72 Baylor Scott White Medical Center jobs in Mesquite
Rehab Patient Support Tech PRN
Posted today
Job Viewed
Job Description
Baylor Scott & White Institute for Rehabilitation - Neuro Transitional Rehabilitation
Dallas, TX
Neuro Rehab Coach
(Rehab Support Tech, Therapy Aide, Caregiver, CNA, PCT)
Hours: 6:45 p.m. - 7:15 a.m.
PRN (As Needed)
PRN Hourly Pay: $22.00 per hour
Benefits of becoming a Neuro Rehab Coach with us:
We strive to provide our employees with a solid work-life balance, as we understand that happy employees have both fulfilling careers and fulfilling lives beyond our doors.
- Flexible scheduling
- Team-oriented and collaborative culture
- A network of over 50K employees nationwide with advancement and relocation opportunities
This position functions under the direction of rehabilitation therapists and nurses to help individuals with a brain injury or spinal cord injury, regain their independence and return home. In this position you will be part of the therapy and nursing team and you will have a key role in helping patients re-learn to walk, talk, dress, cook, and manage their own medical needs. You will not do it for them.
An ideal candidate has a passion for serving and helping others, previous experience in the healthcare field as a technician or direct care provider or in school pursuing a degree in related field
On a daily basis:
- Help patients with day to day living activities such as bathing, grooming, dressing, eating, cooking, washing clothes, make their bed, loading the dishwasher, cleaning their suite, etc.
- Driving patients into the community for medical appointments, community activities
- Assisting the rehabilitation therapists with patient activities
- Assisting patients with nurse delegated tasks after completing the training we provide to ensure your competency. These tasks may include taking vital signs, medication administration, and peg tube feedings
- Additional tasks as needed
Minimum Qualifications
- Education: High School diploma or equivalent required
- Current State Driver's License in good standing required
- Certified BLS completion required; for new hires, see CPR Requirement Guidelines for New Hires
- Previous Neuro Transitional Rehab experience preferred
- Therapy or Rehab Aide Preferred
- Certified Nurse Assistant (CNA) or Certified Medication aide preferred
Additional Data
Equal Opportunity Employer including Disabled/Veterans
Rehab Patient Support Tech - Night
Posted 9 days ago
Job Viewed
Job Description
**Baylor Scott & White Institute for Rehabilitation - Neuro Transitional Rehabilitation**
Dallas, TX
**Neuro Rehab Coach**
**(Rehab Support Tech, Therapy Aide, Caregiver, CNA, PCT)**
**Hours: 6:45 p.m. - 7:15 a.m.**
**Full Time**
**Compensation depends upon candidate's years of experience.**
**Minimum Hourly Pay: $18.00 per hour**
**Benefits of becoming a Neuro Rehab Coach with us:**
Westrive to provide our employees with a solid work-life balance, as we understand that happy employees have both fulfilling careers and fulfilling lives beyond our doors.
+ Health, Dental, and Vision insurance; Life insurance; Prescription coverage.
+ Paid Time Off (PTO) and Extended Illness Days (EID).
+ A 401(k) retirement plan with company match.
+ Short and Long Term Disability.
+ Personal and Family Medical Leave.
+ Tuition Assistance
+ Student Loan Assistance
+ ***Eligibility and effective dates vary**
**Responsibilities**
This position functions under the direction of rehabilitation therapists and nurses to help individuals with a brain injury or spinal cord injury, regain their independence and return home.In this position you will be part of the therapy and nursing team and you will have a key role in helping patients re-learn to walk, talk, dress, cook, and manage their own medical needs. You will not do it for them.
An ideal candidate has a passion for serving and helping others, previous experience in the healthcare field as a technician or direct care provider or in school pursuing a degree in related field
**On a daily basis:**
+ Help patients with day to day living activities such as bathing, grooming, dressing, eating, cooking, washing clothes, make their bed, loading the dishwasher, cleaning their suite, etc.
