Utilities Manager remote jobs

What you will find ... 100% REMOTE 6+ months) PTO days + 401K (auto 3% contribution) top ranked hospital in the U.S. What you will do ... Project Manager for Epic Cadence & Referrals Epic Cadence & Referral build validation Project Manage Referrals & Online Scheduling Identify potential roadblocks to project milestones & goals Organize project timelines, resources, and document progress Facilitate meetings for Epic Cadence analysts Liaison with Epic MyChart team to ensure project alignment Wish list ... 3+ years Epic Cadence build 2+ years Epic project management or team lead REQUIRED Epic Cadence Certification REQUIRED align with PST hours Epic Referrals design & build MyChart a plus

Founded in 1991, Giuliani Construction & Restoration, Inc. has been committed to providing professional, timely, and personable services to its diverse clientele. Specializing in disaster mitigation and comprehensive repair services, the company aims to offer exceptional service, fair pricing, and a seamless experience. Operating across three prime locations-San Francisco, San Jose, and Concord-Giuliani Construction & Restoration has established itself as a trusted provider in the Greater Bay Area. The company is available 24/7 to deliver reliable and proven results to its clients. Role Description This is a full-time hybrid role for a Project Manager based in Concord, CA, with flexibility for remote work when appropriate. The Project Manager will oversee the planning, coordination, and execution of restoration and construction projects to ensure timely and successful completion. Responsibilities include managing project schedules, inspecting worksites, coordinating resources and logistics, and communicating effectively with clients, team members, and stakeholders. The role requires maintaining high standards in both project quality and client satisfaction while adhering to timelines and budgets. Qualifications Proficiency in Project Management and ability to oversee project timelines, budgets, and deliverables. Experience in Expediting and Expeditor tasks to ensure workflow efficiency and minimize delays. Strong Inspection skills to evaluate project progress and adherence to safety and quality standards. Familiarity with Logistics Management to coordinate materials, staff, and other essential elements for project completion. Excellent organizational and problem-solving skills with the ability to manage multiple projects simultaneously. Strong communication and interpersonal skills for effective collaboration with clients, contractors, and team members. Bachelor's degree in construction management, engineering, or related field, or equivalent work experience is preferred. Knowledge of construction and restoration processes, codes, and best practices is a plus.

The entry level Project Manager role is responsible for leading, managing, and tracking project activities. The candidate is expected to manage customer expectations, provide project reporting and documentation, and promote collaboration among stakeholders. Ensure that the project goals and objectives are met within the planned scope, schedule, and cost. The person will handle decision-making and liaison with the project sponsor. RESPONSIBILITIES: Oversee and lead projects in a traditional waterfall and/or Agile project environment. Develop the project plan and schedule including tmelines, milestones, and resources Lead project meetings to achieve desired objectives and outcomes. Create applicable project deliverables and deliver reporting. Ensure project aligns with PMO guidelines, policies, and standards. Identify project risks and develop effective mitigation plans. Implement measures to ensure utmost quality of project deliverables. QUALIFICATIONS: A Bachelor's Degree with a major in Business, Marketing, Computer Science, Engineering, Accounting, Finance, Psychology, or other related discipline is preferred. Proven problem solving, negotiation, organizational, and time management skills. Good oral and written communication skills. Basic computing knowledge. WE OFFER: Flexibility to work remotely Positive and team-oriented work environment Attractive Salary Package (65K 90K) TRAINING PROCESS: 5 weeks online training Hands-on industry standard training experience Training start date: Friday July 18th, 2025 (starts 6pm EST) 2 days training schedule (Friday 6pm 8pm and Saturday 10am 1pm EST) Simulated case studies and real project examples Send resume to to apply. You may also contact us at ************. COMPANY DESCRIPTION TBS Solutions LLC is a fast-growing Information Technology and Business services company. We are the go-to Business Analysis, Project Management, and Agile Scrum professionals in the DMV area. We have many years of remarkable industry knowledge and experience that will help you realize your dreams of securing a profitable and sustainable career with a bright future.

Warehousing Data Input Management on Smartsheet Key Responsibilities: Enter, update, and maintain warehousing and shipment data in Smartsheet. Review and edit transportation information, including shipment coordinates and status updates. Perform data validation and quality checks to ensure accuracy across all records. Use Excel to filter, sort, and apply basic formulas to analyze or clean data. Conduct web-based research to find, verify, or update shipment, vendor, or logistics information. Collaborate with program or operations teams to resolve data discrepancies. Support general supply chain documentation and reporting as requested. Required Qualifications: 1-2 years of experience in supply chain, logistics, warehousing operations, or related fields. Hands-on experience with Smartsheet for data entry, tracking, and updates. Strong Excel proficiency: filtering, sorting, basic formulas (VLOOKUP/SUMIF is a plus). Ability to work with transportation data, including coordinates and shipment information. Strong research skills and the ability to locate and verify information online. High attention to detail, accuracy, and consistency in data handling. Ability to work independently as a contractor and meet deadlines. Preferred Qualifications: Experience with logistics systems, TMS, or WMS platforms. Familiarity with shipment routing, freight terms, or transportation documentation. Strong communication skills and comfort working in a remote work environment. About US Tech Solutions: US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit ************************ US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Recruiter Details: Name: Kavisha Email: ****************************** Internal Id: 25-54509

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together. The Manager, Utilization Management (UM) Coordination, oversees non-clinical inpatient and pre-service operations under the direction of the Director of Utilization Management. This role provides leadership to UM Supervisors and their coordinator teams to ensure timely, accurate, and compliant processing of authorizations and referrals in accordance with CMS and organizational standards. The Manager drives operational efficiency, staff development, and process improvement while collaborating with internal departments to support continuity of care and overall service quality. Job Responsibilities: Provide operational leadership and direction to two Utilization Management Supervisors overseeing non-clinical coordinator teams supporting both Inpatient and Pre-Service workflows. Lead the teams meet established turnaround times (TATs), quality, and productivity standards for authorization processing, referral routing, and related UM functions. Oversee staffing allocation, scheduling, and workload balancing between inpatient and pre-service units to maintain consistent service levels. Conduct regular one-on-one meetings with supervisors to review performance metrics, workflow barriers, and staff development needs. Own the daily operations to ensure timely and accurate completion of authorizations, correspondence, and documentation in compliance with CMS, NCQA, and organizational standards. Identify process inefficiencies and implement corrective actions to improve turnaround, accuracy, and staff productivity. Lead root-cause analyses for escalated operational issues and coordinate corrective action plans. Responsible for all the accuracy of all UM workflows, systems, and reporting dashboards to support data-driven decision making. Oversee the development and delivery of training materials, competency assessments, and reference guides to promote consistent and compliant practices. Mentor Supervisors to build leadership capacity, coaching them on staff management, delegation, and performance improvement techniques. Drive onboarding, cross-training, and refresher sessions are regularly conducted to support staff versatility across inpatient and pre-service functions. Manage all team activities adhere to CMS and organizational policies related to Utilization Management, confidentiality, and member communication standards. Oversee internal audit reviews and collaborate with the Quality and Compliance teams to address findings and implement improvement plans. Direct that all letters and communications use approved templates and standardized language for UM determinations and continuity-of-care requirements. Participate in internal and external audits, Medical Services Committee meetings, and other regulatory reviews as required. Review and analyze key performance indicators (KPIs), including volume, turnaround time, accuracy, and productivity reports; present trends and improvement strategies to leadership. Support the preparation and submission of monthly UM reports, dashboard summaries, and Medical Services Committee deliverables. Leverage data to identify training needs, process gaps, and operational trends impacting service delivery or compliance. Serve as a liaison between UM, Case Management, Provider Relations, and Claims departments to streamline interdepartmental communication and issue resolution. Collaborate with network providers and internal teams to clarify authorization processes and ensure alignment with benefit and policy criteria. Participate in internal workgroups or initiatives to improve system functionality, workflow automation, and reporting enhancements. Assist with the development, implementation, and monitoring of UM-related initiatives and special projects (e.g., claims review process, continuity-of-care tracking, or performance optimization programs). Evaluate and revise UM policies and procedures to align with evolving regulatory standards and organizational goals. Support readiness activities for CMS audits and other accreditation requirements. Perform other related functions and special assignments as directed by senior leadership. Core Competencies: Leadership & Talent Development - Demonstrates the ability to lead through others by developing and empowering supervisors and staff. Fosters a culture of accountability, engagement, and continuous improvement within the UM department. Operational Management - Applies strong organizational and analytical skills to oversee workflow execution, resource allocation, and performance metrics across inpatient and pre-service teams. Regulatory & Compliance Expertise - Maintains in-depth knowledge of CMS regulatory standards, confidentiality requirements, and UM protocols to ensure full compliance and audit readiness. Analytical Thinking & Decision-Making - Uses data to identify trends, evaluate outcomes, and implement process improvements that enhance accuracy, turnaround times, and service quality. Communication & Collaboration - Communicates clearly across all organizational levels; partners effectively with Clinical Operations, Provider Relations, Case Management, and Claims to resolve issues and align priorities. Process Improvement & Innovation - Continuously evaluates operational workflows and implements efficiency strategies that support organizational goals and member satisfaction. Member & Service Orientation - Demonstrates commitment to delivering high-quality service, ensuring that UM processes support positive member experiences and continuity of care. Change Management - Adapts to evolving regulatory, system, and organizational needs while leading teams through process transitions and new initiatives effectively. Supervisory Responsibilities: Oversees assigned staff. Responsibilities include: recruiting, selecting, orienting, and training employees; assigning workload; planning, monitoring, and appraising job results; and coaching, counseling, and performance management. Job Requirements: Experience Required: Minimum (4) years of related experience in a managed care setting and a minimum (3) years of recent and related supervisory experience Education Required: Highschool Diploma or GED Required Preferred: Bachelor's Degree or higher Other: Strong knowledge of Medicare Managed Care Plans Proficient in Microsoft Word, Excel, and Outlook; advanced Excel skills preferred (pivot tables, formulas, data visualization, and reporting functions for performance tracking and analysis). Experience leading and sustaining process improvement initiatives within healthcare operations to enhance efficiency, compliance, and service quality. Communication and Interpersonal Skills - Excellent written and verbal communication skills; able to build and maintain collaborative relationships with diverse teams, including leadership, staff, and external partners. Analytical and Reasoning Skills - Strong analytical thinking with the ability to define problems, collect and interpret data, establish facts, draw valid conclusions, and develop actionable solutions. Problem-Solving and Organizational Skills - Demonstrated ability to prioritize multiple tasks, manage time effectively, and maintain accuracy in a fast-paced, dynamic environment. Data and Report Analysis - Ability to interpret, analyze, and present statistical and operational reports to support decision-making and performance monitoring. Essential Physical Functions: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms. 2. The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus. Pay Range: $70,823.00 - $106,234.00 Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc. Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation. *DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at ******************************* If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health's talent acquisition team, please email ******************.

