Title: Affera Mapping Specialist - CAS, Austin, Houston, San Antonio, TX

Location:

Remote

• Austin, Texas, United States of America
• San Antonio, Texas, United States of America
• Houston, Texas, United States of America

Full time

Job Description:

At Medtronic you can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You'll lead with purpose, breaking down barriers to innovation in a more connected, compassionate world.

A Day in the Life

We are seeking a committed professional to join our team. While this is a remote position not located at a physical Medtronic site, the candidate hired will be required to reside within the territory and drive to multiple accounts throughout the region. A valid driver's license is essential for this role.

Join Medtronic as an Affera Mapping Specialist and be at the forefront of transforming lives through advanced medical technology! In this dynamic role, you'll work alongside a collaborative team of clinicians, engineers, physicians, and innovators to execute mapping solutions for cardiac and other electrophysiological systems. By blending technical expertise with a passion for improving patient outcomes, you'll have the opportunity to impact global healthcare directly. If you're driven by precision, problem-solving, and the chance to make a tangible difference in people's lives, this is your opportunity to grow your career while shaping the future of medical innovation at Medtronic. To find all CAS Mapping roles available please use #casmap in the key word search at Medtronic Careers

Various levels available based on qualifications and experience

Responsibilities may include the following and other duties may be assigned.

• Provide clinical and technical support and training to physicians and staff on the EP mapping and navigation system and all CAS products.
• Educate and train physicians, hospital personnel and office staff on technical matters relating to CAS products and related procedures.
• Promote the safe and effective use of Medtronic CAS products and related procedures.
• Understand and support national, regional and territory sales objectives to achieve or exceed sales goals within all CAS products.
• Develop and cultivate customer relationships resulting in incremental business.
• Work in partnership with Account Manager, Regional Manager and Area Directors to identify potential sales opportunities.
• Collaborate and strategize with local sales team to conduct customer training for mapping and other CA Solutions products.
• Collaborate and communicate with the sales and clinical teams in the region.
• Serves as an effective Medtronic CAS representative to physicians and support staff regarding Medtronic CAS products, service and support.
• Serve as a regional champion to share your experience and influence others to be proficient in the mapping technology.

The above statements are intended to describe the general nature and level of work being performed by employees assigned to this position, but they are not an exhaustive list of all the required responsibilities and skills of this position.

We seek out and hire a erse workforce at every level: We need fresh ideas and inclusive insights to continue to be an innovative industry leader -that's why we make it a point to seek out, attract and develop employees who are patient-centric, passionate, and who represent the same wide variety of life experiences as our patients.

Required Qualifications

To be considered for this role, please ensure these minimum requirements are evident on your resume.

• High school diploma PLUS a minimum of 6 years of related work experience in cardiac mapping and navigation.

OR

• Associate degree PLUS a minimum of 4 years of related work experience in cardiac mapping and navigation.

OR

• Bachelor degree plus a minimum of 2 years of related work experience in cardiac mapping and navigation.

Preferred Qualifications

• B.A./B.S. Degree in nursing, cardiovascular, life sciences, or technical discipline with minimum of four years work experience in cardiac field, hospital/clinic or sales.

• Proven track record with technical training assignments.

• Experience in the cardiac catheter ablation field, EP lab, in a hospital/clinic or EP medical sales providing technical / clinical support.

• Ability to travel more than 25% of the time

Additional Job Requirements

• Environmental exposure to infectious disease and radiation
• Clinical Specialists are required to be within their assigned territory each day to be available as unscheduled needs arise
• Clinical Specialists will on occasion be required to travel outside of their assigned territory and possibility overnight
• Must have a valid driver's license
• Ability to freely move throughout the facility, use a phone, keyboard and mouse, visually able to interact with personal computers
• Must be able to stand/sit/walk for 8 hours a day
• Ability to travel up to 25%

Must have a valid driver's license and active vehicle insurance policy. In addition, your driving record will be reviewed and will be considered as part of your application. Must be able to drive approximately 50% of the time within assigned territory and may require overnight travel.

CARDIOVASCULAR PORTFOLIO:

Cardiac Ablation Solutions offers cardiac mapping and ablation solutions to treat patients with abnormal heart rhythms. Our vision is to help patients worldwide by advancing innovation for the diagnosis and ablation of cardiac arrhythmias, enabling clinicians to perform procedures with superior outcomes.

Physical Job Requirements

The above statements are intended to describe the general nature and level of work being performed by employees assigned to this position, but they are not an exhaustive list of all the required responsibilities and skills of this position.

The physical demands described within the Responsibilities section of this job description are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable iniduals with disabilities to perform the essential functions. For Office Roles: While performing the duties of this job, the employee is regularly required to be independently mobile. The employee is also required to interact with a computer, and communicate with peers and co-workers. Contact your manager or local HR to understand the Work Conditions and Physical requirements that may be specific to each role.

Benefits & Compensation

Medtronic offers a competitive Salary and flexible Benefits Package

A commitment to our employees lives at the core of our values. We recognize their contributions. They share in the success they help to create. We offer a wide range of benefits, resources, and competitive compensation plans designed to support you at every career and life stage.

Salary ranges for U.S (excl. PR) locations (USD):$120,000.00 - $125,000.00

The base salary range is applicable across the United States, excluding Puerto Rico and specific locations in California. The offered rate complies with federal and local regulations and may vary based on factors such as experience, certification/education, market conditions, and location. Compensation and benefits information pertains solely to candidates hired within the United States (local market compensation and benefits will apply for others).

In addition to Base Salary, this position is eligible for a Sales Incentive Plan (SIP), which provides the opportunity to earn significant incentive compensation for achieving or exceeding your goals.

The following benefits and additional compensation are available to those regular employees who work 20+ hours per week: Health, Dental, and Vision insurance, Health Savings Account, Healthcare Flexible Spending Account, Life insurance, Long-term disability leave, Dependent daycare spending account, Tuition assistance/reimbursement, and Simple Steps (global well-being program).

The following benefits and additional compensation are available to all regular employees: Incentive plans, 401(k) plan plus employer contribution and match, Short-term disability, Paid time off, Paid holidays, Employee Stock Purchase Plan, Employee Assistance Program, Non-qualified Retirement Plan Supplement (subject to IRS earning minimums), and Capital Accumulation Plan (available to Vice Presidents and above, or subject to IRS earning minimums).

Regular employees are those who are not temporary, such as interns. Temporary employees are eligible for paid sick time, as required under applicable state law, and the Employee Stock Purchase Plan. Please note some of the above benefits may not apply to workers in Puerto Rico.

Medtronic benefits and compensation plans

About Medtronic

We lead global healthcare technology and boldly attack the most challenging health problems facing humanity by searching out and finding solutions.

Our Mission - to alleviate pain, restore health, and extend life - unites a global team of 95,000+ passionate people.

We are engineers at heart- putting ambitious ideas to work to generate real solutions for real people. From the R&D lab, to the factory floor, to the conference room, every one of us experiments, creates, builds, improves and solves. We have the talent, erse perspectives, and guts to engineer the extraordinary.

It is the policy of Medtronic to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Medtronic will provide reasonable accommodations for qualified iniduals with disabilities.

If you are applying to perform work for Medtronic, Inc. ("Medtronic") in any position which will involve performing at least two (2) hours of work on average each week within the unincorporated areas of Los Angeles County, you can find here a list of all material job duties of the specific job position which Medtronic reasonably believes that criminal history may have a direct, adverse and negative relationship potentially resulting in the withdrawal of a conditional offer of employment. Medtronic will consider for employment qualified job applicants with arrest or conviction records in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

Title: Registered Nurse, Health Center Group Manager

Location: Saint Louis United States

Job Description:

Premise Health is Different on Purpose

Premise Health serves large organizations and their people with exceptional healthcare. The result? Better experiences, better health, and better value, all while helping organizations lower their healthcare costs.

Premise's mission is to help people get, stay, and be well. Come join us and see for yourself why amazing health starts with amazing healthcare. For more information, visit www.jobs.premisehealth.com.

Purpose of This Position

Provides site level leadership and manages day to day operations to include coordinating technical and administrative staff and health center operations for multiple health centers across a contract(s) working in partnership with an Associate Vice President (AVP) and/or multiple Director of Client Operations (DCO)s.

This is a Full Time Registered Nurse, Health Center Group Manager role located in St. Louis, MO. This role requires to be onsite weekly with the opportunity to work from home when not traveling. Regular travel required to MO, WI, MA, and WV.

• Previous leadership experience
• Occupational health experience a plus

What You'll Do

• Oversees the management of single or multiple (2+) health centers and lines of service across contract(s).
• Manages staff processes typically composed of health center manager, and multiple technical Team Leads as well as indirectly managing all daily operational processes for Medical Directors and clinical providers.
• Assists in the creation of site-specific goals and measurements related to the needs of the client(s), including management of metrics to Performance Guarantees.
• Effectively communicates across the various sites and to stakeholders to ensure consistency in messaging.
• For multiple contract oversight, effectively communicates with DCO to ensure site level priorities are addressed and messaging is consistent across the book of business (BOB).
• Compiles input and contributes to performance appraisal process for all indirect reports.
• Responsible for following appropriate processes for hiring, staff development and performance management and provides input to AVP and DCO as needed.
• Responsible for interviewing, training, and the successful orientation and onboarding of new hires as applicable.
• Manages daily operations, workflow, work schedules, and timecard monitoring, to ensure efficient and effective health center performance.
• Identifies process improvement opportunities, workflow efficiencies, determines root cause analysis, creates action plans and presents resolutions and recommendations to the AVP and DCO.
• Makes recommendations regarding staffing model based on objective scheduling & volume analysis - presents to AVP and DCOs for approval.
• Understands and complies with all regulatory, procedural and licensing requirements.
• Oversees the execution of site level quality program and is responsible for supporting and oversight of AAAHC standards across sites.
• Provides oversight on Member Engagement Site Action plans and outcome reporting.
• Develops action plans around patient utilization and penetration. Monitors patient flow, scheduling, referrals, and patient satisfaction.
• Upholds corporate Values in alignment with the Art of Quality Service initiative.
• Completes reports as needed and provides assistance to Clinical Quality and Operations departments regarding investigations and the resolution of issues or complaints.
• Coaches and provides feedback to staff on a regular basis.
• Manages internal budget, reviews expenses, purchases supplies, inventories equipment, medication, lab tests etc.
• May serve as a client contact and provide reports and summaries of health center activities.
• Communicates and coordinates Corporate messages and ensures implementation of policies and procedures.
• Assists in the identification and use of per diem staff to ensure appropriate staffing levels are met.
• Works collaboratively with the health center managers and Medical Director at the site to manage internal medical staff site issues.
• Communicates regularly with staff, conducts meetings, and provides updates and shares information regularly.
• Acts as the health center's infection control lead and collaborates with the corporate Director of Quality and Infection Control Officer.
• May provide patient care if qualified and where circumstance applies.
• May require other duties as assigned

What You'll Bring

• Bachelor's degree or equivalent work experience required.
• Current license as an RN in practicing state.
• Certification in Occupational Health (COHN/COHN-S) may be required for some sites.
• Current hands-on certification in AHA or ARC Basic Life Support for health care providers is required.
• Experience:
• Minimum 3+ years' experience in the medical field.
• 2 - 3 years' management experience.
• Prior management experience managing a large group is a must.
• Experience accessing CDC, WHO, APIC or other industry standards for Infection Prevention practices.

Work-life balance is at the foundation of how decisions are made and where Premise is headed. We can only help people get, stay, and be well if we do the same for ourselves. In addition to competitive pay, Premise offers full-time team members benefits including medical, dental, vision, life and disability insurance, a 401(k) program with company match, paid holidays and vacation time, a company-sponsored wellness program, EAP, access to virtual primary care and virtual behavioral health at no cost for team members and their dependents. Additional benefits can be viewed here: https://jobs.premisehealth.com/benefits.

Premise is an equal opportunity employer; we value inclusion and do not discriminate based on race, color, religion, creed, national origin or ancestry, ethnicity, sex (including pregnancy and related conditions), gender identity or expression, sexual orientation, age, physical or mental disability, genetic information, past, current or prospective service in the uniformed services, or any other characteristic protected under applicable federal, state, or local law.

#LI-HL1

Title: Program Manager - Pharmaceutical Construction

Location: Indianapolis United States

Job Description:

The Opportunity:

Tetra Tech is currently expanding our team in the Indianapolis, Indiana market to better serve our pharmaceutical clients. We have an immediate need for a Program Manager to lead a construction management team overseeing the delivery of a construction program for a new pharmaceutical manufacturing facility. This candidate will oversee and manage a team responsible for schedule, cost, quality, EHS, regulatory interface and overall program execution from pre-construction through commissioning handover. This position may have a hybrid work arrangement, but the candidate must reside within 50 miles of the local Indianapolis, IN office.

Why Tetra Tech:

At Tetra Tech, we are Leading with Science to solve the world's most complex challenges. Our industry-leading experts in engineering and consulting are committed to driving positive change in communities around the world. For over 50 years, we have been at the forefront of innovation and sustainability. Today we stand as a market leader, offering cutting-edge solutions in water, environment, energy, and international development. Our work has improved more than 625 million lives around the world.

Your Impact:

Join Tetra Tech to make a real difference. Our work leverages cutting-edge technologies, advanced analytics, and the expertise of world-class scientists and engineers to create meaningful change around the world. Discover your full potential - join us to advance your career while leaving a lasting legacy.

Essential Job Functions:

Specific position responsibilities include, but may not be limited to the following:

• Overall accountability for program delivery, budget, schedule, scope, risk and stakeholder alignment.

• Develop and maintain the integrated master schedule and program-level milestone plan, own change control.

• Coordinate multi-discipline design, procurement, construction, process equipment installation, validation-readiness and commissioning activities.

• Manage major contractors, on-site construction management team, and third-party consultants.

• Deliver monthly program reporting (schedule, cost, risk, earned value) and lead steering/owner meetings.

• Ensure compliance with EHS, cGMP and regulatory requirements and coordinate with QA/validation teams for readiness.

• Lead risk management, contingency planning, and corrective action implementation.

• Mentor and direct the project leadership team.

Required Qualifications:

• BS degree in Civil Engineering, Mechanical Engineering, Construction Management, or closely related field.

• 10+ years' construction project/program management experience with a minimum of 10 years in pharmaceutical manufacturing construction.

• Demonstrated delivery of large-scale pharma or biotech manufacturing facilities.

• Strong commercial, contract and schedule/earned value management skills.

• Excellent leadership, communication and stakeholder management skills.

• Ability to perform field oversight / site walks in various environmental factors.

• Ability to travel (approx. < 25% of travel required).

• A Pre-employment drug screening in compliance with state regulations is required.

• Must possess a valid driver's license with a clean driving record without restrictions.

Preferred Qualifications:

• PMP (or equivalent) and pharma-specific training (GMP, validation) preferred.

• Familiarity with Current Good Manufacturing Practices (CGMP); which are FDA regulations that need to be adhered to for construction of the facility.

Physical Requirements:

• Requires use of hands for typing, handling materials, and operating office equipment.

• Ability to walk across variable terrain, including uneven ground, in all weather conditions (hot/cold temperatures, loud noises, heavy equipment, etc.).

• Ability to travel periodically meeting with clients and other stakeholders elsewhere in the Indianapolis metro area and oversee field work (approx. < 25% of travel required).

Work Environment / Environmental Factors:

• This position is based out of the Indianapolis, IN office with the potential of a hybrid work schedule, but the candidate must reside within 50 miles of the local Indianapolis, IN office. This arrangement is subject to review and may change at the company's discretion.

• Field oversight will include work to be performed outside, as a result may include occasional work in various environmental factors (weather, altitude, terrain, noise, etc.). This can include remaining stationary for long periods of time, walking, bending, and sitting for site assessments, site walks, and other field oversight activities.

• Office work will include extended periods sitting or standing at a desk and using a computer.

Additional Information:

• Full-time, Monday through Friday work schedule (40 hours). Occasionally extended hours may be required based on project and/or client needs.

• Work will be performed in an office and field setting.

Life at Tetra Tech:

The perks of working at Tetra Tech include:

• Comprehensive and market-competitive benefits.
• Tetra Tech offers the following optional benefits: Medical, Dental, Vision, Prescription, Accidental Death & Dismemberment, Long & Short-Term Disability, Health & Dependent Care Flexible Spending. Financial Benefits: Group Term Life, Optional Group Term Life Insurance, Business Travel Accident Insurance, Health Savings Account, 401K, Employee Stock Purchase Plan, Time Off with Pay, Employee Assistance Program, Adoption Assistance, Leaves of Absence.
• Merit-based financial rewards.
• Flexibility and company-wide commitment to work/life balance.
• Collaborative team atmosphere that values the contributions of all employees.
• Learning and development opportunities for ongoing professional growth.

About Tetra Tech:

Tetra Tech is the leader in water, environment, and sustainable infrastructure, providing high-end consulting and engineering services for projects worldwide. With 30,000 employees working together, Tetra Tech provides clear solutions to complex problems by Leading with Science to address the entire water cycle, protect and restore the environment, design sustainable and resilient infrastructure, and support the clean energy transition.

Tetra Tech is proud to be an Equal Opportunity Employer. All qualified candidates will be considered without regard to race, color, religion, national origin, age, disability, sexual orientation, gender identity, status as a protected veteran, or any other characteristic protected by law. Tetra Tech is a VEVRAA federal contractor and we request priority referral of veterans.

We invite applications from all interested parties.

Explore our open positions at https://www.tetratech.com/careers. Follow us on social media to learn more about our people, culture, and opportunities:

LinkedIn: @TetraTechCareers

X (Twitter): @TetraTechJobs

We thank all applicants for their interest, however, only those candidates selected for interviews will be contacted.

Please no phone calls or agencies.

Additional Information

• Organization: 117 ECS

Title: Principal Affera Mapping Specialist

- CAS Austin, Houston, San Antonio, TX

Location:

Austin, Texas, United States of America

McAllen, Texas, United States of America

San Antonio, Texas, United States of America

State of Texas, United States of America

Houston, Texas, United States of America

Job Description:

We anticipate the application window for this opening will close on - 24 Apr 2026

At Medtronic you can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You'll lead with purpose, breaking down barriers to innovation in a more connected, compassionate world.

A Day in the Life

We are seeking a committed professional to join our team. While this is a remote position not located at a physical Medtronic site, the candidate hired will be required to reside within the territory and drive to multiple accounts throughout the region. A valid driver's license is essential for this role.