+ Driving patients into the community for medical appointments, community activities
+ Assisting the rehabilitation therapists with patient activities
+ Assisting patients with nurse delegated tasks after completing the training we provide to ensure your competency. These tasks may include taking vital signs, medication administration, and peg tube feedings
+ Additional tasks as needed
**Qualifications**
**Minimum Qualifications**
+ Education: High School diploma or equivalent require
+ Current State Driver's License in good standing required
+ Certified BLS completion required; for new hires, see CPR Requirement Guidelines for New Hires
**Preferred Experience**
+ Previous Neuro Transitional Rehab experience preferred
+ Therapy or Rehab Aide Preferred
+ Certified Nurse Assistant (CNA) or Certified Medication aide preferred
**Additional Data**
_Equal Opportunity Employer including Disabled/Veterans_
Apply for this job ( this job
**Job ID** _333205_
**Experience (Years)** _2_
**Category** _Health Technologist/Technicians - Health Technologists and Technicians_
**Street Address** _3504 Swiss Avenue_
Rehab Patient Support Tech - Day
Posted 9 days ago
Job Viewed
Job Description
**Baylor Scott & White Institute for Rehabilitation - Neuro Transitional Rehabilitation**
Dallas, TX
**Neuro Rehab Coach**
**(Rehab Support Tech, Therapy Aide, Caregiver, CNA, PCT)**
**Hours: 6:45 a.m. - 7:15 p.m.**
**Full Time**
**Compensation depends upon candidate's years of experience.**
**Minimum Hourly Pay: $18.00 per hour**
**Benefits of becoming a Neuro Rehab Coach with us:**
Westrive to provide our employees with a solid work-life balance, as we understand that happy employees have both fulfilling careers and fulfilling lives beyond our doors.
+ Health, Dental, and Vision insurance; Life insurance; Prescription coverage.
+ Paid Time Off (PTO) and Extended Illness Days (EID).
+ A 401(k) retirement plan with company match.
+ Short and Long Term Disability.
+ Personal and Family Medical Leave.
+ Tuition Assistance
+ Student Loan Assistance
+ ***Eligibility and effective dates vary**
**Responsibilities**
This position functions under the direction of rehabilitation therapists and nurses to help individuals with a brain injury or spinal cord injury, regain their independence and return home.In this position you will be part of the therapy and nursing team and you will have a key role in helping patients re-learn to walk, talk, dress, cook, and manage their own medical needs. You will not do it for them.
An ideal candidate has a passion for serving and helping others, previous experience in the healthcare field as a technician or direct care provider or in school pursuing a degree in related field
**On a daily basis:**
+ Help patients with day to day living activities such as bathing, grooming, dressing, eating, cooking, washing clothes, make their bed, loading the dishwasher, cleaning their suite, etc.
+ Driving patients into the community for medical appointments, community activities
+ Assisting the rehabilitation therapists with patient activities
+ Assisting patients with nurse delegated tasks after completing the training we provide to ensure your competency. These tasks may include taking vital signs, medication administration, and peg tube feedings
+ Additional tasks as needed
**Qualifications**
**Minimum Qualifications**
+ Education: High School diploma or equivalent require
+ Current State Driver's License in good standing required
+ Certified BLS completion required; for new hires, see CPR Requirement Guidelines for New Hires
**Preferred Experience**
+ Previous Neuro Transitional Rehab experience preferred
+ Therapy or Rehab Aide Preferred
+ Certified Nurse Assistant (CNA) or Certified Medication aide preferred
**Additional Data**
_Equal Opportunity Employer including Disabled/Veterans_
Apply for this job ( this job
**Job ID** _333204_
**Experience (Years)** _2_
**Category** _Health Technologist/Technicians - Health Technologists and Technicians_
**Street Address** _3504 Swiss Avenue_
Rehab Patient Support Tech PRN
Posted 9 days ago
Job Viewed
Job Description
**Baylor Scott & White Institute for Rehabilitation - Neuro Transitional Rehabilitation**
Dallas, TX
**Neuro Rehab Coach**
**(Rehab Support Tech, Therapy Aide, Caregiver, CNA, PCT)**
**Hours:** **6:45 p.m. - 7:15 a.m.**
**PRN (As Needed)**
**PRN Hourly Pay: $22.00 per hour**
**Benefits of becoming a Neuro Rehab Coach with us:**
Westrive to provide our employees with a solid work-life balance, as we understand that happy employees have both fulfilling careers and fulfilling lives beyond our doors.
+ Flexible scheduling
+ Team-oriented and collaborative culture
+ A network of over 50K employees nationwide with advancement and relocation opportunities
**Responsibilities**
This position functions under the direction of rehabilitation therapists and nurses to help individuals with a brain injury or spinal cord injury, regain their independence and return home.In this position you will be part of the therapy and nursing team and you will have a key role in helping patients re-learn to walk, talk, dress, cook, and manage their own medical needs. You will not do it for them.