Schedule: Full-time, Exempt The Right Work. The Right People. The Right Culture. Right of Way is where infrastructure meets innovation-shaping roads, utilities, and communities for the future. At ORC, we offer more than a job-we offer purpose, stability, and growth. Join a team that values collaboration, respects your work-life balance, and empowers you to make a lasting impact. What We Offer Competitive base pay: $110,000 - $125,000 per year Bonus Opportunities Health, dental, and vision benefits 401(k) with company match and disability coverage Paid time off, sick time, and holidays Tuition reimbursement and professional training Recognition programs and growth opportunities Free Calm membership for you and up to five others What You'll Do Oversee the day-to-day management and overall success of title projects Build and maintain strong relationships with current clients while identifying new business opportunities Review scope of work, develop and monitor project schedules, manage budgets, and forecast staffing needs Conduct due diligence, compile pricing, and track project progress from start to finish Complete complex title projects and collaborate with Quality Control to review titles for accuracy Identify and implement process improvements within the department Provide technical assistance, troubleshoot issues, and resolve problems effectively Partner with the internal training team to assess title training needs and lead the development of new training programs Supervise and support a team of at least 9 staff members, managing workload, performance, and other personnel-related responsibilities We are looking for someone who Has the ability to successfully manage a project team Works efficiently and effectively under tight deadlines Can prioritize and balance multiple tasks Demonstrates strong organization and planning skills Is analytical, detail-oriented, and eager to learn Has excellent written and verbal communication skills Thrives in a fast-paced administrative setting Provides strong customer service experience Can adapt to new systems and software environments Minimum Requirements Minimum of 6 years of experience in the land title industry Must include 2 years managing project(s) Managed a team across various counties and states Understanding of complex title concepts Must be proficient with MS Office Suite, specifically Excel, Word, Dropbox, and Outlook Must have an iOS or Android smartphone to be able to access ORC's systems Valid Driver's License Bonus Points if you have Right of Way industry experience! Ready to Apply? Make your mark on projects that matter. Apply now to join a supportive team that invests in your future. Our job titles may span more than one career level. Compensation for this position is dependent upon many factors, such as training, transferable skills, work experience, business needs, and market demands. The base pay range is subject to change and may be modified in the future. This role may also be eligible for benefits and employee travel reimbursements. ORC is one of America's most respected right-of-way acquisition firms. Our services not only include providing outsourced right-of-way services to public agencies, but also electric transmission, oil and gas pipelines, fiber optic, and sewer and water infrastructure. We are excited to be part of the renewable energy forefront for wind and solar projects. Employees must avoid any relationship or activity that might impair, or even appear to impair, their ability to make objective and fair decisions when performing their jobs. To avoid conflicts of interest, employees are prohibited from performing any services for clients or perceived clients during nonworking time that are normally performed by ORC, including the sale of real estate. Physical Requirements: While performing the duties of this job, the employee is regularly required to clearly communicate and exchange information in person, via phone and email. Substantial repetitive movements of the wrists, hands and/or fingers due to high amounts of computer usage and typing. Expected to spend long spans of time in front of a computer screen. Able to read, understand and interpret department related documents and data. This is a largely sedentary role; however, the employee is occasionally required to move about inside the office to access files, office equipment and to interact with other members of the staff. This employee is required to occasionally travel to government buildings which involves time driving; sometimes for long durations.

At ABB, we help industries outrun - leaner and cleaner. Here, progress is an expectation - for you, your team, and the world. As a global market leader, we'll give you what you need to make it happen. It won't always be easy, growing takes grit. But at ABB, you'll never run alone. Run what runs the world. This Position reports to: Manufacturing Manager - NEMA Your role and responsibilities (Mandatory) In this role, you will have the opportunity to operate process equipment or machinery to convert raw materials or semi-finished parts into components or finished parts for a final product at the right time and with the required quality. Each day, you will execute the assigned tasks according to agreed workflows and in accordance with ABB standard processes and safety guidelines and reports any non-compliance. You will also showcase your expertise by operating machines in accordance with the operating manual, work schedule, and/or production order instructions. The work model for the role is: {onsite/hybrid/remote} {insert Linkedin #} This role is contributing to the {insert product group/business area/division/function} in {insert region}. Main stakeholders are {insert main stakeholder groups if available}. You will be mainly accountable for: Performing routine machinery set-up, adjustments, and repairing and fitting simple replacement parts. Ensuring regular standard maintenance of the equipment, tools set-up, programming activities, and troubleshooting and reporting issues, if any; and maintaining detailed records of machinery set-ups, repairs, and maintenance activities. Keeping track of approved, defective units, and final products. Our team dynamics (Optional) You will join a {insert adjectives - e.g. dynamic, talented, high performing} team, where you will be able to thrive. Qualifications for the role (Mandatory) You are immersed in / engaged in / absorbed in / highly skilled in/ you enjoy working with {relevant tools and methodologies} and the {insert relevant industry/sector} market Ability to demonstrate your experience in / Have established skills / advanced skills / You have {insert number of years} years of experience in {insert relevant field} (OPTIONAL: working as {insert relevant role} with {insert relevant products or technologies}) Possess an enhanced knowledge of / You are qualified in / Highly adept in {insert specialized software/platforms} You are passionate about / you are captivated by / you are innovative around {insert relevant soft skills} and {insert relevant soft skills} Degree in / Have a demonstrated track record in / Extensive knowledge of / Proven experience of {insert specific degree, qualification} in {insert subject} You are at ease communicating in {insert required language skill(s)} You hold current {insert required licenses} valid in {insert job location} and {insert country-specific VISA/work permit} {where required} What's in it for you? (Optional) Benefits (Optional) We also offer our employees the following benefits: Benefit 1 Benefit 2 Benefit 3 Benefit 4 Benefit 5 Local Specific Benefits (Open Field below - Optional) Locally, you can count on {Add local perks and benefits in text format} More about us (Mandatory) {Insert specific business area/division/service function or corporate function paragraph from common source material} {Insert country/location -specific boilerplate (1-2 sentences only)} {optional} {Insert country-specific legal statement e.g.: EEO/data privacy} {where required} {Insert PES (Pre-employment screening) sentence} {when required} {Insert local TP or hiring manager contacts if necessary} Guidelines: Please be aware: All fields in yellow should be populated with relevant information (based on Job description and the Kick-off form). All other text can also be modified if necessary, within the given guidelines. Text in bold is fixed and should not be edited or removed Reporting Manager section is mandatory both internally and externally, to be posted via eRec functionality “Your role and responsibilities” should be plain text followed by maximum 4 additional bullet points The “Qualifications for the role” section should include no less than five and no more than seven bullet points. These bullet points should be listed in order of importance for the success in the role Indicate the required language knowledge in the “Qualifications for the role” section whenever it is mandatory and/or applicable Information about “Licenses and visa/work permit” is optional, use this sentence wherever it is required In the “More about us” section you can add further legal statements/PES indications or Talent Partner contacts, for example Read more about the guidelines in the Guidelines doc available in the SharePoint We value people from different backgrounds. Could this be your story? Apply today or visit *********** to read more about us and learn about the impact of our solutions across the globe.