Join Medtronic as an Affera Mapping Specialist and be at the forefront of transforming lives through advanced medical technology! In this dynamic role, you'll work alongside a collaborative team of clinicians, engineers, physicians, and innovators to execute mapping solutions for cardiac and other electrophysiological systems. By blending technical expertise with a passion for improving patient outcomes, you'll have the opportunity to impact global healthcare directly. If you're driven by precision, problem-solving, and the chance to make a tangible difference in people's lives, this is your opportunity to grow your career while shaping the future of medical innovation at Medtronic.

To find all CAS Mapping roles available please use #casmap in the key word search at Medtronic Careers

Various levels available based on qualifications and experience

Responsibilities may include the following and other duties may be assigned.

• Provide clinical and technical support and training to physicians and staff on the EP mapping and navigation system and all CAS products.
• Educate and train physicians, hospital personnel and office staff on technical matters relating to CAS products and related procedures.
• Promote the safe and effective use of Medtronic CAS products and related procedures.
• Understand and support national, regional and territory sales objectives to achieve or exceed sales goals within all CAS products.
• Develop and cultivate customer relationships resulting in incremental business.
• Work in partnership with Account Manager, Regional Manager and Area Directors to identify potential sales opportunities.
• Collaborate and strategize with local sales team to conduct customer training for mapping and other CA Solutions products.
• Collaborate and communicate with the sales and clinical teams in the region.
• Serves as an effective Medtronic CAS representative to physicians and support staff regarding Medtronic CAS products, service and support.
• Serve as a regional champion to share your experience and influence others to be proficient in the mapping technology.

The above statements are intended to describe the general nature and level of work being performed by employees assigned to this position, but they are not an exhaustive list of all the required responsibilities and skills of this position.

We seek out and hire a erse workforce at every level: We need fresh ideas and inclusive insights to continue to be an innovative industry leader -that's why we make it a point to seek out, attract and develop employees who are patient-centric, passionate, and who represent the same wide variety of life experiences as our patients.

To learn more about Inclusion & Diversity at Medtronic Click Here

Required Qualifications

To be considered for this role, please ensure these minimum requirements are evident on your resume.

• High school diploma PLUS a minimum of 10 years of related work experience in cardiac mapping and navigation.

OR

• Associate degree PLUS a minimum of 8 years of related work experience in cardiac mapping and navigation.

OR

• Bachelor degree plus a minimum of 6 years of related work experience in cardiac mapping and navigation.

Preferred Qualifications

• B.A./B.S. Degree in nursing, cardiovascular, life sciences, or technical discipline with minimum of four years work experience in cardiac field, hospital/clinic or sales.
• Proven track record with technical training assignments.
• Experience in the cardiac catheter ablation field, EP lab, in a hospital/clinic or EP medical sales providing technical / clinical support.
• Ability to travel more than 25% of the time

Additional Job Requirements

• Environmental exposure to infectious disease and radiation
• Clinical Specialists are required to be within their assigned territory each day to be available as unscheduled needs arise
• Clinical Specialists will on occasion be required to travel outside of their assigned territory and possibility overnight
• Must have a valid driver's license
• Ability to freely move throughout the facility, use a phone, keyboard and mouse, visually able to interact with personal computers
• Must be able to stand/sit/walk for 8 hours a day
• Ability to travel up to 25%

Must have a valid driver's license and active vehicle insurance policy. In addition, your driving record will be reviewed and will be considered as part of your application. Must be able to drive approximately 50% of the time within assigned territory and may require overnight travel.

CARDIOVASCULAR PORTFOLIO:

Cardiac Ablation Solutions offers cardiac mapping and ablation solutions to treat patients with abnormal heart rhythms. Our vision is to help patients worldwide by advancing innovation for the diagnosis and ablation of cardiac arrhythmias, enabling clinicians to perform procedures with superior outcomes.

Physical Job Requirements

The above statements are intended to describe the general nature and level of work being performed by employees assigned to this position, but they are not an exhaustive list of all the required responsibilities and skills of this position.

The physical demands described within the Responsibilities section of this job description are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable iniduals with disabilities to perform the essential functions. For Office Roles: While performing the duties of this job, the employee is regularly required to be independently mobile. The employee is also required to interact with a computer, and communicate with peers and co-workers. Contact your manager or local HR to understand the Work Conditions and Physical requirements that may be specific to each role.

Benefits & Compensation

Medtronic offers a competitive Salary and flexible Benefits Package

A commitment to our employees lives at the core of our values. We recognize their contributions. They share in the success they help to create. We offer a wide range of benefits, resources, and competitive compensation plans designed to support you at every career and life stage.

Salary ranges for U.S (excl. PR) locations (USD):$145,000.00 - $155,000.00

The base salary range is applicable across the United States, excluding Puerto Rico and specific locations in California. The offered rate complies with federal and local regulations and may vary based on factors such as experience, certification/education, market conditions, and location. Compensation and benefits information pertains solely to candidates hired within the United States (local market compensation and benefits will apply for others).

In addition to Base Salary, this position is eligible for a Sales Incentive Plan (SIP), which provides the opportunity to earn significant incentive compensation for achieving or exceeding your goals.

The following benefits and additional compensation are available to those regular employees who work 20+ hours per week: Health, Dental and vision insurance, Health Savings Account, Healthcare Flexible Spending Account, Life insurance, Long-term disability leave, Dependent daycare spending account, Tuition assistance/reimbursement, and Simple Steps (global well-being program).

The following benefits and additional compensation are available to all regular employees: Incentive plans, 401(k) plan plus employer contribution and match, Short-term disability, Paid time off, Paid holidays, Employee Stock Purchase Plan, Employee Assistance Program, Non-qualified Retirement Plan Supplement (subject to IRS earning minimums), and Capital Accumulation Plan (available to Vice Presidents and above, or subject to IRS earning minimums).

Regular employees are those who are not temporary, such as interns. Temporary employees are eligible for paid sick time, as required under applicable state law, and the Employee Stock Purchase Plan. Please note some of the above benefits may not apply to workers in Puerto Rico.

Further details are available at the link below:

Medtronic benefits and compensation plans

About Medtronic

We lead global healthcare technology and boldly attack the most challenging health problems facing humanity by searching out and finding solutions.

Our Mission - to alleviate pain, restore health, and extend life - unites a global team of 95,000+ passionate people.

We are engineers at heart- putting ambitious ideas to work to generate real solutions for real people. From the R&D lab, to the factory floor, to the conference room, every one of us experiments, creates, builds, improves and solves. We have the talent, erse perspectives, and guts to engineer the extraordinary.

Learn more about our business, mission, and our commitment to ersity here.

It is the policy of Medtronic to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Medtronic will provide reasonable accommodations for qualified iniduals with disabilities.

If you are applying to perform work for Medtronic, Inc. ("Medtronic") in any position which will involve performing at least two (2) hours of work on average each week within the unincorporated areas of Los Angeles County, you can find here a list of all material job duties of the specific job position which Medtronic reasonably believes that criminal history may have a direct, adverse and negative relationship potentially resulting in the withdrawal of a conditional offer of employment. Medtronic will consider for employment qualified job applicants with arrest or conviction records in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

Telephonic Nurse Case Manager II

Location:

• CA-WOODLAND HILLS, 21215 BURBANK BLVD
• CA-RANCHO CORDOVA, 11070 WHITE ROCK RD,
• CA-WALNUT CREEK, 2121 N CALIFORNIA BLVD, 7TH FL
• CA-COSTA MESA, 3080 BRISTOL ST, STE 200

Must reside in California.

Full-time

Remote

Job Description:

Telephonic Nurse Case Manager II

Sign on Bonus: $5000.

Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.

Must reside in California.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

Hours: Monday - Friday 9:00am to 5:30pm with 1-2 late evenings 11:30 am to 8:00 pm PST.

• This position will service members in different states; therefore, Multi-State Licensure will be required.

The Telephonic Nurse Case Manager II is responsible for care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically.

How you will make an impact:

• Ensures member access to services appropriate to their health needs.

• Conducts assessments to identify inidual needs and a specific care management plan to address objectives and goals as identified during assessment.

• Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements.

• Coordinates internal and external resources to meet identified needs.

• Monitors and evaluates effectiveness of the care management plan and modifies as necessary.

• Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans.

• Negotiates rates of reimbursement, as applicable.

• Assists in problem solving with providers, claims or service issues.

• Assists with development of utilization/care management policies and procedures.

Minimum Requirements:

• Requires BA/BS in a health related field and minimum of 5 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
• Current, unrestricted RN license in applicable state(s) required.
• Multi-state licensure is required if this inidual is providing services in multiple states.

Preferred Capabilities, Skills and Experiences:

• Case Management experience is preferred.

• Certification as a Case Manager is preferred.

• Minimum 2 years' experience in acute care setting is preferred.

• Managed Care experience is preferred.

• Ability to talk and type at the same time is preferred.

• Demonstrate critical thinking skills when interacting with members is preferred.

• Experience with (Microsoft Office) and/or ability to learn new computer programs/systems/software quickly is preferred.

• Ability to manage, review and respond to emails/instant messages in a timely fashion is preferred.

For candidates working in person or virtually in the below locations, the salary* range for this specific position is $38.75 to $63.42

Locations: California.

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

• The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.

Job Level:

Non-Management Non-Exempt

Workshift:

1st Shift (United States of America)

Job Family:

MED > Licensed Nurse

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Title: Instructor, Research Faculty Appointment (RFA) - Translational Molecular Pathology

Location: Houston, TX

Job Description:

KEY FUNCTIONS

Technical Functions

• Perform research activities independently, including the design and execution of research experiments.
• Confer with the supervisor to discuss project objectives and, with guidance, develop detailed written procedures outlining the steps required to conduct experiments prior to initiation.
• Manage and prioritize multiple research projects simultaneously while meeting established timelines.
• Compile, analyze, and organize research data for use in publications, grant submissions, and research protocols.

Laboratory Operations

• Perform laboratory operational duties, including procurement of supplies, organization, compliance with environmental health and safety requirements, and adherence to laboratory safety standards.
• Play a significant role in the development, implementation, and maintenance of Standard Operating Procedures (SOPs) for new laboratory platforms and assays.
• Monitor and maintain laboratory supply inventories to ensure continuity of research operations and workflow efficiency.

Collaboration and Presentation

• Participate in collaborative research activities within MD Anderson and with external research partners.
• Train research personnel and students on established laboratory assays, methodologies, and the proper operation of laboratory equipment.
• Present research findings and data at internal meetings, external conferences, and professional forums.
• Prepare final reports and documentation in required formats by designated deadlines.
• Demonstrate a willingness to acquire new skills and support colleagues in the implementation of new techniques and methodologies.

Data Maintenance

• Accurately enter, maintain, and manage research data in laboratory notebooks and electronic data systems.
• Perform, document, and maintain required quality control and quality assurance processes.
• Maintain detailed, accurate records of experimental procedures, data, and protocols.
• Prepare graphs, tables, slides, and other visual materials using appropriate software or manual methods.
• Assist supervisors and senior research staff with the preparation of reports, publications, and grant materials.
• Maintain proficiency in required computer applications, including Microsoft Excel, PowerPoint, Word, and Prism.
• Clearly communicate research results and effectively interpret instructions from the principal investigator and research team members.

The University of Texas MD Anderson Cancer Center offers excellent benefits, including medical, dental, paid time off, retirement, tuition benefits, educational opportunities, and inidual and team recognition.

This position may be responsible for maintaining the security and integrity of critical infrastructure, as defined in Section 113.001(2) of the Texas Business and Commerce Code and therefore may require routine reviews and screening. The ability to satisfy and maintain all requirements necessary to ensure the continued security and integrity of such infrastructure is a condition of hire and continued employment.

It is the policy of The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state, or local laws unless such distinction is required by law.http://www.mdanderson.org/about-us/legal-and-policy/legal-statements/eeo-affirmative-action.html

Additional Information

• Requisition ID: 177838
• Employee Status: Regular
• Minimum Salary: US Dollar (USD) 0
• Midpoint Salary: US Dollar (USD) 0
• Maximum Salary : US Dollar (USD) 0
• FLSA: exempt and not eligible for overtime pay
• Work Location: Hybrid Onsite/Remote

#LI-Hybrid

Nurse Case Manager I

LOCATION: Richmond, Virginia. This is a virtual eligible position for Central, Virginia. The ideal candidate will reside in this area, and Virginia residency is required.

Full time

Job Description:

HOURS: General business hours, Monday through Friday.

TRAVEL: Occasional visits to the office may be required.

Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

The Nurse Case Manager I (Transition of Care) is responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically or on-site such as at hospitals for discharge planning.

How you will make an impact:

• Ensures member access to services appropriate to their health needs.

• Conducts assessments to identify inidual needs and a specific care management plan to address objectives and goals as identified during assessment.

• Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements.

• Coordinates internal and external resources to meet identified needs.

• Monitors and evaluates effectiveness of the care management plan and modifies as necessary.

• Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans.

• Negotiates rates of reimbursement, as applicable.

• Assists in problem-solving with providers, claims or service issues.

Minimum Requirements:

• Requires a BA/BS in a health-related field and a minimum of 3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.

• Current, unrestricted RN license in applicable state(s) required.

• Multi-state licensure is required if this inidual is providing services in multiple states.

Preferred Skills, Capabilities and Experiences:

• Utilization Management; discharge planning in an inpatient setting, home health and/or a skilled/long-term nursing facility is a must for this position.

• Familiarity with the admission process to a nursing home is strongly preferred.

• Certification as a Case Manager is preferred.

For URAC accredited areas the following applies: Requires BA/BS and 3 years of clinical care experience; or any combination of education and experience, which would provide an equivalent background. Current and active RN license required in applicable state(s). Multi-state licensure is required if this inidual is providing services in multiple states. Certification as a Case Manager and a BS in a health or human services related field preferred.

Job Level: Non-Management Exempt

Workshift: 1st Shift (United States of America)

Job Family: MED > Licensed Nurse

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Senior Health Economist - Managed Care

Location:

GA-ATLANTA, 740 W PEACHTREE ST NW

MI-DEARBORN, 3200 GREENFIELD

CT-WALLINGFORD, 108 LEIGUS RD

MO-ST LOUIS, 1831 CHESTNUT ST

KY-LOUISVILLE, 3195 TERRA CROSSINGS BLVD STE 203-204 & 300

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locations

IN-INDIANAPOLIS, 220 VIRGINIA AVE

NC-DURHAM, 1960 IVY CREEK BLVD,

TX-GRAND PRAIRIE, 2505 N HWY 360, STE 300

Job Description:

Anticipated End Date:

2026-01-30

Position Title:

Senior Health Economist - Managed Care

Job Description:

Senior Health Economist - Managed Care

Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

PLEASE NOTE: This position is not eligible for current or future visa sponsorship.

Carelon Health is a proud member of the Elevance Health family of brands, offering clinical programs and primary care options for seniors. We are a team of committed clinicians and business leaders passionate about transforming American healthcare delivery.

The Senior Health Economist (Advanced Analytics Analyst Senior) measures financial performance of core Carelon products leveraging claims, authorization, and membership data to tell a detailed story to respective business stakeholders. The Senior Health Econonmis creates statistical models to predict, classify, quantify, and/or forecast business metrics. Design modeling studies to address specific business issues determined by consultation with business partners.

How you will make an impact:

• Prepares analytical data sets in support of modeling studies. Build, test, and validate statistical models.
• Publishes results and addresses constraints/limitations with high-level business partners.
• Proactively collaborates with business partners to determine identified population segments.
• Develop actionable plans to enable the identification of patterns related to quality, use, cost, and other variables.

Minimum Requirements:

• Requires MS, MA, or PhD with concentration in a quantitative discipline such as statistics, computer science, cognitive science, economics, or operations research, a minimum of 3 years direct experience programming large, multi-source datasets with SAS required, and a minimum of 3 years in health care setting; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities, and Experiences:

• Actuarial sciences background highly preferred.
• Utilization Management experience preferred.
• Medical economics, provider finance, healthcare analytics, and/or financial services highly preferred.
• Comprehensive understanding of medical claims data.
• Intermediate to Advanced expertise with SQL, SQL Server, Teradata, or equivalent strongly preferred.
• Proven ability to design modeling studies and experience with data models, addressing data quality issues in study design, and constructing robust and efficient analytical data sets strongly preferred.
• Significant experience in a healthcare-related field strongly preferred.
• The ability to present meaningful results to a business audience, to participate collaboratively in a team tasked to produce complex analyses on a rigorous schedule, to communicate with strong written and verbal communication skills, and to present to large multi-disciplinary audiences regularly strongly preferred.

Job Level:

Non-Management Exempt

Workshift:

1st Shift (United States of America)

Job Family:

RDA > Reporting & Data Analysis

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Business Information Analyst II - HEDIS Quality Analytics

Location:

• FL-MIAMI, 11430 NW 20TH ST, STE 300
• GA-ATLANTA, 740 W PEACHTREE ST NW
• PA-SEVEN FIELDS, 300 SEVEN FIELDS BLVD, STE 100
• KS-TOPEKA, 120 SE 6TH AVE, STE 100
• CT-ROCKY HILL, 500 ENTERPRISE DR
• IN-INDIANAPOLIS, 220 VIRGINIA AVE

Full time

Hybrid

Job Description:

Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

PLEASE NOTE: This position is not eligible for current or future visa sponsorship.

A proud member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care.

The Business Information Analyst II will be responsible for analyzing, reporting and developing recommendations on data related to multiple, varied business metrics.

How you will make an impact:

• Creates and maintains databases to track business performance.
• Analyzes data and summarizes performance using summary statistical procedures.
• Develops and analyzes business performance reports (e.g. for claims data, provider data, utilization data) and provides notations of performance deviations and anomalies.
• Creates and publishes periodic reports, makes necessary recommendations, and develops ad hoc reports as needed.
• May require taking business issues and devising the best way to develop appropriate diagnostic and/or tracking data that will translate business requirements into usable decision support tools.

Minimum Requirements:

• Requires a BS/BA degree in a related field and a minimum of 2 years related operational and/or data analysis experience, experience in database structures, and standard query and reporting tools; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities, & Experiences:

• Understanding multiple data sources and formats and utilizing multiple data systems to analyze HEDIS results is preferred.
• Experience with relational databases and knowledge of query tools and statistical software is strongly preferred including SQL.
• Strong MS Office command. Power BI skills experience a plus.
• Experience with Jira, ServiceNow, or other ticketing systems preferred.
• Alteryx and Python experience a plus.