An ideal candidate has a passion for serving and helping others, previous experience in the healthcare field as a technician or direct care provider or in school pursuing a degree in related field
**On a daily basis:**
+ Help patients with day to day living activities such as bathing, grooming, dressing, eating, cooking, washing clothes, make their bed, loading the dishwasher, cleaning their suite, etc.
+ Driving patients into the community for medical appointments, community activities
+ Assisting the rehabilitation therapists with patient activities
+ Assisting patients with nurse delegated tasks after completing the training we provide to ensure your competency. These tasks may include taking vital signs, medication administration, and peg tube feedings
+ Additional tasks as needed
**Qualifications**
**Minimum Qualifications**
+ Education: High School diploma or equivalent required
+ Current State Driver's License in good standing required
+ Certified BLS completion required; for new hires, see CPR Requirement Guidelines for New Hires
**Preferred Experience**
+ Previous Neuro Transitional Rehab experience preferred
+ Therapy or Rehab Aide Preferred
+ Certified Nurse Assistant (CNA) or Certified Medication aide preferred
**Additional Data**
_Equal Opportunity Employer including Disabled/Veterans_
Apply for this job ( this job
**Job ID** _332668_
**Experience (Years)** _2_
**Category** _Health Technologist/Technicians - Health Technologists and Technicians_
**Street Address** _3601 Swiss Avenue_
Rehab Patient Support Tech - Day
Posted 9 days ago
Job Viewed
Job Description
**Baylor Scott & White Institute for Rehabilitation - Neuro Transitional Rehabilitation**
Dallas, TX
**Neuro Rehab Coach**
**(Rehab Support Tech, Therapy Aide, Caregiver, CNA, PCT)**
**Hours: 6:45 a.m. - 7:15 p.m.**
**Full Time**
**Compensation depends upon candidate's years of experience.**
**Minimum Hourly Pay: $18.00 per hour**
**Benefits of becoming a Neuro Rehab Coach with us:**
Westrive to provide our employees with a solid work-life balance, as we understand that happy employees have both fulfilling careers and fulfilling lives beyond our doors.
+ Health, Dental, and Vision insurance; Life insurance; Prescription coverage.
+ Paid Time Off (PTO) and Extended Illness Days (EID).
+ A 401(k) retirement plan with company match.
+ Short and Long Term Disability.
+ Personal and Family Medical Leave.
+ Tuition Assistance
+ Student Loan Assistance
+ ***Eligibility and effective dates vary**
**Responsibilities**
This position functions under the direction of rehabilitation therapists and nurses to help individuals with a brain injury or spinal cord injury, regain their independence and return home.In this position you will be part of the therapy and nursing team and you will have a key role in helping patients re-learn to walk, talk, dress, cook, and manage their own medical needs. You will not do it for them.
An ideal candidate has a passion for serving and helping others, previous experience in the healthcare field as a technician or direct care provider or in school pursuing a degree in related field
**On a daily basis:**
+ Help patients with day to day living activities such as bathing, grooming, dressing, eating, cooking, washing clothes, make their bed, loading the dishwasher, cleaning their suite, etc.
+ Driving patients into the community for medical appointments, community activities
+ Assisting the rehabilitation therapists with patient activities
+ Assisting patients with nurse delegated tasks after completing the training we provide to ensure your competency. These tasks may include taking vital signs, medication administration, and peg tube feedings
+ Additional tasks as needed
**Qualifications**
**Minimum Qualifications**
+ Education: High School diploma or equivalent require
+ Current State Driver's License in good standing required
+ Certified BLS completion required; for new hires, see CPR Requirement Guidelines for New Hires
**Preferred Experience**
+ Previous Neuro Transitional Rehab experience preferred
+ Therapy or Rehab Aide Preferred
+ Certified Nurse Assistant (CNA) or Certified Medication aide preferred
**Additional Data**
_Equal Opportunity Employer including Disabled/Veterans_
Apply for this job ( this job
**Job ID** _331398_
**Experience (Years)** _2_
**Category** _Health Technologist/Technicians - Health Technologists and Technicians_
**Street Address** _3601 Swiss Avenue_
Program Manager, Access & Affordability Patient Support Services Remote
Posted 2 days ago
Job Viewed
Job Description
As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma, medical device and diagnostic companies get their therapies to the people who need them. We help Program Manager, Patient, Manager, Support, Healthcare, Program, Technology
Program Manager, Access & Affordability - Patient Support Services - Remote
Posted 5 days ago
Job Viewed
Job Description
The Program Manager manages the relationships with the manufacturer and Access or Affordability Support Services Division and supervises and coordinates daily workflow of staff within the specific manufacturer program. Additionally, this role provides strategic client management, coupled with virtual program call center oversight and management.