The once in a century transition to autonomous and electric vehicles is underway and will require a multi-trillion-dollar investment in energy and charging infrastructure, and the real estate to site it on. Terawatt is the leader in delivering large scale, turnkey charging solutions for companies rapidly deploying AV and EV fleets. Whether it's an urban mobility hub, or a carefully located multi-fleet hub for semi-trucks, Terawatt brings the talent, capabilities, and capital to create reliable, cost-effective solutions for customers on the leading edge of the transition to the next generation of transport. With a growing portfolio of sites across the US in urban hubs and along key logistics and transportation corridors and logistics hubs, Terawatt is building the permanent transportation and logistics infrastructure of tomorrow through a robust combination of capital, real estate, development, and site operations solutions. The company develops, finances, owns, and operates charging solutions that take the cost and complexity out of electrifying fleets. At Terawatt, we execute humbly and with urgency to provide tailored solutions for fleets that delight our clients and support the transition of transportation. Role Description Terawatt Infrastructure seeks an Energy and Utilities Manager for its Energy & Utility team. The Energy and Utilities Manager is a critical, independent contributor role responsible for developing and executing comprehensive utility engagement strategies throughout the entire development lifecycle of Terawatt Infrastructure projects. This individual will serve as the primary point of contact and subject-matter expert for all utility-related matters, ensuring seamless coordination and alignment among internal teams, including real estate, Development, Design-Construction, and Business Development. During the crucial site evaluation phase, the Energy and Utilities Manager will proactively engage with relevant utility providers to assess infrastructure availability, capacity, costs, and potential risks. This involves conducting thorough due diligence, analyzing utility maps and data, and collaborating with development teams to determine optimal site selection based on utility feasibility and economic considerations. The role extends to project engineering, where the Energy and Utilities Manager will actively contribute to the customer and utility design process, ensuring that utility requirements and specifications are integrated into project plans. This includes collaborating with teams to develop detailed utility layouts, load calculations, and energization designs. Furthermore, this individual will create realistic project schedules incorporating utility timelines for service connections, upgrades, and relocations, effectively mitigating potential delays. Budgeting is another key area of responsibility, requiring the Energy and Utilities Manager to develop and manage comprehensive utility budgets that cover connection fees, infrastructure upgrades, and ongoing service charges. This involves cost estimation, financial forecasting, and proactive identification of cost-saving opportunities. A significant aspect of this role involves skillfully negotiating and executing complex utility agreements and contracts, ensuring favorable terms and conditions for the organization. This includes managing relationships with utility providers, resolving disputes, and staying abreast of utility changes and industry best practices.Core Responsibilities Own key project milestones and deliverables, and manage delivery dates Collaborate closely and guide the Site Acquisition, Project Development, and Construction teams regarding preliminary utility-related engineering, design, and construction timelines. Understand and make critical recommendations regarding timing, cost, and economic trade-offs involved with site energization or interconnection for behind-the-meter generation. Be the owner of the dry utility space: interpret Utility Design Standards and draft dry utility space design via Bluebeam design tools. Be a problem solver when utility bottlenecks or failures are causing project delays. Inform the Company's energy and energization strategy through collaboration with the Real Estate, Project Development, Design & Construction, and Business Development teams. Identify, hire, and manage utility consultants as needed for projects. Preferred Qualifications Experience working with regulated and municipal electrical utilities in major US metro areas. A strong understanding of utility distribution/transmission planning and design, and electrical design standards. Electrical and site design experience Experience with the complete utility coordination process, from application to design to energization. Strategic thinking skills regarding business, operations, and technical challenges, coupled with the technical skills to execute project schedules, contracts, initiatives, and team objectives. Experience in estimating utility service costs. Experience with project development from greenfield or brownfield site acquisition to operational assets. We are building a team that represents a variety of backgrounds, perspectives, and skills. At Terawatt, we continuously strive to foster inclusion, humility, energizing relationships, and belonging, and welcome new ideas. We're growing and want you to grow with us. We encourage people from all backgrounds to apply. If a reasonable accommodation is required to fully participate in the job application or interview process, or to perform the essential functions of the position, please contact ********************************* . Terawatt Infrastructure is an equal-opportunity employer.

