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

• Full-Time
• Work hours may vary but comprise a 40-hour workweek with occasional overtime requirements.
• Potential for hybrid work.

Position Type

• Full time

Position Salary Range

• $22.00 - $24.00

Starting Pay

• Based on experience

BENEFITs (eligibility is based on job type/status)

Vacation Time

Separate Sick Time

Paid Holidays

Floating Holidays

Personal Days

Volunteer/Wellness Day

Tuition Assistance

Pension Plan

403b Retirement Plan with Agency Match

Health, Dental, Vision, Pet Insurances

Life Insurance

Accident Insurance

Employee Assistance/Work Life Balance Program

Employee Discount Program

LifeLock with Norton

Public Service Loan Forgiveness

Employee must be able to perform essential job functions with or without reasonable accommodation and without posing a direct threat to safety or health of self or others. To perform this job successfully, an inidual must be able to perform each essential function satisfactorily. Employee will perform job according to applied laws. The requirements listed above are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable iniduals with disabilities to perform the essential functions. If you require a reasonable accommodation to perform this role, please contact [email protected] to begin the Interactive Process.

Title: Registered Nurse (RN) - Palliative Care Clinic

Location: NH-Lebanon

Job type:Hybrid

Job Description:

Overview

Our Palliative Care Clinic is a three-room clinic located within the main hospital, serving patients with complex and high-acuity needs. Nurses support patients through a dynamic mix of in-person visits and high-volume phone triage, delivering compassionate care throughout the day. The clinic operates Monday through Friday, 8:00 a.m. to 5:00 p.m., with a hybrid schedule offering two remote days per week following orientation.

The Clinical Nurse is an engaged and credentialed member of the Professional Nursing Organization and is responsible for autonomous practice directed by the professional tenets of practitioner, leader/decision maker, scientist and transferor. The Clinical Nurse is responsible for utilizing the nursing process to provide evidence-based care and to continuously monitor and evaluate practice to ensure safe passage of patients that is in the best interest of populations served.

1. Practitioner
2. Utilizes the nursing process to assess, diagnose, identify outcomes, plan, implement and evaluate an inidualized plan of care.
3. Utilizes critical thinking and the nursing process to anticipate and recognize changes in patient status, taking action to modify the plan of care or to elevate to the care team as necessary.
4. Practices in accordance with the ANA Code of Ethics to advocate for patients, uphold their autonomy in decision-making, ensure informed consent and assist patients in families in expressing self-determination.
5. Actively seeks feedback and acts to improve performance.
6. Engages in the governance of practice.
7. Leader/Decision Maker
8. Manages interpersonal relationships for self and with others.
9. Mentors colleagues for the advancement of nursing practice and the profession.
10. Assumes authority and accountability for the nursing care of patients while appropriately delegating elements of care to others members of the care delivery team in accordance with laws, regulations and policies and procedures.
11. Prioritizes and organizes time to optimize patient outcomes.
12. Scientist
13. Actively seeks out the most current evidence and standards and applies and translates to daily practice.
14. Role models a culture of inquiry, developing new knowledge by contributing to research, quality improvement, and evidence-based practice at the local level.
15. Transferor
16. Communicates effectively in a variety of formats in all areas of practice.
17. Actively partners with others to effect change that produces positive outcomes through the exchange of knowledge.
18. Precepts the student nurse, nurse extern, nurse resident, experienced clinical nurse and other members of the healthcare team.
19. Performs other duties as required or assigned.

Qualifications

• Graduate from an accredited Nursing Program required.                                          
• Bachelor of Science Degree in Nursing (BSN) preferred.

Required Licensure/Certifications

- Licensed RN with NH eligibility - BLS

• Area of Interest: Nursing
• Pay Range: $39.00/Hr. - $54.75/Hr.
• FTE/Hours per pay period: 1.00 - 1.00 - 40 hrs/week
• Shift: Day
• Job ID: 36195

Dartmouth Health offers a total compensation package that includes a comprehensive selection of benefits. Our Core Benefits include medical, dental, vision and life insurance, short and long term disability, paid time off, and retirement plans. 

Dartmouth Health is an Affirmative Action and Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.

Title: Senior Epic Report Developer - Remote

Location: CA-Los Angeles

Job Category: Information Technology

Job Description:

Grow your career at Cedars-Sinai!

Cedars-Sinai placed in the top 20 on Newsweek’s “World's Best Smart Hospitals 2024” list, which highlights hospitals that have excelled in the utilization of electronic functionalities, telemedicine, digital imaging, artificial intelligence and robotics.

The organization’s Healthtech excellence was acknowledged again, this time by the esteemed “CHIME Digital Health Most Wired“ recognition program. Cedars-Sinai was assigned a Level 10—the most prestigious level of certification—among more than 300 surveyed healthcare organizations. Cedars-Sinai netted high scores across multiple verticals and particularly excelled in areas of infrastructure, interoperability, and population health innovation.

Why work here?

Beyond an outstanding benefit package and competitive salaries, we take pride in hiring the best, most committed employees. Our staff reflects the culturally and ethnically erse community we serve. They are proof of our dedication to creating a multifaceted, inclusive environment that fuels innovation and the gold standard of patient care we strive for.

What will you be doing in this role:

The Senior Epic Report Developer works with users throughout the organization in gathering requirements, designing, and developing organization-wide reports. Create and reports, ad hoc requests, dashboards, and deliverables.  Designs, tests, and implements reports and data extracts from enterprise database sources. Writes structured Query Language (SQL) queries against a complex data models. Translate requests into the programming specifications as needed. Uses enterprise reporting tool across the organization. Provides ongoing support for production reporting environments. Ensure compliance with deliverable reporting requirements by performing quality data audits and analysis. Under minimal to no supervision, independently responsible for more complex projects. Considered highly skilled and proficient in the discipline of extracting and presenting data through technical methods SQL, views, stored procedures, BO universes, etc. Conducts complex work important to the organization. Provide consultation to users and lead cross-functional teams to address data and analytic issues.