**Primary Responsibilities:**
+ Determine work procedures and expedites daily workflow of specific Client
+ Schedule staff and make necessary changes to reduce overtime to limit company expenses
+ Monitor and verify call center staff phone calls with patients, providers, and third-party payers
+ Review accuracy on insurance and provider communication for faxing
+ Address staff and customer questions and recommend corrective services
+ Update SOPs per client request and/or change in protocol while maintaining version control
+ Collect research and data to compile into reports and presentations
+ Delegated to be the direct point of contact with client
+ Provide product/service information to customers, providers, and fellow employees
+ Provide key updates and quarterly business reviews for client
+ Keep equipment operational by following established procedures and report malfunctions
**Additional Responsibilities:**
+ Updates job knowledge by participating in educational opportunities
**Required Qualifications:**
+ To be eligible for this position, you must reside in the same country where the job is located.
+ Bachelor's Degree or equivalent combination of education and experience.
+ Five years of relevant work experience.
+ Call center management/supervisor experience.
+ Strong analytical mind with problem-solving aptitude.
+ Exceptional verbal and written communication skills.
+ Minimum 5-7 years of pharmacy, healthcare, or related work experience.
+ Data entry skills and ability to type 30wpm+.
+ Understanding of insurance and adjudication processes
+ Understanding pharmacy and medical co-pay claims processing
+ Proficient in cross training in various departments, knowledge of interdepartmental coordination and communication procedures
+ 1-2 years of experience using IQVIA data and products preferred.
**Skills and Abilities:**
+ Proficient in PC applications.
+ Business acumen (knowledge of the pharmaceutical industry, including the applications for IQVIA data)
+ Change management/process analysis skills.
+ Strong communication skills, including ability to train, present and deal tactfully with clients.
+ Project management experience in overseeing or contributing in difficult, multi-discipline projects Managerial skills, including a strong focus on team building.
+ Knowledge of IQVIA databases and report creation process.
**Professional Competencies:**
**Business Skills and Knowledge:**
+ **General Management**
Demonstrate analytic and problem-solving skills, and understand the impact of individual
decisions on other parts of the organization and the environment.
+ **Financial management**
Understanding of financial analysis, reimbursement techniques and strategies, and
financial outcome measures. Application of financial analysis and planning to achieve
organizational objectives.
+ **Quality improvement**
Application of techniques that continually improve the quality of care provided, patient
safety, organizational performance, and the financial health of the organization.
**Knowledge of the Health Care Environment:**
+ **Health Care Systems and Organizations**
Demonstrate an understanding of how the various components of the health care
system is organized and financed, and how they interact to deliver medical and health
care.
+ **The Patient's Perspective**
Understand the patient experience, demonstrate a commitment to patients' rights and
responsibilities, and ensure that the organization provides a safe environment for
patients and their families.
**Communication and Relationship Management:**
+ **Relationship Management**
The ability to build and maintain relationships with internal as well as external
stakeholders that are anchored in trust and where decision-making is shared.
+ **Communication Skills**
Be able to utilize verbal, written and presentation skills to communicate an
organization's mission, vision, values, and priorities to diverse audiences.
**Leadership**
+ The ability to inspire individual and organizational excellence, create and attain a shared vision
and successfully manage change to attain the organization's strategic ends and successful
performance.
**Professionalism**
+ The ability to align personal and organizational conduct with ethical and professional standards
that include a responsibility to the patient and community, a service orientation, and a
commitment to lifelong learning and improvement.
IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide. Learn more at is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable law. potential base pay range for this role is $92,000-$96,000 annually. The actual base pay offered may vary based on a number of factors including job-related qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part-time). Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits.
IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create connections that accelerate the development and commercialization of innovative medical treatments. Everything we do is part of a journey to improve patient outcomes and population health worldwide.
To get there, we seek out diverse talent with curious minds and a relentless commitment to innovation and impact. No matter your role, everyone at IQVIA contributes to our shared goal of helping customers improve the lives of patients everywhere. Thank you for your interest in growing your career with us.
