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Care Coordinator (Care Manager) - Registered Nurse (RN), Social Worker, or Clinical Counselor
Posted 1 day ago
Job Viewed
Job Description
Care Coordinator (Care Manager) - Registered Nurse (RN), Social Worker, or Clinical Counselor
locations
Ohio Mobile
Columbus, OH
Dayton, OH
Cleveland, OH
Springfield, OH
locations
Canton, OH
Port Clinton, OH
Akron, OH
Lebanon, OH
Toledo, OH
Batavia, OH
Lima, OH
Delaware, OH
Tiffin, OH
Youngstown, OH
Elyria, OH
Painesville, OH
Chardon, OH
Bowling Green, OH
Cincinnati, OH
Hamilton, OH
Circleville, OH
Wooster, OH
Warren, OH
Ravenna, OH
Medina, OH
Lisbon, OH
time type
Full time
posted on
Posted 28 Days Ago
job requisition id
R10249
**Job Summary:**
The Community Based Care Coordinator, Duals Integrated Care is responsible for managing and coordinating care for dual-eligible beneficiaries, those who qualify for both Medicare and Medicaid. This position focuses on integrating health services and community resources to improve health outcomes and enhance the quality of life for individuals with complex health needs, including those who are eligible for waiver services.
**Essential Functions:**
+ Engage with the member in a variety of community-based settings to establish an effective, care coordination relationship, while considering the cultural and linguistic needs of each member.
+ Function as a liaison between healthcare providers, community resources, and dual-eligible beneficiaries to ensure seamless communication and care transitions.
+ Conduct comprehensive assessments to identify the physical, mental, and socials needs of dual-eligible individuals.
+ Develop and implement individualized care plans based on unique needs of each member, considering their medical, social, and behavioral health requirements.
+ Lead and collaborate with interdisciplinary care team (ICT) to create holistic care plans that address medical and non-medical needs.
+ Assist members in accessing community resources, including housing, transportation, food assistance, and social services.
+ Educate members about their benefits and available services under both Medicare and Medicaid.
+ Provide education to members and their families about managing chronic conditions, medication adherence, and preventive care.
+ Promote health lifestyle choices and self-management strategies.
+ Regularly monitor member's health status and care plan adherence, adjusting, as necessary.
+ Follow up with members after hospitalizations or significant health events to ensure continuity of care and prevent readmissions.
+ Work closely with primary care physicians, specialists, and other healthcare providers to coordinate care and share relevant information.
+ Coordinate with community-based organizations, otherstakeholders/entities,state agencies, and other service providers to ensure coordination and avoid duplication of services.
+ Participate in care team meetings to discuss member progress and address barriers to care.
+ Maintain accurate and up-to-date records of members interactions, care plans, and outcomes.
+ Collect and analyze data to evaluate the effectiveness of care coordination efforts and identify areas of improvement.
+ Advocate for the needs and preferences of dual-eligible beneficiaries within the healthcare system.
+ Empower members to take an active role in their healthcare decisions.
+ Evaluate member satisfaction through open communication and monitoring of concerns or issues.
+ Regular travel to conduct member, provider and community-based visits as needed and per the regulatory requirements of the program.
+ Report abuse, neglect, or exploitation of older adults as a mandated reporter as required by State law.
+ On-call responsibilities as assigned.
+ Adherence to NCQA and CMSA standards.
+ Perform any other job duties as requested.
**Education and Experience:**
+ Nursing degree from an accredited nursing program or bachelor's degree in a health care field or equivalent years of relevant work experience is required.
+ Previous experience in nursing or social work or counseling or health care profession (i.e. discharge planning, case management, care coordination, and/or home/community health management experience) is required.
+ Prior experience in care coordination, case management, or working with dual-eligible populations is preferred
+ Medicaid and/or Medicare managed care experience is preferred
**Competencies, Knowledge and Skills:**
+ Intermediate proficiency level with Microsoft Office, including Outlook, Word and Excel.
+ Understanding of Medicare and Medicaid programs, as well community resources and services available to dual-eligible beneficiaries.
+ Strong interpersonal and communication skills to effectively engage with members, families, and healthcare providers
+ Ability to manage multiple cases and priorities while maintaining attention to detail.
+ Adhere to code of ethics that aligns with professional practice.
+ Awareness of and sensitivity to the diverse backgrounds and needs of the populations served
+ Decision making and problem-solving skills.
**Licensure and Certification:**
+ Current unrestricted clinical license in state of practice as a Registered Nurse, Social Worker or Clinical Counselor is required. Licensure may be required in multiple states as applicable based on State requirement of the work assigned.
+ Case Management Certification is highly preferred
+ Must have valid driver's license, vehicle and verifiableinsurance. Employment in this position is conditional pending successful clearance of a driver's license record check and verified insurance. If the driver's license record results are unacceptable, the offer will be withdrawn or, if employee has started employment in position, employment in the position will be terminated.
+ To help protect our employees, members, and the communities we serve from acquiring communicable diseases, Influenza vaccination is a requirement of this position. CareSource requires annual proof of Influenza vaccination for designated positions during Influenza season (October 1 - March 31) as a condition of continued employment. Employees hired during Influenza season will have thirty (30) days from their hire date to complete the required vaccination and have record of immunization verified.
+ CareSource adheres to all federal, state, and local regulations. CareSource provides reasonable accommodations to qualified individuals with disabilities or medical conditions, sincerely held religious beliefs, or as required by state law to enable the employee to perform the essential functions of the position. Request for accommodations will be completed through an interactive review process.
**Working Conditions:**
+ This is a mobile position, meaning that regular travel to different work locations, including homes, offices or other public settings, is essential. Will be exposed to weather conditions typical of the location and may be required to stand and/or sit for long periods of time.
+ Must reside in the same territory they are assigned to work in; exceptions may be considered, due to business need.
+ May be required to travel greater than 50% of time to perform work duties.
