to locate, augment, and develop resources, including information on services offered by other agencies.

Nurses and Social Workers! VIVA HEALTH, ranked one of the nation's Best Places to Work by Modern Healthcare, is currently seeking a Care Coordinator in Dothan, AL! The ideal candidate will be located in Pike or Bullock county. VIVA HEALTH knows that nursing and social work is not just a job, it is a calling. If you would like to fulfill your calling in healthcare, check us out! We offer regular hours with no mandatory nights or weekends. This way you can do what you love at work and can take care of the people you love at home! We also offer a great benefits package including tuition reimbursement for employees and dependents, paid parental leave, and paid day for community service, just to name a few! VIVA HEALTH employees are a part of the communities they serve and proudly partner with members on their healthcare journeys. Come join our team! Care Coordinators use psychosocial and/or clinical knowledge to provide non-clinical services for Medicaid recipients to improve the medical compliance and health outcomes of the populations served. This position identifies barriers to medical compliance such as lack of transportation, illiteracy, or other social determinants that impact a member's health, and ensures services are delivered and continuity of care is maintained. The position analyzes the home and community environment and makes autonomous decisions regarding appropriate care plans and goals using a thorough knowledge of available community resources. These services are provided primarily in community and home settings via phone and/or in person. Local daytime travel is required via a reliable means of transportation insured following Company policy. This position will have work-from-home opportunities. GENERAL CARE COORDINATION REQUIRED: * Licensed BSN/ADN * Licensed BSW PREFERRED: * Licensed MSW and/or Certified Case Manager (CCM) designation * Experience in case management, human services, public health, or experience with the underinsured population Also requires a valid driver's license in good standing, willingness to submit to vaccine testing and screening, and may require significant face-to-face member contact with duties performed away from the principal place of business. All positions require excellent interview and telephone skills as well as the ability to deal with recipients in a caring and helpful manner. The Care Coordinators should have a working knowledge of health-related service delivery systems and excellent communication and relationship skills. This position requires the ability to analyze varied environmental factors to members' well-being and work independently in an autonomous setting and the ability to locate, augment, and develop resources, including information on services offered by other agencies.