• Triages intake of data requests and seek understanding of technical requirements.
• Uses SQL programming code to develop required reports.
• Responsible for the development and delivery lifecycle during the following phases:
• Requirement Assessment: Works with enterprise data intelligence analysts to analyze and understand business requirements.
• Development: Based on requirements, develops functionality by following internal development standards. Technical solution to include detailed design documentation, code, configuration, and other supporting technical documents. Incorporates end-user requests and requirements to develop enterprise reporting solutions.
• Testing: Performs unit, regression, connectivity and full end-to-end integration tests, when it applies; Supports quality insurance effort to gain user acceptance.
• Delivery: Works collaboratively with inter-departmental and cross-departmental resources to migrate new or enhanced functionality from test to production. Provides effective communication across the team as appropriate. Follows change control standards and processes for release to production.
• Facilitates design and technical meetings. Provides technical documentation to internal business and design teams.
• Writes and optimizes moderately complex to advanced queries.
• Deploys reports electronically using the appropriate enterprise reporting environment and strategy.
• Manages the process of moving reports into a production mode.
• Facilities the validation and testing of new or revised reports. Works with user to verify results and content, develops errors or exception reports when applicable and receives official user sign off on completed work.
• Tracks, documents, and facilitates resolution of all reporting technical issues.  Keeps problem resolution log and proactively manages growth and utilization of analytic reporting products.
• Maintains technical and end-user documentation. Utilizes a wide-range of business intelligence tools SAS, Crystal Reports, Microsoft Access and Business Objects. 
• Maintains the business objects "universe" that supports report writing in that tool.
• Primary/Secondary responsibility for maintenance of all on-line production reports and associated user accounts used throughout the organization.  Includes scheduling of reports, monitoring report updates from source files and notification of report availability and refresh schedule.  User account management includes creation of new accounts and deletion and revision to existing accounts.
• Follows team standards, development methodology and processes for specification, implementation, testing, change management, distribution, and documentation of reports.

*Approved Remote States: Arizona, California, Colorado, Florida, Georgia, Minnesota, Nevada, Oregon, Texas*

Qualifications

Experience Requirements:

Five (5) plus years of experience with SQL and experience with a range of query tools such as Oracle, SAS, Crystal Reports, Business Objects, Microsoft SQL, Tableau, etc.

Experience with patient care-oriented databases, hospital-based administrative database applications and data warehousing technology.

Experience in system analysis, user relations, and vendor interactions.

Knowledge of relation database technology and client-server applications.

Educational/Certification Requirements:

Bachelor's degree in Computer Science, Information Technology, Healthcare, or related field.

Epic Certification preferred.

#LI-Remote

Req ID : 14331

Title: Outpatient RN - Procedure Suite

Location: Seattle, WA

Work Setting: Healthcare

Category: Nursing

Job Type: Travel

Contract Duration: 13

Est. Pay: $2960 / Week

Position ID: 1069103

Job Description:

The Registered Nurse – Clinic/Wellness/Immunization works in a variety of either remote or clinic locations to serve a specific population's health and wellness needs. The Registered Nurse demonstrates the ability to make clinical judgments effectively and efficiently to provide quality appropriate care in accordance with facility’s policies and protocols.  These variety of sites include but are not limited to community or employment immunization clinics, wellness clinics, job safety and workers compensation sites and travel health clinics from pediatric to geriatric age populations.

Minimum Requirements:  

• Current Registered Nurse License for the state in which the nurse practices
• One year experience as a nurse in a clinic or immunization setting preferred
• Complies with all relevant professional standards of practice 
• Current CPR if applicable
• TB questionnaire, PPD or chest x-ray if applicable 
• Current Health certificate (per contract or state regulation) 
• Must meet all federal, state and local requirements 
• Must be at least 18 years of age

Benefits

At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits:

• Competitive pay & weekly paychecks
• Health, dental, vision, and life insurance
• 401(k) savings plan
• Awards and recognition programs

*Benefit eligibility is dependent on employment status. 

About Amergis

Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based professionals, ready to work in any hospital, government facility, or school. Through partnership and innovation, Amergis creates unmatched staffing experiences to deliver the best workforce solutions. 

Amergis is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.

Community Relations Specialist

Location: TX-Houston

Salary

$18.20 - $19.48 Hourly

Location 

Various

Job Type

Part Time 30

Job Number

37659

Department

Houston Health Department

Job Description: COMMUNITY RELATIONS SPECIALIST

Post Number: 37659

Applications Accepted From:  All Persons Interested

DESCRIPTION OF DUTIES/ESSENTIAL FUNCTIONS

• Organizes daily, weekly, and monthly activities to increase participant engagement and support program retention.

• Prepares, maintains, and submits accurate daily attendance logs for all program activities.

• Assesses participant needs related to meal distribution, transportation, and participation in evidence-based intervention programs for inclusion in monthly reports.

• Trains, coordinates, and supports site volunteers who assist with activity delivery and program operations.

• Maintains and monitors the social engagement of congregate meal program participants to promote socialization and overall well-being.

• Connects participants with community agencies and industry-related programs that enhance social engagement and service access.

• Assesses inidual participant needs and documents circumstances requiring additional assistance or referral to support services and programs.

• Completes the required Food Manager certification course to support safe and compliant program operations.

  Performs special projects as assigned.

WORKING CONDITIONS 

MINIMUM REQUIREMENTS

EDUCATIONAL REQUIREMENTS 

EXPERIENCE REQUIREMENTS

LICENSE REQUIREMENTS

PREFERENCES

**Preference shall be given to eligible veteran applicants provided such persons possess the qualifications necessary for competent discharge of the duties involved in the position applied for, such persons are among the most qualified candidates for the position, and all other factors in accordance with Executive Order 1-6.**

• Experience organizing activities, events, or engagement programs for seniors or community-based participants.
• Experience working with congregate meal programs, social engagement programs, or evidence-based intervention activities.
• Strong interpersonal skills with the ability to build rapport and maintain participant engagement.
• Experience preparing attendance logs, tracking participation, and completing monthly program reports.
• Experience training, coordinating, or supervising volunteers.
• Knowledge of community resources, social service agencies, or programs that support older adults and iniduals with social engagement needs.
• Ability to assess participant needs and determine when referrals to support services are appropriate.
• Strong organizational skills to manage daily, weekly, and monthly activity schedules.
• Ability to obtain or willingness to successfully complete the required Food Manager certification.

GENERAL INFORMATION

SELECTION/SKILLS TESTS REQUIRED  None

SAFETY IMPACT POSITION: Yes

FUNDING INFORMATION - SPECIAL FUNDED

 Pay Grade 11

APPLICATION PROCEDURES

Title: PUBLIC DEFENDER I

Location: Conway, AR,  United States

Part Time

Job Description:

Req ID:  54934

Category:  AR PUBLIC DEFENDER COMMISSION

Anticipated Starting Salary:  $35,514

Position Number:22184477   Public Defender I (Part-Time)

County: Faulkner (Primary), Searcy, Van Buren 

Anticipated Starting Salary: $35,514

*** ALL APPLICANTS MUST BE ABLE TO PASS A PRE-EMPLOYMENT BACKGROUND CHECK***

Position Information

Job Series: Public Defenders

Classification: Public Defender I – Career Path

Class Code: LPD03P

Pay Grade: SPC03

Salary Range: $71,027 - $105,120

Job Summary

The Public Defender I is responsible for providing legal defense services to iniduals who cannot afford private counsel, ensuring that all clients receive fair representation in accordance with state and federal laws. The ideal candidate must possess a valid law license in Arkansas and be prepared to represent clients in criminal defense matters, including pre-trial motions, trials, and post-conviction matters.