+ Required to use general office equipment, such as a telephone, photocopier, fax machine, and personal computer.
+ Flexible hours, including possible evenings and/or weekends as needed to serve the needs of our members.
**Compensation Range:**
$62,700.00 - $100,400.00
CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level.In addition to base compensation, you may qualify for a bonus tied to company and individual performance.We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.
**Compensation Type (hourly/salary):**
Salary
**Organization Level Competencies**
+ Fostering a Collaborative Workplace Culture
+ Cultivate Partnerships
+ Develop Self and Others
+ Drive Execution
+ Influence Others
+ Pursue Personal Excellence
+ Understand the Business
**This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.**
\#LI-KG1
Brand=CareSource
locations
Ohio Mobile
Columbus, OH
Dayton, OH
Cleveland, OH
Springfield, OH
locations
Canton, OH
Port Clinton, OH
Akron, OH
Lebanon, OH
Toledo, OH
Batavia, OH
Lima, OH
Delaware, OH
Tiffin, OH
Youngstown, OH
Elyria, OH
Painesville, OH
Chardon, OH
Bowling Green, OH
Cincinnati, OH
Hamilton, OH
Circleville, OH
Wooster, OH
Warren, OH
Ravenna, OH
Medina, OH
Lisbon, OH
time type
Full time
posted on
Posted 28 Days Ago
job requisition id
R10249
**Job Summary:**
The Community Based Care Coordinator, Duals Integrated Care is responsible for managing and coordinating care for dual-eligible beneficiaries, those who qualify for both Medicare and Medicaid. This position focuses on integrating health services and community resources to improve health outcomes and enhance the quality of life for individuals with complex health needs, including those who are eligible for waiver services.
**Essential Functions:**
+ Engage with the member in a variety of community-based settings to establish an effective, care coordination relationship, while considering the cultural and linguistic needs of each member.
+ Function as a liaison between healthcare providers, community resources, and dual-eligible beneficiaries to ensure seamless communication and care transitions.
+ Conduct comprehensive assessments to identify the physical, mental, and socials needs of dual-eligible individuals.
+ Develop and implement individualized care plans based on unique needs of each member, considering their medical, social, and behavioral health requirements.
+ Lead and collaborate with interdisciplinary care team (ICT) to create holistic care plans that address medical and non-medical needs.
+ Assist members in accessing community resources, including housing, transportation, food assistance, and social services.
+ Educate members about their benefits and available services under both Medicare and Medicaid.
+ Provide education to members and their families about managing chronic conditions, medication adherence, and preventive care.
+ Promote health lifestyle choices and self-management strategies.
+ Regularly monitor member's health status and care plan adherence, adjusting, as necessary.
+ Follow up with members after hospitalizations or significant health events to ensure continuity of care and prevent readmissions.
+ Work closely with primary care physicians, specialists, and other healthcare providers to coordinate care and share relevant information.
+ Coordinate with community-based organizations, otherstakeholders/entities,state agencies, and other service providers to ensure coordination and avoid duplication of services.
+ Participate in care team meetings to discuss member progress and address barriers to care.
+ Maintain accurate and up-to-date records of members interactions, care plans, and outcomes.
+ Collect and analyze data to evaluate the effectiveness of care coordination efforts and identify areas of improvement.
+ Advocate for the needs and preferences of dual-eligible beneficiaries within the healthcare system.
+ Empower members to take an active role in their healthcare decisions.
+ Evaluate member satisfaction through open communication and monitoring of concerns or issues.
+ Regular travel to conduct member, provider and community-based visits as needed and per the regulatory requirements of the program.
+ Report abuse, neglect, or exploitation of older adults as a mandated reporter as required by State law.
+ On-call responsibilities as assigned.
+ Adherence to NCQA and CMSA standards.
+ Perform any other job duties as requested.
**Education and Experience:**
+ Nursing degree from an accredited nursing program or bachelor's degree in a health care field or equivalent years of relevant work experience is required.
+ Previous experience in nursing or social work or counseling or health care profession (i.e. discharge planning, case management, care coordination, and/or home/community health management experience) is required.
+ Prior experience in care coordination, case management, or working with dual-eligible populations is preferred
+ Medicaid and/or Medicare managed care experience is preferred
**Competencies, Knowledge and Skills:**
+ Intermediate proficiency level with Microsoft Office, including Outlook, Word and Excel.
+ Understanding of Medicare and Medicaid programs, as well community resources and services available to dual-eligible beneficiaries.
+ Strong interpersonal and communication skills to effectively engage with members, families, and healthcare providers
+ Ability to manage multiple cases and priorities while maintaining attention to detail.
+ Adhere to code of ethics that aligns with professional practice.
+ Awareness of and sensitivity to the diverse backgrounds and needs of the populations served
+ Decision making and problem-solving skills.
**Licensure and Certification:**
+ Current unrestricted clinical license in state of practice as a Registered Nurse, Social Worker or Clinical Counselor is required. Licensure may be required in multiple states as applicable based on State requirement of the work assigned.
+ Case Management Certification is highly preferred
+ Must have valid driver's license, vehicle and verifiableinsurance. Employment in this position is conditional pending successful clearance of a driver's license record check and verified insurance. If the driver's license record results are unacceptable, the offer will be withdrawn or, if employee has started employment in position, employment in the position will be terminated.
+ To help protect our employees, members, and the communities we serve from acquiring communicable diseases, Influenza vaccination is a requirement of this position. CareSource requires annual proof of Influenza vaccination for designated positions during Influenza season (October 1 - March 31) as a condition of continued employment. Employees hired during Influenza season will have thirty (30) days from their hire date to complete the required vaccination and have record of immunization verified.
+ CareSource adheres to all federal, state, and local regulations. CareSource provides reasonable accommodations to qualified individuals with disabilities or medical conditions, sincerely held religious beliefs, or as required by state law to enable the employee to perform the essential functions of the position. Request for accommodations will be completed through an interactive review process.