At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates. Job Summary The Utilization Management Manager plays a vital role in ensuring patients have timely access to care by managing both front-end prior authorizations and in-house concurrent review authorizations. This position blends strong relationship-building skills with clinical knowledge to navigate complex payer requirements, streamline the authorization process, and support seamless patient transitions. From start to finish, this role drives the authorization process-reviewing prospective, retrospective, and concurrent medical records; coordinating with referring hospitals to secure prior authorizations; and partnering with case management teams at ScionHealth facilities to complete concurrent review authorizations. Acting as a navigator and liaison between Business Development, facility administration, managed care organizations, and payors, the specialist ensures determinations are communicated promptly and accurately to all relevant stakeholders. By combining attention to detail with proactive collaboration, the Utilization Management Manager safeguards revenue integrity, reduces delays, and supports the organization's mission of delivering exceptional patient care. This role actively contributes to quality improvement, problem-solving, and productivity initiatives within an interdisciplinary model, demonstrating accountability and a commitment to operational excellence. Essential Functions * Extrapolates and summarizes essential medical information to obtain authorization for admission and continued stay to/at ScionHealth Level of Care. * Prepares recommendations to sumbit timely request for reconsideration of denial determination in attempt to have denied authorization requests overturned. * Ensures authorization requests are processed timely to meet regulatory timeframes. * Reviews medical necessity assessments completed by case management, evaluating documentation for specific criteria related to severity of illness, and level of care appropriateness. * Generates written appeals to medical necessity-based payor denials for denials prior to admission and concurrent review authorizations. Appeal letters may be processed on behalf of the physician, combining clinical and regulatory knowledge in efforts to have consideration of authorization. * Documents authorization information in relevant tracking systems. * Effectively builds relationships with business development team, admissions team/clinical staff and managed care team, to coordinate the patient admission functions in keeping with the mission and vision of the hospital. * Supports review of patient referral for clinical and financial approval and/or escalation to leadership for approval following the Care Considerations grid. * Coordinates and facilitates pre-admission Prior Authorizations for patients from the referral sources: * Identifies /reviews medical record information needed from referring facility. * Applies appropriate clinical guidelines to pre-authorization determination process. * Communicates specific patient needs for equipment, supplies, and consult services as related to prior authorization requirements. * Acts as a liaison with the Business Development team through every stage of the authorization process through determination. * Initiates appeals process as appropriate. * Facilitates and coordinates physician-to-physician communication as appropriate to support the denial management process. * Communicates to appropriate teams, including business development and facility administration when clinical authorization and financial approval is complete, following standard authorization process. * Provides hospital team with needed prior authorization information on pending / new admissions. * Coordinate with managed care payor on all coverage issues and supports the LOA process as requested. * Coordinates and facilitates Concurrent Review Authorizations for patients actively in-house at a ScionHealth facility * Identifies /reviews medical record information needed from facility. * Applies appropriate clinical guidelines to concurrent review authorization process. * Review medical necessity review information provided by the case management team and communicates any additinoal questions or information requests * Acts as a liaison with the Case Management team through every stage of the concurrent review authorization process through determination. * Initiates appeals process as appropriate. * Communicates with Medical Advisors or case managers of managed care company as necessary; including during Care Coordination / Managed Care calls * Maintains a knowledge of areas of responsibility and develops and follows a program of continuing education. * Participates in continuing education/ professional development activities. * Learns and develops full knowledge of the CAAT Admission Processes and actively seeks to continuously improve them. Knowledge/Skills/Abilities/Expectations * Strong relationship building skills and a spirit to serve to ensure effective communication and service excellence. * Knowledge of regulatory standards and compliance guidelines. * Working knowledge of medical necessity justification through but not limited to non-physician review guidelines (InterQual and Milliman), Medicare and Medicaid rules, regulations, coverage guidelines, NCDs and LCDs. * Working knowledge of Medicare, Medicaid and Managed Care payment and methodology. * Extensive knowledge of clinical symptomology, related treatments and hospital utilization management. * Excellent interpersonal, verbal and written skills to communicate effectively and to obtain cooperation/collaboration from hospital leadership, as well as physicians, payors and other external customers. * Critical thinking, problem solving, and decision-making capabilities with the ability to discern, collect, organize, evaluate, and communicate pertinent clinical information with effective verbal and written skills. * Technical writing skills for appeal letters and reports. * Effective time management and prioritization skills. * Computer skills with working knowledge of Microsoft Office (Word, Excel, PowerPoint, and Outlook), word-processing and spreadsheet software. * Demonstrates good interpersonal skills when working or interacting with patients, their families and other staff members. * Conducts job responsibilities in accordance with the standards set out in the Company's Code of Business Conduct, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards. * Communicates and demonstrates a professional image/attitude for patients, families, clients, coworkers and others. * Adheres to policies and practices of ScionHealth. * Must read, write, and speak fluent English * Must have good and regular attendance. * Approximate percent of time required to travel: N/A Qualifications Education * Postsecondary non-Degree (Cert/Diploma/Program Grad) of an Accredited School of Nursing required * Associate's Degree in healthcare or related field required * Bachelor's Degree in healthcare or related field preferred * Equivalent combination of Education and/or Experience in lieu of education (3+ years in a related field) may be considered. Licenses/Certifications * Healthcare professional licensure preferred. * In lieu of licensure, 3+ years of experience in relevant field required. * Some states may require licensure or certification. Experience * 3+ years of experience in a healthcare strongly preferred. * Experience in managed care, case management, utilization review, or discharge planning a plus.

at System C At System C, we create software that helps drive 21st century health and social care in the UK. Using leading-edge technology and data, our systems are trusted by hundreds of health and social care organisations, our work impacts millions of lives every day. What we do matters. The Bid Manager and Writer will be responsible for managing and writing high-quality, compelling bids, from opportunity identification through to submission. They create persuasive content while coordinating timelines, compliance, and team inputs. This hybrid role combines bid strategy, content authorship, and project delivery. Key Responsibilities: Opportunity Identification: Scan NHS procurement portals and frameworks to identify relevant tenders aligned to business priorities. Bid Strategy & Storyboarding: Define win themes, pricing narratives, and content structure in collaboration with sales and product teams. Content Creation: Write and edit tailored responses, ensuring clarity, accuracy, and alignment with the evaluation criteria. Proposal Management: Oversee the bid lifecycle - assign tasks, track timelines, facilitate all process reviews, and ensure final submission. Compliance: Ensure responses meet all legal, commercial, and buyer-specific requirements. Collaboration: Work cross-functionally with SMEs, sales, legal, pricing and delivery colleagues to shape responses and gather inputs. Content Library Development: Maintain and update reusable content, case studies, and past responses. Manages 2-3 live bids/month. Contributes to bid/no-bid recommendations and process improvements. Required Skills: Persuasive writing, editing, and storytelling NHS/public sector procurement knowledge Bid planning, task management, and review cycle facilitation Content design and document compliance (RFP/ITT structures) Stakeholder engagement and SME coordination Proficiency in MS Office and submission portals (e.g. Atamis, Bravo) Experiences: Delivering complete NHS bids as lead writer and manager Collaborating with cross-functional teams to shape strategy and pricing Managing bid reviews (pink/red) and coordinating SME contributions Writing winning proposals in a regulated environment Maintaining proposal libraries and governance records

Job Description Join Our Team as a Utilization Review Manager (RN or Social Worker) Are you a compassionate nurse or social worker looking to make a real difference in behavioral health? AllHealth Network is seeking a dedicated Utilization Review Specialist to help ensure clients receive the care they need while collaborating with a team that values your expertise and commitment. Why AllHealth Network? Work in a supportive, interdisciplinary environment that values your professional judgment Enjoy opportunities for ongoing learning, growth, and advancement Make a tangible impact on client outcomes and community well-being Be part of a mission-driven organization dedicated to high-quality, client-centered care What You'll Do: Advocate for clients by communicating clinical information to secure timely and appropriate care authorizations Lead utilization reviews for clients in our Acute Treatment and Crisis Stabilization Units Collaborate with nurses, social workers, case managers, and other healthcare professionals Ensure quality care by coordinating with payers, treatment teams, and billing staff Maintain accurate records and use your problem-solving skills to navigate challenging cases What We're Looking For: Registered Nurse (BSN/RN) or Master's in a human services field Clinical license (LPC, LCSW) required Minimum 2 years' experience in behavioral health utilization management, care coordination, or case management Strong communication, organization, and advocacy skills Experience with insurance processes, electronic records, and multidisciplinary teamwork Ready to take your career to the next level with a team that cares as much as you do? Apply today and help us transform lives-one client at a time. $72,000 - $80,000 annually AllHealth Network also provides a 10% compensation differential for individuals who are bilingual in English and Spanish (language proficiency testing required). The base salary range represents the low and high end of the AllHealth Network hiring range for this position. Actual salaries will vary and may be above or below the range based on various factors including but not limited to experience, education, training, merit, and the ability to embody the AllHealth Network mission and values. The range listed is just one component of AllHealth Networks' total compensation package for employees. Other rewards may include short-term and long-term incentives as well as a generous benefits package detailed below.