Primary Responsibilities

Meet or exceed the requirements for position of Public Defender I Represent indigent clients in criminal cases at all stages of the legal process, including pre-trial motions, trial preparation, trials, plea negotiations, and post-conviction proceedings as required by law. Develop legal abilities for placement in criminal circuit court, adult ision, prior to or upon conclusion of probationary period of nine (9) months. Provide legal advice and counsel to clients regarding their rights, case developments, and available options. Develop case strategies, including preparing and filing legal documents, conducting legal research, and evaluating evidence to ensure the best possible defense for clients. Handle a full caseload of criminal cases, including misdemeanor and felony cases, with a focus on both adult and juvenile defendants as required. Maintain constant communication with clients to keep them informed of case status and legal options, providing clear explanations in an understandable manner. Prepare annual reports and other documentation for the Board’s review, summarizing accomplishments, challenges, and the status of key initiatives. Conduct thorough investigations into all aspects of each case, including interviewing clients, witnesses, and experts. Review police reports, evidence, and other relevant documentation to assess the strength of the case and identify defense strategies. Prepare and file motions, subpoenas, and other legal documents to support clients’ defense. Perform legal research to stay up-to-date with criminal law, case precedents, and legal strategies to ensure effective defense in court. Work closely with other attorneys, investigators, social workers, and support staff within the Public Defender's Office to provide the best possible defense for clients. Represent clients in court hearings, including arraignments, pre-trial conferences, hearings, and trials. Negotiate plea agreements with opposing counsel, ensuring clients' best interests are considered in the negotiation process. Report case dispositions on or before the last day of every month for the preceding thirty (30) days to office staff for submission to the Commission Obtain a minimum of six (6) hours legal education annually in the area of criminal law.

Knowledge and Skills

In-depth understanding of Arkansas criminal law, procedures, and rules of evidence, as well as federal criminal law as applicable. Strong legal research skills, with the ability to analyze complex legal issues and develop effective defense strategies. Ability to quickly assess case details, identify key issues, and formulate strong arguments for the defense. Strong public speaking skills, including the ability to argue motions, present cases to judges and juries, and deliver persuasive closing arguments. Comfortable managing courtroom dynamics and effectively engaging with witnesses, experts, and opposing counsel.

Minimum Qualifications

Juris Doctor (J.D.) degree from an accredited law school. Must be a licensed attorney in the State of Arkansas, with a valid Arkansas bar membership.

Satisfaction of the minimum qualifications, including years of experience and service, does not entitle employees to automatic progression within the job series. Promotion to the next classification level is at the discretion of the department and the Office of Personnel Management, taking into consideration the employee’s demonstrated skills, competencies, performance, workload responsibilities, and organizational needs.

Licensure/Certifications

Must be a licensed attorney in the State of Arkansas, with a valid Arkansas bar membership. OTHER JOB RELATED EDUCATION AND/OR EXPERIENCE MAY BE SUBSTITUTED FOR ALL OR PART OF THESE BASIC REQUIREMENTS, EXCEPT FOR CERTIFICATION OR LICENSURE REQUIREMENTS, UPON APPROVAL OF THE QUALIFICATIONS REVIEW COMMITTEE.

Title: Probation Officer (part-time) (re-ad 26-00320)

Location:  Chesterfield, VA

Salary $26.57 - $31.23 Hourly

Job Type Part-Time

Job Number 26-00433

Department Community Corrections Services

Job Description:

Minimum Qualifications

Who We Are:

Chesterfield Community Corrections Services provides supervision, case management and supportive services to iniduals under pretrial and local probation supervision in Chesterfield County and the City of Colonial Heights. Our probation team is seeking a qualified candidate to provide case management and court ordered supervision to iniduals referred for a variety of charges. The ideal candidate for the position is passionate about working with iniduals, eager to collaborate with stakeholders, and comfortable with holding iniduals accountable for adhering to court ordered conditions. This caseload at any time can range from 80-120 cases.

What You Do and How You Do It:

• Supervision of adults referred from Chesterfield Juvenile Domestic Relations Court for domestic related offenses including family and/or household violence. In addition, supervision of adults from Chesterfield Circuit and General District Courts whose offenses are domestic and/or sexual in nature.
• Supervise iniduals under court ordered probation supervision who are required to complete domestic violence intervention programming and/or may have substance use disorder, mental health diagnoses, etc.
• Monitor and enforce compliance with court ordered supervision conditions and provide notifications to the court of non-compliance.
• Provide extensive and accurate written notification to Judges, Commonwealth's Attorneys and defense attorneys. Testify in court as required.
• Work in partnership with professionals comprising Chesterfield County's Coordinated Community Response to domestic violence (CCR), including law enforcement, prosecutors, victim service providers, Domestic Violence Intervention Program providers, and system-based service providers (DSS, CPS/APS, Mental Health Support Services).
• Encourage clients to engage with Peer Recovery Specialists.
• Perform drug and alcohol testing.
• Perform other work as required.

Here's What You Need:

• Bachelor's degree required. Degree in Criminal Justice, Psychology or Social Work preferred. One year of relevant experience in human services/criminal justice field; or an equivalent combination of training and experience.
• Knowledge of criminal justice system and community supervision.
• Caseload management skills and knowledge of legal and evidence-based practices.
• Computer competency to include operating a personal computer, work issued cell phone and related software, other standard office equipment.
• Accurate and timely documentation in multiple databases.
• Completion of Core Skills through the Virginia Department of Criminal Justice Services.
• VCIN certification (to be provided upon hiring).

Current valid driver's license and good driving record required. Based on the Virginia DMV point system, record must not reflect a total of six or more demerit points within twenty-four months preceding the anticipated hire date, or one major violation of six demerit points within the preceding thirty-six months. Out of state driving records must be obtained by the applicant and presented at interview. Records must reflect at least three years of history and be dated within thirty days of the interview date.

Pre-employment drug testing, FBI criminal background check, and education/degree verification required.

This position is subject to working in high security areas governed by the US Department of Justice's "Criminal Justice Information Services (CJIS) Security" policy and therefore requires successfully passing a more stringent criminal background check. Must be a US citizen or have been a lawful resident of the US for the past ten consecutive years.

This position is considered Critical Safety Sensitive and is subject to random drug and alcohol testing. The use of medical marijuana for this position is prohibited.

What Sets You Apart

• Critical thinking skills to include making sound decisions in high stress situationsand judgments that may impact a client's freedom and community safety
• Working knowledge of the use of power and control over another in the context of an intimate partner relationship
• Working knowledge of the cycle of abuse
• Sensitivity towards victims
• Possess a high level of emotional intelligence
• Strong and appropriate communication with victim service organizations (Victim Witness and/or Domestic and Sexual Violence Resource Center)
• Ability to communicate clearly and effectively both orally and in writing
• Ability to accurately apply policies, practices, and the Code of Virginia to probation supervision
• Skills to build internal and external relationships
• Knowledge of Motivational Interviewing (MI) and Effective Practices in Correctional Settings (EPICS)
• Value a collaborative work environment as a member of the DV Probation Team and as a member of the broader Coordinated Community Response to domestic violence

Chesterfield County offers an attractive benefits package, including 40 hours of Paid Time Off (PTO) upon hire. Did you know that working for a local government provides credit towards the Public Student Loan Forgiveness Program (PSLF)?