**Working Conditions:**
+ This is a mobile position, meaning that regular travel to different work locations, including homes, offices or other public settings, is essential. Will be exposed to weather conditions typical of the location and may be required to stand and/or sit for long periods of time.
+ Must reside in the same territory they are assigned to work in; exceptions may be considered, due to business need.
+ May be required to travel greater than 50% of time to perform work duties.
+ Required to use general office equipment, such as a telephone, photocopier, fax machine, and personal computer.
+ Flexible hours, including possible evenings and/or weekends as needed to serve the needs of our members.
**Compensation Range:**
$62,700.00 - $100,400.00
CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level.In addition to base compensation, you may qualify for a bonus tied to company and individual performance.We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.
**Compensation Type (hourly/salary):**
Salary
**Organization Level Competencies**
+ Fostering a Collaborative Workplace Culture
+ Cultivate Partnerships
+ Develop Self and Others
+ Drive Execution
+ Influence Others
+ Pursue Personal Excellence
+ Understand the Business
**This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.**
\#LI-KG1
Brand=CareSource
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0
Job Description
**Overview**
**Lead Compassion. Inspire Excellence. Elevate Hospice Care.**
We are seeking a Senior Patient Care Manager, RN to join our hospice team. Reporting directly to the Executive Director or Administrator, you will play a vital role in maintaining a high-performing hospice program by managing patient care activities, supervising clinical staff, and ensuring compliance with all company policies and regulatory standards.
**As a Senior Patient Care Manager (RN), you will:**
+ Lead and support hospice patient care operations to ensure quality and compliance
+ Supervise, teach, evaluate, and develop nursing and clinical associates
+ Manage clinical and administrative workflows, including referrals, DME pickups, Medicare eligibility, insurance verification, and patient benefit tracking
+ Coordinate and facilitate Interdisciplinary Group (IDG) meetings to review patient care plans and update clinical documentation
+ Oversee scheduling, visit assignments, and timely completion of patient visits
+ Respond compassionately and professionally to referrals and clinical inquiries
+ Serve as a liaison between clinical teams, leadership, and external providers
+ Ensure adherence to hospice industry regulations including Medicare, Medicaid, JCAHO, ACHC
**About You**
**Qualifications - What You'll Bring:**
+ Current Registered Nurse (RN) license in the state of employment
+ Graduate of an accredited nursing program (Associate degree accepted with relevant experience)
+ Minimum 3 years direct patient care experience
+ Knowledge of hospice principles, regulatory compliance, and managed care
+ Strong communication, collaboration, and organizational skills
+ Proficiency with Electronic Medical Records (EMR), Microsoft Office, and healthcare software
+ Valid driver's license and automobile insurance
+ Ability to provide skilled nursing care as needed, including on-call responsibilities
+ CPR certification
**Preferred Experience (Not Required):**
+ Bachelor's degree in Nursing
+ 2+ years hospice or home care experience
+ Leadership experience in clinical supervision or program management
+ Certified Hospice and Palliative Nurse (CHPN) certification
**We Offer**
**Benefits for All Associates (Full-Time, Part-Time & Per Diem):**
+ Competitive Pay
+ 401(k) with Company Match
+ Career Advancement Opportunities
+ National & Local Recognition Programs
+ Teammate Assistance Fund
**Additional Full-Time Benefits:**
+ Medical, Dental, Vision Insurance
+ Mileage Reimbursement or Fleet Vehicle Program
+ Generous Paid Time Off + 7 Paid Holidays
+ Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care)
+ Education Support & Tuition Assistance (ASN to BSN, BSN to MSN)
+ Free Continuing Education Units (CEUs)
+ Company-paid Life & Long-Term Disability Insurance
+ Voluntary Benefits (Pet, Critical Illness, Accident, LTC)
**Ready to Join a Team That Cares?**
Apply today and bring your leadership skills to a team that's dedicated to delivering exceptional end-of-life care with heart.
**Legalese**
+ This is a safety-sensitive position
+ Employee must meet minimum requirements to be eligible for benefits
+ Where applicable, employee must meet state specific requirements
+ We are proud to be an EEO employer
+ We maintain a drug-free workplace
ReqID:
Category: Single Site Ops and Clinical Leadership
Position Type: Full-Time
Company: Gentiva Hospice
**Lead Compassion. Inspire Excellence. Elevate Hospice Care.**
We are seeking a Senior Patient Care Manager, RN to join our hospice team. Reporting directly to the Executive Director or Administrator, you will play a vital role in maintaining a high-performing hospice program by managing patient care activities, supervising clinical staff, and ensuring compliance with all company policies and regulatory standards.