Description Pinnacle Claims Management, Inc. (PCMI) is an all-inclusive Third Party Administrator (TPA) that offers competitive, affordable health benefits services to self-funded employers. Unlike other TPAs Pinnacle was born from a member-driven organization (Western Growers) and understands our client's significance as a business partner. We place tremendous value in our relationships by offering TPA, PBM, ACA Compliance, and comprehensive Health Management services all in-house. Compensation: $39,208 - $55,972 with a rich benefits package that includes profit-sharing. Job Description SummaryThe Patient Care Coordinator reports to the Supervisor, Pharmacy Benefits Management (PBM). The Patient Care Coordinator role is an important contributor in the internal and external services our Pharmacy Benefit Manager (PBM) provides to customers. In this role, the incumbent will function as a subject matter expert in our PBM customer service. This role works directly with members and vendors, and indirectly with clients to achieve our goal of an elevated PBM experience. The incumbent will also be responsible for researching and analyzing data to address operational challenges and Customer Service department issues. Qualifications High school diploma and one (1) to three (3) years of experience in Pharmacy Benefit Management or retail pharmacy practice, preferred. Valid Pharmacy Technician Certification Board Certification (PTCB), desirable. Intermediate knowledge of prescription benefits and products, and pharmacy claims. Patient Care oriented with ability to set priorities and meet required turn-around time frames. Excellent written and oral communication skills, as well as interpersonal skills. Good skills for project-based tasks. Ability to work effectively in a fast-paced environment Analytical thinking skills and problem-solving capabilities. Good communication and telephone skills with a very clear and concise speaking voice Ability to adapt to a constantly changing environment. Proficient organizational and time management skills. Fluent in English (oral and written) required. Bilingual in Spanish preferred. Maintain a HIPAA-compliant workstation and utilize appropriate security techniques to ensure HIPAA-required protection of all confidential/protected client data. Internet access provided by a cable or fiber provider with 40 MB download and 10 MB upload speeds. Home router with wired Ethernet (wireless connections and hotspots are not permitted). A designated room for your office or steps taken to protect company information (e.g., facing computer towards wall, etc.) A functioning smoke detector, fire extinguisher, and first aid kit on site. Duties And ResponsibilitiesCustomer Service Ability to respond to a wide variety of member questions via telephone, e-mail and written correspondence regarding prescription drug benefits in a confidential, professional and ethical manner such as confirming Prior authorization status, verifying patient eligibility & pharmacy benefits, and placing overrides for rejected pharmacy prescription claims. Assist Benefits Coordinator I & II with coordinating intake and processing Prior Authorization Requests between doctors, patients, and pharmacy. Provide support to Benefits Coordinator II with training CSRs to handle customer service inquiries. Assist the Benefits Coordinator II in developing policies and procedures for our customer service agents. Provide assistance to Benefits Coordinator I & II and Supervisor in resolving all escalations in a timely manner to meet our Service Level Agreements. Responsible for the PBM customer service Help Desk for day-to-day tasks. Prior Authorization tickets, after hours voicemails/ emails, customer service e-mails, and direct member reimbursements. Provide the Benefit I coordinator support to develop client-facing reporting and communications. Responsible for implementing “white glove” customer service expectations for the PBM. Operations Achieve service level targets with our e-mail box, Prior Authorization tickets, organizing documents in the H drive, and other areas of pharmacy operations. Utilize creative methods to understand how our customers perceive their interactions with Pinnacle Rx Solutions and the process of getting their medications. Provide suggestions and contribute to workflow improvements. Contribute to team of highly skilled and talented experts who maintain the current reporting environment and work to continually improve it by delivering operational reporting products, including critical metric reporting, performance dashboards, work-in-progress trackers and forecasting. Back-up and assist the Benefits Coordinator I & II in performing process Improvements, reporting and analytics, project management, and quality assurance activities. Other Utilize all capabilities to satisfy one mission - to enhance the competitiveness and profitability of our members. Do everything possible to help members succeed by being curious and striving to understand what others are trying to achieve, planning, and executing work helpfully and collaboratively. Be willing to adjust efforts to ensure that work and attitude are helpful to others, being self-accountable, creating a positive impact, and being diligent in delivering results. Focus efforts on quality and quantity of product deliverables as well as resourcing and project management in a fast paced and challenging environment. Ensure application compliance while creating an environment for innovation and growth. Maintain internet speed of 40 MB download and 10 MB upload and router with wired Ethernet. Maintain a HIPAA-compliant workstation and utilize appropriate security techniques to ensure HIPAA-required protection of all confidential/protected client data. Maintain and service safety equipment (e.g., smoke detector, fire extinguisher, first aid kit). All other duties as assigned. Physical Demands/Work EnvironmentThe physical demands and work environment described here are representative of those that must be met by an employee to perform the essential functions of this job successfully. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to communicate with others. The employee frequently is required to move around the office. The employee is often required to use tools, objects, and controls. This noise level in the work environment is usually moderate. #LI-Remote

We are a leading provider of homecare services throughout the states of Pennsylvania and Delaware. Our mission is to provide exceptional homecare services to patients who need our help the most. We are seeking talented, passionate individuals to join our team as Patient Care Coordinators and help our patients live happier and healthier lives. What We Offer*: We know that, to be the best place for our patients, we must be the best place to work for our employees. We offer the following to our employees: Make a difference every day in the lives of those who need our help the most Competitive pay Paid on a weekly basis Medical/dental/vision/life insurance Paid holidays/PTO/401(k) match Career growth opportunities Great and collaborative work environment Work‐life balance Responsibilities Screen new patients and caregivers On‐board new patients, including providing assistance with any documentation/clearance requirements On‐board new caregivers, including orientation/training Staff patient cases with caregivers and ensure patient cases are started promptly Ensure compliance with the law and Company policy, including caregiver clock‐in and clock‐out requirements Communicate with patients, caregivers, and patient families to ensure satisfaction and quality service delivery Assist with on‐site visits, as needed Qualifications Bilingual preferred Passion and dedication to help those in need Strong work ethic Strong communication skills No homecare experience necessary - we will provide you with all the training you need! High school diploma/GED (associate's degree or bachelor's degree preferred)