Career Development and Work Environment

This position is a part of an approved Career Development Plan (CDP) and offers career progression opportunities and salary incentives, as funding permits, based on performance, qualifications, and experience.

PLEASE NOTE: Previous applicants do not need to apply. Applications will remain under consideration until position is filled.

Real Talk

In this position, your decisions potentially impact the freedom of iniduals and the safety of our community. The work is often fast paced and rigorous. At Chesterfield County Community Corrections Services (CCS), we are unique, set a high bar for engagement and motivation beyond day-to-day tasks, and strive to excel in our overall field of work. We offer platforms for staff input through committees such as Organizational Health, Diversity, Safety, and Drug Testing. We work together as a department, often in teams, to collaboratively complete our work. Staff actively participate in county and state committees and our professional association. We emphasize continuous learning, training, and career development. We have full time clinicians on staff, a full time Peer Recovery Specialist, and offer victim services. Staff receive training in Effective Practices in Correctional Supervision and Motivational Interviewing. CCS is a recovery-based organization. Our agency has a Recovery Court, Veterans Docket, and specialized programs. CCS has multiple bilingual staff. We have a proven track record for developing Officers, Senior Officers, Supervisors and Directors. If you are interested in a wide range of opportunities to assist justice involved iniduals while developing and/or growing a career, consider joining CCS!

Title: Manager, Strategic Sourcing Clinical Operations

Location:  Bridgewater, New Jersey

Full time

Job Description:

At Insmed, every moment and every patient counts — and so does every person who joins in. As a global biopharmaceutical company dedicated to transforming the lives of patients with serious and rare diseases, you’ll be part of a community that prioritizes the human experience, celebrates curiosity, and values every person’s contributions to meaningful progress. That commitment has earned us recognition as Science magazine’s No. 1 Top Employer for five consecutive years, certification as a Great Place to Work® in the U.S., and a place on The Sunday Times Best Places to Work list in the UK.

For patients, for each other, and for the future of science, we’re in. Are you?

About the Role:

The Strategic Sourcing Manager will be responsible for managing the indirect procurement activities within the Clinical Operations category. This role will be instrumental in facilitating sourcing activities with the necessary vendors for multiple clinical trials and will partner closely will the business partners to cultivate strong supplier partnerships in this area to drive increased value.

This position will initially report to the Director of Strategic Sourcing. The ideal candidate for this position will be a strong collaborator who is a self-motivated problem solver with a proven track record of operating autonomously.

What You'll Do:

In this role, you’ll have the opportunity to partner cross - functionally to understand business requirements and contribute to the development and implementation of sourcing strategies within clinical operations

You’ll also:

• Lead RFPs, vendor selection, contract negotiations and onboarding as needed for suppliers related to clinical operations (CROs, IRT, eCOA, laboratory services, etc.)

• Drive increased value for the category through sourcing activities, focusing on cost and cash flow improvements and increased supplier performance.

• Collaborate with the business to manage vendor performance, SLAs and KPIs to ensure alignment with business needs and inform future negotiations.

• Monitor market trends, compliance requirements and risk factors related to clinical operations.

• Track and analyze spend to identify initiatives to optimize spending and create greatest supplier value for money.

Who You Are:

You have a minimum of a Bachelor's degree, with a Master's degree/MBA a plus. Additionally, you will have 5 years of minmum experience within the function.

 Additionally, you have:

• Progressive experience in strategic sourcing, category management, and/or procurement operations is required.

• Experience in global sourcing of clinical trials and related services is highly desirable.

• Experience in pharma/biotech/life sciences and working knowledge of drug development processes is highly desirable.

• Experience working in a start-up and/or mid-cap sized company highly desired.

• Must have strong project management and excellent communication skills (verbal and written), with strong attention to clarity, accuracy, and conciseness. 

• Strong track record of cross-functional collaboration with proven ability to incorporate stakeholder feedback and influence outcomes.

• Strong business/financial acumen, with proven negotiation skills. High degree of analytical skills, able to synthesize data into meaningful information to support critical business decisions.

• Must successfully exhibit Insmed’s five (5) core corporate competencies of: Collaboration, Accountability, Passion, Respect, and Integrity; along with any other position specific competencies.

• Must demonstrate the ability to interact successfully in a dynamic and culturally erse workplace.

Where You’ll Work  

This is a hybrid role based out of our Bridgewater, New Jersey office. You’ll have the option to work remotely most of the time, with in-person collaboration when it matters most.  

Travel Requirements 

This role requires occasional domestic travel of less than 25%.

Pay Range:

$124,000.00-161,000.00 Annual

Life at Insmed

At Insmed, you’ll find a culture as human as our mission—intentionally designed for the people behind it. You deserve a workplace that reflects the same care you bring to your work each day, with support for how you work, how you grow, and how you show up for patients, your team, and yourself.

Highlights of our U.S. offerings include:

• Comprehensive medical, dental, and vision coverage and mental health support, annual wellbeing reimbursement, and access to our Employee Assistance Program (EAP)

• Generous paid time off policies, fertility and family-forming benefits, caregiver support, and flexible work schedules with purposeful in-person collaboration

• 401(k) plan with a competitive company match, annual equity awards, and participation in our Employee Stock Purchase Plan (ESPP), and company-paid life and disability insurance

• Company Learning Institute providing access to LinkedIn Learning, skill building workshops, leadership programs, mentorship connections, and networking opportunities

• Employee resource groups, service and recognition programs, and meaningful opportunities to connect, volunteer, and give back

Eligibility for specific programs may vary and is subject to the terms and conditions of each plan. 

_Insmed Incorporated is an Equal Opportunity employer. We do not discriminate in hiring on the basis of physical or mental disability, protected veteran status, or any other characteristic protected by federal, state, or local law. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.

Unsolicited resumes from agencies should not be forwarded to Insmed. Insmed will not be responsible for any fees arising from the use of resumes through this source. Insmed will only pay a fee to agencies if a formal agreement between Insmed and the agency has been established. The Human Resources department is responsible for all recruitment activities; please contact us directly to be considered for a formal agreement._

Title: Genetic Counselors (Contract)

Location: Nationwide

Type: Contractor

Workplace: remote

Category: Clinical Contractors

Job Description:

We are seeking experienced genetic counselors to provide telehealth (video and telephone) genetic counseling consultations to patients with a variety of indications, including rare disease, pharmacogenetics, hereditary cancer, cardiogenetics and reproductive genetics. 