**As a Senior Patient Care Manager (RN), you will:**
+ Lead and support hospice patient care operations to ensure quality and compliance
+ Supervise, teach, evaluate, and develop nursing and clinical associates
+ Manage clinical and administrative workflows, including referrals, DME pickups, Medicare eligibility, insurance verification, and patient benefit tracking
+ Coordinate and facilitate Interdisciplinary Group (IDG) meetings to review patient care plans and update clinical documentation
+ Oversee scheduling, visit assignments, and timely completion of patient visits
+ Respond compassionately and professionally to referrals and clinical inquiries
+ Serve as a liaison between clinical teams, leadership, and external providers
+ Ensure adherence to hospice industry regulations including Medicare, Medicaid, JCAHO, ACHC
**About You**
**Qualifications - What You'll Bring:**
+ Current Registered Nurse (RN) license in the state of employment
+ Graduate of an accredited nursing program (Associate degree accepted with relevant experience)
+ Minimum 3 years direct patient care experience
+ Knowledge of hospice principles, regulatory compliance, and managed care
+ Strong communication, collaboration, and organizational skills
+ Proficiency with Electronic Medical Records (EMR), Microsoft Office, and healthcare software
+ Valid driver's license and automobile insurance
+ Ability to provide skilled nursing care as needed, including on-call responsibilities
+ CPR certification
**Preferred Experience (Not Required):**
+ Bachelor's degree in Nursing
+ 2+ years hospice or home care experience
+ Leadership experience in clinical supervision or program management
+ Certified Hospice and Palliative Nurse (CHPN) certification
**We Offer**
**Benefits for All Associates (Full-Time, Part-Time & Per Diem):**
+ Competitive Pay
+ 401(k) with Company Match
+ Career Advancement Opportunities
+ National & Local Recognition Programs
+ Teammate Assistance Fund
**Additional Full-Time Benefits:**
+ Medical, Dental, Vision Insurance
+ Mileage Reimbursement or Fleet Vehicle Program
+ Generous Paid Time Off + 7 Paid Holidays
+ Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care)
+ Education Support & Tuition Assistance (ASN to BSN, BSN to MSN)
+ Free Continuing Education Units (CEUs)
+ Company-paid Life & Long-Term Disability Insurance
+ Voluntary Benefits (Pet, Critical Illness, Accident, LTC)
**Ready to Join a Team That Cares?**
Apply today and bring your leadership skills to a team that's dedicated to delivering exceptional end-of-life care with heart.
**Legalese**
+ This is a safety-sensitive position
+ Employee must meet minimum requirements to be eligible for benefits
+ Where applicable, employee must meet state specific requirements
+ We are proud to be an EEO employer
+ We maintain a drug-free workplace
ReqID:
Category: Single Site Ops and Clinical Leadership
Position Type: Full-Time
Company: Gentiva Hospice
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Apply Now
1
Patient Services Representative - Physician Office - Talsman Primary Care
44406 Canfield
Bon Secours Mercy Health
Posted 2 days ago
Job Viewed
Job Description
**Mercy Health**
**_About Us_**
As a faith-based and patient-focused organization, Mercy Health exists to enhance the health and well-being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a culture of compassion, collaboration, excellence and respect. Mercy Health seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive.
**Patient Services Representative (PSR) - Physician Office - Talsman Primary Care**
**Job Summary:**
The Patient Services Representative is the first line of quality service to our patients and the community. This position will be responsible for processing patient registration, verifying demographics, obtaining insurance cards, and patient identification. Responsibilities include scheduling appointments, transcribing orders, explaining financial options to patients, and updating medical records accurately and efficiently. This position will provide excellent customer service and may be asked to occasionally cover other physician practice locations as needed.
**Essential Functions:**
+ Serves as the primary point of contact between patients and physician practices
+ Provides strong communication and excellent customer service skills by greeting patients and the community in a respectful manner
+ Answers internal and external calls in a friendly and helpful manner, routes calls, schedules patients, and enters necessary information for patient scheduling into the computer system in a timely and accurate manner.
+ Processes patients in practice as they present for their appointments.
+ Possesses the ability to troubleshoot and resolve problems promptly, ensuring patient flow is maintained and informs supervisor of any department and patient issues immediately
+ Processes admission paperwork, including basic insurance verification. Secures, completes and verifies all pertinent patient demographic and insurance information as part of the registration process., Corrects registration errors as needed.
+ Records time indicators for lobby wait times.
+ Calculates patient liabilities and actively collects and processes patient payments.
+ Reconciles cash drawer at the close of the day.
+ Performs charge entry for external services (i.e. nursing homes) as necessary.
+ Schedules referrals or follow-up appointments and/or assists with scheduling, rescheduling or canceling other services for patients. Assists patients with online scheduling and MyChart as necessary.
+ Assists patients in obtaining necessary referrals for follow-up services and record referrals on tracking tool (referral/consults).
+ Responsible for and/or assist in obtaining proper authorizations and pre-certifications if applicable for all procedures scheduled through the physician practice
+ Pulls patient charts as needed per office policy, files and maintains information as appropriate in chart per policy, and routes charts to clinical staff as indicated in office per policy
+ Verifies RX benefits in electronic health record, per protocol
+ Refers patients to financial counselors when additional financial counseling or payment arrangements are needed. Completes accounts in revenue cycle software
This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.
**Education:**
High School Diploma or GED (required)
**Licensure/Certification:**
None
**Experience:**
Prior experience in patient registration/healthcare (preferred)
As a Bon Secours Mercy Health associate, you're part of a Mission that matters. We support your well-being-personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.
**What we offer**
+ Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
+ Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts
+ Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
+ Tuition assistance, professional development and continuing education support
_Benefits may vary based on the market and employment status._
All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Bon secours Mercy Health - Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at
**_About Us_**
As a faith-based and patient-focused organization, Mercy Health exists to enhance the health and well-being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a culture of compassion, collaboration, excellence and respect. Mercy Health seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive.
**Patient Services Representative (PSR) - Physician Office - Talsman Primary Care**
**Job Summary:**
The Patient Services Representative is the first line of quality service to our patients and the community. This position will be responsible for processing patient registration, verifying demographics, obtaining insurance cards, and patient identification. Responsibilities include scheduling appointments, transcribing orders, explaining financial options to patients, and updating medical records accurately and efficiently. This position will provide excellent customer service and may be asked to occasionally cover other physician practice locations as needed.
**Essential Functions:**
+ Serves as the primary point of contact between patients and physician practices
+ Provides strong communication and excellent customer service skills by greeting patients and the community in a respectful manner
+ Answers internal and external calls in a friendly and helpful manner, routes calls, schedules patients, and enters necessary information for patient scheduling into the computer system in a timely and accurate manner.
+ Processes patients in practice as they present for their appointments.
+ Possesses the ability to troubleshoot and resolve problems promptly, ensuring patient flow is maintained and informs supervisor of any department and patient issues immediately
+ Processes admission paperwork, including basic insurance verification. Secures, completes and verifies all pertinent patient demographic and insurance information as part of the registration process., Corrects registration errors as needed.
