Life Care Planner Jobs Near Me

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. **Position Summary** Fully remote position. Work from home anywhere in the U.S Schedule: Monday - Friday 8:00am - 5:00pm - Provides comprehensive support and service to behavioral health clinical teams in support of member engagement and to facilitate delivery of appropriate quality care and improve program/operational efficiency involving clinical issues. - Provides outreach to members to educate them about available specialty programs and to solicit their participation. - Assists members locate services. Facilitates follow-up calls. - Collects information on patient progress and adherence to treatment plan. - Provides information to members regarding mental health and substance abuse benefits, community treatment resources, mental health managed care programs, and Aetna policies and procedures - Works closely with the clinician to insure healthy outcomes for the member. - Miscellaneous administrative duties such as Provider/ community resource searches, handling Transition of Care requests, executing letters of agreement with non-par providers, obtaining discharge verifications and non-complex authorizations. - Work requires sitting for extended periods, talking on the telephone and typing into the computer **Required Qualifications** - 2 years Behavioral Health care experience. - Previous Customer Service experience. - Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding. **Preferred Qualifications** - Previous Managed Care experience. - Psychology or Social Services experience. **Education** - Associates Degree OR equivalent combination of education and experience. **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $21.10 - $49.08 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** . + **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ***************************************** We anticipate the application window for this opening will close on: 04/12/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

The Certified Nurse Life Care Planner develops reports based upon treatment history and medical treatment guidelines. The report outlines the future medical and non-medical expenses of individuals workers' compensation or other liability claims. The Certified Nurse Life Care Planner will rely on their medical knowledge to evaluate the patient's treatment plan for future medical treatment needs supporting the goals of the Life Care Plan /Medicare Services department, and of CorVel. Work from home possible. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Organize medical records into chorological order. * Assess, review and summarize medical records in a clear, concise manner. * Perform evidenced based medical research regarding unfamiliar diagnoses and future medical needs. * Ability to utilize medical and nursing knowledge to compile comprehensive list of necessary future medical expenses. * Assign CPT coding and pricing to all future medical expenses. * Assign NDC coding and pricing to all future medication pricing. * Clarify need for Rated Age and obtain or calculate life expectancy. * Calculate lifetime pricing utilizing state fee schedule or "usual & customary" charges. * Collaborate with defense and plaintiff counsel in effort to obtain necessary signed releases from claimants. * May also assist with preparation of Medicare Set-Aside allocations. * Required to read extensively. * Required to prepare organized reports within a specified timeframe. * Required to use telephone extensively. * Minimum Productivity Standard is 95% * Requires regular and consistent attendance. * Complies with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP). * Additional duties as required. KNOWLEDGE & SKILLS: * Effective multi-tasking skills in a high-volume, fast-paced, team-oriented environment. * Ability to interface with claims staff, attorneys, physicians and their representatives, and advisors/clients and coworkers. * Excellent written and verbal communication skills. * Ability to meet designated deadlines. * Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets. * Strong interpersonal, time management and organizational skills. * Ability to work both independently and within a team environment. EDUCATION & EXPERIENCE: * Certification as a CLCP or CNLCP required. * Certification as a Medicare Secondary Payer consultant preferred * Graduate of accredited school of nursing, BSN desirable. * Current RN Licensure in state of operation. * 3 or more years' of recent clinical experience, preferably in rehabilitation. * Strong clinical background in orthopedics, neurology, or rehabilitation preferred. * Strong cost containment background, such as utilization review or managed care helpful. PAY RANGE: CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $58,282 - $93,870 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. ABOUT CORVEL: CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote

td id="gnewton JobDescriptionText" div style="-webkit-tap-highlight-color: transparent; color: rgba(0, 0, 0, 0.87); cursor: wait !important;" div style="-webkit-tap-highlight-color: transparent; color: rgba(0, 0, 0, 0.87); cursor: wait !important;" div style="-webkit-tap-highlight-color: transparent;" div style="-webkit-tap-highlight-color: transparent; color: rgba(0, 0, 0, 0.87);" divspan style="font-family:georgia, tahoma, sans-serif"span style=""span style=""span style=""span style=""span style=""span style=""span style=""span style=";"span style="font-size:22px;"STNA - State Tested Nurse Aide | CNA Openings/span/span/span/span/span/span/span/span/span/span/div divfont face="georgia, tahoma, sans-serif"span style="font-size: 18px;"bAltercare Summit Acres/b/span/font/div divspan style="font-size:14px;"font face="georgia, tahoma, sans-serif"bCaldwell, OH/b/font/span/div div /div div style="-webkit-tap-highlight-color: transparent;" div style=';Helvetica Neue", Helvetica, Arial, sans-serif; -webkit-tap-highlight-color: transparent;' div style='-webkit-tap-highlight-color: transparent; color: rgba(0, 0, 0, 0.87); ;Helvetica Neue", Helvetica, Arial, sans-serif;' divspan style="font-family:georgia, tahoma, sans-serif"span style=""span style=""span style=""span style=""span style=""span style=""span style="" /span/span/span/span/span/span/span/span/div divspan style="font-family:georgia, tahoma, sans-serif"span style=""span style=""span style=""span style=""span style=""span style=""span style="font-size:18px;"span style=""ib style='-webkit-tap-highlight-color: transparent; color: rgba(0, 0, 0, 0.87); ;Helvetica Neue", Helvetica, Arial, sans-serif; font-size: 20px;'span style="color:#008000;"$1,500 Sign - On Bonus for Full - Time new hires/span/b/i/span/span/span/span/span/span/span/span/span/div div /div divspan style="font-size:14px;"span style="font-family:georgia, tahoma, sans-serif"ib style='-webkit-tap-highlight-color: transparent; color: rgba(0, 0, 0, 0.87); ;Helvetica Neue", Helvetica, Arial, sans-serif; font-size: 20px;'span style="color:#008000;"Days, Afternoons, Nights | Part - Time amp; PRN Opportunities /span/b/i/span/span/div divspan style="font-family:georgia, tahoma, sans-serif"span style="" /span/span/div /div div style='-webkit-tap-highlight-color: transparent; color: rgba(0, 0, 0, 0.87); ;Helvetica Neue", Helvetica, Arial, sans-serif;' div style="-webkit-tap-highlight-color: transparent;"span style="font-family:georgia, tahoma, sans-serif"span style=""span style=""span style=""span style=""span style=""span style=""span style=""span style=";"span style="font-size:18px;"Altercare Summit Acres has openings for Certified Nurse Aides | State Tested Nursing Assistants opportunities; now hiring and will train nursing assistants./span/span/span/span/span/span/span/span/span/span/div div style="-webkit-tap-highlight-color: transparent;"span style="font-family:georgia, tahoma, sans-serif"span style=""span style=""span style=""span style=""span style=""span style=""span style=""span style=";" /span/span/span/span/span/span/span/span/span/div div style="-webkit-tap-highlight-color: transparent;"span style="font-family:georgia, tahoma, sans-serif"span style=""span style=""span style=""span style=""span style=""span style=""span style=""span style=";"span style="font-size:18px;"Company Goals at Altercare: Customer and Employee Satisfaction and Quality./span/span/span/span/span/span/span/span/span/span/div div style="-webkit-tap-highlight-color: transparent;"span style="font-family:georgia, tahoma, sans-serif"span style=""span style=""span style=""span style=""span style=""span style=""span style=""span style=";" /span/span/span/span/span/span/span/span/span/div div style="-webkit-tap-highlight-color: transparent;"span style="font-family:georgia, tahoma, sans-serif"span style=""span style=""span style=""span style=""span style=""span style=""span style=""span style=";"span style="font-size:18px;"We offer CNA's | STNA's a dynamic team oriented work environment and exceptional benefits including:/span/span/span/span/span/span/span/span/span/span/div ul style="-webkit-tap-highlight-color: transparent; margin-top: 1em; margin-bottom: 1em; margin-left: 0px; list-style-position: initial; list-style-image: initial;" li style="-webkit-tap-highlight-color: transparent; line-height: 20px;"span style="font-size:14px;"span style="font-family:georgia, tahoma, sans-serif"Flexible scheduling/span/span/li li style="-webkit-tap-highlight-color: transparent; line-height: 20px;"span style="font-size:14px;"span style="font-family:georgia, tahoma, sans-serif"On Shift Wallet with Instant Access to Earned Wages/span/span/li li style="-webkit-tap-highlight-color: transparent; line-height: 20px;"span style="font-size:14px;"span style="font-family:georgia, tahoma, sans-serif"PTO for all Full Time employees/span/span/li li style="-webkit-tap-highlight-color: transparent; line-height: 20px;"span style="font-size:14px;"span style="font-family:georgia, tahoma, sans-serif"Affordable Health Insurance for Full Time/span/span/li li style="-webkit-tap-highlight-color: transparent; line-height: 20px;"span style="font-size:14px;"span style="font-family:georgia, tahoma, sans-serif"Paid Life insurance/span/span/li li style="-webkit-tap-highlight-color: transparent; line-height: 20px;"span style="font-size:14px;"span style="font-family:georgia, tahoma, sans-serif"Dental and Vision Insurance options for Full Time and Part Time/span/span/li li style="-webkit-tap-highlight-color: transparent; line-height: 20px;"span style="font-size:14px;"span style="font-family:georgia, tahoma, sans-serif"401K Retirement Plan | Employer Contribution /span/span/li li style="-webkit-tap-highlight-color: transparent; line-height: 20px;"span style="font-size:14px;"span style="font-family:georgia, tahoma, sans-serif"Uniform Allowance for Full Time and Part Time/span/span/li li style="-webkit-tap-highlight-color: transparent; line-height: 20px;"span style="font-size:14px;"span style="font-family:georgia, tahoma, sans-serif"Wellness Program/span/span/li li style="-webkit-tap-highlight-color: transparent; line-height: 20px;"span style="font-size:14px;"span style="font-family:georgia, tahoma, sans-serif"Leadership and Promotional Opportunities/span/span/li li style="-webkit-tap-highlight-color: transparent; line-height: 20px;"span style="font-size:14px;"span style="font-family:georgia, tahoma, sans-serif"Education Assistance - grow your career with Altercare/span/span/li /ul div style="-webkit-tap-highlight-color: transparent;"br style="-webkit-tap-highlight-color: transparent;"/ span style="font-family:georgia, tahoma, sans-serif"span style=""span style=""span style=""span style=""span style=""span style=""span style=""span style=";"span style="font-size:18px;"b style="-webkit-tap-highlight-color: transparent;"Inclusion Statement/b/span/span/span/span/span/span/span/span/span/span/div div style="-webkit-tap-highlight-color: transparent;"span style="font-family:georgia, tahoma, sans-serif"span style=""span style=""span style=""span style=""span style=""span style=""span style=""span style=";"span style="font-size:18px;"Altercare is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, disability, age or veteran status. Altercare is also committed to compliance with fair employment practices regarding citizenship and immigration status./span/span/span/span/span/span/span/span/span/span/div div style="-webkit-tap-highlight-color: transparent;"span style="font-family:georgia, tahoma, sans-serif"span style=""span style=""span style=""span style=""span style=""span style=""span style=""span style=";" /span/span/span/span/span/span/span/span/span/div div style="-webkit-tap-highlight-color: transparent;"span style="font-family:georgia, tahoma, sans-serif"span style=""span style=""span style=""span style=""span style=""span style=""span style=""span style=";"span style="font-size:18px;"STNA and CNA apply today and join a winning team. We have received the North Coast 99 Award as one of the top 99 Best places to work for the 21st consecutive year./span/span/span/span/span/span/span/span/span/span/div /div div style='-webkit-tap-highlight-color: transparent; color: rgba(0, 0, 0, 0.87); ;Helvetica Neue", Helvetica, Arial, sans-serif;'span style="font-family:georgia, tahoma, sans-serif"span style=""span style=""span style=""span style=""span style=""span style=""span style=""span style=";" /span/span/span/span/span/span/span/span/span/div /div /div /div /div /div /divbr/ /td

you must be a resident of Illinois or Wisconsin! The Care Coordinator is a valuable member of our (CCSO) Care Coordination & Support Organization team who is responsible for facilitating the coordination of care to youth enrolled in the Illinois Department of Healthcare and Family Services (HFS) Pathways to Success program. Youth are enrolled in either the High-Fidelity Wraparound Services or Intensive Care Coordination Services. The Care Coordinator will utilize the Principles of Wraparound and System of Care when providing services to families. To be successful in this role, we are looking for someone who * Provide care coordination and support services to assigned CCSO youth and document appropriately. * Assess the needs and strengths of assigned youth and may participate in mobile crisis assessments. * Complete Crisis Prevention Plans and Crisis Safety Plans with youth and their families. * Assure families are linked with appropriate services and monitor their progress. * Once training is complete this position is home-based, meaning there is not an assigned office, but the person is expected to travel within Lake County to attend meetings with children and their families. Schedule: 37.5 hours a week The exact hours and which days have evening hours are negotiable, but some evening hours would be required; For example: * Monday (11:00am-7:00pm) * Tuesday (8:30am-4:30pm) * Wednesday (11:00am-7:00pm) * Thursday (8:30am-4:30pm) * Friday (8:30am-4:30pm) To be considered for this position you must be a resident of Illinois or Wisconsin! * Provides direct services to clients and their families. * Maintains regular contact with an active caseload, meeting frequency deadlines as determined by the program. * Complete required documentation accurately and timely. * Consults with the supervisor regarding status of cases. * Facilitates with clients and collaborates with the treatment team to develop, review and update treatment goals and referrals both internally and externally. * Organizes and participates in treatment-related clinical conferences and staffing's on assigned clients. * Participate in mobile crisis response team-based events for their designated youth when possible. * A bachelor's degree in counseling and guidance, rehabilitation counseling, social work, education, vocational counseling, psychology, pastoral counseling, family therapy, or a related human service field; * A bachelor's degree in any other field with two years of documented clinical experience in a mental health setting under the supervision of a QMHP; * A certificate of psychiatric rehabilitation from a DHS-approved program, plus a high school diploma or GED, plus 2 years of experience in providing mental health services; * A recovery support specialist certified by, and in good standing with, the Illinois Alcohol and Other Drug Abuse Professional Certification Association, Inc.; * A family partnership professional certificate from and in good standing with the Illinois Alcohol and Other Drug Abuse Professional Certification Association, Inc.; * An occupational therapy assistant licensed under the Illinois Occupational Therapy Practice Act [225 ILCS 75] with at least one year of experience in a mental health setting; * A minimum of a high school diploma or GED and 5 years documented clinical experience in mental health or human services; * An individual who has completed a behavioral health technician or other psychiatric training certification through the Medical Education and Training Campus in Fort Sam Houston, Texas, with one year documented clinical experience in a mental health setting under supervision of a QMHP. * May also qualify if meeting the requirements of a Qualified Mental Health Professional or above. * Must possess a valid driver's license. As the largest human service provider in Lake County, we believe that services must be available without barriers. No residents are turned away due to the inability to pay. We believe in providing services in an environment of mutual respect, free of discrimination or bias. Whether assuring accessible and effective care, impacting policy, or assessing and monitoring risks, the Lake County Health Department and Community Health Center has been an essential part of the public health system in Lake County for 60 years. We are looking for passionate, qualified team members who can help make a difference in our agency and, most importantly, in our community. Additional information about the Lake County Health Department, our culture, and why you should join our team can be found at ********************************************************** Currently, you must reside in Illinois or Wisconsin to work for the Lake County Health Department. Any offer of employment is conditioned on the successful completion of a background screening, drug and alcohol testing and may include a pre-employment medical exam. The Lake County Health Department and Community Health Center is an Equal Opportunity Employer. We evaluate qualified applicants without regard to race, color, religion, sexual orientation, gender identity or gender expression, national origin, disability, veteran status, and other protected characteristics.