EEO Minorities/Females/Protected Veterans/Disabled
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Clinical - Care Navigator
Posted 1 day ago
Job Viewed
Job Description
Immediate need for a talented Care Navigator. This is a 06+months contract opportunity with long-term potential and is located in TX(Remote). Please review the job description below and contact me ASAP if you are interested.
Job ID: 25-71338
Pay Range: $21 - $23/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
Key Responsibilities:
- Shift Time & Working Days: Hours of operation is 8-6:30 CST pm.
- We have 4 different shifts:8:30-5, 9-5:30, 9:30-6, 10:00 -6:30
- Lunch break: 1 hour during training, once assigned shift 30 minutes & 2 15-minute breaks
OT potential - can support other departments - These positions work in a Call Center setting where the contractors are on a phone queue
- Day to Day responsibilities - Inbound call center, assist and educate Medicaid members on benefits and Services such as PCP Changes, ID Cards and Coordinate transportation and other services.
Key Requirements and Technology Experience:
- Key skills; Customer service, call center experience
- Computer knowledge, specifically Excel and other Office features (Teams, Outlook, etc.)
- Insurance background.
- Education/Certification: High school Diploma or GED.
- Preferred: BA in Social Work or Healthcare Mgmt, LVN, CNA, CMA, RT, Pharmacy Tech.
- Preferred: CHW
- Must haves: good attendance, call center background; worked with MCO insurance
- Nice to haves: background in Service Coordination, and call center experience.
- Disqualifiers: no call center experience, upcoming extended PTO/time off
- Performance indicators:
- Software Skills: Will be using various software on the job: Microsoft Office Suite, Avaya, Zoom, Skype.
- Customer service, call center experience
- Computer knowledge, specifically Excel and other Office features (Teams, Outlook, etc.)
- Insurance background.
Our client is a leading Healthcare Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.
Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here.
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Engage Clinical Care Specialist
Posted today
Job Viewed
Job Description
**Job Description:**
**Engage Clinical Care Specialist**
The Engage Clinical Care Specialist is part of the ElaraConnect suite of patient engagement programs that aims to improve patient outcomes on-service. The Engage Clinical Care Specialist supports the PCS Engage and PCS Branches, acting as a liaison for patients to ensure the patient's needs are appropriately addressed. Engage Clinical Care Specialist are responsible for following up on change in condition responses from PCS caregivers, coordinating care with patient/caregiver/physician, working with insurance providers to ensure adequate Plan of Care is in place, educating patient/caregivers r/t change in condition and referring to appropriate service lines as needed. Engage Clinical Care Specialist are assigned a market territory to support and assist potential patients. Engage Patient Care Specialists conduct remote assessments and coordinate care in collaboration with PCS caregivers and PCS branch staff
At Elara Caring, we care where you are and believe the best place for your care is where you live. We know there's no place like home, and that's why our teams continue to provide high-quality care to more than 60,000 patients each day in their preferred home setting. Wherever our patients call home and wherever they are on their health journey, we care. Each team member has a part to play in this mission. This means you have countless ways to make a difference as a Clinical Care Specialist by providing quality care. Being a part of something this great starts by carrying out our mission every day through your true calling: being an outstanding Clinical Care Specialist.
To continue to be an industry pioneer delivering unparalleled care, we need a Clinical Care Specialist with commitment and compassion. Are you one of them? If so, apply today!
**As an Elara Caring Clinical Care Specialist, you'll contribute to our success in the following ways:**
+ Receives and maintains program referrals for assigned market (states or branch groups) identified by ElaraConnect program(s), ensuring appropriate and adequate documentation for reporting and compliance needs
+ Reviews all available patient notes and summaries to ensure personalized customer service and care coordination.
+ Suggests revisions to the plan of care in response to identified patient care issues and notifies the Insurance plan and local PCS Branch team as appropriate.
+ Implements all available actions to prevent avoidable hospitalizations and ER visits.
**Why Join the Elara Caring mission?**
+ Work autonomy and flexible schedules
+ 1:1 patient care
+ Supportive and collaborative environment
+ Competitive compensation package
+ Tuition reimbursement for full-time staff and continuing education opportunities for all employees
+ Comprehensive insurance plans for medical, dental, and vision benefits
+ 401(K) with employer match
+ Paid time off, paid holidays, family and pet bereavement
+ Pet insurance
**What is Required?**
+ Graduate of an accredited school of professional nursing
+ Current Certified Licensed Vocational/Practical Nurse (LVN/LPN)
+ Minimum of two (2) years of active experience as a Licensed Practical Nurse
+ Experience in Medicare/Medicaid home health care benefits, policies and procedures preferred.