+ Records time indicators for lobby wait times.
+ Calculates patient liabilities and actively collects and processes patient payments.
+ Reconciles cash drawer at the close of the day.
+ Performs charge entry for external services (i.e. nursing homes) as necessary.
+ Schedules referrals or follow-up appointments and/or assists with scheduling, rescheduling or canceling other services for patients. Assists patients with online scheduling and MyChart as necessary.
+ Assists patients in obtaining necessary referrals for follow-up services and record referrals on tracking tool (referral/consults).
+ Responsible for and/or assist in obtaining proper authorizations and pre-certifications if applicable for all procedures scheduled through the physician practice
+ Pulls patient charts as needed per office policy, files and maintains information as appropriate in chart per policy, and routes charts to clinical staff as indicated in office per policy
+ Verifies RX benefits in electronic health record, per protocol
+ Refers patients to financial counselors when additional financial counseling or payment arrangements are needed. Completes accounts in revenue cycle software
This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.
**Education:**
High School Diploma or GED (required)
**Licensure/Certification:**
None
**Experience:**
Prior experience in patient registration/healthcare (preferred)
As a Bon Secours Mercy Health associate, you're part of a Mission that matters. We support your well-being-personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.
**What we offer**
+ Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
+ Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts
+ Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
+ Tuition assistance, professional development and continuing education support
_Benefits may vary based on the market and employment status._
All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Bon secours Mercy Health - Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at
Is this job a match or a miss?
Apply Now
2
Medical Education Support Coordinator - Youngstown Market
44507 Youngstown
Bon Secours Mercy Health
Posted 17 days ago
Job Viewed
Job Description
**_Medical Education Support Coordinator - Youngstown Market_**
**Shift/Schedule:**
+ Full Time - Scheduled for 40 Weekly Hours
+ Shift Days & Times - Mon-Fri, Days/Afternoons
+ Work Locations - St Elizabeth Youngstown Hospital & St Elizabeth Boardman Hospital
**Summary of Primary Function/General Purpose of Position:**
The Medical Education Support Coordinator supports Medical Education department with clerkship rotations, scheduling and other departmental needs. The coordinator also assists the Director of Graduate Medical Education and the Chief Academic Officer.
**Essential Job Functions**
+ Supporting the Director, Graduate Medical Education on varies medical education tasks during the academic year
+ Supporting the Chief Academic Officer on varies department needs
+ Point of contact for all potential learners on campus for clinical observations
+ Maintains documentation for all clinical observers and medical students
+ Supports different residency programs with ACGME accreditation needs
+ OB/GYN Clerkship Coordinator
+ Youngstown Family Medicine Clerkship and M4 Elective Coordinator
+ NEOMED point of contact for M2 PDLs for Boardman site
+ Point of contact for Medical School Housing
+ Duties as assigned for the Medical Education department
_This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation._
**Education Qualifications:**
Required Minimum Education:
High School Diploma or GED
Preferred Education:
2 Year/ Associates Degree
Other Knowledge, Skills and Abilities Preferred
Problem solving skills, basic computer skills, excellent communication, and interpersonal skills, 2 years medical office experience.
As a Bon Secours Mercy Health associate, you're part of a Mission that matters. We support your well-being-personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.
**What we offer**
+ Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
+ Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts
+ Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
+ Tuition assistance, professional development and continuing education support
_Benefits may vary based on the market and employment status._
All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Bon secours Mercy Health - Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at
**Shift/Schedule:**
+ Full Time - Scheduled for 40 Weekly Hours
+ Shift Days & Times - Mon-Fri, Days/Afternoons
+ Work Locations - St Elizabeth Youngstown Hospital & St Elizabeth Boardman Hospital
**Summary of Primary Function/General Purpose of Position:**
The Medical Education Support Coordinator supports Medical Education department with clerkship rotations, scheduling and other departmental needs. The coordinator also assists the Director of Graduate Medical Education and the Chief Academic Officer.
**Essential Job Functions**
+ Supporting the Director, Graduate Medical Education on varies medical education tasks during the academic year
+ Supporting the Chief Academic Officer on varies department needs
+ Point of contact for all potential learners on campus for clinical observations
+ Maintains documentation for all clinical observers and medical students
+ Supports different residency programs with ACGME accreditation needs
+ OB/GYN Clerkship Coordinator
+ Youngstown Family Medicine Clerkship and M4 Elective Coordinator
+ NEOMED point of contact for M2 PDLs for Boardman site
+ Point of contact for Medical School Housing
+ Duties as assigned for the Medical Education department
_This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation._
**Education Qualifications:**
Required Minimum Education:
High School Diploma or GED
Preferred Education:
2 Year/ Associates Degree
Other Knowledge, Skills and Abilities Preferred
Problem solving skills, basic computer skills, excellent communication, and interpersonal skills, 2 years medical office experience.
As a Bon Secours Mercy Health associate, you're part of a Mission that matters. We support your well-being-personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.
**What we offer**
+ Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
+ Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts
+ Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
+ Tuition assistance, professional development and continuing education support
_Benefits may vary based on the market and employment status._
All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Bon secours Mercy Health - Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at
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Job Description
Hourly Wage: **$19 - $32 per/hour**
*The actual hourly rate will equal or exceed the required minimum wage applicable to the job location.
Additional compensation includes annual or quarterly performance incentives.
Additional compensation in the form of premiums may be paid in amounts ranging from $0.35 per hour to $3.00 per hour in specific circumstances. Premiums may be based on schedule, facility, season, or specific work performed. Multiple premiums may apply if applicable criteria are met.
Employment Type: **Full-Time**
Available shifts: **Opening, Morning**
Location
**Walmart Supercenter #3860**
200 GOLDIE RD, YOUNGSTOWN, OH, 44505, US
Job Overview
These Auto Care Center roles focus on the needs of our customers who entrust us with the care of their vehicles as they shop for merchandise and services offered at Walmart. The Auto Care Center is a rewarding place to work with opportunities for advanced associate training, business development, and application of technology.