Consultations are a combination of consumer-initiated testing results and more traditional pre- and post-test counseling. We are seeking a contractor to provide a minimum of 5 hours of scheduled consults weekly, with at least some availability on nights and weekends. 

Key Responsibilities:

• • Provide pre- and post-test genetic counseling consultations via telephone or video for a variety of indications
  • Generating consult summary reports for the patient’s records
  • Coordinate limited test ordering through lab portals
  • Utilizing peer-reviewed literature and internal resources genetic counseling and documentation to provide inidualized patient care

Required Qualifications:

• • ABGC certification
  • Active licensure in a minimum of 10 states (with preference for >20 state licenses)
  • Must reside in the US
  • Experience  counseling patients on whole exome sequencing and/or pharmacogenetics
  • Minimum 1 year of clinical genetic counseling experience
  • Comfort counseling across a range of indications, test types and results
  • Bilingual speakers strongly desired
  • Minimum 5 hours of scheduled consults weekly availability with at least some availability on nights and weekends

Title: Nurse Case Manager

Locations: CANNON AFB, New Mexico

HYbrid

TypeFull-Time

Job Description:

Battelle delivers when others can’t. We conduct research and development, manage national laboratories, design and manufacture products and deliver critical services for our clients—whether they are a multi-national corporation, a small start-up or a government agency.

We recognize and appreciate the value and contributions of iniduals from a wide range of backgrounds and experiences and welcome all qualified iniduals to apply. 

Job Summary

This position applies professional health nursing principles and clinical expertise to analyze and address complex patient needs, ensuring appropriate and cost-effective treatment. This role involves collecting and communicating detailed health data, developing time-sensitive treatment plans, assessing patient care via telephone, and coordinating discharge planning to optimize care delivery and outcomes. Additionally, the Nurse Case Manager facilitates referrals, collaborates with healthcare providers, and manages service agreements to support efficient, effective, and compliant patient care.

Responsibilities

Balance life through a compressed work schedule: Most of our team follows a flexible, compressed work schedule that allows for every other Friday off—giving you a dedicated day to accomplish things in your personal life without using vacation time.

Apply your talent to challenging and meaningful projects 

Battelle may require employees, based on job duties, work location, and/or its clients’ requirements to follow certain safety protocols and to be vaccinated against a variety of viruses, bacteria, and diseases as a condition of employment and continued employment and to provide documentation that they are fully vaccinated. If applicable, Battelle will provide reasonable accommodations based on a qualified disability or medical condition through the Americans with Disabilities Act or the Rehabilitation Act or for a sincerely held religious belief under Title VII of the Civil Rights Act of 1964 (and related state laws).

Battelle is an equal opportunity employer.  We provide employment and opportunities for advancement, compensation, training, and growth according to inidual merit, without regard to race, color, religion, sex (including pregnancy), national origin, sexual orientation, gender identity or expression, marital status, age, genetic information, disability, veteran-status veteran or military status, or any other characteristic protected under applicable Federal, state, or local law. Our goal is for each staff member to have the opportunity to grow to the limits of their abilities and to achieve personal and organizational objectives. We will support positive programs for equal treatment of all staff and full utilization of all qualified employees at all levels within Battelle.

The above statements are intended to describe the nature and level of work being performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, activities and skills required of staff members. No statement herein is intended to imply any authorities to commit Battelle unless special written permission is granted by Battelle's Legal Department.

Title: Pediatric Registered Nurse- Per Diem

Location: USA-

Job Description:

Mount Holly - 175 Madison Avenue

time type

Part time

job requisition id

R1058317

At Virtua Health, we exist for one reason – to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life-changing care, or something in-between – we are your partner in health devoted to building a healthier community. 

In addition to five hospitals, seven emergency departments, seven urgent care centers, and more than 280 other locations, we're committed to the well-being of the community. That means bringing life-changing resources and health services directly into our communities through our Eat Well food access program, telehealth, home health, rehabilitation, mobile screenings, paramedic programs, and convenient online scheduling. We're also affiliated with Penn Medicine for cancer and neurosciences, and the Children's Hospital of Philadelphia for pediatrics.

Location:

Mount Holly - 175 Madison Avenue

Remote Type:

On-Site

Employment Type:

Employee

Employment Classification:

Per Diem

Time Type:

Part time

Work Shift:

1st Shift (United States of America)

Total Weekly Hours:

0

Additional Locations:

Job Information:

Summary:

Responsible for assessing, diagnosing, planning, implementing, and evaluating patient care through outcome identification and evidence-based practice.

As an integral member of the health care team, coordinates patient care and communicates and collaborates extensively with the other members of the healthcare team, patients and/or patient's family or significant other(s).

Maintains and demonstrates high standards of professional ethics.

Position Responsibilities:

• Performs an assessment of the patient, leading to development, implementation and evaluation of a plan of care.

• Administers, monitors and documents therapeutic interventions and regimes.

• Effectively manages rapidly changing situations.

• Participates in clinical decision-making.

• Educates patient and family/responsible party regarding disease process, inidual care needs, wellness, safety issues, etc.

• Delegates and monitors care rendered by other members of nursing department and healthcare team.

• Demonstrates standard precautions and patient safety principles in practice.

• Participates in orientation, education and development of healthcare team.

• Identifies and participates in the performance improvement activities.

• Maintains professional and departmental level competencies.

Position Qualifications Required / Experience Required:

1 year of Pediatric experience preferred

Must have valid NJ RN License. Approved licenses must be presented and maintained in accordance with the State of New Jersey Licensing Board. Refer to the Educational/Regulatory Requirement (Department Specific) policy in the Nursing Administrative Manual.

Demonstrates knowledge of nursing skills, hospital practices, procedures and standards.

Perfects skills and stays abreast of current nursing practice through on-going education, journals, etc.

Must have strong communication skills.

Must be able to coordinate efforts of a team of care providers.

Hourly Rate: $55.93

Virtua offers a comprehensive package of benefits for full-time and part-time colleagues, including, but not limited to: medical/prescription, dental and vision insurance; health and dependent care flexible spending accounts; 403(b) (401(k) subject to collective bargaining agreement); paid time off, paid sick leave as provided under state and local paid sick leave laws, short-term disability and optional long-term disability, colleague and dependent life insurance and supplemental life and AD&D insurance; tuition assistance, and an employee assistance program that includes free counseling sessions. Eligibility for benefits is governed by the applicable plan documents and policies.

Title: Sr Manager, IT Clinical Systems Validation

Location: NJ-Bridgewater

Job Description:

At Insmed, every moment and every patient counts — and so does every person who joins in. As a global biopharmaceutical company dedicated to transforming the lives of patients with serious and rare diseases, you’ll be part of a community that prioritizes the human experience, celebrates curiosity, and values every person’s contributions to meaningful progress. That commitment has earned us recognition as Science magazine’s No. 1 Top Employer for five consecutive years, certification as a Great Place to Work® in the U.S., and a place on The Sunday Times Best Places to Work list in the UK.