+ Reliable transportation for in-office meetings or other reasonable requests to be in office for daily tasks
+ Advanced nursing skills as defined by accepted nursing standards, including ability to manage patient needs, knowledge of medical terminology, clinical evaluations, and recommendation for appropriate care
+ Advanced time management, planning and organizational skills - Ability to set timeframes, match resources to tasks, and plan ahead
+ Advanced customer service skills - Ability to seek patient feedback, advocate for patient, understanding of patient needs, and managing patient expectations
You will report to the Clinical Program Supervisor.
_We value the unique skills of veterans and military spouses. We encourage applications from military veterans and their families._
_Elara Caring provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to sex (including pregnancy, childbirth or related medical conditions), race, color, age (40 and older), national origin, religion, disability, genetic information, marital status, sexual orientation, gender identity, gender reassignment, protected veteran status, or any other basis prohibited under applicable federal, state or local law._
_Elara Caring participates in E-Verify and we will provide the Federal Government with your Form I-9 information to confirm that you are authorized to work in the United States. Employers like Elara Caring can only use E-Verify once you have accepted the job offer and completed the Form I-9._
_At Elara Caring, pay and compensation are determined by a variety of factors, including education, job-related knowledge, skills, training, and experience. Our compensation structure reflects the cost of labor across different U.S. geographic markets, and may vary based on location._
_This is not a comprehensive list of all job responsibilities and requirements; upon request, a job description can be provided._
_If you are an individual with a disability and are unable or limited in your ability to use or access our career site as a result of your disability, you may request reasonable accommodations by reaching out to_
Manager, Clinical Care Case Management - Remote
Posted today
Job Viewed
Job Description
Company DescriptionWHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for providers. Driven by empathy and powered by AI and predictive analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build stronger connections with patients and providers. Physician-led, Guidehealth empowers our partners to deliver high-quality healthcare focused on outcomes and value inside and outside the exam room for all patients. Job DescriptionThe Manager, Clinical Care is primarily responsible for the day-to-day operations of an integrated multi-disciplinary clinical and clinical support structure that will effectively monitor, support, and lead Value Based clinical initiatives. This includes but is not limited to case management, transitions of care, care coordination and continuity, provider/staff education on ACO/MA Plan clinical programs, and helping to build and maintain a network of community support. This individual must exhibit strong leadership, management, and interpersonal skills, as well as the ability to utilize both internal and external resources to accomplish the goals and objectives of the organization. WHAT YOU'LL BE DOING Effectively managing day to day Health Plan Clinical Programs to enhance clinical efficiencies Identifying opportunities for increased outpatient vs. inpatient utilization Utilizing data provided to help in managing population health needs and implement population programs for Health Plan beneficiaries Executing case management for patients identified at highest risk for adverse event or exacerbation, having the ability to impact, with the goal of decreasing unnecessary emergency department visits/hospitalizations Overseeing an extended patient care team as assigned including but not limited to: Social Workers, Emergency Department Liaisons, Behavioral Health Liaisons, and Home Health Liaisons. Overseeing smooth Transitional Care Management for all patients discharged from in patient facility (hospital, skilled nursing/rehab, behavioral health) ensuring: Primary Care Provider visit, DME and Home Health Services, Specialist appointments, and community resources/social services are provided as indicated. Ensuring Quality Measures are reviewed and addressed when applicable/appropriate Implementing and directing Health Plan Health Education Activities for beneficiaries, providers, and staff Participating in Care Coordination and Quality Committees, Primary Care Provider Meetings, and other meetings as required Monitoring corporate initiatives and strategies to achieve utilization of business and financial goals Managing the successful integration of ACO Programs into current operations to meet the goals of all stakeholders Maintaining collaborative relationships with business partners both within the company and the community Managing and execute organizational opportunities and implement changes that are in alignment with corporate financial goals and strategic endeavors. Managing departmental expectations: staff hiring, orientation, auditing, and reviews; time management; motivation; and performance improvement Prioritizing of data, tasks, and requirements: Project management with expertise in departmental tasks and processes Representing for health plan audits with development of actions plans for individual clients as needed to ensure compliance and incentive payouts Overseeing all