Job Level:

Non-Management Exempt

Workshift:

1st Shift (United States of America)

Job Family:

RDA > Business/Health Info

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Telephonic Nurse Case Manager II

Location: Denver United States

Job Description:

CO-DENVER, 700 BROADWAY

CA-WOODLAND HILLS, 21215 BURBANK BLVD

GA-ATLANTA, 740 W PEACHTREE ST NW

CA-COSTA MESA, 3080 BRISTOL ST, STE 200

VA-RICHMOND, 2025 STAPLES MILL RD

View Fewer Locations

locations

FL-TAMPA, 5411 SKY CENTER DR

NV-LAS VEGAS, 9133 W RUSSELL RD

WA-SEATTLE, 705 5TH AVE S, STE 300

TX-GRAND PRAIRIE, 2505 N HWY 360, STE 300

Anticipated End Date:

2026-01-05

Position Title:

Telephonic Nurse Case Manager II

Job Description:

Telephonic Nurse Case Manager II

Sign on Bonus: $2000.

Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Preferred locations: Seattle, WA, Denver, CO, Las Vegas, NV or Woodland Hills, CA or Costa Mesa, CA. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

Hours: Monday - Friday 9:00am to 5:30pm with 1-2 late evenings 11:30am to 8:00pm depending on your time zone.

• This position will service members in different states; therefore, Multi-State Licensure will be required.

The Telephonic Nurse Case Manager II is responsible for care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically.

How you will make an impact:

• Ensures member access to services appropriate to their health needs.

• Conducts assessments to identify inidual needs and a specific care management plan to address objectives and goals as identified during assessment.

• Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements.

• Coordinates internal and external resources to meet identified needs.

• Monitors and evaluates effectiveness of the care management plan and modifies as necessary.

• Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans.

• Negotiates rates of reimbursement, as applicable.

• Assists in problem solving with providers, claims or service issues.

• Assists with development of utilization/care management policies and procedures.

Minimum Requirements:

• Requires BA/BS in a health related field and minimum of 5 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.

• Current, unrestricted RN license in applicable state(s) required.

• Multi-state licensure is required if this inidual is providing services in multiple states.

Preferred Capabilities, Skills and Experiences:

• Case Management experience is preferred.

• Certification as a Case Manager is preferred.

• Minimum 2 years' experience in acute care setting is preferred.

• Managed Care experience is preferred.

• Ability to talk and type at the same time is preferred.

• Demonstrate critical thinking skills when interacting with members is preferred.

• Experience with (Microsoft Office) and/or ability to learn new computer programs/systems/software quickly is preferred.

• Ability to manage, review and respond to emails/instant messages in a timely fashion is preferred.

For candidates working in person or virtually in the below locations, the salary* range for this specific position is $76,944 to $126,408.

Locations: Colorado; Nevada; Washington State; California.

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

• The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.

Job Level:

Non-Management Exempt

Workshift:

1st Shift (United States of America)

Job Family:

MED > Licensed Nurse

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Certified Peer Support Specialist

Location: Indiana United States

Job Description:

Anticipated End Date:

2026-01-24

Position Title:

Certified Peer Support Specialist - Indiana

Job Description:

Work location: Virtual

This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.

Work Hours: Monday - Friday 8am - 5pm EST

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

Please note: This position requires a Peer Support Certification in Indiana.

The Certified Peer Support Specialist is responsible for care coordination and/or care management activities focused on the wellness and recovery of members.

Primary duties may include but are not limited to:

• Identifies opportunities for engagement of members and their families in forming a supportive, recovery network.

• Develops and implements provision of onsite psychiatric discharge planning education at Recovery and Resiliency sites.

• Collaborates with Stabilization Teams as a member advocate in discharge planning education, resolution of barriers, and service transitions.

• Acts as a resource for staff on decision making and problem solving.

• Initiates and maintains contact with assigned iniduals and providers to determine member's response to services.

Position requirements:

• Requires AA/AS and minimum of 2 years of experience in health services or behavioral health field or in a peer support services role; or any combination of education and experience, which would provide an equivalent background.

• Peer Specialist Certification required.

Preferred qualifications, skills, and experiences:

• Knowledge of care-coordination and case management concepts strongly preferred.

• BA/BS or MBA preferred.

Job Level:

Non-Management Non-Exempt

Workshift:

Job Family:

MED > Licensed/Certified - Other

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Title: Healthcare Customer Service Representative

- Remote

Job Description:

Overview

About TP

TP is a global, digital business services company. We deliver the most advanced, digitally powered business services to help the world's best brands streamline their business in meaningful and sustainable ways.

With more than 500,000 inspired and passionate people speaking more than 300 languages, our global scale and local presence allow us to be a force of good in supporting our communities, our clients, and the environment.

Benefits of working with TP include:

• Paid Training
• Competitive Wages
• Full Benefits (Medical, Dental, Vision, 401k and more)
• Paid Time Off
• Employee wellness and engagement programs

TP and You

Through a balanced high-tech and high-touch approach blended with deep industry and geographic expertise, we make people's lives simpler, faster, and safer. We help companies adapt quickly to changing needs, and are inspired to deliver only the best in all that we do. You will become a key contributor in making that happen.

As the eyes and ears for our team fielding customer inquiries and finding innovative ways to respond, you will work in a collaborative and engaging environment. You will have the chance to interact with people from all walks of life, and no two days will be the same. As you continue to grow and challenge yourself, you will discover your potential can take you anywhere you want to go.

Did you know that our Chief Client Officer started her career at TP as an agent and advanced to the pinnacle of the company? At TP, the sky is the limit!

At this time, TP can only offer employment to iniduals located in the following states: AL, AR, AZ, CT, DE, FL, GA, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, PA, RI, SC, SD, TN, TX, UT, VA, VT, WI, WV, WY.

Responsibilities

Your Responsibilities

Healthcare Customer Service Representatives field customer inquiries by finding innovative ways to respond to varying questions, issues, and concerns.

• Connect with customers via phone/email/chat/and or social media to resolve their questions or concerns
• Calmly attempt to resolve and de-escalate any issues
• Escalate interactions when necessary and appropriate
• Respond to requests for assistance and/or possible processing payments
• Track all call related information for auditing and reporting purposes
• Provide feedback on call issues
• Upsell if required

Qualifications

We're looking for fearless people - people who are inspired to deliver only the best in all that we do.

Qualifications:

• High School Diploma or equivalent.
• Minimum of 6 months of customer service experience.
• Must be 18 years of age or older.
• Ability to type at least 25 words per minute.
• Comfortable with desktop computer systems and have general knowledge of Windows-based systems.
• Customer service and/or sales experience preferred.
• College degree preferred but not required.

Key Competencies:

• Process Excellence: Demonstrate commitment to following established procedures and be customer service driven.
• Collaboration: Proven ability to collaborate effectively with team members, supervisors, and support departments to resolve customer issues and achieve performance goals.
• Communication: Outstanding communication, listening, and analytical skills.
• Organizational Skills: Strong organizational and problem-solving skills.
• Emotional Intelligence: Ability to prioritize tasks and work well under pressure while remaining focused.
• Open-Mindedness: Open-minded approach to feedback, evolving policies, and working within a structured schedule that includes a variety of shifts.
• Critical Thinking: Sharp critical thinking skills, enabling quick analysis of customer issues and thoughtful, informed decision-making.
• Solution-Oriented: Proactive approach to problem-solving with a focus on creating a positive customer experience.

Work from Home Requirements:

• Internet Requirements:

• Minimum subscribed download rate equal or exceeds 30.0 Mbps

• Minimum subscribed upload rate equal or exceeds 15.0 Mbps

• ISP must have no packet loss and ping under 50ms

• Internet connections cannot be Satellite, Mobile Data (5G, 4G, 3G hotspots), P2P or VPN

• Proof of internet speed required

• Clean and quiet workspace

Be Part of Our TP Family

It is our mission to always provide an environment where our employees feel valued, inspired, and supported, so that they can bring their best selves to work every day. We believe that when employees are happy and healthy, they are more productive, creative, and engaged. We are committed to providing a workplace that is conducive to happiness and a healthy work-life balance. We also believe that to be our best selves, we need to be surrounded by people who are positive, supportive, and challenging. We are committed to creating a culture of inclusion and ersity, where everyone feels welcome and valued.

EOE/Disability/Vets

Title: Board-Certified Rheumatologist Needed for Record Review in Tampa, FL

Location: Tampa FL US

Type: Contract

Workplace: Fully remote

Job Description:

We are seeking a Board-Certified Rheumatologist licensed in Florida (Tampa area) to perform medical record reviews. This is a remote, flexible opportunity ideal for dental specialists looking to apply their expertise in a non-clinical setting.

Key Responsibilities:

• Medical Record Review: Analyze and interpret dental and medical records related to prosthodontic care, trauma, or treatment outcomes.
• Case Analysis: Objectively assess documentation to evaluate diagnoses, treatment plans, necessity, and outcomes.
• Clinical Consultations: Respond to questions from insurance carriers and legal professionals regarding prosthodontic conditions and standards of care.
• Report Preparation: Deliver concise, evidence-based written reports within 5 business days of assignment.

Why Join Us?

• Remote & Flexible: Work from anywhere, review only the cases you accept—no required minimum caseload.
• Competitive Pay: Compensation based on your personal fee schedule, paid per completed review.
• Streamlined Process: All records provided in an organized, digital format with support staff available as needed.
• Non-Clinical Role: No in-person exams or procedures—100% record review.

Qualifications:

• Board Certification in Rheumatology (required)
• Experience in peer reviews is a plus, but not required
• Strong analytical and written communication skills
• Ability to deliver objective, defensible assessments based on clinical evidence

If you're a Rheumatologist seeking a flexible, remote opportunity to contribute your clinical expertise in a meaningful way, we encourage you to apply.

Title: Pharmacy Med History Tech I - Limited

Location:

Johns Hopkins All Children’s Hospital

St. Petersburg FL

Part-time

Onsite

Job Description:

You Belong Here! Johns Hopkins All Children's Hospital is a premiere clinical and academic health system, providing expert pediatric care for infants, children and teens with some of the most challenging medical problems. Ranked in multiple specialties by U.S. News & World Report, we provide access to innovative treatments and therapies. With more than half of the 259 beds in our teaching hospital devoted to intensive care level services, we are the regional pediatric referral center for Florida's west coast. Physicians and community hospitals count on us to care for critically ill patients and perform complex surgical procedures.

What Awaits You?

• Career growth and development
• Diverse and collaborative working environment
• Affordable and comprehensive benefits package including Tuition Reimbursement

Job Summary: The purpose of the Pharmacy Medication History Technician I is to prepare complete medication history lists, based on information obtained during interviews with caregivers, which are then utilized by prescribers during the admission reconciliation process. Contributes to the goals of the department by providing accurate and timely medication information to ensure the correct and safe ordering of medications for patients admitted to JHACH. Along with other members of the pharmacy, is responsible for providing pharmacy services that meet the high standards of patient care provided by JHACH.

Tour our campus: https://www.youtube.com/watch?v=lKpjrRLZo7c

Hours: Rotating 8 Hour Shifts (Hours are based on operational needs)

Part-Time (24 Hours/Week)

Every 3rd Weekend work required

Qualifications:

• A minimum of a High School diploma, GED, Certificate of Completion or equivalent achievement.
• 2 years of pharmacy technician experience; previous hospital or pediatric hospital experience preferred
• Florida Board of Pharmacy Registration
• PTCB Certified Pharmacy Technician (CPhT) required within 1 year of hire

Salary Range: Minimum 18.74/hour - Maximum 29.99/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority.

We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.

Johns Hopkins Health System and its affiliates are drug-free workplace employers.

Title: PA - Neurosurgery (Part-time)

Location: Bethesda, MD, United States

Part-time

Onsite

Job Description:

Make it happen at Hopkins! Johns Hopkins Suburban Hospital is seeking a highly skilled and motivated Nurse Practitioner or Physician Assistant to join our General Surgery team. This unique position focuses on inpatient rounding responsibilities. The successful candidate will work closely with surgeons, residents, and other healthcare professionals to provide exceptional patient care and support the surgical team.

Work Schedule: Night shift, 30 hours per week. Some weekends and on call required.

Key Responsibilities:

• Conduct daily rounds on surgical patients, assessing their recovery and managing post-operative care.
• Collaborate with attending surgeons, residents, and nursing staff to develop and implement patient care plans.
• Provide consultations for inpatients requiring surgical evaluations.
• Participate in the surgical call schedule, covering weekends and holidays on a rotational basis.
• Engage in quality improvement initiatives and contribute to departmental meetings and case reviews.
• Maintain accurate and timely medical records, documenting patient care activities and outcomes.
• Educate and mentor medical students, residents, and other healthcare professionals.

Qualifications:

• Graduate of an accredited Physician Assistant program.
• Certification by the National Commission on Certification of Physician Assistants (NCCPA).
• Valid and unrestricted license to practice as a Physician Assistant in the state of Maryland.
• Minimum of 2 years of experience as a Physician Assistant in general surgery or a related field.
• Excellent communication and interpersonal skills, with the ability to work effectively in a team-oriented environment.
• Commitment to providing compassionate, patient-centered care.
• Familiarity with electronic medical records (EMR) systems and proficiency in using healthcare technology.

Preferred Qualifications:

• Previous experience in an academic medical center or teaching hospital.
• Interest in participating in clinical research and quality improvement projects.

Benefits:

• Competitive salary and comprehensive benefits package, including health, dental, and vision insurance.
• Retirement plans with employer contributions.
• Generous paid time off and holiday schedule.
• Continuing medical education (CME) opportunities and reimbursement.
• Access to cutting-edge medical facilities and technologies.
• Professional growth and advancement within the Johns Hopkins Health System.

Application Process:

Interested candidates are invited to submit a cover letter, and CV through our online application portal. Applications will be reviewed on a rolling basis until the position is filled.

Salary Range: Minimum $57.99/hour - Maximum $89.88/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility.

In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority.

JHM prioritizes the health and well-being of every employee. Come be healthy at Hopkins!

Diversity and Inclusion are Johns Hopkins Medicine Core Values. We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.

Johns Hopkins Health System and its affiliates are drug-free workplace employers.

Pharmacy Med History Tech I, Part-Time

Job Details

Requisition #:

661384

Location:

Johns Hopkins All Children's Hospital, St. Petersburg, FL 33701

Category:

Pharmacy

Schedule:

Rotating Shift

Employment Type:

Part-time

You Belong Here! Johns Hopkins All Children's Hospital is a premiere clinical and academic health system, providing expert pediatric care for infants, children and teens with some of the most challenging medical problems. Ranked in multiple specialties by U.S. News & World Report, we provide access to innovative treatments and therapies. With more than half of the 259 beds in our teaching hospital devoted to intensive care level services, we are the regional pediatric referral center for Florida's west coast. Physicians and community hospitals count on us to care for critically ill patients and perform complex surgical procedures. 

What Awaits You?

• Career growth and development

• Diverse and collaborative working environment

• Affordable and comprehensive benefits package including Tuition Reimbursement

Job Summary: The purpose of the Pharmacy Medication History Technician I is to prepare complete medication history lists, based on information obtained during interviews with caregivers, which are then utilized by prescribers during the admission reconciliation process. Contributes to the goals of the department by providing accurate and timely medication information to ensure the correct and safe ordering of medications for patients admitted to JHACH. Along with other members of the pharmacy, is responsible for providing pharmacy services that meet the high standards of patient care provided by JHACH.

Tour our campus:

https://www.youtube.com/watch?v=lKpjrRLZo7c

Hours:

Rotating Shifts (Hours are based on operational needs)

Part-Time (32 Hours Per Week)

Every 3rd Weekend work required

Location:

Johns Hopkins All Children’s Hospital, St. Petersburg FL

Qualifications:

• A minimum of a High School diploma, GED, Certificate of Completion or equivalent achievement.
• 2 years of pharmacy technician experience; previous hospital or pediatric hospital experience preferred
• Florida Board of Pharmacy Registration
• PTCB Certified Pharmacy Technician (CPhT) required within 1 year of hire

Salary Range: Minimum 18.74/hour - Maximum 29.99/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority.

We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.

Johns Hopkins Health System and its affiliates are drug-free workplace employers.

Johns Hopkins Health System and its affiliates are an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.

Title: Speech Pathologist - Home Health

Location:  Visalia, California

Part time

Onsite

Job Description:

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care.

It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do - in the health of our patients, our loved ones, and our community.

Benefits Eligible

Part-Time Benefit Eligible

Work Shift

Day - 8 Hour or less Shift (United States of America)

Department

7290 Home Health Agency

The Speech Pathologist assesses, treats, and helps to prevent disorders related to speech, language, cognitive-communication, voice, and swallowing problems. The Speech Pathologist works with patients of all ages.

QUALIFICATIONS

License /Certification

Required:

Current CA Speech Pathologist license

BLS

Certification of Clinical Competence (CCC) issued by the American Speech-Language-Hearing Association (ASHA) within 60 days of hire/transfer. The inidual can be allowed to work under direct supervision until certification is awarded.

Department Specific Requirements

If assigned to the Infant, Pediatric, and Adolescent Units: one year of infant, pediatric, and adolescent experience is encouraged.

If assigned to Home Health: must have a valid California Drivers License, auto insurance, and be willing to operate personal car necessitated by nature of job.

JOB RESPONSIBILITIES

Essential

Must pass an annual competency assessment conducted by a Speech Pathologist.

Administers standard formal evaluations as appropriate based on factors such as patient age, diagnosis, and clinical information from chart review and/or patient/family interview. Able to evaluate patient deficits without formal measures when patient is unable to participate with formal testing.

Completes documentation in a timely manner, with clear indications of progress towards functional goals.

Plans inidual treatment program following physician's orders.

Performs therapy treatment procedures as indicated and safely.

Provides instruction to team regarding patients functional needs as needed.

Contacts physician for changes in treatment plan and program.

Trains patient and/or patient's family/caregiver regarding patients care need during functional daily activities.

Secures equipment for patients use in all settings, and makes necessary fitting adjustments.

Completes daily charges.

Participates in continuing education to remain current in new treatment procedures, active in providing in-services to department staff.

Meets/exceeds productivity requirement.

Assists with orientation of new therapists and assistants to department policies, procedures, and physical plant.

Services provided are age appropriate. Therapists providing services to infants, children, and adolescents will ensure that treatment includes modalities and equipment appropriate to the developmental level of the patient.

Attends required meetings for the department and Kaweah Health.

Meets or exceeds requirements for the given practice settings set forth by appropriate regulatory bodies (Joint Commission, CDPH, CMS, Etc.).