PDG is hiring a Mental Health Care Coordinator interested in making a difference. With offices in Baltimore, Millersville, and Rockville, there are openings throughout the Baltimore-Washington corridor. This position is entry-level and does not require licensure. Position Details Annual salary range of $35,500-$41,500, including performance-based incentives For a limited time only, ***RECEIVE $750 SIGN-ON BONUS!*** Payments are made at 90 and 180 days of employment. Hybrid (both remote and in-person work) and flexible work schedules (ex: 4 days work weeks) are available. Pay is guaranteed for hours worked; this is NOT a contractual position. The PDG Mental Health Care Coordinators provide compassionate, effective care to individuals with mental illness in Maryland. You must be dedicated to making a meaningful difference in your community. Duties include: Spend at least 75% of the week in the community, meeting with consumers one-on-one in their homes or taking them to mental health appointments and other appointments/activities (adjusted according to remote work option). Provide customized health care coordination that includes developing daily living skills, increasing community integration, and helping consumers meet critical personal goals (such as budgeting, medication compliance, housing, etc.). Develop and maintain positive relationships with healthcare providers in the community. Attend weekly meetings and collaborate with treatment teams. Complete daily visit notes and monthly reports quickly and accurately, using a provided device. Why PDG Voted a Baltimore Sun Top Workplace for 5 years in a row Inclusive, supportive team culture that receives constant positive staff feedback Competitive salary, monthly incentives, bonus, and staff events Choose PT, FT, or flexible schedules as needed Full health benefits, retirement, short and long term disability, and life insurance Sick time, PTO, and 3 weeks paid vacation PDG values include DEI, supportive management, integrity, and work-life balance Extensive training and support from management with open-door policy Annual raises and growth opportunities across departments Give back to the community while developing your career Be the change you want to see with the best behavioral health agency in Maryland! Keywords: mental health, behavioral health, case manager, psychology, mental health technician, community based care, mental illness, social services, bachelor's in psychology, bachelor's in social work, rehab counselor, rehabilitation specialist, human services, community services, rehabilitation counseling, public health, Anne Arundel County, Annapolis, Glen Burnie, Pasadena, Brooklyn Park, The MINIMUM requirements are: Type 30 wpm and have excellent written and oral communication skills Have a license, have a reliable vehicle, and be comfortable with extensive driving Be comfortable meeting consumers in their homes and having them in your car Very strong time management and organizational skills Ability to work independently and on a team We'd also love to see: Bachelor's Degree in Psychology, Social Work or related field Experience with behavioral health care A passion for human services and a strong desire to become part of the PDG family!

CompDrug is seeking a Care Coordinator, who is responsible for the coordination and care management of CompDrug patients. This includes supporting patients in all phases of care and facilitating connection with resources, problem solving and assisting in navigation of care. Work Arrangements Full time, 40 hours per week. 8:00 AM and 5:00 PM, Monday-Friday Essential This is a primarily on-site/in field role with opportunities to work remotely as duties and workflow allow. Reports to: Program Administrator Essential Functions Completes needs assessment outlining support systems and basic and potential needs. Ensures needs identified in assessment are resolved or appropriate services accessed with either internal or external care providers. Ensures patients have access to all relevant services at CompDrug. Works as an integral part of the CompDrug care team, and serves to coordinate care, on behalf of the patient, with other healthcare providers. Primary member of the medication delivery team. Requires inter and intra departmental coordination and communication, driving a company vehicle and delivering controlled medications following protocol and procedures. Ensures that the care of the assigned patient population is coordinated internally. Works to ensure that patients receive the treatment they need and will educate patients to ensure they understand the care required for any co-occurring health conditions. Works with program contact to complete requirements of funders, accreditation bodies, and CompDrug. Seeks patients exhibiting behaviors indicating potential lapse in treatment and actively works to re-engage in treatment and provides individualized connection and problem-solving support. Utilizes strong assessment skills and holistic health knowledge to support patients in their treatment with CompDrug and to ensure that their individual needs are met. Provides support to the patient in a variety of settings - hospitals, appointments, court system. This includes ensuring all necessary Releases of Information are in place and compliant to allow sharing of patient information. Regular and timely attendance. Other duties as assigned. Requirements Prior care coordination experience strongly preferred. Strong motivational interviewing and deep listening skills. Experience with navigating health care systems. Prefer experience with behavioral health, substance use, pregnant women, and/or Medicaid eligible patients. Strong interpersonal and group communication skills. Excellent computer skills. Excellent collaborative skills. Attention to detail and experience with data collection procedures. Demonstrates patience and adaptability in the face of environment and situation fluctuations. Resolution-focused with the ability to think critically and creatively and apply policies and procedures. CPR certification within 3 months of hire. Valid driver's license and ability to meet company driver requirements Physical Demands and Work Environment Work is performed primarily onsite in an outpatient clinic setting and in the community, such as hospitals, court systems, etc. Operates company vehicle, and transports patients as needed. Utilizes computer and mobile phone. Qualified individuals may apply online at compdrug.org. EOE/M/F/Disabled/Vets