We are a leading provider of homecare services throughout the states of Pennsylvania and Delaware. Our mission is to provide exceptional homecare services to patients who need our help the most. We are seeking talented, passionate individuals to join our team as Patient Care Coordinators and help our patients live happier and healthier lives. What We Offer*: We know that, to be the best place for our patients, we must be the best place to work for our employees. We offer the following to our employees: Make a difference every day in the lives of those who need our help the most Competitive pay Paid on a weekly basis Medical/dental/vision/life insurance Paid holidays/PTO/401(k) match Career growth opportunities Great and collaborative work environment Work‐life balance Responsibilities Screen new patients and caregivers On‐board new patients, including providing assistance with any documentation/clearance requirements On‐board new caregivers, including orientation/training Staff patient cases with caregivers and ensure patient cases are started promptly Ensure compliance with the law and Company policy, including caregiver clock‐in and clock‐out requirements Communicate with patients, caregivers, and patient families to ensure satisfaction and quality service delivery Assist with on‐site visits, as needed Qualifications Bilingual preferred Passion and dedication to help those in need Strong work ethic Strong communication skills No homecare experience necessary - we will provide you with all the training you need! High school diploma/GED (associate's degree or bachelor's degree preferred)

We are a leading provider of homecare services throughout the states of Pennsylvania and Delaware. Our mission is to provide exceptional homecare services to patients who need our help the most. We are seeking talented, passionate individuals to join our team as Patient Care Coordinators and help our patients live happier and healthier lives. What We Offer*: We know that, to be the best place for our patients, we must be the best place to work for our employees. We offer the following to our employees: Make a difference every day in the lives of those who need our help the most Competitive pay Paid on a weekly basis Medical/dental/vision/life insurance Paid holidays/PTO/401(k) match Career growth opportunities Great and collaborative work environment Work‐life balance Responsibilities Screen new patients and caregivers On‐board new patients, including providing assistance with any documentation/clearance requirements On‐board new caregivers, including orientation/training Staff patient cases with caregivers and ensure patient cases are started promptly Ensure compliance with the law and Company policy, including caregiver clock‐in and clock‐out requirements Communicate with patients, caregivers, and patient families to ensure satisfaction and quality service delivery Assist with on‐site visits, as needed Qualifications Bilingual preferred Passion and dedication to help those in need Strong work ethic Strong communication skills No homecare experience necessary - we will provide you with all the training you need! High school diploma/GED (associate's degree or bachelor's degree preferred)

We are a leading provider of homecare services throughout the states of Pennsylvania and Delaware. Our mission is to provide exceptional homecare services to patients who need our help the most. We are seeking talented, passionate individuals to join our team as Patient Care Coordinators and help our patients live happier and healthier lives. What We Offer*: We know that, to be the best place for our patients, we must be the best place to work for our employees. We offer the following to our employees: Make a difference every day in the lives of those who need our help the most Competitive pay Paid on a weekly basis Medical/dental/vision/life insurance Paid holidays/PTO/401(k) match Career growth opportunities Great and collaborative work environment Work‐life balance Responsibilities Screen new patients and caregivers On‐board new patients, including providing assistance with any documentation/clearance requirements On‐board new caregivers, including orientation/training Staff patient cases with caregivers and ensure patient cases are started promptly Ensure compliance with the law and Company policy, including caregiver clock‐in and clock‐out requirements Communicate with patients, caregivers, and patient families to ensure satisfaction and quality service delivery Assist with on‐site visits, as needed This role will work Monday-Friday 9a-5p. Qualifications Passion and dedication to help those in need Strong work ethic Strong communication skills No homecare experience necessary - we will provide you with all the training you need! High school diploma/GED (associate's degree or bachelor's degree preferred)