Benefits & perks
At Walmart, we offer competitive pay as well as performance-based incentive awards and other great benefits for a happier mind, body, and wallet. Health benefits include medical, vision and dental coverage. Financial benefits include 401(k), stock purchase and company-paid life insurance. Paid time off benefits include parental leave, family care leave, bereavement, jury duty, and voting. Other benefits include short-term and long-term disability, company discounts, Military Leave Pay, adoption and surrogacy expense reimbursement, and more.
You will also receive PTO and/or PPTO that can be used for vacation, sick leave, holidays, or other purposes. The amount you receive depends on your job classification and length of employment. It will meet or exceed the requirements of paid sick leave laws, where applicable. For information about PTO, see Smart Guide page ( Better U is a Walmart-paid education benefit program for full-time and part-time associates in Walmart and Sam's Club facilities. Programs range from high school completion to bachelor's degrees, including English Language Learning and short-form certificates. Tuition, books, and fees are completely paid for by Walmart.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to a specific plan or program terms. For information about benefits and eligibility, see One.Walmart.com.
Walmart is committed to maintaining a drug-free workplace and has a no tolerance policy regarding the use of illegal drugs and alcohol on the job. This policy applies to all employees and aims to create a safe and productive work environment.
Walmart, Inc. is an Equal Opportunity Employer- By Choice. We believe we are best equipped to help our associates, customers, and the communities we serve live better when we really know them. That means understanding, respecting, and valuing diversity- unique styles, experiences, identities, abilities, ideas and opinions- while being inclusive of all people.
*The actual hourly rate will equal or exceed the required minimum wage applicable to the job location.
Additional compensation includes annual or quarterly performance incentives.
Additional compensation in the form of premiums may be paid in amounts ranging from $0.35 per hour to $3.00 per hour in specific circumstances. Premiums may be based on schedule, facility, season, or specific work performed. Multiple premiums may apply if applicable criteria are met.
Employment Type: **Full-Time**
Available shifts: **Opening, Morning**
Location
**Walmart Supercenter #3860**
200 GOLDIE RD, YOUNGSTOWN, OH, 44505, US
Job Overview
These Auto Care Center roles focus on the needs of our customers who entrust us with the care of their vehicles as they shop for merchandise and services offered at Walmart. The Auto Care Center is a rewarding place to work with opportunities for advanced associate training, business development, and application of technology.
Benefits & perks
At Walmart, we offer competitive pay as well as performance-based incentive awards and other great benefits for a happier mind, body, and wallet. Health benefits include medical, vision and dental coverage. Financial benefits include 401(k), stock purchase and company-paid life insurance. Paid time off benefits include parental leave, family care leave, bereavement, jury duty, and voting. Other benefits include short-term and long-term disability, company discounts, Military Leave Pay, adoption and surrogacy expense reimbursement, and more.
You will also receive PTO and/or PPTO that can be used for vacation, sick leave, holidays, or other purposes. The amount you receive depends on your job classification and length of employment. It will meet or exceed the requirements of paid sick leave laws, where applicable. For information about PTO, see Smart Guide page ( Better U is a Walmart-paid education benefit program for full-time and part-time associates in Walmart and Sam's Club facilities. Programs range from high school completion to bachelor's degrees, including English Language Learning and short-form certificates. Tuition, books, and fees are completely paid for by Walmart.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to a specific plan or program terms. For information about benefits and eligibility, see One.Walmart.com.
Walmart is committed to maintaining a drug-free workplace and has a no tolerance policy regarding the use of illegal drugs and alcohol on the job. This policy applies to all employees and aims to create a safe and productive work environment.
Walmart, Inc. is an Equal Opportunity Employer- By Choice. We believe we are best equipped to help our associates, customers, and the communities we serve live better when we really know them. That means understanding, respecting, and valuing diversity- unique styles, experiences, identities, abilities, ideas and opinions- while being inclusive of all people.
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4
Job Description
Job Overview
We are seeking a compassionate and highly organised Patient Care Coordinator to join our dedicated team. This is a Full-Time , remote position. In this vital role, you will be instrumental in supporting our mission to improve academic achievement, build character, and strengthen life skills for the youth we serve. You will act as a central point of contact, ensuring our members and their families have access to the resources and support necessary to thrive.
Responsibilities
As a Patient Care Coordinator, your primary duties will include:
- Serving as the main liaison between club members, their families, and internal or external support services.
- Conducting initial assessments to understand the unique needs of each child and family, focusing on their health, well-being, and developmental goals.
- Developing, implementing, and managing individualised support plans in collaboration with programme staff and families.
- Coordinating with local community partners, healthcare providers, and social service agencies to connect families with essential resources.
- Maintaining accurate, confidential, and up-to-date records of all interactions, care plans, and progress notes.
- Proactively monitoring the well-being of members and providing ongoing support and guidance to their families.
- Communicating effectively with all stakeholders to ensure a seamless and supportive experience for everyone involved in a member's care.
- Championing the vision of our organisation, helping ensure every young person has a plan for their future and leads a healthy lifestyle.
Qualifications
The ideal candidate will possess the following skills and experience:
- Proven experience in a similar role, such as care coordination, case management, or social work, preferably within a youth-focused environment.
- Exceptional interpersonal and communication skills, with a natural ability to build rapport and trust with children and adults from diverse backgrounds.
- Strong organisational and time-management skills, with the ability to manage a varied caseload independently from a remote setting.
- A deep sense of empathy, patience, and a genuine passion for youth development and community support.
- Proficiency in standard office software and experience with case management or client relationship management (CRM) systems.
- A comprehensive understanding of local community resources available in the El Paso area is highly advantageous.
- A degree in Social Work, Psychology, Public Health, or a related field is desirable but not essential.