Essential Functions: Coordinates inpatient and post-discharge care, scheduling, and reporting. Provides disposition planning and maintains disposition data. Coordinates client care with other service providers and collaborates with interdisciplinary team to ensure continuity of care. Coordinates available NCH and community resources to enhance client care. Provides education and support to patients and their families regarding treatment options and resources. Completes documentation of discharge and care coordination activities in Epic and other related administrative paperwork in accordance with policy standards. Education Requirement: Bachelor's Degree in social work, counseling, psychology, or a related field, required. Licensure Requirement: (not specified) Certifications: (not specified) Skills: Excellent communication and interpersonal skills in order to establish and maintain positive relationships with clients, families, peers and community representatives. Ability to work with the hospital's electronic medical records system. Ability to work and problem-solve with minimal supervision. Ability to adapt to change positively in workflow and process. Spreadsheet,data entry and tracking, and computerized scheduling skills. Experience: Experienceproviding and managing behavioral healthcare to children, adolescent and families, required. Physical Requirements: OCCASIONALLY: Blood and/or Bodily Fluids, Cold Temperatures, Communicable Diseases and/or Pathogens, Hot Temperatures, Lifting / Carrying: 0-10 lbs, Lifting / Carrying: 11-20 lbs, Loud Noises, Reaching above shoulder, Working at Heights, Working Outdoors FREQUENTLY: Bend/twist, Climb stairs/ladder, Color vision, Depth perception, Flexing/extending of neck, Peripheral vision, Seeing - Far/near, Sitting, Squat/kneel, Standing, Walking CONTINUOUSLY: Audible speech, Computer skills, Decision Making, Hand use: grasping, gripping, turning, Hearing acuity, Interpreting Data, Problem solving, Repetitive hand/arm use Additional Physical Requirements performed but not listed above: • Demonstrate ability to pass CCM crisis management trainings once trained Talking on phone/in person Constantly (67-100%) "The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet"

Job Details Wapakoneta, OH Full Time High School Road Warrior Nonprofit - Social ServicesDescription Auglaize County OhioRISE Moderate Care Coordinator Territory: Auglaize County with overlap into Allen County. . Travel is required. Home visits are required. Compensation: $45,000 Working at NYAP 22 Days of Paid Time Off + 11 Paid Holidays Mileage reimbursement Monthly phone reimbursement Benefits eligible for you and your family Half-day Fridays throughout the summer Retirement Matching (401K) Student Loan Repayment Assistance CEU's and ongoing trainings/education What is OhioRISE? The Ohio Department of Medicaid (ODM) is committed to improving the health of Ohioans and strengthening communities and families through quality care. In 2020, ODM introduced a new vision for Ohio's Medicaid program - one that strengthens Ohio's future and ensures everyone has the chance to live life to its full potential. OhioRISE, or Resilience through Integrated Systems and Excellence, is Ohio's first highly integrated care program for youth with complex behavioral health and multi-system needs. National Youth Advocate Program is proud to announce that we were selected as the Care Management Entity (CME) in Catchment Area C, made up of 11 Ohio counties: Allen, Auglaize, Champaign, Clark, Darke, Hardin, Greene, Logan, Madison, Miami, and Shelby. The CME is responsible for delivering wraparound care coordination for children and youth enrolled in OhioRISE who have moderate behavioral health needs, and for helping to grow the system of care in the communities served to ensure the behavioral health needs of children and their families are met. As a result, NYAP is seeking a fulltime CME Moderate Care Coordinator which will cultivate flexible, family-focused, community-based responsive services based on the High-Fidelity Wrap Around model of care coordination covering all of Darke County and overlap into Shelby and Miami Counties as needed. Under direct supervision of the Care Coordination Supervisor, this employee will aim to achieve the ultimate goal to keep youth in their homes, communities, and schools by assessing and delivering the appropriate services needed and reducing unnecessary out-of-home placement and potential custody relinquishment. Responsibilities: Cultivate flexible, family-focused, community-based responsive services based on the High Fidelity Wrap Around model of care coordination Develop and maintain the Wraparound Team, including coordinating and leading team meetings Coordinate and supervise implementation of the Plan of Care, including a Transition Plan and Crisis Plan with providers and community resources; update plan as necessary Ensure family support and stabilization during crises Provide and document the initial and ongoing Life Domain Assessment Maintain all service documentation requirements, evaluation outcome requirements and data as required Provide services in a timely manner and in accordance with Plan of Care and/or Crisis Plan Utilize and monitor Flexible Funding and service coordination Obtain weekly reports from subcontracted providers Participate in after hours on-call response Attend Program staff meetings, supervision and any other meetings as required Participate in the Agency and Program CQI Peer review process Perform duties to reflect Agency policies and procedures and comply with regulatory standards Meet Agency training requirements Report all MUl's to Site Manager and Supervisor immediately Other duties as assigned Qualifications An MCC Care Coordinator will be a licensed or an unlicensed practitioner in accordance with rule 5160-27-01 of the Administrative Code MCC care coordinators will complete the high-fidelity wraparound training program provided by an independent validation entity recognized by ODM MCC Care Coordinators will successfully complete skill and competency-based training to provide MCC MCC Care Coordinators will have experience providing community-based services to children and youth and their families or caregivers in areas of children's behavioral health, child welfare, intellectual and developmental disabilities, juvenile justice, or a related public sector human services or behavioral health care field for: (i) three years with a high school diploma or equivalent; or (ii) two years with an associate's degree or bachelor's degree; or (iii) one year with a Master's degree or higher CME Moderate Care Coordinators will: Have a background and experience in one or more of the following areas of expertise: family systems, community systems and resources, case management, child and family counseling or therapy, child protection, or child development Be culturally competent or responsive with training and experience necessary to manage complex cases Have the qualifications and experience needed to work with children and families who are experiencing SED, trauma, co-occurring behavioral health disorders and who are engaged with one or more child- serving systems (e.g., child welfare, juvenile justice, education) Live in one of the counties included in Catchment Area C Driving and Vehicle Requirements Valid driver's license Reliable personal transportation Good driving record Minimum automobile insurance coverage of $100,000/$300,000 bodily injury liability Apply today! www.nyap.org/employment Benefits listed are for eligible employees as outlined by our benefit policy. Qualifications An Equal Opportunity Employer, including disability/veterans.

Patient types Geriatric Licenses and certifications CCM (Critical Care Management), State RN License Minimum education Associates or Bachelors Years' experience 3+ years Travel requirements Local travel = 75% Schedule details 5 days/week Care settings Skilled Nursing Facility Overview The Inpatient Care Coordinator is responsible for coordinating transitions and identifying appropriate care plan in order to improve patient recovery. The coordinator will begin the day working from home, addressing case management documentation, providing telephonic patient support, coordinating site visits, and completing additional tasks as needed. The majority of the day will be spent in the field; going onsite to skilled nursing facilities in order to meet with the clinicians, nurses, therapists, and staff to assess the patient care plan. In addition, the coordinator visits with the patient and family to make assessments and answer questions related to care. Additional details: Coordinators will manage an average caseload of 25-30 patients The Inpatient Care Coordinator must live within a 30-minute commute of the coverage area The Coordinator will spend most of the day in the field providing onsite support patients across several skilled nursing facilities Will have six weeks of training; the first two weeks will be classroom training in TN (travel expenses will be covered) Requirements: Must possess an active license as one of the following: Registered Nurse Occupational Therapist Physical Therapist Five years of clinical healthcare experience 1 year MINIMUM of recent case management experience within a skilled nursing facility Experience coordinating with providers, nursing and therapy staff to adjust and monitor patient care plans (Interdisciplinary Teams) Solid understanding of compliance with Medicare guidelines and procedures specifically for care within skilled nursing facilities Perks Relocation assistance Travel Reimbursement Professional development opportunities Full benefits 401k