We are a leading provider of homecare services throughout the states of Pennsylvania and Delaware. Our mission is to provide exceptional homecare services to patients who need our help the most. We are seeking talented, passionate individuals to join our team as Patient Care Coordinators and help our patients live happier and healthier lives. What We Offer*: We know that, to be the best place for our patients, we must be the best place to work for our employees. We offer the following to our employees: Make a difference every day in the lives of those who need our help the most Competitive pay Paid on a weekly basis Medical/dental/vision/life insurance Paid holidays/PTO/401(k) match Career growth opportunities Great and collaborative work environment Work‐life balance Responsibilities Screen new patients and caregivers On‐board new patients, including providing assistance with any documentation/clearance requirements On‐board new caregivers, including orientation/training Staff patient cases with caregivers and ensure patient cases are started promptly Ensure compliance with the law and Company policy, including caregiver clock‐in and clock‐out requirements Communicate with patients, caregivers, and patient families to ensure satisfaction and quality service delivery Assist with on‐site visits, as needed Qualifications Bilingual preferred Passion and dedication to help those in need Strong work ethic Strong communication skills No homecare experience necessary - we will provide you with all the training you need! High school diploma/GED (associate's degree or bachelor's degree preferred)

We are a leading provider of homecare services throughout the states of Pennsylvania and Delaware. Our mission is to provide exceptional homecare services to patients who need our help the most. We are seeking talented, passionate individuals to join our team as Patient Care Coordinators and help our patients live happier and healthier lives. What We Offer*: We know that, to be the best place for our patients, we must be the best place to work for our employees. We offer the following to our employees: Make a difference every day in the lives of those who need our help the most Competitive pay Paid on a weekly basis Medical/dental/vision/life insurance Paid holidays/PTO/401(k) match Career growth opportunities Great and collaborative work environment Work‐life balance Responsibilities Screen new patients and caregivers On‐board new patients, including providing assistance with any documentation/clearance requirements On‐board new caregivers, including orientation/training Staff patient cases with caregivers and ensure patient cases are started promptly Ensure compliance with the law and Company policy, including caregiver clock‐in and clock‐out requirements Communicate with patients, caregivers, and patient families to ensure satisfaction and quality service delivery Assist with on‐site visits, as needed Qualifications Bilingual preferred Passion and dedication to help those in need Strong work ethic Strong communication skills No homecare experience necessary - we will provide you with all the training you need! High school diploma/GED (associate's degree or bachelor's degree preferred) #MP123

We are a leading provider of homecare services throughout the states of Pennsylvania and Delaware. Our mission is to provide exceptional homecare services to patients who need our help the most. We are seeking talented, passionate individuals to join our team as Patient Care Coordinators and help our patients live happier and healthier lives. What We Offer*: We know that, to be the best place for our patients, we must be the best place to work for our employees. We offer the following to our employees: Make a difference every day in the lives of those who need our help the most Competitive pay Paid on a weekly basis Medical/dental/vision/life insurance Paid holidays/PTO/401(k) match Career growth opportunities Great and collaborative work environment Work‐life balance Responsibilities Screen new patients and caregivers On‐board new patients, including providing assistance with any documentation/clearance requirements On‐board new caregivers, including orientation/training Staff patient cases with caregivers and ensure patient cases are started promptly Ensure compliance with the law and Company policy, including caregiver clock‐in and clock‐out requirements Communicate with patients, caregivers, and patient families to ensure satisfaction and quality service delivery Assist with on‐site visits, as needed Qualifications Bilingual preferred Passion and dedication to help those in need Strong work ethic Strong communication skills No homecare experience necessary - we will provide you with all the training you need! High school diploma/GED (associate's degree or bachelor's degree preferred)

We are a leading provider of homecare services throughout the states of Pennsylvania and Delaware. Our mission is to provide exceptional homecare services to patients who need our help the most. We are seeking talented, passionate individuals to join our team as Patient Care Coordinators and help our patients live happier and healthier lives. What We Offer*: We know that, to be the best place for our patients, we must be the best place to work for our employees. We offer the following to our employees: Make a difference every day in the lives of those who need our help the most Competitive pay Paid on a weekly basis Medical/dental/vision/life insurance Paid holidays/PTO/401(k) match Career growth opportunities Great and collaborative work environment Work‐life balance Responsibilities Screen new patients and caregivers On‐board new patients, including providing assistance with any documentation/clearance requirements On‐board new caregivers, including orientation/training Staff patient cases with caregivers and ensure patient cases are started promptly Ensure compliance with the law and Company policy, including caregiver clock‐in and clock‐out requirements Communicate with patients, caregivers, and patient families to ensure satisfaction and quality service delivery Assist with on‐site visits, as needed Qualifications Bilingual preferred Passion and dedication to help those in need Strong work ethic Strong communication skills No homecare experience necessary - we will provide you with all the training you need! High school diploma/GED (associate's degree or bachelor's degree preferred)