This position is a temporary role facilitated through one of our contracted agencies and is not a direct employment opportunity with IEHP. The contracted agency offers an assignment length of up to six months, during which the candidate will provide support for IEHP. What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience! Under the direction of department leadership, this position focuses on a person-centered model of care which takes in to account the Member's medical, behavioral, and social needs. This position provides high quality, effective care management to IEHP members ensuring coordinated continuous care. Care Management is broadly defined, and can include outreach and engagement to members, engaging members in skilled therapeutic interactions to promote health behaviors, other behavioral health interventions within scope, coordination of care, resource linkages, working with other professionals and organizations in the community to ensure quality of care for members, seamless transitions of care, and facilitating the right care and the right time for the member. As a licensed clinician, this position provides clinical expertise, clinical leadership, and clinical oversight in a variety of ways within the department. The individual in this position is to utilize their clinical expertise to support and engage Members to promote positive health behaviors, assist with coordination of care, provided resource linkages, and collaborate with other Team Members within their care team, as well as external partners, to ensure a seamless transitions of care experience. This position is expected to model behavioral health principles of relationship-based care, as well engage in promoting education and understanding of Behavioral health and its importance in whole health, to those within IEHP and in the community. Commitment to Quality: The IEHP Team is committed to incorporate IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Key Responsibilities Establish and continuously model supportive and collaborative relationships with members, colleagues, and external partners. Model the highest ethical behavior in care for Members, as well as in relationships with co-workers, Leaders, internal, and external partners. Model commitment to continuous quality improvement by engaging in quality improvement initiatives and projects, such as by identifying and addressing HEDIS gaps, and by identifying, developing, and testing new practices for improving the outcomes of the Enhanced Care Management team. Participates in Health Plan staff meetings, trainings, committee meetings, or other activities as needed or as directed by Leadership Team Members. Working in a lead training capacity by providing formal and informal clinical training and other learning and development activities to support department Team Members on behavioral health conditions, including treatments and evidence-base for treatment (within areas of expertise/scope) as well as provide onboarding and ongoing training to department Team Members. Promote a collaborative and effective working environment within the department or those outside BH discipline by engaging in evidenced-based communication strategies (such as Motivational Interviewing) when discussing responsibility/sharing of tasks, effectively resolving conflicts as they arise, and collaborating on Member case discussions to provide integrated care to IEHP members. Participate in committees, conferences, and any other meetings as required or directed by department managers or directors. Responsible for primarily working with a caseload of Members with behavioral health needs. Advocate for Members to receive the highest quality care, in a timely manner, within IEHP's network by referring to appropriate internal partners such as behavioral health, Enhanced Care Management, and complex care management. In conjunction with department leadership, the Licensed Behavioral Health Care Manager is responsible for providing consultation for the non-licensed Members of the team when discussing tasks of a clinical nature. Responsible for engaging with Members to provide effective care management, both in-person and on the phone, including linkage to resources and support in transitions of care, in a manner that utilizes evidence-based approaches (such as Motivational Interviewing) that promotes collaboration between the Member and his or her medical/behavioral team, facilitating member self-efficacy and self-management to improve the Member's ability to manage their own health, and all other activities associated with high quality, evidenced-based care management. Ensures documentation is accurate and in compliance with regulatory requirements and accreditation standards. Assist Members with care coordination needs, including, but not limited to the following: Conduct comprehensive, holistic assessment both telephonically as well as in person (facility or home visits). Assimilate assessment information to assist, in collaboration with the ITC Team and the facility, in developing a discharge plan or an individualized care plan (ICP). Communicate ICP or discharge plan with Member, approved family or caregiver and other Members of the care team. Coordinate with internal and external health partners to support Members' comprehensive care needs. Assists with the coordination of medical and behavioral health access issues with PCP offices, specialists, and ancillary services. Participate in inter/transdisciplinary care team meetings to share information, update and inform care plan. Participate and lead (as necessary) care transition plan responsibilities. Engage in proactive, member-centered utilization and quality review of Behavioral Health services by members. Provide crisis intervention to individuals, as well as providing support and clinical guidance to others who engage in this work. Responsible for any other duties as required to ensure successful care management processes and Member outcomes. Provide transitional care services to Members transitioning from one care setting to the next such as assisting the Member with PCP appointments, transportations, and coordination of DME and home health. Support Member through all care transitions by making outreach to ensure all care needs are met before closing the Member out to transitions of care. providing care coordination, linkage to resources, and facilitating Member self-efficacy and self-management. Perform any other duties as required to ensure Health Plan operations and department business needs are successful. Qualifications Education & Requirements Minimum of three (3) years of experience performing or facilitating Behavioral Health/Medical Social Work services Experience in motivational interviewing and/or other evidenced-based communication strategies Experience working successfully within a team, and experience in developing and maintaining effective relationships with both clients and coworkers is mandatory Master's degree in Social Work or related field from an accredited institution required Possession of an active, unrestricted, and unencumbered license in a Social Services related field issued by the California Board of Behavioral Sciences required (LCSW or LMFT preferred) Key Qualifications Must have a valid California Driver's License Behavioral Health/Medical Social Work services experience in a health clinic psychiatric hospital, medical facility, or health care clinic strongly preferred Experience in clinical services, both mental health and substance use preferred Familiarity with providing Behavioral Health Care and discharge planning is required Knowledgeable and skilled in evidenced-based communication such as Motivational Interviewing, or similar empathy-based communication strategies Understanding of and sensitivity to multi-cultural communities Deep understanding and knowledge of mental health and substance use conditions, including both acute and chronic management Awareness of the impact of unmitigated bias and judgement on health; commitment to addressing both Must have knowledge of whole health and integrated principles and practices Bilingual (English/IEHP Threshold Language) - written and verbal is highly preferred Highly skilled in interpersonal communication, including conflict resolution Effective written and oral communication skills, as well as reasoning and problem-solving skills Skillful in informally and formally sharing expertise. Must have the resiliency to tolerate and adapt to a moderate level of change and development around new models of care and care management practices Proficient in the use of computer software including, but not limited to, Microsoft Word, Excel, PowerPoint Demonstrated proficiency with all electronic medical management systems (e.g., Cisco, MHK/Care Prominence, MediTrac, SuperSearch and Web Portal) is preferred Proven ability to: Sufficiently engage Members and providers on the phone as well as in person Work as a member of a team, executing job duties and making skillful decisions within one's scope Establish and maintain a constructive relationship with diverse Members, Leadership, Team Members, external partners, and vendors Prioritize multiple tasks as well as identify and resolve problems Have effective time management and the ability to work in a fast-paced environment Be extremely organized with attention to detail and accuracy of work product Have timely turnaround of assignments expected To form cross-functional and interdepartmental relationships Start your journey towards a thriving future with IEHP and apply TODAY! Work Model Location Telecommute Pay Range USD $43.87 - USD $58.13 /Hr.

Who We Are Imagine Pediatrics is a tech enabled, pediatrician led medical group reimagining care for children with special health care needs. We deliver 24/7 virtual first and in home medical, behavioral, and social care, working alongside families, providers, and health plans to break down barriers to quality care. We do not replace existing care teams; we enhance them, providing an extra layer of support with compassion, creativity, and an unwavering commitment to children with medical complexity. The primary location for this role is remote, travel is expected to be up to 10%, and the expected schedule is Monday - Friday 8:00am - 05:00pm central. Independently licensed in TX, MO, or LA (LCSW, LPC, LMHC, or LMFT) required. What You'll Do As the Manager, Behavioral Health Longitudinal at Imagine Pediatrics you will manage a team of supervisors overseeing three roles: Behavioral Health Therapists, Behavioral Health Care Managers, and Care Team Assistants who work as an interdisciplinary team to serve a patient population experiencing severe mental illness (SMI). This role oversees a regional behavioral health care team and is responsible for team metrics and program outcomes. 90% of Manager, Behavioral Health, longitudinal role will be administrative inclusive of the following: Manage a team of regional cross functional care team members with the support of supervisors. Provide oversight to a team of supervisors including 1:1 support, quarterly feedback, and typical functions of people management Provide guidance to supervisors regarding performance management of indirect reports. Uphold team members responsible to Imagine specific policies, clinical programming requirements, and utilization targets. Partner with talent acquisition to carry out hiring plans, interviews, and onboard new team members. Assist with strategic planning for expansion into new markets for company growth. Analyze programmatic metrics and individual metrics in order to utilize staff appropriately. Hold the team accountable for working at the top of their license and utilizing team functions as efficiently as possible Identify areas for improvement within team processes, clinical care, and action on projects to make them more efficient. Serve as the Behavioral Health Longitudinal representative in leadership meetings to provide feedback, improve patient experience, and support the development of new programs and services. Acts as the liaison for behavioral health services to all stakeholders taking a lead role in process and performance improvement and the delivery of high-quality services Collaborate with clinical education team for implementation of new trainings in alignment with care team and organizational needs. Create a positive and inclusive culture of teamwork and accountability Assist behavioral health team with navigating new processes, policies, and procedures. 10% of Manager, Behavioral Health - longitudinal role will be clinical and include but are not limited to the following responsibilities. Consult with market leaders on behavioral health cases. Manage patient escalations as needed. Support service recovery calls. What You Bring & How You Qualify First and foremost, you're passionate and committed to creating the world our sickest children deserve. You want an active role in building a diverse and values-driven culture. Things change quickly in a startup environment; you accept that and are willing to pivot quickly on priorities. A qualified candidate will be empathetic, caring, organized, and has strong relationship-building skills. In this role, you will need: Master's degree in social work, Marriage and Family Therapy, Counseling, or related area Must be licensed to independently practice in TX, MO, or LA (LCSW, LPC, LMHC, LMFT), openness to cross-state licensure. 5 years of experience post independent licensure in a behavioral health setting. 3 years of experience in management/supervision of mental health providers (experience in remote/start-ups environments preferred). Experience working with children, adolescents, and their caregivers inclusive of external systems involved in a minor's care. Experience with chart auditing and training to improvement-oriented outcomes. Certification/Training in evidence-based modalities including but not limited to cognitive behavioral therapy and dialectical behavioral therapy preferred Experience working with high-risk behavioral health populations including but not limited to suicidal ideation, homicidal ideation, severe persistent mental illness (SPMI), children in the foster care system. Strong preference and comfortability conducting triage assessments and crisis interventions. Diligent regarding documentation standards and accustomed to using electronic medical records. Experience working with a diverse population or demographics. Telehealth experience Familiarity with technology, Microsoft suites, and documenting in electronic health records. Fully remote with 10% travel for training/education What We Offer (Benefits + Perks) The role offers a base salary range of $88,000 - $107,000 in addition to annual bonus incentive, competitive company benefits package and eligibility to participate in an employee equity purchase program (as applicable). When determining compensation, we analyze and carefully consider several factors including job-related knowledge, skills and experience. These considerations may cause your compensation to vary. We provide these additional benefits and perks: Competitive medical, dental, and vision insurance Healthcare and Dependent Care FSA; Company-funded HSA 401(k) with 4% match, vested 100% from day one Employer-paid short and long-term disability Life insurance at 1x annual salary 20 days PTO + 10 Company Holidays & 2 Floating Holidays Paid new parent leave Additional benefits to be detailed in offer What We Live By We're guided by our five core values: Our Values: Children First. We put the best interests of children above all. We know that the right decision is always the one that creates more safe days at home for the children we serve today and in the future. Earn Trust. We listen first, speak second. We build lasting relationships by creating shared understanding and consistently following through on our commitments. Innovate Today. We believe that small improvements lead to big impact. We stay curious by asking questions and leveraging new ideas to learn and scale. Embrace Humanity. We lead with empathy and authenticity, presuming competence and good intentions. When we stumble, we use the opportunity to grow and understand how we can improve. One Team, Diverse Perspectives. We actively seek a range of viewpoints to achieve better outcomes. Even when we see things differently, we stay aligned on our shared mission and support one another to move forward - together. We Value Diversity, Equity, Inclusion and Belonging We believe that creating a world where every child with complex medical conditions gets the care and support, they deserve requires a diverse team with diverse perspectives. We're proud to be an equal opportunity employer. People seeking employment at Imagine Pediatrics are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information, or characteristics (or those of a family member), pregnancy or other status protected by applicable law.