What We Strive For At Strive Health, we're driven by a purpose: transforming the broken kidney care system. Through early identification, engagement, and comprehensive coordinated care, we significantly improve outcomes for people with kidney disease, reducing emergency dialysis and inpatient utilization. Our high-touch care model integrates with local providers and uses predictive data to identify and support at-risk patients along their entire care journey. Recognized with ten prestigious workplace awards, including LinkedIn's 2024 Top Startups in Denver, we're setting a new standard in kidney care. We embrace diversity, celebrate successes, and support each other, making Strive the destination for top talent in healthcare. Join us in making a real difference. What You'll Do The Care Coordinator works collaboratively with the care team to provide ongoing support and communication to chronic kidney disease (CKD) and End-Stage Renal Disease (ESRD) patients. This individual acts as a single point-of-contact to coordinate resources along the care delivery spectrum, identify gaps, and provide proactive follow-up. The Care Coordinator is responsible for making sure the patient's care at various locations is connected and there are no gaps in care or communication. This role will report to the Lead, Care Coordinator. The Day to Day Performs outbound calls to patients to understand their clinical needs and connect them with appropriate resources. Performs outbound calls to providers to make appointments for patients or follow up on care. Answers inbound calls from patients, providers, and other resources. Follows up with patients to ensure their needs are met and schedules future check-ins. Notifies patients of location and appointment times as needed. Coordinates with clinical resources and providers to ensure smooth continuum of care for patients. Assists with completing applications for resources, paperwork for provider visits, etc. Monitors patient hospitalizations and follows up as necessary with care team members and outside resources to confirm Strive gathers all relevant patient information. Provides patients with education materials and sends communications to primary care physicians, nephrologists, and specialists for new enrollments/appointments. Collaborates well with all levels of a clinical team (from Medical Assistants to Physicians) and partners closely with the Strive Nurse Practitioner (NP) to manage all pieces of care related to resources, appointments, care transitions, and care gaps. Minimum Qualifications 2+ years combined of related education, experience, or certification. Current BLS or CPR Certification required. Efficient and reliable transportation, including an active driver's license, allowing for the ability to travel across an assigned region to meet patient needs. Locations may include offices, clinics, and patient homes. Provides in-person patient care which may include standing, sitting, walking, pushing, pulling, and lifting. Internet Connectivity - Min Speeds: 3.8Mbps/3.0Mbps (up/down): Latency Preferred Qualifications Active Community Health Worker (CHW) Certification. Customer service experience. Intermediate proficiency in MS Word, Excel, PowerPoint, and Outlook. About You

**We're unique. You should be, too.** We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great people to join our team. The Care Coordinator is a highly visible customer service and patient-focused role. They work directly with the organization's patient population and their families to authorize, schedule, and ensure completion of patient visits with specialty care. This includes working with insurance representatives and outside vendors, arranging transportation, communicating with physicians, clinicians and other medical personnel, and any other entities necessary for successful completion of approved referrals. **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + .Serve as primary point of contact for incoming and outgoing patient referrals. Triage referrals, gather necessary information, ensure timely processing and assignment to appropriate providers. + Facilitates communication, collaboration, and coordination of care. Coordinating appointments, referrals, transitions of care between primary care, specialists, hospitals, and other healthcare settings, ensuring seamless transitions and continuity of care. + Schedules patients utilizing coordinated provider list (CPL), makes all necessary arrangements related to the appointment, notify patients of appointment information: date, time, and location. + Uses web-based insurance platforms to generate referral authorizations. + Effectively communicates the physicians/clinicians needs or outstanding items to patients. + Follows all referrals through to completed appointment and obtains all documentation related to appointment, uploading into organization's medical record system for physician review prior to PCP follow-up appointment. + Ensures any missed external appointments are rescheduled and communicated to the PCP. + Addresses referral-related phone calls from patients, providers, etc. Completes and addresses phone messages in a timely manner. + Provides extraordinary customer service to all internal and external customers. + Performs other related duties as assigned. **KNOWLEDGE, SKILLS AND ABILITIES:** + Knowledge of medical terminology, CPT, HCPCS and ICD coding desired + An understanding of the company's patient population, including the complexities of Medicare programs + Exceptional organizational skills with the ability to effectively prioritize and complete tasks in a timely manner. + An understanding of the company's patient population, including the complexities of Medicare programs + Detail-oriented with the ability to multi-task. + Able to exercise proper phone etiquette. + Ability to navigate proficiently through computer software systems & use technology. + Ability to work well with patients, colleagues, physicians and other personnel in a professional manner. + Proficient in Microsoft Office Suite products including Word, Excel, PowerPoint and Outlook, database, and presentation software. + Spoken and written fluency in English; bilingual preferred. **EDUCATION AND EXPERIENCE CRITERIA:** + High School diploma or equivalent required + A minimum of 1 year of referral experience in a healthcare setting required. + Experience with web-based insurance sites and obtaining referrals/authorizations for multiple payors preferred. + Experience with Web IVRs and obtaining referrals/authorizations for multiple payers strongly preferred + Healthcare experience within the Medicare Advantage population preferred. + Medical Assistant certification preferred + CPR for Healthcare Providers is preferred We're ChenMed and we're transforming healthcare for seniors and changing America's healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We're growing rapidly as we seek to rescue more and more seniors from inadequate health care. ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people's lives every single day. Current Employee apply HERE (************************************************** Current Contingent Worker please see job aid HERE to apply

**Become a part of our caring community and help us put health first** The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The hours are M-F 9-5:30 EST with rotating weekends every 3rd week. When working weekends, it will allow for off-days during the week. The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder effective care. Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations. May create member care plans. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. **Use your skills to make an impact** **Required Qualifications** + Bachelor's degree + 3 - 5 years of clinical acute care experience + Licensed Registered Nurse (RN) in the (appropriate state) with no disciplinary action + Comprehensive knowledge of Microsoft Office applications including Word, Excel, and Outlook + Must be passionate about contributing to an organization focused on continuously improving consumer experiences **Preferred Qualifications** + Experience with case management, discharge planning and patient education for adult acute care + Knowledge of Milliman or Interqual + Managed care experience + Certified Case Manager (CCM) **Additional Information** **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $71,100 - $97,800 per year **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 03-31-2025 **About us** About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options *************************************************************