Addendum (essential for specific dept)

If assigned to the Infant, Pediatric, and Adolescent Units:

A CCS paneled therapist will be available for general supervision if services are provided by non-CCS paneled therapist. Evaluates functional capabilities of infants, children, and adolescents with physical disabilities using appropriate assessment tools; establishes speech therapy treatment goals and plans of services. Coordinates with a CCS case manager regarding ongoing therapy services after hospital discharge. Participates in case conference as needed.

Additional

Assists with day to day operations of the department as needed.

Participates in employee evaluation process via peer reviews as requested.

Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care.

Performs other duties as assigned.

Pay Range

$47.35 -$71.03

If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.

Title: Bereavement Coordinator

Location: Visalia, California

Part time

Onsite

Benefits Eligible: Part-Time Benefit Eligible

Work Shift: Variable - 8 Hour or less Shift (United States of America)

Department: 7310 Hospice

Coordination and facilitation of bereavement services for Hospice patients and their families. Provides ongoing bereavement support of survivors for a period of thirteen months after the patient's death.

QUALIFICATIONS

Preferred: Social Work, Bereavement, Chaplaincy or similar certification.

Education

Preferred: Bachelor's degree in Social Work, Bereavement or related field.

Experience

Preferred: Two to three years of experience in bereavement field.

Knowledge/Skills/Abilities

Knowledge in the field of bereavement.

Strong communication and organization skills.

Ability to relate to people.

Strong working knowledge of all MS Office products (Word, Excel, Power Point).

Public speaking skills in order to give presentations about grief in the community.

JOB RESPONSIBILITIES

Essential

Coordinates the bereavement services program utilizing professional staff and volunteers.

Plans, implements, and coordinates bereavement events.

Conducts the bereavement section of the interdisciplinary group conference.

Coordinates bereavement follow-up by patient care staff.

Acts as a resource for volunteers and staff related to the grief process and mobilization of community resources to meet the family's needs.

Develops and provides oversight of bereavement support groups and classes in collaboration with the Hospice LCSW/MSW.

Designs materials for distribution to families receiving bereavement services.

Participates in Hospice Quality Assessment and Performance Improvement process.

Provides oversight of the Children's Bereavement Program including but not limited to the Footsteps program and Grief Camps.

Continually keeps up with current trends in bereavement support and makes recommendations to leadership regarding new programs and changes in existing programs.

Additional

Participates in the development, review, and revision of bereavement policies and procedures as requested by management.

Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care.

Performs other duties as assigned.

Pay Range

$24.31 -$36.46

Title: Grief Counselor

Location:  Lake County, Illinois (Hybrid)

Department Grief Support

Employment Type Part-Time

Minimum Experience Mid-level

Compensation $25-$33/hr DOE

Job Description:

Founded in 1982 as Joliet Area Community Hospice, Lightways Hospice and Serious Illness Care is an independent nonprofit healthcare provider licensed in 11 counties in northwest Illinois. We have a state-of-the-art facility and the first free-standing in-patient Hospice Home in Illinois. We have over a 35-year history for providing compassionate professional care to terminally ill patients and their families. We are state-licensed and Medicare/Medicaid-certified.

We are currently seeking a part-time grief Counselor for our far north suburbs. The Grief Counselor provides grief support services to both our hospice families and the community. This position will work 20 hours per week providing inidual and family grief counseling, grief support group facilitation and outreach to hospice families as needed. Services to be provided in-person,in the field and via telehealth. Some evening hours required.

Responsibilities include:

• Outreach to hospice families to determine their grief support needs.
• Responsible for providing a bereavement assessment of the family's needs and developing an inidualized plan of care based on the bereavement assessment.
• Provide grief counseling to the bereaved on a time-limited basis as deemed helpful and appropriate.
• Provide pre-death bereavement assessment and/or counseling to high risk hospice iniduals or families upon referral by the Director of Grief Support.
• Refer to the community those bereaved who need specialized or intense counseling and need additional community resources as needed.
• Maintain clinical records related to grief support services performed.
• Promote grief education and team support among the hospice team on an inidual or group basis.
• Participate in the Interdisciplinary Team Meetings in determining grief support needs of hospice families.

The successful candidate will have a Master's degree in Social Work, Counseling or related field and be a Licensed Professional Counselor or LSW with a minimum of one year experience.

This position is not eligible for benefits.

For additional information on Lightways benefit package, please visit Lightways.org

Title: Pediatric Physical Therapist / PT - Outpatient

Location: Brick, NJ

Onsite

Part-time

Job Description:

We are hiring Pediatric Physical Therapists (PT) to work at our Sunshine Center Outpatient Pediatric Clinic in our Brick Center part time with after school, early evenings and/or weekend availability. Flexible schedule based on your availability.

The Sunny Days® Sunshine Center offers children and their families a place for developmental services and Autism Spectrum Disorder (ASD) therapy. A one-of-a-kind center designed to promote positive behavior, increase quality of life, and enable iniduality; the Sunshine Center embraces each child and their inidual needs.

Benefits

• Competitive rates, based on experience ($65/hr)

• Medical, Dental and Vision Benefits Available to Part-Time Employees

• Paid Sick Leave

• May be eligible to participate in 401k

• Professional support & development with access to the best trainings/workshops in the industry

• Flexible schedules with afternoon, early evening, and/or weekend availability

Job Description:

• Provide therapeutic evaluations and ongoing treatment

• Work collaboratively with behavior therapists, BCBAs and other allied health professionals

• Document sessions in database system

• Write evaluation assessment reports

• Provide parent training and support as needed

Position Requirements:

• Pediatric Experience Required

• Licensed in the State of New Jersey

• At least one year’s experience serving the ASD population

The Sunshine Center is dedicated to children of all ages who may be experiencing challenges with learning, social skills, and sensory processing. We offer group and inidual ABA, Physical, Occupational, Speech and Feeding Therapy sessions to children of all ages..

For more information on our Sunshine Centers, please visit our website at www.SunnyDaysSunshineCenter.com

Sunny Days is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender, gender identity, sexual orientation, marital status, national origin, disability, age or covered veteran status.

As a business started by women to help children with disabilities, we’re accustomed to fighting for change and are dedicated to increasing representation for people of all backgrounds in our industry. Any applicants that would like to work and/or partner with us, aligned in this need for meaningful change, please upload your resume.

INDNJC

Title: Board Certified Behavior Analyst / BCBA - Outpatient Peds

Department: Sunshine Ctr Dir Serv Behavioral

Location: Manalapan, NJ

Onsite

Part-time

START YOUR APPLICATION

We are hiring part-time Board-Certified Behavior Analysts (BCBA) to provide supervision services at our outpatient center in Manalapan NJ. After school, evening or weekend hours available. Flexible schedule.

Are you a Board Certified Behavior Analyst (BCBA) with a flair for leadership? Are you ready to step into a role that's as fulfilling as it is impactful? We're looking for a fun-loving, passionate, and seasoned BCBA to join our Sunshine Center Team in Manalapan, NJ!

Why You’ll Love Working With Us

Benefits:

• Competitive rates, based on experience ($80-85/hr)
• Medical, Dental and Vision Benefits Available to Part-Time Employees
• May be eligible for 401k
• Paid Sick Leave
• Professional support & development with access to the best trainings/workshops in the industry
• Flexible schedules with after school, early evening, and/or weekend availability
• Receive bonuses for referring colleagues & friends for roles at Sunny Days
• Take pride in working for a company that is committed to serving families with integrity and focusing on quality of clinical care
• Provide play-based, naturalistic care to your clients
• Work for a company that is accredited by the BHCOE

What You’ll Do

As our BCBA, you'll be at the heart of transforming lives:

• Lead, guide, and inspire our behavior technicians and BCBA team members.

• Deliver exceptional ABA services with your unique expertise.

• Conduct evaluations and reevaluations to ensure everything runs smoothly.

• Offer parent training and support that families will absolutely love.

• Develop and maintain awesome ABA program books.

• Host social skills groups that help kids flourish.

• Collaborate, innovate, and lead in creating a caring community.

Your Qualifications

• BCBA Certification

• 1 year of supervisory experience

• A passion for helping kids on the autism spectrum shine.

• Stellar organizational, communication, and multitasking skills.

• Basic tech savvy (Word, Excel, Outlook).

A Little About Us

Here at Sunny Days® Sunshine Center, we’re all about spreading positivity, celebrating iniduality, and truly making a difference in the lives of children and their families. We’re proud to be BHCOE-accredited, and our unique approach combines play, natural care, and top-notch clinical expertise.

Ready to Brighten Lives?

We’re an equal opportunity employer, and we love bringing together people from all walks of life to create something magical. If you’re eager to be part of a team that’s revolutionizing pediatric care, we’d love to hear from you!

Let’s Bring Some Sunshine to Edison – Together!

Check us out at sunnydayssunshinecenter.com to find out more!

Sunny Days Sunshine Center is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender, gender identity, sexual orientation, marital status, national origin, disability, age or covered veteran status.

Title: Central Authorization Rehab Coordinator

Location: Nashville, TN, United States

Full-time • Work From Home

Job Description:

Description

Introduction

Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each inidual is recognized. Submit your application for the opportunity below: Central Authorization Rehab Coordinator Work from Home

Benefits

Work from Home offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.

• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.

• Free counseling services and resources for emotional, physical and financial wellbeing

• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)

• Employee Stock Purchase Plan with 10% off HCA Healthcare stock

• Family support through fertility and family building benefits with Progyny and adoption assistance.

• Referral services for child, elder and pet care, home and auto repair, event planning and more

• Consumer discounts through Abenity and Consumer Discounts

• Retirement readiness, rollover assistance services and preferred banking partnerships

• Education assistance (tuition, student loan, certification support, dependent scholarships)

• Colleague recognition program

• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)

• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

We are seeking a Central Authorization Rehab Coordinator for our team to ensure that we continue to provide all patients with high quality, efficient care. Did you get into our industry for these reasons? We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply!

Job Summary and Qualifications

Under general supervision of the RVP/AVP for HCA Post-Acute Services Division, The Central Authorization Coordinator is responsible for managing/coordinating all day to day managed care admissions with the Post Acute Transition Specialists and/or admissions staff with all managed care payers. This includes utilizing a interdisciplinary approach to coordinate the insurance approval of care of all necessary types of post acute disposition patients to assure smooth, efficient functioning Post Acute Service Units and delivery of quality health care services. Post acute disposition can include but is not limited to: Inpatient Rehabilitation, Home Health, Hospice, LTACH, SNF, etc. The Central Authorization Coordinator acts as the business and clinical resource for the department. Utilizes quality improvement activities and audits as necessary, development of new programs and clinical procedures, and collaboration with Division Post Acute Service Units to promote efficiency and customer service and assists Market Managers and Program Directors as necessary. Assist AVP with coordination and management of central authorization program. Assumes additional supervisory/administrative responsibilities as assigned by AVP.

Majority of the responsibilities involves central insurance authorization for the post acute service lines as needed. For the effective and efficient admissions process in the delivery of these services: Continuously evaluates, develops a plan and conducts business with insurance payers for the appropriate approval/authorization for post acute patients to meet the inidual needs of medically referred patients in an efficient, productive manner and within the established guidelines for HCA and Nursing Professional Standards for Practice and Code of Ethics. To maintain accurate, current records on all patients according to policy and procedures. To assist with educational programs for departmental and hospital ASSOCIATES and to uphold the standards of the department and hospital by dealing with patients, visitors, ASSOCIATES and other medical professionals in a respectful, courteous manner.

What qualifications you will need:

• Associate Degree
• Registered Nurse, or Licensed Practical / Vocational Nurse (LPN / LVN), or Licensed Physical Therapy, or Advance Practice Registered Nurse (APRN)
• Minimum 1 years experience working with Managed Care insurance plans with working first hand knowledge/experience in approval/authorization process in post acute care services.
• Must possess good interpersonal and program development skills.

Nashville-based HCA Healthcare is one of the nations leading providers of healthcare services. Founded in 1968, HCA Healthcare created a new model for hospital care in the United States. In this model, we use combined resources to improve hospitals, deliver patient-focused care, and improve the practice of medicine. We have conducted several clinical studies. One of those studies includes a demonstration that full-term delivery is healthier than early elective delivery of babies. Another study identified a clinical protocol that can reduce bloodstream infections in ICU patients by 44 percent. We are a learning health system that uses its more than 31 million annual patient encounters to advance science, improve patient care and save lives. HCA affiliated facilities in the North Florida Division are a part of a quality healthcare network in North Florida. This network includes 15 affiliated hospitals, 5 surgery centers, and two consolidated service centers. Together, our network has over 3,100 beds, employs more than 14,000 team members, and has over 4,200 physicians on staff.

HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.

HCA Healthcare Co-Founder

If you find this opportunity compelling, we encourage you to apply for our Central Authorization Rehab Coordinator opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. We are interviewing - apply today!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Title: Assistant Professor - Psychology

Location: Cheney United States

Job Description:

Eastern Washington University's College of Professional Programs - School of Psychology invites applications for a Tenure-Track Assistant Professor of Psychology to support the NASP accredited EdS School Psychology Program as well as other School needs, to begin September 16, 2026. This position requires candidates to be located in or willing to relocate to the greater Spokane-Cheney area.

In keeping with the high standards established by the National Association of School Psychologists (NASP), the School of Psychology is committed to the selection, training, supervision, and professional success of students in the Ed.S. School Psychology Program. The program adheres to a scientist-practitioner model and offers a structured sequence of curricular and field experiences with an emphasis on closely supervised training experiences across multi-tiered systems within schools. Program faculty members establish strong relationships with one another and with site supervisors to support students to engage in meaningful field-based experiences.

The School of Psychology offers the Ed.S. School Psychology Program through two-year and three-year tracks that meet the needs of learners across a continuum of needs, from those with less experience to those entering the program with advanced experience and degrees. The program utilizes synchronous and asynchronous delivery of online courses and yearly onsite training requirements on the Cheney campus.

The current position includes primary responsibilities for teaching online and hybrid for the School Psychology programs, with additional support of undergraduate majors and other School of Psychology needs. The position also includes responsibilities for field supervision, service, and scholarship. Opportunities for summer teaching, although not required, may be available.

See Job Duties section for detailed description of the position's responsibilities.

EWU is committed to supporting and promoting a workforce that is welcoming to all and encourages applicants of all backgrounds to apply for this position.

The salary for this position is $69,704. In addition to salary, the university offers a comprehensive benefits package including health insurance, life and disability insurance and retirement. In addition, EWU offers fringe benefits, such as tuition waiver for employees and eligible family members, discounted EWU sports tickets, full access to our campus workout facilities at a minimum fee and free transportation through STA buses.

Pharmacy Technician II

locations

Indiana WFH

time type

Full time

job requisition id

R11249

Job Summary:

The Pharmacy Technician II is responsible for data entry and review of submitted authorization requests, providing assistance to providers or pharmacies calling for assistance, and ensuring resolution for escalations received in the pharmacy department.

Essential Functions:

• Review traditional and specialty medication prior authorization requests for the member’s pharmacy benefit submitted by providers
• Send fax communications to providers when necessary
• Contact provider offices to follow up on failed faxes
• Educate CareSource providers about resources outlining formulary alternatives
• Place prior authorizations for when approval is appropriate in the prior authorization system(s)
• Initiate process for routing prior authorizations requiring review by a pharmacist
• Answer calls from providers regarding prior authorization requests prescription coverage and formulary issues in a timely manner
• Perform outbound calls to obtain information from providers and/or pharmacies
• Document all telephonic interaction in appropriate system(s)
• Ensure all methods of inquiries (fax, e-mail, ePA) and submissions are answered with in the state mandated period
• Involvement in special projects reviewed by the management team when needed
• Answer calls and troubleshoot issues from retail and specialty pharmacies
• Assist Case Managers, Member and Provider Services with pharmacy issues, overrides, and questions
• Maintain awareness of current workload aging and respond with appropriate sense of urgency
• Maintain knowledge and understanding of all processes and procedures for all markets on faxes and phones
• Adhere to all departmental and company policies and procedures
• Perform any other job duties as requested

Education and Experience:

• High School Diploma or equivalent years relevant work experience is required
• Three (3) years retail pharmacy or hospital pharmacy experience is preferred
• One (1) year managed care prior authorization experience is preferred

Competencies, Knowledge and Skills:

• Computer proficient with knowledge in a “Windows” environment
• Beginners level Microsoft Word, Outlook, and Excel
• Must type 40 words per minute (WPM)
• Professional level telephone communication skills
• Familiarity with medical terminology
• Familiarity with medication names
• Excellent communication skills when speaking to providers offices, as well as pharmacies
• Ability to work independently and within a team environment
• Ability to train/teach new employees within the department
• Attention to detail
• Familiarity of the healthcare field
• Knowledge of Medicaid/Marketplace
• Critical listening and thinking skills
• Proper grammar usage
• Time management skills
• Proper phone etiquette
• Customer service oriented
• Decision making/problem solving
• Leadership experience and skills

Licensure and Certification:

• Pharmacy Technician Certification is preferred
• Ability to acquire state registration in multiple states, as required

Working Conditions:

• General office environment; may be required to sit or stand for extended periods of time
• Position requires the ability to work any shift between 7am and 9pm and the flexibility to work weekends and overtime, as needed

Compensation Range:

$35,900.00 - $57,300.00

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 inidual 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):

Hourly

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 iniduals of all backgrounds.

#LI-JS1

Mom & Baby Care Manager

locations

Indiana WFH

time type

Full time

job requisition id

R11276

Job Summary:

The Care Manager collaborates with members of an inter-disciplinary care team (ICT), providers, community and faith-based organizations to improve quality and meet the needs of the inidual, natural supports and the population with culturally competent delivery of care, services and supports. Facilitates communication, coordinates care and service of the member through assessments, identification, person-centered planning, assist the member in creation and evaluation of person-centered care plans to prioritize and address what matters most, behavioral, physical and social determinants of health needs with the aim to improve the of lives our members.  