For patients, for each other, and for the future of science, we’re in. Are you?

About the Role:

We’re looking for a Sr Manager, IT Clinical Systems Validation in the IT team to help us expand what’s possible for patients with serious diseases. Reporting to the Director, Clinical Systems & Business Intelligence, you’ll be responsible to provide the necessary expertise to validate and maintain the validated state of our expanding technology landscape ensuring the highest standards of regulatory compliance and data integrity.

What You'll Do:

In this role, you’ll have the opportunity to lead the planning, execution, and documentation of computer system validation (CSV) activities for clinical applications. You’ll also:

• Collaborate with business owners, QA, and CSV teams to ensure validation deliverables meet GxP and regulatory compliance standards.

• Author and/or review validation documentation including Admin SOPs, Risk Assessments, User Requirements (URS), Test Protocols (IQ/OQ/PQ), etc.

• Create change controls, periodic reviews, and revalidation efforts throughout the system lifecycle.

• Evaluate and manage third-party vendors and SaaS/cloud-based clinical systems for compliance with data integrity and cybersecurity requirements.

• Drive continuous improvement of validation methodologies, templates, and SOPs.

• Support internal and external audits/inspections by providing documentation and demonstrating validation processes.

• Ensure system access, security, backup, and archival procedures meet both regulatory and company policies.

• Provide project management support for clinical system implementations, upgrades, ensuring timelines & compliance goals are met and manage multiple projects at the same time.

• Monitor emerging regulations, technology trends, and industry best practices for relevance to clinical systems validation.

Who You Are:

You have a Bachelors degree in Computer Science or related field along with 7 + of minimum years of experience in IT/Clinical Systems Validation in Biotech/Pharma Industry.

You are or you also have:

• Strong understanding of GxP regulations, 21 CFR Part 11, Annex 11, and GAMP 5.

• Hands-on experience with clinical systems validations.

• Proven ability to manage multiple projects and priorities in a regulated environment.

• Excellent communication, leadership, and stakeholder management skills

Nice to have (but not required):

• Relevant certifications (e.g.,  GAMP, CSV-related trainings).

• Experience working in a biotech startup or high-growth clinical-stage company.

• Familiarity with computer system assurance (CSA) principles.

Where You'll Work

This is a hybrid role based out of our Bridgewater NJ HQ office. You’ll have the option to work remotely most of the time, with in-person collaboration when it matters most

Travel Requirements

This role requires occasional [domestic/international/global] travel (approximately 10%)

#LI-EG1

#Hybrid

Pay Range:

$133,000.00-173,000.00 Annual

Life at Insmed

At Insmed, you’ll find a culture as human as our mission—intentionally designed for the people behind it. You deserve a workplace that reflects the same care you bring to your work each day, with support for how you work, how you grow, and how you show up for patients, your team, and yourself.

Highlights of our U.S. offerings include:

• Comprehensive medical, dental, and vision coverage and mental health support, annual wellbeing reimbursement, and access to our Employee Assistance Program (EAP)

• Generous paid time off policies, fertility and family-forming benefits, caregiver support, and flexible work schedules with purposeful in-person collaboration

• 401(k) plan with a competitive company match, annual equity awards, and participation in our Employee Stock Purchase Plan (ESPP), and company-paid life and disability insurance

• Company Learning Institute providing access to LinkedIn Learning, skill building workshops, leadership programs, mentorship connections, and networking opportunities

• Employee resource groups, service and recognition programs, and meaningful opportunities to connect, volunteer, and give back

Eligibility for specific programs may vary and is subject to the terms and conditions of each plan. 

Current Insmed Employees: Please apply via the Jobs Hub in Workday.

Insmed Incorporated is an Equal Opportunity employer. We do not discriminate in hiring on the basis of physical or mental disability, protected veteran status, or any other characteristic protected by federal, state, or local law. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.

Title: LMSW - Acute Care

Location: NY-Cooperstown

Job type: hybrid

Job Description:

The best thing about this role

Are you looking to make a difference by improving the health of our patients?  Here you will find an innovative culture that is patient-focused and dedicated to making a difference.  We are committed to helping the population we serve, and our communities, achieve optimum health and enjoy the best quality of life possible. 

What you'll do

The Licensed Master Social Worker is an active member of the interdisciplinary treatment team. The licensed social worker is responsible for the therapeutic relationship that includes addressing the complex bio-psychosocial needs of the patient. The scope of practice includes, but is not limited to, comprehensive assessment of those needs, diagnosis, treatment planning, advocacy, therapeutic intervention and resource identification and linkage. Clinical social work in the hospital setting includes using evidence- based therapies to address the bio-psycho-social aspects of patient care such as adjustment to illness issues, mental health, co-occurring disorders, identifying and reporting child and elder abuse and neglect, domestic violence and complex care management (when appropriate). Adherence to established Psychiatry Department protocols and (OMH) oversight regulations, participation in ongoing education and supervision, as well as active participation in Psychiatry Department meetings, PI and UR.

The LCSW-R Clinical Supervisor provides oversight of the LMSW/LCSW in accordance with NYS Board of Education – Office of the Professions. Social Work licensure requirements – “A licensed master social worker may only practice clinical social work, including diagnosis and psychotherapy, under the supervision of a Licensed Clinical Social Worker (LCSW), licensed psychologist or psychiatrist in the acceptable setting.”

Participation in departmental rounds or team meetings as required

What we need from you

Education:

Master's Degree in Social Work, required

Minimum of 2 years of behavioral health employment or internship experience, preferred

Current NYS License as LMSW within 6 months of hire, required

Adaptability

Sedentary Work - Exerting up to 10 lbs of force occasionally, and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects. Sedentary work involves sitting most of the time. Jobs are sedentary if walking or standing are required only occasionally, and all other sedentary criteria are met

Occasional bodily fluids/bloodborne exposure

Sedentary Work - Exerting up to 10 lbs of force occasionally, and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects. Sedentary work involves sitting most of the time. Jobs are sedentary if walking or standing are required only occasionally, and all other sedentary criteria are met.

Working Conditions:

Occasional noise, odors

Occasional Travel - The job may require travel from time- to-time, but not on a regular basis

Total Rewards

Bassett Healthcare Network’s commitment to our employees includes benefit programs carefully designed with the needs and values of all our employees in mind. Many of the benefits we offer are paid fully or in large part by Bassett. Our generous benefits offerings include:  

Paid time off, including company holidays, vacation, and sick time

Pay Range

Salary is based on a variety of factors, including, but not limited to, qualifications, experience, education, licenses, specialty, training, and fair market evaluation based on industry standards. The above compensation range represents a good faith belief of the compensation range by Bassett Healthcare Network, and its entities and affiliates, at the time of this posting or advertisement.