We are currently hiring for an Intensive Care Management Coordinator-Behavioral Health to join BlueCross BlueShield of South Carolina. In this role as an Intensive Care Management Coordinator-Behavioral Health, you will serve as an Intensive Case Manager (ICM) for members identified with specific conditions, assist with implementation of case management activities/programs for BlueCross BlueShield of South Carolina (BCBSSC), BlueChoice and/or Healthy Blue Medicaid members. Here is your opportunity to join a dynamic team at a diverse company with secure, community roots and an innovative future. Description Location: This position is full time (40 hours/week) Monday-Friday from 8:00am-5:00pm EST and will be fully remote, with required member-facing patient visits within the South Carolina region. Our ideal candidate must reside in The Upstate of South Carolina. What You Will Do: Perform primary functions of assessment, planning, facilitation, coordination, monitoring, evaluation, and advocacy of assigned members. In person contact with the member is required. Collaborate and communicate with the member, member's family/caregiver and other healthcare professionals involved in the member's care. Ensure care coordination and case management activities are aligned with members' risk levels and identified strengths, preferences, needs and desired outcomes. Assist with implementation of health management activities/programs for membership. Coordinate all aspects of assigned programs. Follow and assist with updates to updates of established procedures. Complete in-person assessments in the member's residence or least restrictive environment. Participate in meetings concerning the member's care. Utilize all data systems containing patient information and documents information appropriately. Assist with development of strategies to increase effectiveness of and participation in health management programs. Establish and /maintain effective communications with provider network, group representatives and members. Conduct research and analysis of reports (monthly, quarterly, annually). Adhere to NCQA requirements, state/federal regulations and CMSA standards. Monitor member compliance and success rate. Assist with identification of areas for which there is a need for health management programs. Monitor quality indicators and identify programs to positively impact areas where improvement is warranted. Develop patient/provider educational materials for members/providers. Perform other duties as assigned. To Qualify for This Position, You'll Need the Following: Required Education: Bachelor's degree from an accredited university or college in Nursing, Health Administration, Health Promotion, Exercise Science, Education/Training, Social Work, or health-related field with a minimum of 45 documented training hours related to specialty area issues and treatment. Degree Equivalency: If Behavioral Health Intensive Case Manager: 4-year degree in nursing, psychology, social work, early childhood education, child development or a related field with minimum of 45 documented training hours related to specialty area issues and treatment. If Maternal Health Intensive Case Manager: 4-year degree in Health Promotion or related field OR 2-year degree and 2 years' experience in healthcare environment or as a Certified Childbirth Educator/Prenatal Educator, OR graduate of an approved LPN program and 2 years' experience in maternity management healthcare environment. If Medical Health Intensive Case Manager: 4-year degree in Health Promotion, Exercise Science, or related field or Certified Asthma Educator or RRT (Registered Respiratory Therapist). If Master's, 1 year experience may also be in Exercise Science, Nutrition, Physical Therapy, or other health-related degree. If Wellness Coach/Health Promotion: 4-year degree in Health Administration, Health Promotion, Exercise Science, Education/Training, or health-related field. Required Work Experience: At least 3 years' experience working with people with specified health condition. If master's degree, 2 years' experience working with people with specified health condition. Required Skills and Abilities: Working knowledge of word processing, spreadsheet, database, and presentation software. Understanding of insurance and benefit programs as it relates to health management coverage. Knowledge of the quality improvement process. Ability to work independently, prioritize effectively, and make sound decisions. Good judgment skills. Demonstrated customer service, organizational, and presentation skills. Demonstrated proficiency in spelling, punctuation, and grammar skills. Ability to persuade, negotiate, or influence others. Analytical or critical thinking skills. Ability to handle confidential or sensitive information with discretion. Ability to drive and be available on nights and weekends. Familiarity with evidenced based assessments. Knowledge of national case management standards. Required Software and Tools: Microsoft Office. Required Licenses and Certificates: If RN, active, unrestricted RN licensure from the United States and in the state of hire, OR active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC); if LPN, active, unrestricted LPN licensure from the United States and in the state of hire, OR, active compact multistate unrestricted LPN license as defined by the Nurse Licensure Compact (NLC). If Social Worker, active, unrestricted LBSW (Licensed Bachelor of Social Worker (LBSW) or (Licensed Masters of Social Worker (LMSW), Licensed Independent Social Workers (LISW) from the United States and in the state of hire or with a state compact OR For Mental Health Professionals, active, unrestricted Licensed Professional Counselor (LPC), Licensed Marriage and Family Therapist, Licensed Addiction Counselors (LAC), Licensed Psycho-Educational Specialists (LPES), or Licensed Psychologist from the United States and in the state of hire or with a state compact. Our Comprehensive Benefits Package Includes The Following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment. Subsidized health plans, dental and vision coverage 401k retirement savings plan with company match Life Insurance Paid Time Off (PTO) On-site cafeterias and fitness centers in major locations Education Assistance Service Recognition National discounts to movies, theaters, zoos, theme parks and more What We Can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company. What To Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Some states have required notifications. Here's more information. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains Affirmative Action programs to promote employment opportunities for minorities, females, disabled individuals and veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need special assistance or an accommodation while seeking employment, please e-mail ************************ or call **************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.

The role of the Patient-Centered Medical Home (PCMH) Care Coordinator III is a nurse that works collaboratively with the physicians, staff and other health care professionals to actively facilitate health care delivery and promote care team communication for an assigned patient population ensuring appropriate care is provided. This position will be remotely based, in the Midlands area. This position will be required to round in clinics 1-2 days per month. Entity MUSC Health Partners (MHP) Worker Type Employee Worker Sub-Type Regular Cost Center CC000101 CFC PC Patient Care Medical Home CC Pay Rate Type Hourly Pay Grade Health-27 Scheduled Weekly Hours 40 Work Shift Job Duties Identifying patients that qualify for care coordination: not meeting clinical goals and quality measures (i.e. hypertension and diabetic control) for CCM pts, overdue for visits, labs, or referrals and arranging for follow-up services as appropriate for CCM pts, chronic care management (CCM), identify gaps in care and respond with appropriate action to correct. TCM coverage as needed. Utilizes Epic registries and reports in accordance with process (i.e. CCM-weekly & daily, quality measures) to identify patients and needs. Outreached to patients identified for care coordinator services (i.e. CCM, quality measures) & documents attempt (s) & completion. Scheduled services and places referrals in accordance with patient need (s) (i.e. vaccine, labs, appointment, mammogram, etc.) Follow up as appropriate to track data. Accurately maintains 100% of data received. Communicates effectively and professionally with patient (s), care team (s) and providers to provide support for continuity of care between patient, care team, and assigned providers Compiles and summarize information for quality measures and projects. Attend 80% of staff meetings. Maintains communication with providers & care team members (i.e. Epic inbox message, email, phone, office schedule, in person) Identify patient needs and/or barriers (psychosocial and other) to care and coordinate patients/families contact with community resources. Completes & documents accurate information gathering of data. Completes Epic & community referrals as needed. Communicates & follow up of identified barriers to the appropriate care team member/resource. Other duties as assigned. Additional Job Description Education and Work Experience Minimum Associates Degree in Nursing Current South Carolina RN required with a minimum three years' experience as an RN. Computer skills to include proficiency in MS Word, Excel and PowerPoint. Working knowledge of an electronic medical record application. A team player that can follow processes to achieve a common goal. Highly organized and well-developed oral and written communication skills. Must be able to analyze and interpret data. Degree of Supervision Must be able to work independently under the supervision of the PCMH Clinical manager. Ability to work with Site Supervisors, Providers and others on the care team along with external stakeholder. Licensures, Registrations, Certifications Current license as an RN in the state of South Carolina. Updated BLS certification. Physical Requirements Continuous requirements are to perform job functions while standing, walking and sitting. Ability to bend at the waist, kneel, climb stairs, reach in all directions, fully use both hands and legs, possess good finger dexterity, perform repetitive motions with hands/wrists/elbows and shoulders, reach in all directions. Maintain 20/40 vision corrected, see and recognize objects close at hand and at a distance, work in a latex safe environment and work indoors. Frequently lift, lower, push and pull and/or carry objects weighing 50 lbs (+/-) unassisted, exert up to 50 lbs of force, lift from 36” to overhead 25 lbs. Infrequently work in dusty areas and confined/cramped spaces. Ability/willingness to travel frequently to MUSCP-PC clinical locations away from the main campus. If you like working with energetic enthusiastic individuals, you will enjoy your career with us! The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need. Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: ***************************************