Essential Functions:

• Engage the member and their natural support system through strength-based assessments and a trauma-informed care approach using motivation interviewing to complete health and psychosocial assessments through a health equity lens unique to the needs of each member that identify the cultural, linguistic, social and environmental factors/determinants that shape health and improve health disparities and access to public and community health frameworks
• Facilitate regularly scheduled inter-disciplinary care team (ICT) meetings to meet the needs of the member
• Engage with the member to establish an effective, professional relationship via telephonic or electronic communication
• Develop and regularly update a person-centered inidualized care plan (ICP) in collaboration with the ICT, based on member’s desires, needs and preferences
• Identify and manage barriers to achievement of care plan goals
• Identify and implement effective interventions based on clinical standards and best practices
• Assist with empowering the member to manage and improve their health, wellness, safety, adaptation, and self-care through effective care coordination and case management
• Facilitate coordination, communication and collaboration with the member the ICT in order to achieve goals and maximize positive member outcomes
• Educate the member/ natural supports about treatment options, community resources, insurance benefits, etc. so that timely and informed decisions can be made
• Employ ongoing assessment and documentation to evaluate the member’s response to and progress on the ICP
• Evaluate member satisfaction through open communication and monitoring of concerns or issues
• Monitors and promotes effective utilization of healthcare resources through clinical variance and benefits management
• Verify eligibility, previous enrollment history, demographics and current health status of each member
• Completes psychosocial and behavioral assessments by gathering information from the member, family, provider and other stakeholders
• Oversee (point of contact) timely psychosocial and behavioral assessments and the care planning and execution of meeting member needs
• Participate in meetings with providers to inform them of Care Management services and benefits available to members
• Assists with ICDS model of care orientation and training of both facility and community providers
• Identify and address gaps in care and access
• Collaborate with facility-based healthcare professionals and providers to plan for post-discharge care needs or facilitate transition to an appropriate level of care in a timely and cost-effective manner
• Coordinate with community-based organizations, state agencies, and other service providers to ensure coordination and avoid duplication of services
• Adjust the intensity of programmatic interventions provided to member based on established guidelines and in accordance with the member’s preferences, changes in special healthcare needs, and care plan progress
• Appropriately terminate care coordination services based upon established case closure guidelines for members not enrolled in contractually required on going care coordination.
• Provide clinical oversight and direction to unlicensed team members as appropriate
• Document care coordination activities and member response in a timely manner according to standards of practice and CareSource policies regarding professional documentation
• Continuously assess for areas to improve the process to make the members’ experience with CareSource easier and shares with leadership to make it a standard, repeatable process
• 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
• Advanced degree associated with clinical licensure is preferred
• A minimum of three (3) years of 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
• Three (3) years Medicaid and/or Medicare managed care experience is preferred
• Three (3) years maternity experience preferred

Competencies, Knowledge and Skills:

• Strong understanding of Quality, HEDIS, disease management, supportive medication reconciliation and adherence    
• Intermediate proficiency level with Microsoft Office, including Outlook, Word and Excel  
• Ability to communicate effectively with a erse group of iniduals
• Ability to multi-task and work independently within a team environment
• Knowledge of local, state & federal healthcare laws and regulations & all company policies regarding case management practices
• Adhere to code of ethics that aligns with professional practice
• Knowledge of and adherence to Case Management Society of America (CMSA) standards for case management practice
• Strong advocate for members at all levels of care
• Strong understanding and sensitivity of all cultures and demographic ersity
• Ability to interpret and implement current research findings
• Awareness of community & state support resources
• Critical listening and thinking skills
• Decision making and problem-solving skills
• Strong organizational and time management skills

Licensure and Certification:

• Current unrestricted clinical license in state of practice as a Registered Nurse, Social Worker or Professional 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

Working Conditions:

• 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 inidual 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 iniduals of all backgrounds.

#LI-JS1

Care Manager Transitions of Care

locations

Indiana WFH

time type

Full time

job requisition id

R11275

Job Summary:

The Care Manager collaborates with members of an inter-disciplinary care team (ICT), providers, community and faith-based organizations to improve quality and meet the needs of the inidual, natural supports and the population with culturally competent delivery of care, services and supports. Facilitates communication, coordinates care and service of the member through assessments, identification, person-centered planning, assist the member in creation and evaluation of person-centered care plans to prioritize and address what matters most, behavioral, physical and social determinants of health needs with the aim to improve the of lives our members.  

Essential Functions:

• Engage the member and their natural support system through strength-based assessments and a trauma-informed care approach using motivation interviewing to complete health and psychosocial assessments through a health equity lens unique to the needs of each member that identify the cultural, linguistic, social and environmental factors/determinants that shape health and improve health disparities and access to public and community health frameworks
• Facilitate regularly scheduled inter-disciplinary care team (ICT) meetings to meet the needs of the member
• Engage with the member to establish an effective, professional relationship via telephonic or electronic communication
• Develop and regularly update a person-centered inidualized care plan (ICP) in collaboration with the ICT, based on member’s desires, needs and preferences
• Identify and manage barriers to achievement of care plan goals
• Identify and implement effective interventions based on clinical standards and best practices
• Assist with empowering the member to manage and improve their health, wellness, safety, adaptation, and self-care through effective care coordination and case management
• Facilitate coordination, communication and collaboration with the member the ICT in order to achieve goals and maximize positive member outcomes
• Educate the member/ natural supports about treatment options, community resources, insurance benefits, etc. so that timely and informed decisions can be made
• Employ ongoing assessment and documentation to evaluate the member’s response to and progress on the ICP
• Evaluate member satisfaction through open communication and monitoring of concerns or issues
• Monitors and promotes effective utilization of healthcare resources through clinical variance and benefits management
• Verify eligibility, previous enrollment history, demographics and current health status of each member
• Completes psychosocial and behavioral assessments by gathering information from the member, family, provider and other stakeholders
• Oversee (point of contact) timely psychosocial and behavioral assessments and the care planning and execution of meeting member needs
• Participate in meetings with providers to inform them of Care Management services and benefits available to members
• Assists with ICDS model of care orientation and training of both facility and community providers
• Identify and address gaps in care and access
• Collaborate with facility-based healthcare professionals and providers to plan for post-discharge care needs or facilitate transition to an appropriate level of care in a timely and cost-effective manner
• Coordinate with community-based organizations, state agencies, and other service providers to ensure coordination and avoid duplication of services
• Adjust the intensity of programmatic interventions provided to member based on established guidelines and in accordance with the member’s preferences, changes in special healthcare needs, and care plan progress
• Appropriately terminate care coordination services based upon established case closure guidelines for members not enrolled in contractually required on going care coordination.
• Provide clinical oversight and direction to unlicensed team members as appropriate
• Document care coordination activities and member response in a timely manner according to standards of practice and CareSource policies regarding professional documentation
• Continuously assess for areas to improve the process to make the members’ experience with CareSource easier and shares with leadership to make it a standard, repeatable process
• 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
• Advanced degree associated with clinical licensure is preferred
• A minimum of three (3) years of 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
• Three (3) years Medicaid and/or Medicare managed care experience is preferred

Competencies, Knowledge and Skills:

• Strong understanding of Quality, HEDIS, disease management, supportive medication reconciliation and adherence    
• Intermediate proficiency level with Microsoft Office, including Outlook, Word and Excel  
• Ability to communicate effectively with a erse group of iniduals
• Ability to multi-task and work independently within a team environment
• Knowledge of local, state & federal healthcare laws and regulations & all company policies regarding case management practices
• Adhere to code of ethics that aligns with professional practice
• Knowledge of and adherence to Case Management Society of America (CMSA) standards for case management practice
• Strong advocate for members at all levels of care
• Strong understanding and sensitivity of all cultures and demographic ersity
• Ability to interpret and implement current research findings
• Awareness of community & state support resources
• Critical listening and thinking skills
• Decision making and problem-solving skills
• Strong organizational and time management skills

Licensure and Certification:

• Current unrestricted clinical license in state of practice as a Registered Nurse, Social Worker or Professional 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

Working Conditions:

• 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 inidual 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 iniduals of all backgrounds.

#LI-JS1

Intake Specialist I NICU

locations

Indiana WFH

time type

Full time

job requisition id

R11274

Job Summary:

Hours: 10:30-11am to 7pm-7:30

Potential holidays and weekends

Intake Specialist I is a provider oriented role that is responsible for the intake of all authorization requests received via various methods into the Utilization Management department. The Intake Specialist I handles requests from providers, assists with reviewing authorization details, requirements or updates. The Intake Specialist I role processes all requests into our systems for medical review as well as contacting the provider if additional and or clinical information is required.

Essential Functions:

• Convert information obtained from providers/members, (received via fax, phone, portal or mail) into electronic records while verifying member eligibility, provider network status, and benefit coverage
• Review requests and send fax back for ineligible members, duplicate requests and items not covered by medical benefit
• Facilitate the authorization of benefits for participating and out-of-network providers including completion of appropriate forms that are distributed to physicians’ offices, provider relations and the generation of approval letters
• Place prior authorizations when approval is appropriate per SOP in the medical management  systems
• Initiate process for routing prior authorizations requiring medical necessity review by clinical care reviewer
• Communicate with providers regarding prior authorization requests and troubleshoot issues from providers
• Ensure all methods of inquiries (fax, e-mail, phone and provider portal) and submissions are addressed within the state mandated timeframes
• Cross train interdepartmentally for all Medicaid and Marketplace products
• Collaborate across company departments to assist with issues, overrides, and questions
• Facilitate inbound and outbound contact with providers to obtain any and all additional information that may be required for UM processes (new provider submissions, newborn notifications, etc.)
• Provide authorization information to provider, facilities and/or members
• Assist Clinical team as directed to ensure requests for authorization that require clinical review are received and processed timely
• Maintain awareness of current workload aging and respond with appropriate sense of urgency
• Expectation to meet department standards and goals
• Maintain knowledge and understanding of all processes and procedures for assigned market
• Adhere to all departmental and company policies and procedures
• Perform any other job related instructions, as requested

Education and Experience:

• High School Diploma or equivalent required
• Minimum of one (1) year of clinical and/or insurance experience, or related healthcare is preferred
• Managed care experience preferred

Competencies, Knowledge and Skills:

• Computer proficiency with knowledge and experience with Microsoft Office in a Windows based environment
• Ability to analyze information
• Communication skills
• Ability to work independently and within a team environment
• Attention to detail
• Proper grammar usage
• Critical listening and thinking skills
• Professional phone etiquette
• Customer service oriented
• Decision making/problem solving
• Change resiliency
• Knowledge of behavioral health systems
• Ability to accurately communicate summary information in a written format

Licensure and Certification:

• Medical Terminology Certificate is preferred

Working Conditions:

• General office environment; may be required to sit or stand for extended periods of time
• Position requires the flexibility to work weekends and/or holidays, as needed

Compensation Range:

$35,900.00 - $57,300.00

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 inidual 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):

Hourly

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 iniduals of all backgrounds.

#LI-JS1

Clinical Appeals

locations

Indiana WFH

time type

Full time

job requisition id

R11356

Job Summary:

The Clinical Appeals Nurse is responsible for processing clinical appeals and attending state hearings within compliance and regulatory standards, clinical guidelines, and contractual obligations.

Essential Functions:

• Responsible for the completion of clinical appeals and state hearings from all states
• Perform clinical reviews of member and provider appeals for medical, dental, behavioral health, pharmacy, and waiver services
• Analyze medical records, supporting documentation, and applicable guidelines to make informed decisions
• Document clinical rationale clearly and accurately in alignment with organizational and regulatory standards
• Work closely with medical directors, and pharmacists to resolve complex cases.
• Communicate outcomes effectively to members, and providers.
• Review and complete all provider clinical appeals within required timeframes
• Review and complete member clinical appeals within required timeframes
• Communicate with state agencies and internal departments to prepare for State Hearings
• Apply CareSource Medical Policy and Milliman guidelines when processing clinical appeals
• Issue administrative denials appropriately
• Refer denials based on medical necessity to medical director
• Collaborate with the Quality Improvement and Clinical Operations teams to prepare all requests for Independent External Review
• Participate in training programs to maintain clinical and regulatory expertise.
• Perform any other job duties as requested

Education and Experience:

• Associate’s Degree required
• Managed care, appeals, Medicare, and Medicaid experience preferred
• Prior clinical appeals, and/or Utilization review experience is strongly preferred

Competencies, Knowledge and Skills:

• Intermediate proficiency with Microsoft Office products and Facets
• Knowledge of NCQA, URAC, OAC, and MDCH regulations
• Strong clinical judgment
• Attention to detail
• Ability to navigate complex regulations while maintaining a commitment to high-quality care
• Strong written and oral communication skills
• Ability to work independently and within a team environment
• Critical listening and thinking skills
• Proper grammar usage
• Time management skills
• Proper phone etiquette
• Customer Service oriented
• Decision making/problem solving skills
• Knowledge of Medicaid, and Medicare,
• Flexibility
• Change resiliency

Licensure and Certification:

• Current, unrestricted license as a Registered Nurse (RN) is required
• Multi-state RN license is preferred
• MCG Certification is required or must be obtained within six (6) months of hire

Working Conditions:

• General office environment; may be required to sit or stand for extended periods of time
• Position requires the flexibility to work weekends, evenings, and/or holidays, as needed

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 inidual 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):

Hourly

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 iniduals of all backgrounds.

#LI-JM1

Member Health Assessor

locations

Indiana WFH

time type

Full time

job requisition id

R11358

Job Summary:

The Member Health Assessor engages with the member to establish an effective, professional relationship with primary responsibility to conduct their health risk assessment.

Essential Functions:

• Participate in the Integrated Care Coordination Team as needed
• Coordinate logistics to support care plan goals and interventions – as needed to address immediate member concerns
• Verify eligibility, previous enrollment history, demographics and current health status of each member prior to outreach
• Conduct assessments by gathering information from the member, family, provider and other stakeholders, as directed by Member and/or their Legally authorized representative
• Contribute to the development and implementation of care plan, and reporting information to the Care Coordinator based on assessment outcomes, when needed
• Assist with the provision of health education, wellness materials and coaching ,as appropriate
• Maintain appropriate documentation within protocols and guidelines of the Care Management program
• Starts each intervention with members wondering, “What does the world look like for this person, and how can I meet him or her where they are?  What are his or her unique needs, and how can CareSource help?”  In each interaction, the employee will aspire to help the member to feel informed, empowered, and supported by CareSource
• Looks for ways to improve the process to make the members experience with CareSource easier and streamlines time to complete the assessment and follow-up
• Perform any other job duties as requested

Education and Experience:

• High School Diploma or General Education Diploma (GED), is required
• Minimum of two (2) years of experience in either volunteer or paid position working in community settings with at risk populations providing coordination of services is preferred

Competencies, Knowledge and Skills:

• Proficient with Microsoft Office, including Outlook, Word and Excel
• Sensitivity to and experience working within different cultures
• Good interpersonal skills
• Ability to work independently and within a team environment
• Ability to identify problems and opportunities and communicate to management
• Developing knowledge of local, state & federal healthcare laws and regulations & all company policies regarding case management practices
• Demonstrate compassion, support and collaboration with members and families
• Self-motivated and inquisitive
• Comfort with asking pertinent questions
• Ability to work in a fast-paced environment
• Ability to demonstrate and promote ethical conduct
• Ability to develop positive relationships with all stakeholders
• Awareness of community & state support resources
• Organized , detail-oriented and conflict resolution skills
• Ability to keep composure and professionalism during times of high emotional stress
• Ability to maintain confidentiality and act in the company’s best interest
• Proven track record of demonstrating empathy and compassion for iniduals
• Proven track record for improving processes to make things easier for those you have served

Licensure and Certification:

• None

Working Conditions:

• General office environment; may be required to sit or stand for extended periods of time

Compensation Range:

$35,900.00 - $57,300.00

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 inidual 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):

Hourly

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 iniduals of all backgrounds.

#LI-JM1

Network Development Director(Preferred Experience In Contracting And Managed Care)

locations

Remote

time type

Full time

job requisition id

R10938

Job Summary:

The Network Development Director is responsible for hospital, provider and ancillary provider contracting, service, and provider data integrity to facilitate optimal member access, successful business growth initiatives and sound plan financial performance as it relates to unit pricing in select states, regions or markets.

Essential Functions:

• Responsible for the development of networks in new markets
• Will have significant interactions with third parties, contractors, and various companies engaged to develop networks in new markets
• Responsible for provider recruitment of states, geographic regions, or markets as defined in the corporate strategic plans
• Develop a Contracting Strategy on an as needed basis for the various targeted markets
• Develop the key metrics to ensure a high level of network adequacy
• Responsible for robust competitor and provider competitive analysis and the creation of other information to formulate a business decision related to the provider network
• Compile quarterly and annual statistics
• Responsible for the effective integration of new providers into the Network Operations infrastructure
• Ensure that the provider setup for new markets or regions is consistent with the Departmental standards
• Provide oversight of provider contracting activities when completed by contractors or other iniduals or entities working on behalf of the Health Plan
• Responsible for aggressive recruitment programs including recruitment materials and development and facilitation of quarterly reports
• Provide formal feedback, documentation, and resolution of areas for improvement and monitor sustained improvement
• Review audits of all performance from a productivity, performance, and quality perspective; address issues as identified
• Implement a process in conjunction with other departmental Directors to ensure an effective approach to on-boarding new providers
• Ensure the network complies with all regulatory requirements as well as with all company-mandated policies and procedures
• Ensure provider network is adequate, cost effective, competitive, stable and meets the corporate and regulatory access requirements
• Interact with the Finance Department in terms of pricing for provider contracts
• Chair or co-Chair operational committees that relate to the contracting process
• Participate in training sessions for providers and staff as appropriate.
• Implement performance improvement initiatives to improve Provider Satisfaction Scores incrementally on an annual basis
• Perform any other job duties as requested

Education and Experience:

• Bachelor’s degree or equivalent in health-related field
• Master’s Degree or equivalent preferred
• Minimum 5 years management experience required
• Minimum of 3 years contract negotiation experience required
• Managed care experience highly preferred

Competencies, Knowledge and Skills:

• Intermediate computer skills
• Proficient in Microsoft Word, Outlook, and Excel
• Knowledge of Network Management Processes & Services
• Ability to manage and prioritize multiple tasks, promote teamwork and fact-based decision making
• Communication skills
• Ability to work independently and within a team environment
• Attention to detail
• Familiarity of the healthcare field
• Critical listening and thinking skills
• Training/teaching skills
• Strategic management skills
• Proper grammar usage
• Time management skills
• Proper phone etiquette
• Decision making/problem solving skills
• Leadership experience and skills
• Resiliency in a changing environment

Licensure and Certification:

• Employment in this position is conditional pending successful clearance of a driver’s license record check.  If the driver’s license record results are unacceptable, the offer will be withdrawn or, if employee has started employment in this position, employment in this 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 iniduals 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:

• Mobile Worker:  Will work at different office locations established by CareSource; will be required to travel approximately 35% of time to perform work duties; may be required to stand and/or sit for long periods of times
• A valid driver’s license, car and insurance are necessary for work related travel
• Required to travel to provider offices and will be exposed to weather conditions depending on geographic location

Compensation Range:

$113,000.00 - $197,700.00

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 inidual 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 iniduals of all backgrounds.