About InvoiceCloud: InvoiceCloud is a fast-growing fintech company with an award-winning culture and a leading disruptor in the electronic bill presentment and payment (EBPP) space. Serving more than 3,200 customers across the utility, government, and insurance industries, InvoiceCloud's secure and innovative SaaS platform enhances the customer experience, driving higher digital payment, AutoPay, and paperless adoption rates. By switching to InvoiceCloud, clients can improve customer engagement and satisfaction while lowering costs, accelerating payments, and reducing staff workloads. To learn more, visit InvoiceCloud.com. At InvoiceCloud, we are dedicated to transforming the billing and payment processes for government agencies and utility companies. As a premier SaaS provider of innovative online bill payment solutions, we empower organizations to enhance efficiency, improve customer satisfaction, and streamline operations through advanced technology. We are experiencing rapid growth and are seeking an Enterprise Account Director to join our Government and Utility Sales Team. If you are a seasoned sales leader with a passion for building relationships, closing deals, and driving digital transformation in the public and utility sectors, this is an exceptional opportunity for you! Why This Role? This position offers more than just a typical sales job. As an Enterprise Account Director, you will play a pivotal role in shaping the future of digital payments for essential services. You will have the chance to work with high-profile clients, engage in complex sales cycles, attend industry events, and serve as a trusted advisor in a sector that significantly impacts communities. What You Will Do: Drive New Business: Identify and cultivate opportunities within the government and utility sectors, establishing InvoiceCloud as the preferred payment solution provider. Build Lasting Relationships: Connect with key stakeholders, decision-makers, and industry influencers to foster trust and drive long-term partnerships. Develop Winning Sales Strategies: Design and implement targeted sales plans that align with market trends and business objectives. Be a Trusted Consultant: Employ a consultative, solution-based sales approach to illustrate how InvoiceCloud's products can address real challenges for clients. Collaborate Across Teams: Partner closely with marketing, product development, alliances, and customer success teams to ensure seamless client engagement and retention. Close the Deal: Lead contract negotiations and navigate complex sales processes to secure advantageous agreements. Stay Ahead of the Curve: Monitor industry trends, competitive landscapes, and emerging technologies to inform strategy and innovation. What We Are Looking For: Sales Expertise: 10+ years of enterprise sales experience, preferably within the government or utility sectors. Industry Knowledge: Comprehensive understanding of public sector and utility market dynamics, procurement processes, and sales cycles. Relationship-Driven: Outstanding ability to engage and influence C-level executives and key decision-makers. Strategic Thinker & Doer: Strong business acumen with a talent for translating strategy into actionable results. Negotiation Skills: Proficient in leading contract discussions and structuring deals that create mutual value. Tech-Savvy: Proficient in CRM software and Microsoft Office Suite for managing pipeline and performance. Education: Bachelor's degree in Business, Sales, Marketing, or a related field (MBA preferred). What Is In It for You? Competitive Compensation: Uncapped commission structure with significant earning potential. Career Growth: Opportunities for professional development within a rapidly growing SaaS company. Comprehensive Benefits: Health, dental, and vision insurance to support your well-being. 401(k) with Company Match: Invest in your future with confidence. Generous PTO & Holidays: Because work-life balance is essential. Work from Anywhere: Enjoy the flexibility of a remote role with travel opportunities. Ready to Make an Impact? If you are a dynamic sales professional seeking to make a meaningful difference in the operations of government and utility organizations, we invite you to reach out! Join us at InvoiceCloud and help drive the future of digital payments. Base salary is one component of total compensation. Employees may also be eligible for an annual bonus or commission. Some roles may also be eligible for overtime pay. The above represents the expected base compensation range for this job requisition. Ultimately, in determining your pay, we'll consider many factors including, but not limited to, skills, experience, qualifications, geographic location, and other job-related factors. Base Compensation Range$140,000-$150,000 USD InvoiceCloud is an Equal Opportunity Employer. InvoiceCloud provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. If you have a disability under the Americans with Disabilities Act or similar law, or you require a religious accommodation, and you wish to discuss potential accommodations related to applying for employment at our company, please contact *********************. Click here to review InvoiceCloud's Job Applicant Privacy Policy. To all recruitment agencies: InvoiceCloud does not accept agency resumes. Please do not forward resumes to our job's alias, employees, or any other organization location. Invoice Cloud is not responsible for any fees related to unsolicited resumes.