Join Our Team as a Care Coordinator! Why Work With Us? At One Health Ohio, we believe in fostering a positive work environment that prioritizes our team and our patients. Enjoy competitive benefits and a supportive workplace where your contributions truly matter! Benefits Include: * Affordable Health, Vision, Dental, and Life Insurance * 401(K) with dollar-for-dollar matching (up to 4%) * Generous Paid Time Off (PTO) * Paid Holidays Position Overview: As a Care Coordinator, you'll play a crucial role in supporting our medical care delivery. You will serve as the communication hub for patients, nurses, doctors and family members. Key Responsibilities: * Provide exceptional customer service to patients and staff. * Handle all calls in a timely professional manner. * Relay phone messages to the appropriate care provider in a timely manner. * Manage faxes and distribute paperwork to the appropriate staff. * Provide assistance with monitor tracking systems to ensure the results are received and documentation in order to process patient charts. * Prescription audit reports and storing * Update shot records * Responsible for scanning all Labs into the Provider PAQ. * Assist referral clerks with referrals and PAP tracking. * Assist front desk with missed appointments that need to be rescheduled and documents in the patients' electronic health record * Assist other departments as needed. * Other duties as assigned Ideal Candidates Will Have: * High school diploma or equivalent * Medical Assisting certification preferred * previous experience in a healthcare environment, basic knowledge of medical terminology, release of information, and medical record maintenance activities and billing activities is preferred. Expectations: * Uphold One Health Ohio's core values and policies. * Communicate openly with supervisors and colleagues. * Maintain a positive and respectful attitude in all interactions. * Exhibit flexibility and readiness to adapt to changing tasks. Physical Requirements: * Ability to sit for extended periods and perform tasks requiring finger dexterity. * Capability to lift and move objects up to 30 pounds. Ready to Make a Difference? If you're passionate about providing care and want to join a dedicated team that values your expertise, we'd love to hear from you! Apply today and take the next step in your career with One Health Ohio. Equal Opportunity Employer: We celebrate diversity and are committed to creating an inclusive environment for all employees. NOTE: This job description is not intended to be all-inclusive. Employee may perform other related duties as negotiated to meet the ongoing needs of the organization. Employee is able to work at any OHO locations deemed necessary by OHO.

has a $4,000 hiring bonus~ Bellefaire JCB is among the nation's largest, most experienced child service agencies providing a variety of mental health, substance abuse, education, and prevention services. Bellefaire JCB helps more than 43,000 youth and their families yearly achieve resiliency, dignity and self-sufficiency through its more than 25 programs. Position Summary: We are growing with a new program - OhioRise! We are looking for both Moderate and Intensive Care Coordinators to work in Medina County. We are looking for professionals that understand High-Fidelity Wraparound practice while providing care coordination services to identified youth that will provide specific, measurable, and individualized services to each person served. This position DOES REQUIRE (reimbursed) travel between the main office and client homes. Responsibilities Include: Provide Wraparound Care Coordination services as part of the CME Project, using the High Fidelity Wraparound model to clients and families identified for the projects. Deliver service in a variety of settings in the home and community. Service plan should include a comprehensive 24 hour Crisis Plan. Maintain required caseload of 1:25 at any given time. Initial Plan is required within 30 days, and subsequent plans submitted every 30 days. Complete all required assessments and documents as outlined by the agency and the CME Project to include the Strengths, Needs and Cultural Discovery Assessment and the Wraparound plan. Work collaboratively with identified partners on behalf of the Child and Family team to include both formal and informal supports. Provide Community Psychiatric Support Treatment (CPST) and Therapeutic Behavioral Services (TBS) where appropriate on assigned cases and participate in crisis management as necessary. Monitor the provision and quality of services provided to the family through the Child & Family Team and act as liaison when new services/resources need to be sought or developed. Contribute to the development and maintenance of the client record through the timely completion of assigned documentation in accordance with applicable licensing and accreditation regulations and standards. Provide written and verbal information related to the youth's and family's mental health based on assessment and family contact. This information will include the youth's and family's strengths and competencies, progress or lack of progress, as well as report on the services and supports put in place to assist the family. Qualifications: Minimum Bachelor's Degree in Social Work, Counseling or related field. Strong clinical skills including expertise in systemic family therapy, crisis intervention, family education, and linking/ advocacy skills. Completion of Vroon Vandenburg High Fidelity Wraparound Training Ability to perform job responsibilities with a high degree of initiative and independent judgment Sensitivity in relating to persons of varying backgrounds and demonstrated ability to work with diverse groups of people possessing various strengths, aptitudes, and abilities A valid driver's license with approved driving record (less than 6 points), personal transportation and insurance, if required to drive on behalf of the agency. Life at Bellefaire: We value our employees and their commitment to our mission and offer competitive total rewards (benefits and compensation) options to our valued employees and their families, including domestic partners. Our rich options include: Dental, vision and medical insurance Defined benefit pension plan 403(b) plan Life insurance Paid long-term disability Generous paid time off and holidays Other perks of working with us include: A friendly and appreciated staff Working with a team committed to the well-being of others A beautiful campus Career growth/numerous free CEU opportunities Staff recognition program A caring environment to work in! #BJCB-CME-1 Bellefaire JCB is an equal opportunity employer, and hires its employees without consideration to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, veteran status or disability or any other status protected by federal, state or local law. Bellefaire JCB is a partner agency of the Wingspan Care Group, a non-profit administrative service organization providing a united, community-based network of services so member agencies can focus on mission-related goals and operate in a more cost-effective and efficient manner.

**_What Individualized Care contributes to Cardinal Health_** Clinical Operations is responsible for providing clinical specialties support and expertise in the areas of advice and consulting, research and patient care to internal business units and external customers. Individualized Care provides care that is planned to meet the particular needs of an individual patient. **_Job Summary_** The Coordinator, Individualized Care supports patient access to therapy through Reimbursement Support Services in accordance with the program business rules. This role is responsible for guiding the patient through the various process steps of their patient journey to therapy. These steps include patient referral intake, investigating all patient health insurance benefits, and proactively following up with various partners including the insurance payers, specialty pharmacies, support organizations, and the patient/physician to facilitate coverage and dispense of product in a timely manner. The Coordinator, Individualized mediates effective resolution for complex payer/pharmacy issues toward a positive outcome and provides a positive patient experience. This role answers inbound questions and provides customer service and technical expertise to parties. **_Responsibilities_** + Maintains a current and in-depth understanding of patient therapy's, prior approval and reimbursement processes and details of health care plans. + Manages a queue of technical or complex therapy and reimbursement questions from customers and applies judgment in resolving service and problems falling within established limits of authority and knowledge. + Meets key performance indicators including service levels, call volumes, adherence and quality standards. + Follows up with patients, pharmacies, physicians and other support organizations as needed regarding inquiries. + Handles sensitive information and personal data with discretion including prescriptions, personal information, date of birth, financials and insurance information. + Escalates highly complex and difficult issues as needed to senior team members and Individualize Care leadership. **_Qualifications_** + 1-3 years of experience, preferred + High School Diploma, GED or equivalent work experience, preferred **_What is expected of you and others at this level_** + Applies acquired job skills and company policies and procedures to complete standard tasks + Works on routine assignments that require basic problem resolution + Refers to policies and past practices for guidance + Receives general direction on standard work; receives detailed instruction on new assignments + Consults with supervisor or senior peers on complex and unusual problems **TRAINING AND WORK SCHEDULES** : Your new hire training will take place 8:00am-5:00pm CST, mandatory attendance is required. This position is full-time (40 hours/week). Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CST. **REMOTE DETAILS:** You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following: + Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable. + Download speed of 15Mbps (megabyte per second) + Upload speed of 5Mbps (megabyte per second) + Ping Rate Maximum of 30ms (milliseconds) + Hardwired to the router + Surge protector with Network Line Protection for CAH issued equipment **Anticipated hourly range:** $17.80 per hour - $21 per hour **Bonus eligible:** No **Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan + Access to wages before pay day with my FlexPay + Flexible spending accounts (FSAs) + Short- and long-term disability coverage + Work-Life resources + Paid parental leave + Healthy lifestyle programs **Application window anticipated to close:** 4/26/2025 *if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity. _Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._ _Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._ _To read and review this privacy notice click_ here (***************************************************************************************************************************