#LI-SW2

Team Lead, Clinical Care Review

locations

Indiana WFH

time type

Full time

job requisition id

R11259

Job Summary:

The Team Lead, Clinical Care Review is responsible for providing direct oversight of Clinical Care Review (CCR) employees and overseeing day-to-day workflow within the CCR team.

Essential Functions:

• Provide direct oversight of CCR employees and oversee day-to-day workflow within the CCR team
• Ensure all direct reports are performing at minimum quality and productivity standards or better
• Understand complexities of health conditions and services
• Develop plan for management of workload after analyzing trends and act as advocate for CCR team
• Provide feedback, guidance, orientation, training and ongoing resources to CCRs and pre-authorization team
• Standardize activity and outcome reporting for department initiatives and programs including documentation required by the State and accrediting bodies
• Responsible for utilization review and discharge planning activities for CareSource members
• Monitor and ensure appropriate delivery of healthcare services in cost-effective manner
• Assist manager and director in development of process improvement activities and refining of processes that facilitate cost-effective utilization and appropriate levels of care
• Act as a liaison between Care Management, Claims, Enrollment, Customer Service and other areas as needed to assist in problem resolutions
• Perform audits of CCR team members to ensure compliance with CareSource policies, processes, regulatory requirements, NCQA utilization review guidelines and standards, and URAC review guidelines
• Provide input into CCR team evaluations and assist with development of team goals
• Design and present UM informational meetings as needed
• Responsible for attending state hearings as necessary
• Perform any other job duties as requested

Education and Experience:

• Graduate level degree as a mental health professional or Bachelor of Science degree in Nursing or equivalent years of relevant work experience is required
• One year of Utilization Management/Utilization Review experience required
• Minimum of five (5) years clinical experience preferred
• Certified Care Manager experience is preferred

Competencies, Knowledge and Skills:

• Basic computer skills
• Basic proficiency in Microsoft Word and Excel
• Communication skills
• Management skills
• Prior supervisory skills
• Ability to work independently and within a team environment
• Attention to detail
• Familiarity of the healthcare field
• Critical listening and thinking skills
• Training/teaching skills
• Negotiation skills/experience
• Proper grammar usage
• Time management skills
• Proper phone etiquette
• Customer service oriented
• Decision making/problem solving skills
• Leadership experience and skills

Licensure and Certification:

• Current, unrestricted license as a Registered Nurse (RN) or a mental health professional (i.e. Licensed Professional Counselor (LPC), Licensed Clinical Social Worker (LCSW), etc.) is required. This listing may not include all acceptable licenses; please refer to your state licensing board for complete information on licensure requirements for your state or practice.
• Compact RN license or Multi-state Counselor/Social Worker licensure is preferred
• MCG Certification preferred

Working Conditions:

• General office environment; may be required to sit or stand for extended periods of time

Compensation Range:

$72,200.00 - $115,500.00

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 inidual 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 iniduals of all backgrounds.

#LI-JM1

ETL Developer

remote type

Remote

locations

Remote - USA

time type

Full time

job requisition id

R25_0000004053

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.

Brown & Brown is seeking an ETL Developer to join our growing team!

This role will act as a technical expert for the creation, management, and extraction of data for Brown & Brown’s National Pharmacy Team. Primary duties include participating in requirements gathering meetings, establishing a design, and developing new solutions based off the requirements, extract/transform/load raw data files into the Data Lakehouse for both standard and customized file layouts, and work directly with the Analytics team, Operations team, and Software Development team to build innovative data delivery solutions and extracts that provide customer insight.

How You Will Contribute:

• Develop ETL pipelines in Azure Data Factory to support various types of data loads and business needs.

• Work with the Enterprise Data Management team to create, expand and sustain data procedures with the Data Lakehouse.

• Use Sql to support National Pharmacy Team business/users, create new data deliverables, and enhance current scripts.

• Map data from source to target by applying standardization techniques to ensure accuracy.

• Migrate legacy SSIS packages into Azure Data Factory

• Apply quality assurance practices that minimize errors and/or data discrepancies.

• Perform data resolution efforts if an issue arises.

• Apply database schema concepts that ensure optimally running applications / routines.

• Collaborate directly with internal teammates to take business ideas and develop technical requirements that meet the business request.

• Follow all department procedures, including source control, release, and change management procedures.

• This position will include job duties that require risk designations for access to Electronic Protected Health Information (PHI) in the course of their job responsibilities.

Skills and Experience to be Successful:

• Computer Science Degree of related fields OR direct applicable experience in an enterprise environment

• 2+ years of working with ETL tools in an enterprise environment.

• 2+ years of direct experience using SQL Server with advanced knowledge in relational database querying.

• Previous experience working in the pharmacy industry. Preferred

• Experience with Azure Data Factory. Preferred

Pay Range

$95,000 - $115,000 Annual

The pay range provided above is made in good faith and based on our lowest and highest annual salary or hourly rate paid for the role and takes into account years of experience required, geography, and/or budget for the role.

Teammate Benefits & Total Well-Being

We go beyond standard benefits, focusing on the total well-being of our teammates, including:

• Health Benefits: Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance  
• Financial Benefits: ESPP; 401k; Student Loan Assistance; Tuition Reimbursement 
• Mental Health & Wellness: Free Mental Health & Enhanced Advocacy Services
• Beyond Benefits: Paid Time Off, Holidays, Preferred Partner Discounts and more.

Not reflective of all benefits. Enrollment waiting periods or eligibility criteria may apply to certain benefits. Benefit details and offerings may vary for subsidiary entities or in specific geographic locations. 

The Power To Be Yourself  

As an Equal Opportunity Employer, we are committed to fostering an inclusive environment comprised of people from all backgrounds, with a variety of experiences and perspectives, guided by our Diversity, Inclusion & Belonging (DIB) motto, “The Power to Be Yourself”.

Director, REMS Global Safety Sciences, Medical Safety and Risk Management

Primary Work Location Remote - US or Hybrid - Cambridge, MA

Who we are:

At Agios, we are fueled by connections to transform rare diseases. We foster an inclusive, collaborative culture – one that sparks bold thinking and strengthens our connections with each other and with the rare disease communities we serve. We embrace erse backgrounds with respect, active listening, and a commitment to inclusion – because our differences shape how we hire, collaborate, and innovate. Our team’s proven track record of executional excellence, combined with our depth of expertise and dedication, enables us to develop innovative medicines that reflect the priorities of rare disease communities. Our commitment is more than scientific – it’s deeply personal, grounded in the meaningful connections we have built. To learn more, visit www.agios.com and follow Agios on LinkedIn and X.

The impact you will make:

Agios Pharmaceuticals is searching for a dynamic Director, REMS (Risk Evaluation and Mitigation Strategy) Global Safety Scientist, to join our growing Medical Safety and Risk Management team. We want someone who cares about this important work, and who’s driven to connect to our mission of helping these patient communities. The Director, REMS Global Safety Scientist will be responsible for monitoring, evaluating, and managing the safety profile of assigned products, with a specialized focus on risk minimization activities required by global regulatory agencies such as the FDA and EMA. The ideal candidate will leverage strong scientific writing, analytical skills, and regulatory expertise to ensure product benefits continue to outweigh their risks in both clinical trial and post-marketing environments.

What you will do:

• Lead the authoring, development, and ongoing maintenance of REMS materials

•  Lead the scientific review and authoring for REMS assessment reports

•  Provide vendor oversight as needed

• Collaborate cross-functionally for internal review of the full REMS assessment reports

• Author, contribute to, and strategically review aggregate safety reports overall and with a specific focus to REMS requirements and risks that require REMS

• Support readiness for internal audits and external regulatory inspections related to REMS activities

•  Organize, direct and manage technical and human resources to efficiently support the management of REMS safety data in accordance with FDA safety regulations

• Liaise with safety systems for required outputs

• Collaborate with medical risk management function

• Drive timely decisions and appropriately shift functional timelines, resources and priorities

  Other Safety Scientist Responsibilities:

o   Conduct signal detection and management activities

o   Develop and maintain risk management plans

o   Manage direct report performance against goals; supporting and consulting as necessary

o   Serve as functional owner of SOPs and Work Instructions related to functional area

o   Serve as a point of escalation for issue resolution\

What you bring:

• Health care professional (e.g. RN, pharmacist, or other life sciences experience) with a minimum of 6 years of relevant drug safety/pharmacovigilance experience; training in pharmacology, epidemiology or regulatory science is a plus

• Able to oversee and manage direct reports and vendors

• Excellent written/verbal communication and interpersonal skills

•   Strong planning and organization skills

• Strong analytical skills and the ability to interpret complex clinical and safety data

• Excellent scientific writing and communication skills, with attention to detail

• Ability to work independently, manage multiple projects simultaneously, and collaborate effectively in a team environment.

Concerned that you don’t check off every box in the requirements listed above? Please apply anyway! At Agios, we value each other’s differences and recognize that teams thrive when everyone brings their unique experiences to the table. We are dedicated to building an inclusive, erse, equitable, and accessible environment where all employees can bring their whole selves to work. If you’re excited about this role but your previous experience doesn’t align perfectly with the job description, we still encourage you to apply. You may be just the right candidate for this role or another opening!

Work Location:

Work location for this role is based on employee's inidual preference. This role has the ability to be either remote in the US or hybrid in our Cambridge Headquarters. Hybrid schedules vary but are generally less than 3 days per week onsite and hybrid employees are expected to live within commutable distance to our Cambridge Headquarters. Remote employees work entirely from home except for attending Company sponsored events/ meetings. For employees who choose to work remotely, travel may be required for certain company events commensurate to the above job description..

What we will give you:

·Deliberate Development. Your professional growth as one of our top priorities.

·Flexibility. We’re all about inidual needs. We embrace different perspectives, work styles, health and wellness approaches, care of families and productivity. When you’re at your best, we’re at our best.

·Premium benefits package. We invest in the health, wellbeing, and security of our people with a premium benefits package that is well-rounded and flexible to help meet the varied personal and professional needs of every member of our team.  For more detail on the benefits we offer at Agios, visit the Inside Agios section of our website.

·Competitive and equitable performance-based compensation. This includes base salary and both short- and long-term incentives that are connected to our business strategy and vary based on inidual and company performance.

• The current base salary range for this position is expected to be between $183,549 – $275,324 annualized; final salary will be determined based on various factors including, but not limited to, years of relevant experience, job knowledge, skills and proficiency, degree/education, and internal comparators.

·Psychological safety.  We support an environment of fearlessness. We want you to share your ideas, speak candidly and take data-informed risks to help push the boundaries.

·Commitment to ersity. We strive to foster a welcoming workplace where everyone can thrive. We’re continuously looking to improve the inclusivity of our workforce.

·Commitment to community. We’re an active participant in the communities that surround us – the communities where we live, and the community of people and their loved ones in need of better treatment options for conditions that are often overlooked

Clinical Appeals Reviewer

Location Remote, United States

Job Description:

Role Overview: The Clinical Appeals Reviewer is responsible for processing appeals and ensuring all milestones are met in compliance with regulatory requirements. This role involves outreach to appellants or their representatives, obtaining and reviewing medical records, packaging pertinent information into a case for determination, interacting directly with providers to obtain additional clinical information, and with members or their advocates to understand the full intent of the appeal.

Responsibilities:

• Process appeals, ensuring compliance with all regulatory milestones
• Review medical records to identify Hospital-Acquired Conditions (HAC), ensure proper documentation, billing code compliance, and prevent reimbursement errors
• Outreach to appellants or their representatives to obtain and review medical records
• Package pertinent information into a case for determination
• Interact with providers to obtain additional clinical information
• Engage with members or their advocates to understand the full intent of the appeal
• Provide clinical expertise and determine medical necessity for case classifications when necessary
• Perform front-line regulatory/compliance functions in the evaluation of appeals
• Review appeal cases and ensure the Medical Director makes timely decisions
• Review final determinations and create decision letters containing required information as regulatory entities dictate
• Present cases to committees when necessary
• Utilize InterQual criteria and apply them to appeals reviews
• Stay current with the department and AmeriHealth Caritas policies and procedures
• Familiarize yourself with and comply with federal, state, and local regulations, such as the National Committee Quality Assurance (NCQA) standards related to appeal and grievance operations

Education & Experience:

• Bachelor's degree (BSN) required
• 3 or more years of experience in a related clinical setting and working with diagnosis procedure codes
• Working knowledge of InterQual criteria
• Proficiency in a Windows 10 environment and utilizing MS Office, including Word, Excel, and Outlook
• Familiarity with the appeals process, preferably within a managed care organization

Licensure:

• Current and unrestricted Registered Nurse (RN) licensure or compact state licensure

Skills & Abilities:

• Strong verbal and written communication, critical thinking, presentation, and the ability to manage and complete multiple high-priority tasks within designated timeframes.

Your career starts now. We're looking for the next generation of healthcare leaders.

At AmeriHealth Caritas, we're passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in healthcare solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs. AmeriHealth Caritas is seeking talented, passionate iniduals to join our team. Together, we can build healthier communities. If you want to make a difference, we'd like to hear from you.

Headquartered in Newtown Square, PA, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.

Discover more about us at www.amerihealthcaritas.com.

Our Comprehensive Benefits Package

Flexible work solutions include remote options, hybrid work schedules, competitive pay, paid time off, including holidays and volunteer events, health insurance coverage for you and your dependents on Day 1, 401(k), tuition reimbursement, and more.

Title: Human Trafficking Survivor Advocate

WORK AT HOME - OHIO

Full time

Job Description:

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities.

Job Description Summary:

This position provides direct aftercare advocacy and programming for the OhioHealth Sexual Violence Services (OHSVS) Forensic Nursing Program (FNP). The role focuses on supporting survivors of sexual assault and human trafficking, including both sex and labor trafficking, beyond the initial emergency department visit or helpline call. The human trafficking advocate offers in-person and telephonic aftercare services to survivors from OhioHealth Emergency Departments in Central Ohio and regional locations such as Marion and Mansfield. Responsibilities include providing ongoing emotional support, personal advocacy, and guidance on available options; connecting survivors to community resources; sharing information on victims' rights; and assisting with Ohio Victims of Crime Compensation applications. The advocate provides in-person support during interactions with law enforcement and court proceedings as part of criminal justice advocacy.

Responsibilities And Duties:

75%: provide emotional support, crisis response, information, options, safety planning, resources, psychoeducation with a broad focus on all elements of victimization.to survivors and co-survivors via the Helpline or in-person emergency room response

20%: provide peer support to other advocates via regular check-in calls/emails and meetings, mentorship to new advocates via job shadowing and onboarding.

5%: participate regularly in advocate in-services, staff meetings, 40-hour training, and support SARNCO outreach efforts.

Minimum Qualifications:

High School or GED (Required)

Additional Job Description:

SPECIALIZED KNOWLEDGE

Sexual assault advocacy

Anti-oppression

Trauma Informed Care

Work Shift:

Day

Scheduled Weekly Hours :

32

Department

SANE

Join us!

... if your passion is to work in a caring environment

... if you believe that learning is a life-long process

... if you strive for excellence and want to be among the best in the healthcare industry

Equal Employment Opportunity

OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment

Remote Work Disclaimer:

Positions marked as remote are only eligible for work from Ohio.

Senior Director, Nursing Education

locations

US - Remote

time type

Full time

job requisition id

JR101053

Risepoint is an education technology company that provides world-class support and trusted expertise to more than 100 universities and colleges. We primarily work with regional universities, helping them develop and grow their high-ROI, workforce-focused online degree programs in critical areas such as nursing, teaching, business, and public service. Risepoint is dedicated to increasing access to affordable education so that more students, especially working adults, can improve their careers and meet employer and community needs.

The Senior Director, Nursing provides leadership and subject matter expertise in the development, implementation, and continuous improvement of nursing academic programs. This role partners closely with internal cross-functional teams and university leadership to guide program design, ensure regulatory and accreditation readiness, and promote academic and operational excellence. Serving as a trusted advisor to partner institutions, the Senior Director builds and sustains strong relationships that drive program success, quality, and growth. The role also supports business development efforts to expand nursing education partnerships and contributes to organizational innovation through collaboration, research, and best practice sharing. The Senior Director also directly manages the nursing Healthcare Center of Excellence team to ensure all Risepoint priorities and objectives are achieved with academic partners. This role works very closely with the Healthcare Solutions leaders serving as the foremost clinical leader as it relates to nursing programs.

Key Duties and Responsibilities

Program Leadership and Partner Consultation

• Lead program discovery and academic consultation for nursing and healthcare programs, aligning partner goals with market and regulatory realities.
• Oversee Nursing Healthcare Center of Excellence team performance, prioritization, and capabilities to ensure excellence in partner engagement and program outcomes.
• Guide strategic program discovery and consultation for healthcare and nursing programs, aligning partner goals with market and regulatory realities.
• Provide leadership in developing program design recommendations, launch readiness plans, and scalability strategies.
• Conduct readiness assessments related to accreditation, regulatory approval, and clinical operations.
• Partner cross-functionally to support business development, assess new partnership opportunities, and promote program expansion.

Academic Quality, Compliance, and Performance Monitoring

• Serve as the internal subject matter expert on nursing education standards, regulatory compliance, and accreditation best practices.
• Monitor and analyze key program outcomes, including retention, persistence, and licensure exam pass rates.
• Oversee development of data-driven insights and reports to inform decision-making and continuous improvement.
• Track and interpret changes in healthcare education policy, accreditation, and workforce trends.
• Ensure Nursing Directors maintain strong compliance oversight and timely management of accreditation documentation.

Faculty and Program Development

• Design and deliver professional development workshops for faculty on online learning, instructional technology, and student success strategies.
• Provide consultation on curriculum review, teaching innovation, and NCLEX readiness.
• Develop internal and external resources and tailored training materials to support faculty and partner needs.
• Promote a culture of academic excellence and continuous improvement in program delivery.

Relationship Management and Partner Engagement

• Build and maintain strong, collaborative relationships with partner universities and health system partners.
• Serve as the primary liaison throughout the program planning, launch, and evaluation phases.
• Ensure high partner satisfaction and long-term success through proactive communication and data-informed support.
• Collaborate with cross-functional teams to align academic outcomes with organizational and partner priorities.

Organizational Collaboration, Research, and Operational Excellence

• Contribute to the goals of the Academic Services and Products team and the Healthcare Center of Excellence.
• Participate in cross-functional initiatives, research projects, and documentation related to nursing education trends.
• Support process improvement, operational efficiency, and system utilization across the department.
• Uses a spirit of innovation, collaboration, and excellence in all interactions with colleagues and partners.