Pay Range Minimum:

USD $69,245.20/Yr.

USD $103,867.80/Yr.

We provide equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, creed, sex (including pregnancy, childbirth, or related condition), age, national origin or ancestry, citizenship, disability, marital status, sexual orientation, gender identity or expression (including transgender status), genetic predisposition or carrier status, military or veteran status, familial status, status as a victim of domestic violence, or any other status protected by law.

Title: School Based Mental Health Counselor/Outpatient Counselor

Location: Hybrid Remote

Department: Counseling & Therapy

Job Description:

Clarvida’s success is built on the strength of our people: iniduals who bring the right skills and a deep commitment to our mission of improving lives and communities. Our employees are empowered to bring their full potential to the table, ensuring long-term success for our team and those we serve.  

About Your Role:

As a School Based Mental Health Counselor/Outpatient Counselor, you’ll play a vital role in supporting iniduals and families on their journey toward emotional wellness. In this position, you will: 

• Provide inidual and family therapy sessions tailored to each client’s needs. 
• Build meaningful therapeutic relationships that foster growth and resilience. 
• Ensure timely and accurate clinical documentation for your caseload. 
• Collaborate with a supportive team to deliver high-quality, client-centered care.

This role is ideal for compassionate professionals who are committed to making a positive impact in the lives of others while working in a structured, collaborative environment.

• School District(s): Some support for West Mifflin and Elizabeth Forward
• Part Time: at least 3-4 days. 20-29 hours/week. Evening availability preferred for 1 evening; 1 day supporting the clinic.
• Position is not fully remote. Opportunities for hybrid remote work are available for clinic sessions, depending on consumer needs.

Perks of this role: 

• Billable Rate: $30.00-$32.00/hour (non-licensed)**
• Other pay rates apply for training, travel, and administrative time. This information will be shared during phone screen/interviews.

**If one has valid licensure in PA, as an LPC, LMFT or LCSW, billable rate would be more than advertised.

Does the following apply to you?

• Master’s degree from an accredited college or university in Psychology, Social Work, Counseling, or similar clinical discipline.   
  • Must have a verified clinical practicum
• Or licensed (LPC, LCSW, LMFT) in the state of Pennsylvania 
• Up to 100% of travel between appointment sites or other locations – as outlined in program requirements

All Employees:  

• • 401K  
  • Free licensure supervision  
  • Employee Assistance program   
  • Pet Insurance  
  • Perks @Clarvida- national discounts on shopping, travel, Verizon, and entertainment  
  • Mileage reimbursement*  
  • Company cellphone

* may vary based on Position/State/County

Title: Senior Claim Specialist (Medical Management Unit)

Location: MI-Admin Office Building (AOB)

Hybrid - MI

time type

Full time

job requisition id

JR13911

Job Description:

It’s a great time to join AAA The Auto Club Group!

JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD

Job Type:

Full time

Exempt/Non Exempt:

Salary

Job Description:

Senior Claim Specialist (Medical Management Unit) – The Auto Club Group

What you will do:

The Auto Club Group is seeking prospective Senior Claim Specialist who can work under less supervision with a high-level of authority to handle highly complex technical issues and the most complex claims.

In this position, you will have the opportunity to:

• Claim handling responsibilities will include the following: reviewing assigned claims, contacting the insured and other affected parties, setting expectations for the remainder of the claim process, and initiating documentation in the claim handling system.

• Complete coverage analysis on the most complex claims

• Ensure all possible policyholder benefits are identified.

• Create additional sub-claims if needed.

• Complete an investigation of the facts regarding the claim to further and in more detail determine if the claim should be paid, the applicable limits or exclusions and possible recovery potential.

• Conduct thorough reviews of damages and determine the applicability of state law and other factors related to the claim.

• Evaluate the financial value of the loss.

• Approve payments for the appropriate parties accordingly.

• Refer claims to other company units when necessary (e.g., Underwriting, Recovery Units or Claims Special Investigation Unit).

• Thoroughly document and/or code the claim file and complete all claim closure and related activities in the assigned claims management system.

• Utilize strong negotiating skills.

Senior Claims Specialists assigned to the PIP unit are responsible for claims involving the MCCA or quadriplegic, traumatic brain, amputations and other catastrophic injuries. The role will require proficiency in dealing with the MCCA and attorney represented claims. Work with insureds, guardians, conservators, attorneys, treatment teams and case managers to obtain necessary information to complete the claims review process and make the appropriate determinations.

With our powerful brand and the mentoring, we offer, you will find your position as a Senior Claim Specialist can lead to a rewarding career at our growing organization.

Work Environment

This position is currently able to work remotely from a home office location for day-to-day operations unless occasional travel for meetings, collaborative activities, or team building activities is specified by leadership. This is subject to change based on amendments and/or modifications to the ACG Flex Work policy.

How you will benefit:

• A competitive annual salary between $75,000 to 90,000

• ACG offers excellent and comprehensive benefits packages, including:

• Medical, dental and vision benefits

• 401k Match

• Paid parental leave and adoption assistance

• Paid Time Off (PTO), company paid holidays, CEO days, and floating holidays

• Paid volunteer day annually

• Tuition assistance program, professional certification reimbursement program and other professional development opportunities

• AAA Membership

• Discounts, perks, rewards, and much more

We’re looking for candidates who:

Required Qualifications (these are the minimum requirements to qualify)

Education:

• Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience

• In states where an Adjuster’s license is required, the candidate must be eligible to acquire a State Adjuster’s license within 90 days of hire and maintain as specified for appropriate states.

• A valid driver's license is required if the primary responsibilities of the role involve conducting in-person inspections or frequent in-person meetings with members.

Experience:

Five years of experience or equivalent training in the following:

• Negotiation of complex Michigan claim settlements

• Securing and evaluating evidence

• Preparing manual and electronic estimates

• Subrogation claims

• Resolving complex coverage questions

• Taking statements

• Establishing clear evaluation and resolution plans for claims

Knowledge and Skills:

Advance knowledge of:

• Essential Insurance Act (Michigan)

• Fair Trade Practices Act as it relates to claims

• Subrogation procedures and processes

• Intercompany arbitration

• Litigation

Advance knowledge of:

• Negligence Law

• No-Fault Law

• Medical terminology and human anatomy

• MCCA and attorney represented claims

Ability to:

• Handle claims to the line Claim Handling Standards

• Follow and apply ACG Claim policies, procedures and guidelines

• Work within assigned ACG Claim systems including basic PC software

• Perform basic claim file review and investigations

• Demonstrate effective communication skills (verbal and written)

• Demonstrate customer service skills by building and maintaining relationships with insureds/claimants while exhibiting understanding of their problems and responding to questions and concerns

• Analyze and solve problems while demonstrating sound decision making skills

• Prioritize claim related functions

• Process time sensitive data and information from multiple sources

• Manage time, organize and plan workload and responsibilities

• Research, analyze, and interpret subrogation laws in various states

Preferred Qualifications

Education:

• Associate degree in Business Administration, Insurance or a related field or the equivalent in related work experience

• Completion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, Associate in Management or equivalent

• CPCU coursework or designation

#LI-LC1

Who We Are

Become a part of something bigger.