Fort Health is a mental health company that is on a mission to “Opening more paths to better care for more families”. We're all about making a real difference in the lives of children and adolescents. With a whopping 50% of kids in the US missing out on mental health care, we're determined to change that statistic. And with a market size of over $50 billion, we're not just dreaming big - we're making it happen! Our vision? Picture this: a world where every child has access to the support they need to thrive mentally and emotionally. With the help of our amazing partners, like the Child Mind Institute, we're creating a one-of-a-kind support system that combines digital tools with virtual clinicians. Because at Fort Health, we believe “we're stronger together”. About the Role: We know that clinicians are the backbone of our company. Everything we do incorporates a clinicians' mindset so that we can provide them with the best job experience, so that they can provide our patients with the best treatment. The Collaborative Care Model (CoCM) is an innovative approach to partnering with the patient, their family, pediatrician, and a psychiatric consultant to target mental health concerns in the primary care setting based on a population-based approach. As part of our CoCM team, you will be an key member of an integrated multidisciplinary team that is responsible for delivering high-quality, evidenced-based mental health care for children, adolescents and their families. You will be responsible for supporting and coordinating care for a caseload of patients with the primary care provider, consulting psychiatrist, and potentially other mental health providers and educational professionals. You will build relationships with the primary care providers and support facilitation of referrals. You will also provide 1:1 brief psychosocial interventions and coaching sessions with patients, families and caregivers, and track the patient's symptoms and progress with validated measures. The Behavioral Health Care Manager works with the CoCM team to provide personalized, holistic treatment plans for each family. The Behavioral Health Care Manager goes through a training program created and led by the AIMS Center at the University of Washington, the leading organization in implementing the Collaborative Care Model. Lastly, we are looking for someone who wants to be a part of a growing healthcare startup that is focused on broadening access to affordable, high-quality mental health care for children and their families! In this role, you will: Screen and assess patients for common mental health disorders, facilitate patient engagement and follow-up care. Provide patient education about common mental health disorders and the available treatment options. Systematically track treatment response and monitor patients for changes in clinical symptoms and treatment side effects or complications. Support psychotropic medication management as prescribed by medical providers, focusing on treatment adherence monitoring, side effects, and effectiveness of treatment. Provide brief behavioral interventions using evidence-based techniques (e.g., problem-solving treatment, motivational interviewing, behavioral activation). Identify appropriate resources and coordinate referral processes to community resources when appropriate. Participate in regularly scheduled caseload consultation with the psychiatric consultant and communicate resulting treatment recommendations to the patient's medical provider. Collaborate with the Collaborative Care team to provide personalized treatment plans for every child and their family. Communicate and work with the family to drive the treatment plan forward. Track patient follow up and clinical outcomes using a registry and document patient progress and treatment recommendations in the electronic health record Develop and complete relapse prevention self-management plan with patients who have achieved their treatment goals and are soon to be discharged from the caseload. Participate in individual supervision with a psychologist to ensure you have the support you need to be successful Expand and strengthen your clinical skills through the AIMS center, and take advantage of additional ongoing training and educational opportunities, conferences, and more. Salary: $70,000 to $80,000 annually based on experience Example Schedule: Monday: 11:30 AM - 7:30 PM Tuesday: 11:00 AM - 7:00 PM Wednesday: 10:00 AM - 6:00 PM Thursday: 11:00 AM - 7:00 PM Friday: 9:30 AM - 5:30 PM There is some flexibility, but preferably one night until 7:30 PM, two nights until 7:00 PM, one night until 6:00 PM, and Friday until 5:30 PM. You can pick work remotely on Fridays if desired. Your time will be spent supporting practices and will require you be on-site at the following location: 1600 Chapel Ave W #100, Cherry Hill Township, NJ 08002 What we are looking for: Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Counselor (LPC), Licensed Mental Health Counselor (LMHC), or advanced practice psychiatric practitioner (NP) Licensed independently to practice Minimum 1-year of direct clinical experience working with children, adolescents and their families Experience and training in delivering brief psychosocial evidence-based treatments (e.g., CBT, problem solving treatment, behavioral activation, motivational interviewing) Experience with care coordination Preferred experience working in a team-based healthcare setting Experience with screening for common mental health disorders and symptom assessment with children and adolescents using measurement-based care tools (e.g., PHQ-9, GAD-7, SCARED, etc.) Working knowledge of differential diagnosis of common mental health disorders. Strong skills in engaging parents and children, developing appropriate treatment planning, and ability to collaborate and communicate effectively in a team setting Desire to work with and learn from some of the top child mental health experts in the field Why join us? Competitive compensation package Generous paid time off including paid company holidays, mental health days1 Paid week of company-wide shutdown between Christmas and New Year's Day Ability to be part of a startup and help build a new treatment model Collaborative and supportive mission-oriented work environment

Opportunity for a TX licensed RN with experience working in women's health; specifically, OB, L&D, or postpartum, to join our Texas Health Plan as a Case Manager. Your caseload will consist of members who are pregnant, many of them high risk. Telephonically you will complete assessments needed for determining the types of services we need to provide and managing their care until they are discharged from your service. The ideal candidate will have experience as a Case Manager within a managed care organization (MCO) like Molina, but we also consider RNs with a strong background in women's health. Hours are Monday - Friday, 8 AM - 5 PM CST working from home. Solid experience with Microsoft Office Suite is necessary, especially with Outlook, Excel, and Teams as well as being confident in moving between different programs to complete the necessary forms and documentation. Excellent computer skills and attention to detail are very important to multitask between systems and talk with members on the phone while entering accurate contact notes. This is a fast-paced position and productivity is important. Job Summary Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Completes comprehensive member assessments within regulated timelines, including in-person home visits as required. • Facilitates comprehensive waiver enrollment and disenrollment processes. • Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate health care professionals and member support network to address the member needs and goals. • Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. • Promotes integration of services for members including behavioral health care and long-term services and supports (LTSS) and home and community resources to enhance continuity of care. • Assesses for medical necessity and authorizes all appropriate waiver services. • Evaluates covered benefits and advises appropriately regarding funding sources. • Facilitates interdisciplinary care team (ICT) meetings for approval or denial of services and informal ICT collaboration. • Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts. • Assesses for barriers to care and provides care coordination and assistance to members to address psycho/social, financial, and medical obstacles concerns. • Identifies critical incidents and develops prevention plans to assure member health and welfare. • May provide consultation, resources and recommendations to peers as needed. • Care manager RNs may be assigned complex member cases and medication regimens. • Care manager RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be required (based upon state/contractual requirements). Required Qualifications • At least 2 years experience in health care, including at least 1 year experience in care management, managed care, and/or experience in a medical or behavioral health setting, and at least 1 year of experience working with persons with disabilities, chronic conditions, substance abuse disorders, and long-term services and supports (LTSS), or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in state of practice. • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law. • Ability to operate proactively and demonstrate detail-oriented work. • Demonstrated knowledge of community resources. • Ability to work within a variety of settings and adjust style as needed - working with diverse populations and various personalities and personal situations. • Ability to work independently, with minimal supervision and demonstrate self-motivation. • Responsiveness in all forms of communication, and ability to remain calm in high-pressure situations. • Ability to develop and maintain professional relationships. • Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change. • Excellent problem-solving and critical-thinking skills. • Strong verbal and written communication skills. • Microsoft Office suite/applicable software program(s) proficiency. • In some states, must have at least one year of experience working directly with individuals with substance use disorders. Preferred Qualifications • Certified Case Manager (CCM). • Experience working with populations that receive waiver services. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Cerula Care is the first digital health company focused on providing integrated behavioral health (BH) services to people living with cancer. More than 22M people living with cancer have behavioral health needs such as anxiety, depression, substance use disorder, and PTSD. We integrate with oncology practices and health systems through the Collaborative Care Model (CoCM) to wrap our members with a behavioral health team, care programming, and outcomes analysis. The Collaborative Care Model is an evidence-based clinical model that has been shown to successfully improve mild to moderate behavioral health needs more effectively than the current standard of care. Our care team enhances the traditional CoCM care team by adding a Health Coach (i.e., a health coach focused on holistic behavioral health), given our strong conviction in the benefit of health coaching and wellness in this population. With the right coaching program customized to our members, we will be able to improve our members' behavioral health above and beyond traditional CoCM models. Why Choose Cerula Care We understand choosing a place to work or consult is a really important decision, and we want you to know that we do not take it lightly on your behalf - we welcome all your questions as you go through the decision process! A few things to know about working at Cerula Care: Our culture is very collaborative, transparent, supportive, and feedback-driven. All of us (yes all of us - including and especially our co-founders) are open to receiving and giving feedback in a helpful way to ensure we each grow and learn every day and importantly are always improving for the sake of our members and each other. We have a big mission to accomplish and we want people who believe in that mission to join us. However, in joining our mission, we are not asking you to give up other parts of your life - we all have our lives outside work, and we absolutely respect each other's needs. Behavioral Health Care Manager role: The BHCM is a core member of Cerula Care's collaborative care team. Cerula Care's team includes a BHCM, a Consultative Psychiatrist, and a Health Coach. The BHCM is critical to collaborating between external specialists (e.g., oncologists) and the internal care team; the role is partly clinical and partly operational. Key Traits: Experienced and passionate about interacting with and helping members with cancer; strong ability to engage members through telehealth Exceptionally organized and able to keep track of all care coordination tasks Highly adaptable, with interest or experience in start-up environment Key Responsibilities: Engage in an initial clinical member biopsychosocial intake including a safety screen and administering BH assessments (PHQ-9, GAD-7, etc.) Engage in follow-up visits and asynchronous interactions, including brief interventions (e.g., behavioral activation, mindfulness, psychoeducation, etc.) Be the key care coordinator and act as a liaison between the referring specialist and the practice, ensuring if there is a member question or administrative question, it is answered or triaged to the appropriate team within Cerula Care Lead the interdisciplinary team meetings on a weekly basis with the Consulting Psychiatrist and Health Coach, ensuring all high-risk members are discussed and all new psychiatric recommendations are documented in the chart Communicate closely on an ongoing basis with the Cerula Care behavioral health care team (Coaches and Psychiatrist) Document member progress in a HIPAA-compliant electronic medical record system and client registry provided by Cerula Care Identify patients who are not improving and may need more intensive mental health care and report any concerns to the medical provider and the Consulting Psychiatrist Facilitate referrals for clinically indicated services outside of Cerula Care under the supervision of the BHCM Lead (e.g., SMI). Educational, Certification, and Experience Requirements: Bachelor's Degree Required in nursing, social work, or other health and human services disciplines from an accredited college or university. Experience as a Certified Case Manager (CCM), Community Health Worker (CHW) or Peer Support Specialist (PSS), or Accredited Case Manager (ACM) preferred Qualified applicants must have at least one year of clinical care management experience, with some part of the experience directly working with people with cancer or advanced illness (e.g., Cancer coaching, Palliative Care, etc.) Time Commitment, Start Date, Compensation: Time commitment: Full-time Start date: We are evaluating candidates on a rolling basis Hourly rate: Discussed during interview