We are a leading provider of homecare services throughout the states of Pennsylvania and Delaware. Our mission is to provide exceptional homecare services to patients who need our help the most. We are seeking talented, passionate individuals to join our team as Patient Care Coordinators and help our patients live happier and healthier lives. What We Offer*: We know that, to be the best place for our patients, we must be the best place to work for our employees. We offer the following to our employees: Make a difference every day in the lives of those who need our help the most Competitive pay Paid on a weekly basis Medical/dental/vision/life insurance Paid holidays/PTO/401(k) match Career growth opportunities Great and collaborative work environment Work‐life balance Responsibilities Screen new patients and caregivers On‐board new patients, including providing assistance with any documentation/clearance requirements On‐board new caregivers, including orientation/training Staff patient cases with caregivers and ensure patient cases are started promptly Ensure compliance with the law and Company policy, including caregiver clock‐in and clock‐out requirements Communicate with patients, caregivers, and patient families to ensure satisfaction and quality service delivery Assist with on‐site visits, as needed Qualifications Bilingual preferred Passion and dedication to help those in need Strong work ethic Strong communication skills No homecare experience necessary - we will provide you with all the training you need! High school diploma/GED (associate's degree or bachelor's degree preferred)

--------------------------------------------------------------- The Behavioral Health Care Coordinator (BHCC) is responsible for providing assessment, care planning and service coordination and Intensive Case Management for members with complex or special health care needs and who are identified as high-risk due to behavioral health issues. The BHCC provides clinical expertise in mental health and alcohol and other drug related addiction (AOD) treatment in coordinating services for the purpose of improving member self-management and overall health outcomes. The BHCC acts as the primary Care Coordination liaison with state and community behavioral health providers and agencies. These functions include components of community-focused and population-based behavioral health care coordination, as well as System of Care principles that guide service delivery to children with mental health challenges and their families. Key partners in this process are the member and relevant family/caregivers, the primary care provider and any appropriate community partners and internal operational staff. The care coordination services are evidence-based and culturally specific. NOTE: This position focuses on pediatric care coordination, and related experience is highly preferred. 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 Forward relevant information of members requiring special consideration of benefits to appropriate Medical Director for review (BHCC/AI AN will forward this information to the Oregon Health Authority (OHA) Client Services Unit). Serve as a resource to the organization on mental health and alcohol and other drug topics and issues. May provide coaching and training on specific job responsibilities to new employees in this role. Collaborate with CareOregon's essential community partners in achieving improved health status for member populations and make referrals as appropriate. Follow ENCC, departmental, and organizational policies and procedures. Report to work as scheduled and follow attendance policies. Perform other duties and projects as assigned. Participate in quality and organizational process improvement activities and teams when requested. Participate in work-related continuing education when offered or directed. Position assigned to - BHCC/AI AN: BHCC's working with the American Indian/Alaska Native program work exclusively with American Indian (AI) and Alaskan Native (AN) OHP members according to established tribal and department protocols. Position assigned to - BHCC/ENCC: BHCC's working with the Exceptional Needs Care Coordination program may have their assignment changed based on member population changes and departmental needs. Clinical Assessment Assess overall risk of member, including physical condition, behavioral issues, mental status, social support system availability, and relationship with providers. Utilize assessment information to develop individualized plans of care for assigned members. Coordinate with providers to ensure consideration is given to unique needs in integrated planning and that care plans are timely and effective. Practice using a trauma-informed and client-centered approach with members by respecting their autonomy, exploring any ambivalence, meeting resistance with acceptance and following their lead in developing care plans. Identify suspected abuse and neglect issues and appropriately report to mandated authorities. Acknowledge member's right-to-choice of treatment or refusal of treatment. Provide culturally and linguistically appropriate ICM services to members identified as Aged, Blind, and Disabled, members with special health needs (complex, high utilization, multiple comorbidities, and/or serious behavioral health issues) and those in Long Term Care services under the State's 1915(i) State Plan Amendment. May provide individualized plans of care for high-risk COA Plus members and review those plans with ICT team. Care Coordination Accept assignment of and maintain a caseload of members based on behavioral health assessment or clinic assignment or placement in facility-based care; ensure members have access to appropriate care provider(s) who can meet their needs. Implement care coordination plan in collaboration with member, providers, case workers and other relevant parties. Effectively coordinate an interdisciplinary team for integrated care plan support of complex members. Confer with or co-manage complex medical and behavioral members with a peer RN Care Coordinator. 