The role of the Patient-Centered Medical Home (PCMH) Care Coordinator III is a nurse that works collaboratively with the physicians, staff and other health care professionals to actively facilitate health care delivery and promote care team communication for an assigned patient population ensuring appropriate care is provided. This position will be remotely based, in the Midlands area. This position will be required to round in clinics 1-2 days per month. Entity MUSC Health Partners (MHP) Worker Type Employee Worker Sub-Type Regular Cost Center CC000101 CFC PC Patient Care Medical Home CC Pay Rate Type Hourly Pay Grade Health-27 Scheduled Weekly Hours 40 Work Shift Job Duties * Identifying patients that qualify for care coordination: not meeting clinical goals and quality measures (i.e. hypertension and diabetic control) for CCM pts, overdue for visits, labs, or referrals and arranging for follow-up services as appropriate for CCM pts, chronic care management (CCM), identify gaps in care and respond with appropriate action to correct. TCM coverage as needed. * Utilizes Epic registries and reports in accordance with process (i.e. CCM-weekly & daily, quality measures) to identify patients and needs. * Outreached to patients identified for care coordinator services (i.e. CCM, quality measures) & documents attempt (s) & completion. * Scheduled services and places referrals in accordance with patient need (s) (i.e. vaccine, labs, appointment, mammogram, etc.) * Follow up as appropriate to track data. * Accurately maintains 100% of data received. * Communicates effectively and professionally with patient (s), care team (s) and providers to provide support for continuity of care between patient, care team, and assigned providers * Compiles and summarize information for quality measures and projects. * Attend 80% of staff meetings. * Maintains communication with providers & care team members (i.e. Epic inbox message, email, phone, office schedule, in person) Identify patient needs and/or barriers (psychosocial and other) to care and coordinate patients/families contact with community resources. * Completes & documents accurate information gathering of data. * Completes Epic & community referrals as needed. * Communicates & follow up of identified barriers to the appropriate care team member/resource. * Other duties as assigned. Additional Job Description Education and Work Experience * Minimum Associates Degree in Nursing * Current South Carolina RN required with a minimum three years' experience as an RN. * Computer skills to include proficiency in MS Word, Excel and PowerPoint. * Working knowledge of an electronic medical record application. * A team player that can follow processes to achieve a common goal. * Highly organized and well-developed oral and written communication skills. * Must be able to analyze and interpret data. Degree of Supervision Must be able to work independently under the supervision of the PCMH Clinical manager. Ability to work with Site Supervisors, Providers and others on the care team along with external stakeholder. Licensures, Registrations, Certifications Current license as an RN in the state of South Carolina. Updated BLS certification. Physical Requirements Continuous requirements are to perform job functions while standing, walking and sitting. Ability to bend at the waist, kneel, climb stairs, reach in all directions, fully use both hands and legs, possess good finger dexterity, perform repetitive motions with hands/wrists/elbows and shoulders, reach in all directions. Maintain 20/40 vision corrected, see and recognize objects close at hand and at a distance, work in a latex safe environment and work indoors. Frequently lift, lower, push and pull and/or carry objects weighing 50 lbs (+/-) unassisted, exert up to 50 lbs of force, lift from 36" to overhead 25 lbs. Infrequently work in dusty areas and confined/cramped spaces. Ability/willingness to travel frequently to MUSCP-PC clinical locations away from the main campus. If you like working with energetic enthusiastic individuals, you will enjoy your career with us! The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need. Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: ***************************************

Job Details Columbus, OHDescription Do you want to make a difference every day? Are you passionate about providing excellent customer service and patient care? Find your next professional home at PrimaryOne Health! WHO WE ARE PrimaryOne Health's commitment to high-quality service, personal patient care, and access to state-of-the-art technology enables us to remain the fastest growing urban health center in Central Ohio. Our patients have access to primary healthcare, dental and vision services, nutrition planning, diabetes education, and other specialty medical services for the entire family within their own neighborhood. PrimaryOne Health is dedicated to improving quality of life through providing access to the highest possible quality healthcare. WORK FOR US! PrimaryOne Health is currently seeking a Clinical Care Coordinator for our East Main St. health center. Essential Responsibilities: Develops a plan of care utilizing clinical quality indicators for all identified patients on case load, including but not limited to patients with diabetes, hypertension, Coumadin management, complex and comorbidity, OB/GYN, etc. Provides case management, care coordination, and patient education to ensure continuous and comprehensive care for patients on case load. Regularly evaluates plans of care with patients and providers, and care team; updates as needed, develops mutual agreed upon goals, and provide patient education and behavior change coaching. Works collaboratively with the health care team including the providers, pharmacists, dieticians, behavioral health specialist, other nursing staff and medical assistants. Develops plan of care for hospital transitions in order to identify factors to decrease the likelihood of readmission. Ensures case management is implemented and managed to improve continuity and quality of care. Works in partnership with the provider teams. Maintains communication with patients on case load concerning treatment progress and diagnostic reports. Identifies and coordinates referrals to community resources in regards to patient need. Completes documentation of all professional activities, contacts and observations promptly and appropriately. Attends internal and community meetings as assigned and participates in Quality Improvement activities. In-depth assessment and triage of more complex patients as identified by the provider group. Engages patients to take an active role in maintaining their physical and mental health. Conducts 1:1, or group education classes whenever needed. Regular travel required Other duties or special projects as assigned. Successful candidates must have completed a Registered Nurse program and possesses an active Ohio state licensure; BSN preferred. Minimum 2-3 years' clinical care experience; hospital nursing preferred or medical-surgical nursing experience preferred. Experience working with patients with chronic diseases or complex health issues. Case management experience preferred. BLS certificate required. WHAT WE OFFER PrimaryOne Health offers competitive wages and an extremely attractive benefits package, including generous Paid Time Off, Paid Holidays, Medical/Dental/STD/LTD/Life, Tuition Reimbursement, paid Professional Development / Professional Education, and company contribution to retirement plan. Other perks, such as discount programs, EAP, and worksite wellness are also available. Most benefits are available on the first of the month following date of hire. EOE