Job Description Heritage Health Network (HHN) is a leading healthcare organization committed to improving the health and wellness of vulnerable populations in Riverside and San Bernardino counties. We deliver Enhanced Care Management (ECM) by integrating clinical care with essential social support to provide high-touch, person-centered services. Our mission is to empower and inspire our members-those at risk of hospitalization, experiencing health disparities, or living with limb loss-to live longer, healthier, and happier lives. Position Overview: We are seeking a Behavioral Health Care Manager (BHCM) to provide clinical oversight and coordination within our ECM program. In this part-time, remote role, you will collaborate with a multidisciplinary care team to ensure members receive comprehensive, culturally sensitive, and empathetic behavioral healthcare. Job Type: Hybrid | Full-time Requirements Key Responsibilities: Clinical Oversight: Review and sign off on charts and case notes to ensure compliance with regulatory and quality standards. Team Collaboration: Participate in weekly case management meetings with the ECM care team to support integrated, holistic care plans. Behavioral Health Assessments: Conduct or oversee comprehensive assessments to identify behavioral health and psychosocial needs, informing individualized care plans. Supervision: Guide and provide clinical supervision to care team members, ensuring high standards of practice and professional development. Care Management: Offer ongoing management of behavioral health conditions, including counseling, crisis intervention, and resource coordination. Community Engagement: Collaborate with community organizations, participate in outreach activities, and provide presentations or workshops as needed. Documentation: Maintain accurate, timely records in the electronic health record (EHR) system while adhering to confidentiality and compliance standards. Qualifications: Minimum of 2 years of experience providing direct member services. MA degree in Psychology or master's-level licensure/credentials (e.g., ASW, LCSW, LMFT, AMFT, LPCC, MSW, APCC) is required. Strong knowledge of Medi-Cal regulations and behavioral health care practices. Expertise in evidence-based practices (EBPs), DSM-V, and behavioral health methodologies addressing conditions such as depression, anxiety, trauma, and substance use disorders. Exceptional interpersonal, communication, and organizational skills, with a demonstrated ability to work within a multidisciplinary team. Familiarity with health disparities affecting vulnerable populations, particularly Black and Hispanic communities. Proficiency in care coordination, crisis intervention, and culturally competent care. Benefits Health Insurance: Medical, dental, vision insurance and 401(k) Paid Time Off: Sick time, paid holidays, and vacation time to support work-life balance. Compensation and Incentives: Competitive salary with annual merit increases and quarterly bonus opportunities. Flexibility: Work-from-home options for several days a week. Professional Growth: Opportunities for career advancement and continued professional development. Career Development: Opportunities for career advancement and professional development

The Care Manager II services youth and adults in their community setting with the goal of reducing and preventing emergency room visits, hospitalizations, and decreasing overall Medicaid costs as a lead member of the team responsible for the client. This role utilizes assessments, care planning, linkage to services and community resources, advocacy, and support to coordinate services for adults, youth, and families using person centered and family driven care strategies. This is a Monday-Friday, full-time (40 hours) position with a flexible schedule based on client/staff needs. After an initial training period, this role can be a hybrid mobile/on the road & remote/work from home blend. The area of coverage is Livingston, Genesee, and Orleans counties. Essential Job functions Responsible for, but not limited to comprehensive assessments, outreach and engagement, service and treatment linkage and coordination for assigned youth, adults and families. Partner with referral sources to engage youth, adults and families and build an interdisciplinary care team to support the member in meeting their needs. Facilitate monthly face-to-face visits with adults, youth, family, and their interdisciplinary care team, for assigned caseload. Conduct initial and ongoing assessments to assist with accomplishing member's goals and needs within program requirements. Create, implement, evaluate, and modify, as required and needed, individual service plans to meet assessed client's unique needs as a member of a multi-disciplinary team. Refer members to applicable agency services and community programs, such as outpatient counseling, dental provider, and primary care providers. Support members who transition between systems and services (i.e. hospitalizations, inpatient stays, residential settings, housing needs, etc.). Establish and maintain productive working relationships with community service providers to facilitate referrals and service evaluations. Maintain required contact with members, families, and the interdisciplinary team and facilitate team meetings. Serve as a liaison between the program and other internal and external resources, ensuring information is shared with the Care Team. Maintain and update all necessary records, forms, reports, and summaries in member files according to agency and funders standards. Travel across different counties within respective region to serve members, as required. While this job description covers many aspects of the role, employees may be required to perform other duties as assigned. Education & Experience Bachelor's degrees required. Minimum 2 years of experience working in a human services or related position supporting youth, adults and families required. SPECIAL REQUIREMENTS Unrestricted, valid NYS driver's license for minimum of 1 year with a clean driving record and minimum insurance coverage that meets agency standards. Children's Health Home only : Must receive CANS (Child and Adolescent Needs and Strengths Assessment) certification score of 70 within 3 months of hire and annually thereafter. Knowledge, Skills & Abilities In addition to demonstrating the Hillside Professional Competencies of Communicates Effectively, Personal Excellence, Cultural Competence, Builds and Leverages Relationships, and Optimizes Decision Making, the following occupational competencies must be demonstrated: Demonstrate the highest standards for ethical and professional conduct at all times Knowledge of all federal, state, and local statutes, regulatory agency standards and Hillside policies. Ability to manage multiple tasks and large caseloads simultaneously. Ability to manage scheduling visits with high volume caseload and complete tasks by funder deadlines. Ability to de-escalate and manage crisis situations both in-person and by phone. 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 functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Must be able to work a variable scheduling including evenings and weekends The following daily physical demands are required: Sitting (up to 6 hours) Occasional standing (up to 2 hour) Occasional walking (up to 2.5 hours) Driving (several times a week up to 6 hours) Continuous balancing (up to 8 hours) Occasional balancing, bending, stooping, climbing, kneeling, pushing, pulling, reaching forward or down, reaching overhead, running, and twisting (up to 2.5 hours) Weekly lifting up to 10-15 lbs. on a daily basis Manual dexterity is required, including the frequent ability to grasp in both hands and continuous use of fine manipulation skills in both hands (approximately 1-2.5 hrs.) Occasional exposure to dust, fumes, gases, chemicals, or smoke is apparent Ability to change positions as needed SPECIAL CONSIDERATIONS While Hillside is a restraint free environment, there may be times in a “life or limb” situation, that staff may be required to physically restrain clients weighing between 50 lbs. and 300 lbs. and guide them safely to the floor. In some circumstances, restraints can last up to 15 minutes and may require repetition as necessary. $21.40 Minimum pay rate, $31.00 Maximum pay rate, based on experience.