QUALIFICATIONS

• Terminal Degree in Nursing or Master’s Degree in Nursing/Healthcare and terminal degree in related field
• 5 – 10 years of managing nursing education program across the program spectrum
• 5+ years of experience in academic assessment, outcomes monitoring and evaluation, regulatory and accreditation process and reporting
• 5+ years of experience in online prelicensure program delivery

Licenses & Certifications

• Registered Nurse In state of residence
• Certification in healthcare and/or nursing education

Skills/Knowledge/Abilities

Proficiency Level

Required / Preferred

• Understanding of the academic environment in higher education.
• Communication skills – written and oral
• Customer Service focused
• Self-motivated and self-directed
• Collaborative team player who can work in matrixed environment
• MS Office skills
• Ability to travel up to 25%

Risepoint is an equal opportunity employer.  We celebrate ersity and are committed to creating an equitable environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status, or any other characteristic protected by applicable state or federal laws.

Risepoint is an equal-opportunity employer and supports a erse and inclusive workforce.

Nursing Prelicensure Program Manager

locations

US - Remote

time type

Full time

job requisition id

JR101087

Risepoint is an education technology company that provides world-class support and trusted expertise to more than 100 universities and colleges. We primarily work with regional universities, helping them develop and grow their high-ROI, workforce-focused online degree programs in critical areas such as nursing, teaching, business, and public service. Risepoint is dedicated to increasing access to affordable education so that more students, especially working adults, can improve their careers and meet employer and community needs.

At Risepoint, we’re reimagining how higher education and healthcare work together to solve one of the nation’s most urgent challenges, the nursing workforce crisis. We partner with colleges, universities, and healthcare systems to scale innovative, high-quality prelicensure and post licensure nursing education pathways that meet community and workforce needs.

The Nursing Prelicensure Program Manager plays a pivotal leadership role in ensuring Risepoint and its academic partners meet all regulatory, licensing, and authorization requirements necessary for the operation of nursing prelicensure programs across the United States.

This position leads the Regulatory Affairs and State Authorization work and reports to the Senior Director, Nursing Education, overseeing all activities related to state board of nursing approvals and ongoing monitoring of nursing regulatory trends. The role serves as a subject matter expert to internal leadership, university partners, and employers, ensuring regulatory alignment with academic and operational excellence.

Key Duties and Responsibilities

State Authorizations and Licensure

• Write the responses and recommend language for submission of all state authorization applications and related documentation with State Boards of Nursing and other regulatory bodies in close coordination with the Healthcare Center of Excellence, Managing Directors and SVPs, and academic partners.
• Provide guidance to the Senior Director, Nursing, SVP, Healthcare Solutions, MD’s and SVPs, and academic partners on licensure actions and regulatory compliance for pre and post licensure nursing programs.

Compliance Oversight and Research

• Create, implement and maintain compliance tools, dashboards, and data systems that track state, federal, and accreditation trends to ensure effective decision-making and awareness for all leaders involved.
• Coordinate all regulatory research projects and ensure timely dissemination of findings to leadership and partner institutions.
• Provide regulatory guidance on institutional policy development and review university publications for compliance accuracy.
• Ensure the compliance of documentation, records, and reports maintained in alignment with internal quality standards and external regulatory requirements.

QUALIFICATIONS

Education Level

Master’s degree in Higher Education Administration, Public Policy, Nursing, or a related field (required).

Skills / Experience Level

• Minimum of 7–10 years of experience in higher education regulatory affairs, with at least 3 years in a leadership or management role.
• Demonstrated expertise in state authorization and Board of Nursing regulatory processes for nursing prelicensure programs.
• Strong understanding of federal and state regulations impacting postsecondary education and nursing licensure pathways.
• Proven ability to manage teams, lead projects, and navigate complex regulatory environments.
• Exceptional written and verbal communication skills with the ability to translate complex regulatory information into actionable guidance.
• Collaborative, mission-driven leader with high attention to detail, integrity, and strategic thinking.
• Subject matter expertise as a clinical leader is preferred

Risepoint is an equal opportunity employer.  We celebrate ersity and are committed to creating an equitable environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status, or any other characteristic protected by applicable state or federal laws.

Risepoint is an equal-opportunity employer and supports a erse and inclusive workforce.

Department: Testing

Job Description:

Defect and Test Reporting Lead

Location: Onsite or Hybrid – Southeast US

About Us:

Known for “Delighting the Client” through performance, innovation, and an employee-centric culture, S2Tech is a fast-growing IT consulting company serving clients in over a quarter of the United States. We are widely recognized as a leading provider of both technical and business services in support of Health and Human Services-related projects. 

Why S2Tech?:

• Stable privately-owned company with a strong reputation for building long-term client relationships through the delivery of consistent value-based service

• 25+ years providing IT and Business services to private customers and government programs throughout the United States

• Expansive client portfolio and active projects – employees benefit from innovative project exposure and in-house skill development training/courses  

• Corporate culture that emphasizes the importance of family and promotes a healthy work-life balance

• Offer competitive pay and a range of benefits, including:

  • Medical / Dental / Vision Insurance – insurance premium assistance provided

  • Additional Insurance (Life, Disability, etc.)

  • Paid Time Off

  • 401(k) Retirement Savings Plan & Health Savings Account

  • Various training courses to promote continuous learning

  • Corporate Wellness Program

   

• Be part of a company that gives back through its non-profit organization, Fortune Fund, which was launched in 2001. The goal of the Fortune Fund is to close the rural/urban ide by ensuring children in rural communities in India and the United States understand the importance of education & are aware of professional career opportunities, allowing them to link their professional & educational goals

Job Overview:

We are building a pipeline for Defect and Test Reporting Leads to support structured UAT efforts requiring strong defect management and executive-level reporting.

Responsibilities:

• Manage defect lifecycle during UAT

• Produce daily/weekly test status and quality metrics

• Support defect triage and prioritization discussions

• Ensure testing transparency and audit readiness

Preferred Experience:

• Defect management in UAT or system testing

• Strong reporting and data analysis skills

• Experience in regulated or public-sector environments is a plus

S2Tech is committed to hiring and retaining a erse workforce. We are an equal opportunity employer making decisions without regard to age, race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected class.

Title: Medical Dosimetrist (Remote)

Location: Remote US

Full time

Job Description:

Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full.  Below, you’ll find other important information about this position. 

The Medical Dosimetrist is a member of the radiation oncology team who has a knowledge of the overall characteristics and clinical relevance of radiation oncology in the management of cancer or other disease process, with special expertise in radiation therapy treatment planning. The essential responsibility of the Medical Dosimetrist is to demonstrate an understanding of topics including, but not limited to, cancer, radiation biology, radiation therapy techniques, radiation oncology physics, equipment technology, radiation safety and protection, anatomy, physiology, and mathematics to generate treatment plans. Once the treatment plan has been generated the Medical Dosimetrist is responsible for communicating the plan to the Radiation Oncologist, and then to the Radiation Therapist for implementation. The Medical Dosimetrist must maintain a commitment to a high degree of accuracy, attention to detail, and safety. The Medical Dosimetrist must use critical thinking skills when performing treatment planning, plan evaluation, recognizing and resolving equipment problems and treatment discrepancies.

MINIMUM QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Must be board eligible for the Medical Dosimetrist Certification Board (MDCB) exam. Must obtain Medical Dosimetrist certification through the Medical Dosimetrist Certification Board (MDCB) withinone (1)year of hire.

2. State criminal background check and Federal (if applicable), asfor regulated areas

PREFERRED QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Certified Medical Dosimetrist through theMedical Dosimetrist Certification Board (MDCB).

2. Completion of a formal medical dosimetry program accredited by the Joint Review Committee on education in Radiologic Technology (JRCERT).

EXPERIENCE: 

1. Three (3) years of medical dosimetry experience.

2. Experience with Varian Eclipse and ARIA.

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position.  They are not intended to be constructed as an all-inclusive list of all responsibilities and duties.  Other duties may be assigned.

1. Assemble data to identify and contour normal and dose-limiting structures by utilizing images from one or more data sets. Assumes proficiency in image registration with various image data sets to include CT, MRI and PET.

2. Design a treatment plan by means of computer and/or manual computation with optimal beam geometry to deliver a prescribed radiation dose and spare critical structures in accordance with the Radiation Oncologist's prescription.

3. Create and transfer reference images and localization markers for portal verification and treatment delivery to include DRRs, CBCTs and other IGRT methods, as specified.

4. Supervise or assist in simulations and tumor localization using specified imaging devices including, but not limited to CT, MRI, and PET.

5. Supervise, perform, or assist in the planning and implementation of the fabrication of compensation filters, custom shields, wedges, and other beam modifying devices.

6. Supervise, perform, or assist in the planning and implementation of the production of molds, casts, and other immobilization devices.

7. Communicate with the radiation therapist(s) and assume an advisory role in the implementation of the treatment plan including: the correct use of immobilization devices, compensators, wedges, field arrangement, and other treatment or imaging parameters

8. Development of optimal treatment strategies that result in attainable radiation therapy plans including localization of tumor volumes, critical structures, generation of isodose distributions, and performance of dose calculations according to the written directive.

9. Maintain accurate evaluation of information generated from radiation treatment plans such as isodose distributions, Dose Volume Histograms (DVH’s) and other data in establishing the appropriateness of the treatment plan.

10. Perform calculations for the accurate delivery of the prescribed dose in MU, document all pertinent information in the patient record, and verify the mathematical accuracy of all calculations by an approved method.

11. Maintain accurate transfer and documentation of treatment parameters either manually or electronically according to departmental policies.

12. Provide assistance and technical support to the Medical Physicist, in radiation safety and protection, qualitative machine calibrations, quality assurance of treatment plans and radiation oncology equipment.

13. Operates and performs quality assurance, under the direction of the Medical Physicist, on the treatment planning computer(s).

14. Supervise, perform, or assist in the application of specific methods of patient and/or beam dosimetry as directed by the Medical Physicist.

15. Assist in brachytherapy procedures by performing treatment planning and dose calculations

16. Participate in the quality improvement processes by performing periodic checks as indicated by the supervising medical physicist.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable iniduals with disabilities to perform the essential functions.

1. The following items under physical demands, psychological demands, work demands and exposure category describe the basic extent of physical demands performed by staff in this position.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable iniduals with disabilities to perform the essential functions.

1. Cognizant of environmental factors, infection control issues and maintains a safe environment.

2. Quiet office setting with private workstation.

SKILLS AND ABILITIES:

1. Ability to be scheduled for work based on operational needs of the hospital.

2. Possesses the ability to deal tactfully and harmoniously with guests.

3. Demonstrates knowledge of and follows correct chain of command in handling challenges and issues, including crisis situations.

4. Assumes responsibility by ensuring continued professional growth of self, attending formal and/or formal educational/professional activities.

5. Ability to organize and prioritize time and tasks to achieve a well-coordinated work effort and to effectively meet work schedules, including an ability to integrate multiple factors which may have an impact on patient care, including variance in human resources.

Additional Job Description:

Scheduled Weekly Hours:

40

Shift:

Exempt/Non-Exempt:

United States of America (Exempt)

Company:

WVUH West Virginia University Hospitals

Cost Center:

158 WVUH Cancer Radiation Oncology

Address:

1 Medical Center Drive

Morgantown

West Virginia

Equal Opportunity Employer

West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.

Title: Licensed Professional Clinical Counselor (LPCC)

Location: Ohio

Department: Clinical-Therapist

Job Description:

Why We're Here:

We are looking for full-time Licensed Therapists to join our team and provide outpatient services through our telehealth program!

Benefits: Our team works 100% remotely from their own homes!

• W2, Full-time

• Compensation package includes base salary plus bonus! $74-81k PLUS earning potential up to 100k.

• Monday - Friday schedule; No weekends! Shift options include 9am-6pm, 10am-7pm, or 11am-8pm EST

• Comprehensive benefits package including PTO, medical, dental, vision benefits along with liability insurance covered and annual stipend for growth & education opportunities

• Additional compensation offered to bilingual candidates (Spanish)!

• We not only partner with commercial health plans, but are also a licensed Medicaid and Medicare provider and see patients across the lifespan

Requirements:

• Master's level degree and licensure

• Eligibility to work in the United States

• Work from home space must have privacy for patient safety and HIPAA purposes

• Fluency in English, Spanish preferred; proficiency in other languages a plus

• Meets background/regulatory requirements

Skills:

• Knowledge of mental health and/or substance abuse diagnosis

• Treatment planning

• Comfortable with utilizing technology at all points of the day, including telehealth software, video communication, and internal communication tools

• Experience working in partnership with clients to achieve goals

• Ability to utilize comprehensive assessments

Ready to apply? Here’s what to expect next:

It’s important to our team that we review your application and get back to you with next steps, fast! To help with that, and be most considerate of your time (which we value and know is limited), you may receive a call from Phoenix - our AI Talent Scout. She’ll ask for just 5 minutes of your time to gather some information about you and your job search to get the basics out of the way. If there is a mutual fit we’ll match you to the right senior recruiter on our team.

Title: Licensed Clinical Social Worker (LCSW)

Location: New York State

Department: Clinical-Therapist

Job Description:

At Brave Health, we are driven by a deep commitment to transform lives by expanding access to compassionate, high-quality mental health care. By harnessing the power of technology, we break down barriers and bring mental health treatment directly to those who need it most—wherever they are. As a community health-centered organization, we are dedicated to ensuring that no one is left behind. Nearly 1 in 4 people in the U.S. receive healthcare through Medicaid, yet two-thirds of providers don’t accept it. Brave Health is stepping up to close this gap by making mental health care accessible, affordable, and life-changing for all.

We are looking for full-time Licensed Therapists to join our team and provide outpatient services through our telehealth program!

Benefits: Our team works 100% remotely from their own homes!

• W2, Full-time

• Compensation package includes base salary plus bonus!

• Monday - Friday schedule; No weekends! Shift options include 9am-6pm, 10am-7pm, or 11am-8pm EST

• Comprehensive benefits package including PTO, medical, dental, vision benefits along with liability insurance covered and annual stipend for growth & education opportunities

• Additional compensation offered to bilingual candidates (Spanish)!

• We not only partner with commercial health plans, but are also a licensed Medicaid and Medicare provider and see patients across the lifespan

Requirements:

• Master's level degree and licensure

• Eligibility to work in the United States

• Work from home space must have privacy for patient safety and HIPAA purposes

• Fluency in English, Spanish preferred; proficiency in other languages a plus

• Meets background/regulatory requirements

Skills:

• Knowledge of mental health and/or substance abuse diagnosis

• Treatment planning

• Comfortable with utilizing technology at all points of the day, including telehealth software, video communication, and internal communication tools

• Experience working in partnership with clients to achieve goals

• Ability to utilize comprehensive assessments

Ready to apply? Here’s what to expect next:

It’s important to our team that we review your application and get back to you with next steps, fast! To help with that, and be most considerate of your time (which we value and know is limited), you may receive a call from Phoenix - our AI Talent Scout. She’ll ask for just 5 minutes of your time to gather some information about you and your job search to get the basics out of the way. If there is a mutual fit we’ll match you to the right senior recruiter on our team.

Title: Workers' Compensation and ADA Program Manager I - Risk Management

Location: Vancouver United States

Job Description:

Job Summary

The Workers' Compensation Manager oversees two County programs to ensure compliance with Washington and Oregon workers' compensation laws, state regulations, as well as the Federal and Washington laws on Tile II of Americans with Disabilities Act and Washington Law Against Discrimination.

This position collaborates with stakeholders to build positive relationships with county staff to reinforce the importance of workplace safety, injury, illnesses, and exposure prevention, and promote wellness for county staff and the community they serve.

As the County's designated ADA Coordinator, this position is responsible for updating and maintaining the County wide program as well as collaborating and providing resources for all County departments, respond to complaints and grievances regarding requested accommodations, completing Accessibility Survey Reports, and managing the County's ADA transition plan.

Applications will be accepted until an adequate number of applications are received. This posting may close at any time after 1/9/2026 with no additional notice.

Qualifications

Education

• Washington State WWCP certification or the ability to become certified within one (1) year or the State of Washington Self-Insured Claim Administrator Certification or the ability to become certified within one (1) year or demonstrable work experience.

Experience

• Four (4) years of experience in workers' compensation claims management for Washington and Oregon, ergonomics, or other field training. Management of direct reports, including mentoring, performance evaluations, and disciplinary issues.

Knowledge of:

• Principles of workers' compensation claims management and ergonomics. Extensive knowledge of Washington State and Oregon State workers' compensation laws. Training program and material development including effective training techniques. Personal computer and applicable software used in analysis, program, and plan development.

• Knowledge of Federal ADA and Washington Law Against Discrimination is preferred, but not required.

Ability to:

• Interpret and apply federal, state, and local policies, procedures, laws, and regulations. Evaluate county facilities, equipment, materials, and employee work practices to determine hazards in the workplace. Use risk and vulnerability analysis techniques to develop creative solutions to complex problems. Provide advice to county personnel on workers' compensation rules and ergonomics best practices. Interact with various departments within the organization to accomplish workers' compensation and ergonomics goals. Work independently with minimal supervision. Communicate effectively, both orally and in writing. Establish and maintain effective working relationships with those contacted during business. Ability to train, organize, coach, facilitate groups and evaluate staff. Communicate effectively with audiences of various levels of technical sophistication.

License or Certificate - WWCP or Washington Certified Claims Administrator designation is highly desirable.

This position may work up to 2-days a week remotely after the first three months.

SELECTION PROCESS:

If you wish to upload a resume or other documents: Resumes and documents must be attached together in the 'Resume Upload' section of the application. Multiple files are allowed, but all applicant attachments must be uploaded simultaneously, as there is no way to edit or append uploaded materials after submitting the application.

Application Review (Pass/Fail) - An online application is required. Attaching a resume does not substitute for a completed application; incomplete applications will not pass the application review. Candidates deemed most qualified will be invited to participate in the remainder of the selection process.

Oral Interview - The interview will be job related and may include, but not be limited to, the qualifications outlined in the job announcement. Top candidate(s) will continue in the process.

Employment References will be conducted for the final candidates and may include verification of education.

It is the general policy of the County that new employees should be hired at the lower steps of the applicable range and advance through the range at the normal progression.

Examples of Duties

KEY OR TYPICAL TASKS AND RESPONSIBILITIES

Workers' Compensation. This position collaborates with managers and employees, during all phases of workers' compensation claims process from reported injuries, initial opening of claims, return to work, light/modified duty, maintains and updates the policy and program as needed.