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5
Executive Administrative Support Specialist (Remote)
20022 Washington
Austin Community College
Posted 5 days ago
Job Viewed
Job Description
A major international development organization is seeking an administrative consultant for the Executive Auditor's office in Washington, DC. The ideal candidate will manage schedules, coordinate meetings, and provide administrative support. Proficiency in Spanish and English, along with a Technical Studies or Associate Degree, is required. The role offers competitive benefits and the option for remote work based on candidate's location.
#J-18808-Ljbffr
#J-18808-Ljbffr
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Note: If you’re asked to pay for a job, avoid the role and report the job to us immediately.
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6
Job Description
**Resp & Qualifications**
**This role requires candidates to be located in the Maryland, Washington, DC, or Northern Virginia (DMV) area.**
**PURPOSE:**
This position will support the Medicare Advantage line of business. Under minimal supervision, the Care Manager researches and analyzes a member's medical and behavioral health needs and healthcare cost drivers. The Care Manager works closely with members and the interdisciplinary care team to ensure members have an effective plan of care and positive member experience that leads to optimal health and cost-effective outcomes. The ideal candidate will have previous experience with Medicare and/or Medicare Advantage patient populations with multiple co-morbidities, complex needs, social determinants of health and/or barriers to care.
We are looking for an experienced Registered Nurse to work remotely within the greater Baltimore/Washington metropolitan area. While this position is remote, the incumbent will be expected to come into a CareFirst location periodically for meetings, trainings and/or other business-related activities.
**ESSENTIAL FUNCTIONS:**
+ Identifies members with acute/complex medical and/or behavioral health conditions. Engages onsite and/or telephonically with member, family and providers to develop a comprehensive plan of care to address the member's needs at various stages along the care continuum. Identifies relevant CareFirst and community resources and facilitates program, network, and community referrals.
+ Collaborates with member and the interdisciplinary care team to develop a comprehensive plan of care to identify key strategic interventions to address member's medical, behavioral and/or social determinant of health needs. Engage members and providers to review and clarify treatment plans ensuring alignment with medical benefits and policies to facilitate care between settings. Monitors, evaluates, and updates plan of care over time focused on member's stabilization and ability to self-manage. Ensures member data is documented according to CareFirst application protocol and regulatory standards.
**QUALIFICATIONS:**
**Education Level:** High School Diploma or GED.
**Licenses/Certifications Upon Hire Required:**
+ RN - Registered Nurse - State Licensure And/or Compact State Licensure RN- Registered Nurse in MD, VA or Washington.
**Experience:** 5 years clinically related experience working in Care Management, Discharge Coordination, Home Health, Utilization Review, Disease Management or other direct patient care experience.
**Preferred Qualifications:**
+ Bachelors degree in nursing
+ CCM/ACM or other RN Board Certified certification in case management.
+ Previous experience with Medicare and/or Medicare Advantage patient populations with multiple co-morbidities, complex needs, social determinants of health and/or barriers to care.
+ Skilled in typing and working within various web-based platforms
**Knowledge, Skills and Abilities (KSAs)**
+ Knowledge of clinical standards of care and disease processes.
+ Ability to produce accurate and comprehensive work products with minimal direction.
+ Ability to triage immediate member health and safety risks.
+ Basic understanding of the strategic and financial goals of a health care system or payor organization, as well as health plan or health insurance operations (e.g. networks, eligibility, benefits).
+ Excellent verbal and written communication skills, along with the telephonic and keyboarding skills necessary to assess, coordinate and document services for members.
+ Knowledgeable of available community resources and programs.
+ Proficient in the use of web-based technology and Microsoft Office applications such as Word, Excel and PowerPoint.
+ Ability to provide excellent internal and external customer service.
+ Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.
**Salary Range:** $72,360 - $143,715
**Salary Range Disclaimer**
The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).
**Equal Employment Opportunity**
CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
**Federal Disc/Physical Demand**
Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.
**PHYSICAL DEMANDS:**
The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.
**Sponsorship in US**
Must be eligible to work in the U.S. without Sponsorship
\#LI-SS1
REQNUMBER: 22385
**This role requires candidates to be located in the Maryland, Washington, DC, or Northern Virginia (DMV) area.**
**PURPOSE:**
This position will support the Medicare Advantage line of business. Under minimal supervision, the Care Manager researches and analyzes a member's medical and behavioral health needs and healthcare cost drivers. The Care Manager works closely with members and the interdisciplinary care team to ensure members have an effective plan of care and positive member experience that leads to optimal health and cost-effective outcomes. The ideal candidate will have previous experience with Medicare and/or Medicare Advantage patient populations with multiple co-morbidities, complex needs, social determinants of health and/or barriers to care.
We are looking for an experienced Registered Nurse to work remotely within the greater Baltimore/Washington metropolitan area. While this position is remote, the incumbent will be expected to come into a CareFirst location periodically for meetings, trainings and/or other business-related activities.
**ESSENTIAL FUNCTIONS:**
+ Identifies members with acute/complex medical and/or behavioral health conditions. Engages onsite and/or telephonically with member, family and providers to develop a comprehensive plan of care to address the member's needs at various stages along the care continuum. Identifies relevant CareFirst and community resources and facilitates program, network, and community referrals.
+ Collaborates with member and the interdisciplinary care team to develop a comprehensive plan of care to identify key strategic interventions to address member's medical, behavioral and/or social determinant of health needs. Engage members and providers to review and clarify treatment plans ensuring alignment with medical benefits and policies to facilitate care between settings. Monitors, evaluates, and updates plan of care over time focused on member's stabilization and ability to self-manage. Ensures member data is documented according to CareFirst application protocol and regulatory standards.
**QUALIFICATIONS:**
**Education Level:** High School Diploma or GED.
**Licenses/Certifications Upon Hire Required:**
+ RN - Registered Nurse - State Licensure And/or Compact State Licensure RN- Registered Nurse in MD, VA or Washington.