projects, productivity, daily tasks and PHM activities in an organized and efficient manner Ensuring access to EMR systems for department staff Monitoring staff maintenance of HIPPA regulations Communicating with health plan contacts, customer Administrators and Client Business Managers to ensure resolution of any concerns. Identifying and disseminating of Health Plan announcements applicable to Case Management QualificationsWHAT YOU'LL NEED TO HAVE RN/BSN required 5 years of management experience 4 years clinical nursing experience At least 4 years of extensive experience in chronic care case management in outpatient setting Certification in case management preferred Must be able to work remotely and obtain state licensure in Illinois, Georgia, Pennsylvania, and Texas Must feel comfortable and confident leading a team of certified but unlicensed personnel and Registered Nurse case managers Ability to read, analyze, and interpret the most complex documents. Ability to respond effectively to the most sensitive inquiries or complaints. Additional InformationThe salary range for this position is $110,000ALIVE with Purpose: How We Thrive at Guidehealth At Guidehealth, our values come to life in everything we do. We are Driven by Accountability - grounded in transparency, reliability, and integrity as we navigate challenges and opportunities alike. Always Growing, Always Learning - staying curious and continuously improving inspires us to shape a better future for healthcare. With Collaborative Innovation, we solve problems creatively, making every experience better for our employees and the patients we serve. At Guidehealth, Every Voice Matters - we believe our collective strength is rooted in the unique perspectives of each team member. And through Empathy in Action, we build stronger connections with those who count on us. This is what it means to be ALIVE with purpose. This is how we thrive - together - at Guidehealth. BENEFITS:All full-time employees of Guidehealth who work 30 hours per week or more are eligible for our comprehensive benefits package. While you are hard at work advancing value-based healthcare, we are here to ensure YOU have the care you and your family need and the opportunities for growth and development. Our commitments to you include:Work from Home: Guidehealth is a fully remote company, providing you the flexibility to spend less time commuting and more time focusing on your professional goals and personal needs.Keep Health a Priority: We offer comprehensive Medical, Dental, and Vision plans to keep you covered.Plan for the Future: Our 401(k) plan includes a 3% employer match to your 6% contribution.Have Peace of Mind: We provide Life and Disability insurance for those "just in case" moments. Additionally, we offer voluntary Life options to keep you and your loved ones protected.Feel Supported When You Need It Most: Our Employee Assistance Program (EAP) is here to help you through tough times.Take Time for Yourself: We offer Flexible Time Off tailored to meet your needs and the needs of the business, helping you achieve work-life balance and meet your personal goals.Support Your New Family: Welcoming a new family member takes time and commitment. Guidehealth offers paid parental leave to give you the time you need.Learn and Grow: Your professional growth is important to us. Guidehealth offers various resources dedicated to your learning and development to advance your career with us.COMPENSATION:The listed compensation range listed is paid bi-weekly per our standard payroll practices. Final base pay decisions are dependent upon a variety of factors which may include, but are not limited to: skill set, years of relevant experience, education, location, and licensure/certifications.OUR COMMITMENT TO EQUAL OPPORTUNITY EMPLOYMENT Diversity, inclusion, and belonging are at the core of Guidehealth's values. We are an equal opportunity employer. We enthusiastically accept our responsibility to make employment decisions without regard to race, religious creed, color, age, sex, sexual orientation and identity, national origin, citizenship, religion, marital status, familial status, physical, sensory, or medical disability, Family and Medical Leave, military or veteran status, pregnancy, childbirth or other related medical conditions, or any other classification protected by federal, state, and local laws and ordinances. Our management is fully dedicated to ensuring the fulfillment of this policy with respect to hiring, placement, promotion, transfer, demotion, layoff, termination, recruitment advertising, pay, and other forms of compensation, training, and general treatment during employment. OUR COMITTMENT TO PROTECTION OF PATIENT AND COMPANY DATAThis position is responsible for following all Security policies and procedures in order to protect all PHI and PII under Guidehealth's custodianship as well as Guidehealth Intellectual Properties. For any security-specific roles, the responsibilities would be further defined by the hiring manager. REMOTE WORK TECHNICAL REQUIREMENTSGuidehealth is a fully remote company. We provide new employees with the necessary equipment to function in their role at no charge to the employee. Employees provide their own internet connection, capable of conducting video calls on camera and connecting to various internal and external systems. The recommended internet speed is a minimum of 50 mbps download, 10 mbps upload. Please consult with your internet provider or run a speed test here to confirm your internet connection meets these requirements.Videos To Watch