• Communicates with TPA (Washington) and monitor claims management (Washington and Oregon) - timely approval of medical provider requests, payment of fee bills, and compensation. Ensures compliance with Washington requirements for self-insured employers.

• Collaborates and communicates with TPA and legal counsel regarding claims management and litigation.

• Communicates with SAIF (Oregon) and monitors claim management.

• Tracks injury trends and costs and provide meaningful information/reports to Occupational/Safety and departments. Cooperates with implementation of Safety Initiatives.

• Coordinates with Safety regarding updating and maintaining of the OSHA log following record keeping guidelines as well as relating to work places injuries, illnesses and exposures where there is a workers' compensation claim.

• Provide resources and training for County employees and answers questions regarding workers' compensation claims.

• Complies with HIPAA privacy requirements regarding the transfer of personal health information in any form as it pertains.

• Data analysis - review data and provide reports and information through monthly, quarterly, and annual reports.

• Meet with departments status of complex and time loss claims, quarterly department meeting where an employee has been off for more than 30-days

• Manages the TPA Services contract for workers' compensation, participates in the RFP process, bi-yearly claim review, completes annual workers' compensation insurance renewal, and various other year-end reports.

ADA. This position manages the County's Americans with Disabilities Act program and is designated as the County's ADA Program Coordinator.

• Collaborate with departments to ensure public and employee accommodations are complaint with state and federal law.

• Ensure the County is complaint with Federal and State requirements for a public agency under Title II.

• Provide training for departments and employees and ensure training is compliant with state and federal laws.

• Maintain and update both the County's public facing and internal websites and pages.

• Coordinate ergonomic assessment with vendor, provide the report and communication regarding results of the assessment.

• Data analysis - review data and provide reports and information through monthly, quarterly, and annual reports.

• Create and implement effective controls for workplace hazards

• Ability to educate and train employees in hazard recognition

• Complies with HIPAA privacy requirements regarding the transfer of personal health information in any form.

• Manages vendor services contract.

• Coordinates with Safety and Risk

Salary Grade

M2.202

Salary Range

$6,910.00 - $9,673.00- per month

Title: AVP Chief of Integrated Care

Location:  Kansas Missouri

Full time

job requisition id R2025766

Job Description:

Blue Cross and Blue Shield of Kansas is looking to add to our Medical Affairs teams and has a new opportunity for an AVP Chief of Integrated Care. This position is responsible for driving whole-person care strategy by integrating behavioral health, physical health, care management, and population health functions. This role leads cross-functional teams to improve member outcomes, enhance affordability, and ensure proactive management across the continuum of care. This position reports to Senior Vice President, Chief Medical Officer.

"This position is eligible to work hybrid or onsite in accordance with our Telecommuting Policy. Applicants must reside in Kansas or Missouri or be willing to relocate as a condition of employment."

Are you ready to make a difference? Choose to work for one of the most trusted companies in Kansas.

Why Join Us?

• Make a Positive Impact: Your work will directly contribute to the health and well-being of Kansans.
• Lead and Inspire: Guide and mentor your team to achieve their full potential and success.
• Family Comes First: Total rewards package that promotes the idea of family first for all employees.
• Dynamic Work Environment: Collaborate with a team of passionate and driven iniduals.
• Trust: Work for one of the most trusted companies in Kansas

What you'll do

• Lead enterprise integration of behavioral and physical health programs and enable whole-person care.
• Provide fiscal oversight and budget accountability for integrated care programs; align investments to affordability and outcome targets. Oversee care management operations by setting the strategic direction for complex case management, transitions of care, wellness, and member engagement using standardized pathways and proactive interventions.
• Direct population health initiatives including prevention, chronic condition management, community health, and health equity.
• Collaborate with analytics, informatics, and quality teams to establish executive-level data-driven strategies and performance metrics including dashboards and reports for senior leadership.
• Ensure compliance with regulatory and accreditation standards and proactively identify and mitigate operational and clinical risks.
• Represent integrated care strategy as a thought leader with regulators, industry forums, provider partners, and community organizations.
• Build and lead high-performing teams and oversee succession planning to sustain leadership capability.
• Support modernization of Medical Affairs by driving evidence-based clinical pathways and prospective utilization strategies.
• Develop and manage budgets, staffing plans, and operational and create multi-year roadmaps and operating plans to deliver enterprise performance outcomes. Partner with Clinical Quality, Informatics/Analytics, Finance, Operations, and Provider Network to design, implement, and scale value-based care models tied to outcomes.
• Champion digital health and telehealth enablement, interoperability, and data exchange to support integrated care delivery and measurement.

What you need

• Bachelor's degree in public health, public administration or health policy - required.
• 10+ years of progressive leadership experience in integrated care, population health, or behavioral health within a payer or provider organization - required.
• Over 5 years of executive leadership experience driving strategic initiatives and measurable outcomes in integrated medical and behavioral health care models - required.
• Demonstrated budget ownership for clinical/population health programs - required.

Knowledge/Skills/Abilities:

• Strong understanding of care management models, behavioral health integration, and whole-person care frameworks.
• Advanced healthcare analytics, quality improvement, and regulatory compliance; translates insights into measurable outcomes.
• Executive-level communication and influence; skilled in stakeholder engagement and Board reporting.
• Advanced financial and strategic acumen, including budget management and cost-of-care optimization. Experience designing and executing value-based care models and provider partnerships.
• Proven ability to lead cross-functional teams and drive enterprise change and innovation.
• Proficiency in healthcare analytics, informatics, and quality improvement. Demonstrated success in driving the strategic shift from a physical health focus to a whole-person care vision, including the integration of social determinants of health.
• Experience across both payer and provider environments (direct employment or senior consulting) - Preferred. Proven success in leading cross-functional teams and implementing enterprise-wide care strategies.
• Demonstrated ability to drive affordability and improve member outcomes through strategic care initiatives within all lines of business. (Commercial, ACA, Medicaid, Medicare Advantage)
• Demonstrated experience in standing up, scaling, or overseeing a robust digital health platform that effectively supports integrated care delivery and data exchange.
• Specific experience ensuring telehealth capabilities are fully enabled and utilized as a core component of the integrated care model.

Bonus if you have

• Master's degree preferred.

Benefits & Perks

• Base compensation is only one component of your competitive Total Rewards package
• Incentive pay program (EPIP)
• Health/Vision/Dental insurance
• 6 weeks paid parental leave for new mothers and fathers
• Fertility/Adoption assistance
• 2 weeks paid caregiver leave
• 5% 401(k) plan matching
• Tuition reimbursement
• Health & fitness benefits, discounts and resources

Our Commitment to Connection and Belonging

At Blue Cross and Blue Shield of Kansas, we are committed to fostering a culture of connection and belonging, where mutual respect is at the foundation of our workplace. We provide equal employment opportunities to all iniduals, regardless of race, color, religion, belief, sex, pregnancy (including childbirth, lactation, and related medical conditions), national origin, age, physical or mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information (including characteristics and testing), military or veteran status, family or parental status, or any other characteristic protected by applicable law.

Blue Cross and Blue Shield of Kansas conducts pre-employment drug screening, criminal conviction check, employment verifications and education as part of a conditional offer of employment.

Title: Physician Office Scheduler 

Locations: Charleston, SC, FL, GA, ID, KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA

 Part-time • Work From Home

Job ID: 3785490

Job Description:

Schedule: Part-time (Must be able to work shift Mon-Friday, 3p-7p CST. Must also be able to complete 3 weeks for FT training 8a-5p cst)

Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Physician Office Scheduler with Parallon you can be a part of an organization that is devoted to giving back!

Benefits

Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.

• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.

• Free counseling services and resources for emotional, physical and financial wellbeing

• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)

• Employee Stock Purchase Plan with 10% off HCA Healthcare stock

• Family support through fertility and family building benefits with Progyny and adoption assistance.

• Referral services for child, elder and pet care, home and auto repair, event planning and more

• Consumer discounts through Abenity and Consumer Discounts

• Retirement readiness, rollover assistance services and preferred banking partnerships

• Education assistance (tuition, student loan, certification support, dependent scholarships)

• Colleague recognition program

• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)

• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Note: Eligibility for benefits may vary by location.

Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues? Join the Parallon family! We will give you the tools and resources you need to succeed in our organization. We are looking for an enthusiastic Physician Office Scheduler to help us reach our goals. Unlock your potential!

Job Summary and Qualifications

The Physician Services Office Scheduler is responsible for answering incoming phone calls, scheduling patient appointment in the registration system, insurance verification, routing calls and communicating to the appropriate department or physician offices.

You will also be responsible for:

• Answering incoming calls in a timely and professional manner
• Schedules all patient appointments for the physician practices including cancellations and changes
• Insurance verification and verification of patient demographics
• Selecting accurate insurance carrier plans and informs the patient of any carrier that is out of network
• Provides Good Faith Estimates upon patient request

Qualifications Needed:

• One year of related experience highly preferred
• Experience using EClinical Works preferred. Meditech or Cerner is a plus
• Experience scheduling for physicians offices highly preferred
• You must live within 60 miles of an HCA Healthcare hospital

Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.

HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.

HCA Healthcare Co-Founder

Be a part of an organization that invests in you! We are reviewing applications for our Physician Office Scheduler opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Title: Denial Case Manager- HIM

Location: Portsmouth United States

Job type: Hyrbid

Job Description:

Current Employees: If you are currently employed at SOMC please log into UKG Pro to use the internal application process.

Department: Health Information Mangement

Shift/schedule: Full Time (40 hrs/wk), Hybrid

SUMMARY

• Works under the supervision of the Health Information Denials Manager. The primary responsibilities are to screen denied cases using criteria as outlined by the payer, both inpatient and outpatient, for appropriateness of peer-to-peer, rebilling or adjustments. Manage payer portals to ensure denials and requests are being addressed by the appropriate staff, assisting with appeal follow up as needed. Works closely with the Utilization Review team. Assist with denial submission as needed.

QUALIFICATIONS

Education:

• Graduate of an accredited school of practical nursing required
• Knowledge of Interqual, MCG or case management experience preferred
• Hospital Reimbursement Knowledge preferred

Licensure:

• Licensed to practice in OH as specified by health specialty (if applicable) required

Experience:

• Knowledge of advanced medical terminology and procedures, diagnosis, symptoms, disease processes treatments preferred.
• Denial management experience preferred

JOB SPECIFIC DUTIES AND PERFORMANCE EXPECTATIONS

The following is a summary of the major job duties of this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.

• Performs clinical denial screening processes for inpatient and outpatient denials utilizing policies, contracts, regulations, MCG and InterQual criteria to include status denials, DRG validation denials, prior authorization and medical necessity denials.
• Reviews upheld clinical validation and status denials to prepare education for staff on prevention of future denials
• Ability to validate diagnoses by using standard screening tools for clinical validation.
• Works closely with Clinical Documentation Specialists and providers on DRG validation denial patterns for denial prevention.
• Works with Utilization review staff and manager on denial trends and patterns for denial prevention
• Works with other SOMC departments on adjustments and rebilling as needed.
• Works with outsource appeal companies
• Assists with closing out finalized appeals with both internal and outsource staff
• Reports data to be tracked
• Serves as a member of the denial team
• Monitors and manages information housed in insurance portals
• Assists with appeals submission as needed

Performs other duties as assigned

Thank you for your interest in Southern Ohio Medical Center. Once you have applied, the most updated information on the status of your application can be found by visiting the candidate Home section of this site. Please view your submitted applications by logging in and reviewing your status

Southern Ohio Medical Center is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to age, ancestry, color, disability, ethnicity, gender identity, or expression, genetic information, military status, national origin, race, religion, sex, gender, sexual orientation, pregnancy, protected veteran status or any other basis under the law.

Title: Project Manager - Research Associate - Heart & Vascular

Location: US-NH-Lebanon

ID 2025-36264

Category Research/Science

Position Type

Full-Time (30 to 40 hrs per week)

Location Name Lebanon, NH

Job Description:

Overview

This position is local to NH/VT; can work remotely but ability to come onsite is needed.

The Dartmouth Health Center for Rural Health Care Delivery Science is a Center of Biomedical Research Excellence (COBRE) funded through the National Institute of General Medical Sciences that aims to develop a pipeline of early career investigators focused on addressing gaps in the science of rural health care delivery. The Program Manager-Research Associate is responsible for management of all stages and types of Center initiatives from proposal development, study start-up, regulatory coordination, project planning, activity tracking and reporting, project oversight, and event coordination. Remote work or hybrid schedule available.

Responsibilities

Collaborates with Center leadership to establish project objectives for Cores, policies, procedures and execute projects. Leads Core meetings and provides updates to Center staff and faculty, including all levels of management. Works with Research Project Leaders and research study teams to operationalize research projects, including regulatory tasks, , data collection and supervising other staff assigned to project execution. Initiates and maintains liaison with Center management team and other contacts to facilitate project activities. Manages multiple, parallel projects using formal project planning techniques. Represents Center in project meetings and attend strategy meetings. Responsible for the oversight and management of resources allocated to your project. Establishes effective coordination and communications processes to report as a minimum, schedule, performance, costing, risks and mitigation strategies. Maintains and adheres to project deadlines, timelines, and deliverables. Compiles project status reports. Develops and writes project process and outcome reports. Strong leadership, interpersonal, organizational, presentation and communication skills; ability to foster a collaborative team environment; ability to communicate effectively and respectfully to a erse community. Performs other duties as required

Qualifications

• Bachelor's Degree with 3 years of experience in project management.
• Previous healthcare industry experience preferred.
• Strong analytical problem solving skills with demonstrated skills to define scope and analyze complex, cross-functional problems and processes.
• Basic knowledge in research evaluation design and descriptive statistics.
• Excellent communication, organizational, decision making and leadership skills with the ability to work independently and as part of a team.
• Excellent writing skills and experience in scientific writing and presentations.
• Must be skilled in the use of MS Word, Excel, PowerPoint and Outlook.

Title: Case Manager - Veteran and Supportive Services Durango (2)

Location: Durango United States

Job Type: Hybrid

Job Description:

Description

WHO WE ARE

Volunteers of America Colorado is a nonprofit, faith-based organization dedicated to helping those in-need transform their lives. Through more than 50 distinct human service programs, Volunteers of America changes the lives of more than 140,000 vulnerable Coloradoans each year. VOA services include housing and emergency shelters, hunger and nutrition services, and many other community support programs. Our work touches the mind, body, heart and ultimately the spirit of those we serve. VOA integrates compassion with highly effective programs that build and strengthen communities.

PROGRAM

This position is for the Back Home SSVF (Supportive Services for Veteran Families) program which is a Rapid Rehousing program that utilizes a 90-day model to find and stabilize housing for veterans experiencing homelessness or at risk of homelessness. Primarily focusing on housing case management, but also offering wrap-around case management services assisting to connect veterans to Public Benefits, VA benefits, Health referrals, and financial health referrals. To remove or not!

JOB SUMMARY

The Case Manager directs and facilitates the delivery of appropriate support services for participant households as indicated by relevant service modalities. Job duties include conducting needs-based and program eligibility assessments, engaging in community outreach, providing case management services, and program-wide service coordination. Case Manager is charged with making demonstrable progress towards obtaining and applying knowledge and experience in field-relevant best practices and standards.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Provides case management services to Program Clients.
• Responsible for identifying and serving the unique needs of participant households participating in Volunteers of America programs; uses screening and assessment tools to ensure completion of needs-based screenings.
• Responsible for understanding and implementing the assigned program according to program funder and Volunteers of America standards and expectations.
• Conducts community-wide outreach to identify eligible participant households presenting with substantial barriers to housing stability.
• Provides group educational and other activities for current or prospective program clients as assigned.
• Supports team members by serving as a resource for analyzing and solving problems and staying abreast of current issues and theories within the field.
• Attends orientations, trainings, education programs, staff meetings, community meetings, conferences, and workshops as requested and applicable to meet the needs of the position.
• May provide training and mentorship to team members and community stakeholders regarding best practices in relevant service models and practices.
• Promptly and clearly documents all client interactions along with required eligibility and demographic information using designated data bases.
• Performs duties in a professional manner by maintaining the confidentially of all information and by participating effectively within and across teams.
• Participates in professional development activities to promote the development of knowledge and experience in field-relevant best practices and standards and makes demonstrable progress towards working in accordance with these practices and standards.
• Performs all other duties as assigned.

COMPETENCIES

• Models core culture attributes of VOACO that include "AIRS" (Accountability, Integrity, Respect and Service).
• Models and VOACO's three strategical critical virtues of HHS (Hungry, Humble, People Smart).

SUPERVISORY RESPONSIBILITIES

• N/A

Requirements

MINIMUM QUALIFICATIONS OF POSITION

• Bachelor's degree in human services, social work, or a closely related field or related experience.
• One year of direct experience in the provision of human services.
• Must possess a Colorado driver's license and state-mandated automobile insurance.
• Must possess a personal vehicle that may be used for work-related travel (reimbursement for mileage is available).
• Must complete agency and program credentialing within 12 weeks of hire and maintain credentialing standards thereafter.

PREFERRED QUALIFICATIONS OF POSITION

• SOAR (SSI/SSDI Outreach, Access, and Recovery) Certification

KNOWLEDGE AND SKILLS

• Knowledge and skill in the application of Harm Reduction, Critical Time Intervention, Motivational Interviewing, Trauma Informed Care, and Housing First Principles.
• Ability to respectfully and professionally serve iniduals hailing from erse backgrounds, cultures, ideologies, and religions.
• Ability to work and thrive within a erse, multicultural team environment.
• Ability to take initiative and work independently.
• Ability to communicate effectively verbally and in writing.
• Ability to apply appropriate self-care in the face of often difficult and/or traumatic situations which commonly present while working with persons in need of services.

WORKING CONDITIONS AND PHYSICAL REQUIREMENTS

• Travel throughout the program's service area is required on a regular basis.
• Must be able to work in erse environments such as homeless shelters, service facilities, streets, offices, and all other locations as necessary to fulfill program objectives.
• Bending, Climbing, Stooping, Kneeling, Reaching, Crouching, Squatting, Lifting (30 to 50 pounds) Balancing, Standing, Sitting, Hand/Foot motions, Walking, Seeing (Close and distant vision, Detect, Determine, Perceive, Identify, Recognize, Judge, Observe, Inspect, Assess, Estimate), Depth Perception, Hearing/Listening, Speaking/Shouting (Communicate, Discern, Convey, Express, Exchange), Use of Hands/Fingers (Grasping, Holding, Touching), Thinking, Calculating, Memory/Recall, Exposure to Indoor and Outdoor environments

POSITION TYPE AND EXPECTED HOURS OF WORK