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. Coordinate and/or aid with coordinating community support and social services systems linkage with care systems, as deemed necessary and appropriate. Collaborate with primary care and community health care providers and staff, Aging and People with Disabilities caseworkers, Oregon Health Authority Innovator Agents and Client Services Unit staff, business partners, vendors, community agencies, and other relevant parties (BHCC/AI AN will also collaborate with Tribal health leaders). Provide direction as appropriate to non-clinical Care Coordination staff involved with the member. Creatively utilize available community resources as an adjunct to health plan benefits and follow-up to determine if these are received by the member. Involve PHP or Operations Medical Director (MD) for member resource needs that exceed Oregon Health Plan - Medicaid (OHP) and/or Centers for Medicare and Medicaid Services - Medicare (CMS) benefit packages or for situations that appear to warrant medical director review. Assist members to ensure timely access to providers and services. Assist providers with coordination of services on behalf of members. Transition Assistance Respond to referrals from Medical Management Behavioral Health staff for transition services for COA members being discharged from psychiatric inpatient stay. Collaborate with discharge planners regarding OHP members with behavioral health needs who are discharging from hospital, residential, SNF care, or other facility care to the community. May ensure members on the state hospital Ready to Transition (RTT) list are prioritized for referral into appropriate transition setting. 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 and OHA 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. 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. 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 Preferred Preference may be given for current Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), or Licensed Marriage and Family Therapist (LMFT) 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 work relating to the Oregon Health Plan (OHP) (Medicaid) and the Centers for Medicare and Medicaid Services (CMS) (Medicare) benefits Experience in the use of Motivational Interviewing (MI), certification as CCM (Certified Case Manager) and certification as 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 and addictions treatment modalities and best practice, basic concepts of managed care and ICD, CPT, and HCPCS codes and drug formularies 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 (BHCC/AI AN will maintain working knowledge of Native American Oregon Health Plan Fee For Service program benefits) 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 culturally specific issues, resources and strengths of the populations served (BHCC/AI AN will have knowledge of culturally specific issues, resources, and strengths of the AI AN populations) Knowledge of community resources Skills and Abilities Ability to conduct psychosocial assessments, including history of mental and physical disabilities, alcohol and drug use, past mental health and criminal justice contacts, family and social relationships, and level of functioning, mental status examination and formulate multiaxial DSM impressions and mental health risk assessments and intervene accordingly, if indicated Ability to assess the quality of AOD assessments, treatment, and discharge plans, as well as patient outcomes, synthesize complex medical and behavioral health diagnostic information to assist providers and other care coordinators in treatment planning and write and supervise an individual plan of care Ability to exercise sound clinical judgment, independent analysis, critical thinking skills, and knowledge of behavioral health conditions to determine best outcomes for members and access mental health and addictions treatment for members 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 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 provide excellent customer service and verbal and written communication Basic word processing skills Ability to work effectively with diverse individuals and groups 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 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 and ergonomic hazards. Equipment: General office equipment Travel: May include occasional required or optional travel outside of the workplace; the employee's personal vehicle, local transit or other means of transportation may be used. 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.

--------------------------------------------------------------- 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: 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.

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.