**Experience:** 5 years clinically related experience working in Care Management, Discharge Coordination, Home Health, Utilization Review, Disease Management or other direct patient care experience.
**Preferred Qualifications:**
+ Bachelors degree in nursing
+ CCM/ACM or other RN Board Certified certification in case management.
+ Previous experience with Medicare and/or Medicare Advantage patient populations with multiple co-morbidities, complex needs, social determinants of health and/or barriers to care.
+ Skilled in typing and working within various web-based platforms
**Knowledge, Skills and Abilities (KSAs)**
+ Knowledge of clinical standards of care and disease processes.
+ Ability to produce accurate and comprehensive work products with minimal direction.
+ Ability to triage immediate member health and safety risks.
+ Basic understanding of the strategic and financial goals of a health care system or payor organization, as well as health plan or health insurance operations (e.g. networks, eligibility, benefits).
+ Excellent verbal and written communication skills, along with the telephonic and keyboarding skills necessary to assess, coordinate and document services for members.
+ Knowledgeable of available community resources and programs.
+ Proficient in the use of web-based technology and Microsoft Office applications such as Word, Excel and PowerPoint.
+ Ability to provide excellent internal and external customer service.
+ Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.
**Salary Range:** $72,360 - $143,715
**Salary Range Disclaimer**
The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).
**Equal Employment Opportunity**
CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
**Federal Disc/Physical Demand**
Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.
**PHYSICAL DEMANDS:**
The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.
**Sponsorship in US**
Must be eligible to work in the U.S. without Sponsorship
\#LI-SS1
REQNUMBER: 22385
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7
Job Description
**JOB DESCRIPTION**
This RN will act as a **Care Manager** supporting our Michigan Medicaid members, identified with complex medical needs. The Medicaid Care Manager will support them to ensure a successful health outcomes. The position includes telephonic outreach to members to conduct health assessments, identify needs, and the development of care plans to support members health goals. Excellent computer skills and attention to detail are very important to multitask between systems, talk with members on the phone, and enter accurate contact notes.
This is a telephonic position and productivity is important. Preferred candidates will have previous case management, managed care, or inpatient hospital experience. Experience in a behavioral health setting would be a plus.
TRAVEL in the field to designated hospitals in the local service delivery area to meet with the members. Mileage is reimbursed as part of our benefit package.
Schedule: Monday through Friday 8:30AM to 5:00PM EST (No weekends, no nights, no holidays, no call.) Alternative work schedule is available after 6 month exp and at Manager discretion: 4 10-hour shifts
**Job Summary**
Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. 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 assessments of members per regulated timelines and determines who may qualify for care management based on clinical judgment, changes in member health or psychosocial wellness and triggers identified in assessments.
- Develops and implements care coordination plan in collaboration with member, caregiver, physician and/or other appropriate health care professionals and member support network to address member needs and goals.
- Conducts telephonic, face-to-face or home visits as required.
- Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
- Maintains ongoing member caseload for regular outreach and management.
- Promotes integration of services for members including behavioral health, long-term services and supports (LTSS), and home and community resources to enhance continuity of care.
- Facilitates interdisciplinary care team (ICT) meetings 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, provides care coordination and assistance to member to address concerns.
- 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, preferably in care management, or experience in a medical and/or behavioral health setting, 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.
- Understanding of the electronic medical record (EMR) and Health Insurance Portability and Accountability Act (HIPAA).
- Demonstrated knowledge of community resources.
- Ability to operate proactively and demonstrate detail-oriented work.
- Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.
- Ability to work independently, with minimal supervision and 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 proficiency, and ability to navigate online portals and databases.
**Preferred Qualifications**
- Certified Case Manager (CCM).
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
Pay Range: $26.41 - $51.49 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
This RN will act as a **Care Manager** supporting our Michigan Medicaid members, identified with complex medical needs. The Medicaid Care Manager will support them to ensure a successful health outcomes. The position includes telephonic outreach to members to conduct health assessments, identify needs, and the development of care plans to support members health goals. Excellent computer skills and attention to detail are very important to multitask between systems, talk with members on the phone, and enter accurate contact notes.
This is a telephonic position and productivity is important. Preferred candidates will have previous case management, managed care, or inpatient hospital experience. Experience in a behavioral health setting would be a plus.
TRAVEL in the field to designated hospitals in the local service delivery area to meet with the members. Mileage is reimbursed as part of our benefit package.
Schedule: Monday through Friday 8:30AM to 5:00PM EST (No weekends, no nights, no holidays, no call.) Alternative work schedule is available after 6 month exp and at Manager discretion: 4 10-hour shifts
**Job Summary**
Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. 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 assessments of members per regulated timelines and determines who may qualify for care management based on clinical judgment, changes in member health or psychosocial wellness and triggers identified in assessments.
- Develops and implements care coordination plan in collaboration with member, caregiver, physician and/or other appropriate health care professionals and member support network to address member needs and goals.
- Conducts telephonic, face-to-face or home visits as required.
- Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
- Maintains ongoing member caseload for regular outreach and management.
- Promotes integration of services for members including behavioral health, long-term services and supports (LTSS), and home and community resources to enhance continuity of care.
- Facilitates interdisciplinary care team (ICT) meetings 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, provides care coordination and assistance to member to address concerns.
- 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, preferably in care management, or experience in a medical and/or behavioral health setting, 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.
- Understanding of the electronic medical record (EMR) and Health Insurance Portability and Accountability Act (HIPAA).
- Demonstrated knowledge of community resources.
- Ability to operate proactively and demonstrate detail-oriented work.
- Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.
- Ability to work independently, with minimal supervision and 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 proficiency, and ability to navigate online portals and databases.
**Preferred Qualifications**
- Certified Case Manager (CCM).
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
Pay Range: $26.41 - $51.49 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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8