The Auto Club Group (ACG) provides membership, travel, insurance, and financial service offerings to approximately 14+ million members and customers across 14 states and 2 U.S. territories through AAA, Meemic, and Fremont brands. ACG belongs to the national AAA federation and is the second largest AAA club in North America.

By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life’s journey through insurance, travel, financial services, and roadside assistance.

And when you join our team, one of the first things you’ll notice is that same, whole-hearted, enthusiastic advocacy for each other.

We have positions available for every walk of life! AAA prides itself on creating an inclusive and welcoming environment of erse backgrounds, experiences, and viewpoints, realizing our differences make us stronger.

Important Note:

ACG’s Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals. ACG utilizes a geographic pay differential as part of the base salary compensation program. Pay ranges outlined in this posting are based on the various ranges within the geographic areas which ACG operates. Salary at time of offer is determined based on these and other factors as associated with the job and job level.  

The above statements describe the principal and essential functions, but not all functions that may be inherent in the job.  This job requires the ability to perform duties contained in the job description for this position, including, but not limited to, the above requirements.  Reasonable accommodations will be made for otherwise qualified applicants, as needed, to enable them to fulfill these requirements.

The Auto Club Group, and all its affiliated companies, is an equal opportunity employer.  All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability or protected veteran status.

Regular and reliable attendance is essential for the function of this job.

AAA The Auto Club Group is committed to providing a safe workplace. Every applicant offered employment within The Auto Club Group will be required to consent to a background and drug screen based on the requirements of the position.

Title: Forensic Structural Engineer, P.E.

Location: Eden Prairie, MN - Prairie Lakes

Full time

Job Description:

IF YOU CARE, THERE’S A PLACE FOR YOU HERE

EFI Global is a full-service engineering, fire investigation, environmental, health and safety, and specialty consulting services firm serving a variety of industries in both the public and private sectors. Over the last four decades, we have grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert witness testimony, into a recognized global leader in engineering failure analysis, origin-and-cause investigations, environmental consulting, laboratory testing and specialty consulting. Our forensic investigation, engineering and environmental services teams around the world share a dedication to expertise, quality and demonstrating to customers that caring counts®. Each of our more than 700 professional engineers, fire investigators, architects and scientists was selected for their technical proficiency, in-depth industry knowledge and commitment to professional integrity. Together, our erse backgrounds and collective insights empower clients to make better-informed business decisions. EFI’s combination of global solutions and local expertise has earned the firm a reputation for delivering timely responses that consistently meet our clients’ expectations—anytime, anywhere.   

Are you a licensed Professional Engineer with a passion for solving complex structural challenges? We're seeking a highly skilled Structural Engineer to join our team, specializing in structural repair design and forensic engineering. In this role, you will play a critical part in assessing structural failures, designing effective repair solutions, and contributing to forensic investigations that ensure safety, integrity, and compliance. If you thrive in a dynamic environment where your expertise drives impactful outcomes, we'd love to connect.

Must hold P.E. license in resident state. Prefer candidate reside in or around Minneapolis. This role requires site visits and working remotely from a home base office.

Are You An Ideal Candidate? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver results, are customer oriented and naturally empathetic.

• Apply your engineering knowledge and experience to investigate and assess complex failures in the context of an energetic, people focused, entrepreneurial culture. 

• Deliver comprehensive engineering analyses to clients who represent virtually every industry and comprise some of the world’s most respected organizations. 

• Leverage EFI Global’s broad, global network of experts to both learn from and to share your insights. 

• Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. 

• Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career. 

• Enjoy flexibility and autonomy in your daily work, your location, and your career path. 

• Access erse and comprehensive benefits to take care of your mental, physical, financial, and professional needs. 

Education and Licensing:

• Requires Bachelor of Science degree in Engineering from an accredited college or university.  

• Requires a Professional Engineering (PE) license, minimum required for resident state.  Prefer multi-state licensing and/or active NCEES Record.

• Expert witness testimony experience is a plus.  

Taking Care of You:

• Craves cutting-edge opportunities

• Supporting meaningful work that promotes critical thinking and problem solving.

• Thrives when allowed flexibility and autonomy

• Strong team and customer service orientation

• Seeks to contribute to a larger purpose​

• Craves culture of support, both giving and receiving

• We offer a erse and comprehensive benefits including medical, dental vision, 401K, PTO and more beginning your first day.

WORK ENVIRONMENT

When applicable and appropriate, consideration will be given to reasonable accommodations.

#LI-SC2 #LI-Remote

#ForensicEngineering Jobs #EngineeringJobs #EngineeringCareers #StructuralEngineering #JobOpportunity

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $110,000 - $125,000. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

Principal Site Grant Manager

Location: USA-NC-Morrisville-Hybrid

time type

Full time

job requisition id

25104681

Job Description:

Syneos Health® is a leading fully integrated biopharmaceutical solutions organization built to accelerate customer success. We translate unique clinical, medical affairs and commercial insights into outcomes to address modern market realities.  

Our Clinical Development model brings the customer and the patient to the center of everything that we do. We are continuously looking for ways to simplify and streamline our work to not only make Syneos Health easier to work with, but to make us easier to work for.

Whether you join us in a Functional Service Provider partnership or a Full-Service environment, you’ll collaborate with passionate problem solvers, innovating as a team to help our customers achieve their goals. We are agile and driven to accelerate the delivery of therapies, because we are passionate to change lives.

Discover what our 29,000 employees, across 110 countries already know: 

WORK HERE MATTERS EVERYWHERE

Why Syneos Health

• We are passionate about developing our people, through career development and progression; supportive and engaged line management; technical and therapeutic area training; peer recognition and total rewards program.
• We are committed to our Total Self culture – where you can authentically be yourself. Our Total Self culture is what unites us globally, and we are dedicated to taking care of our people. 
• We are continuously building the company we all want to work for and our customers want to work with. Why? Because when we bring together ersity of thoughts, backgrounds, cultures, and perspectives – we’re able to create a place where everyone feels like they belong.

Job Responsibilities

• Establishes, maintains and updates training material for investigator budget team and site contract negotiators.
• Actively participates in higher-level discussions about overall company goals, functional objectives in the Business Unit (BU), and specific project aims.
• Serves as subject matter expert equipped to help resolve global site budgeting issues, and escalation point within the Company for internal customers to seek assistance.
• Proposes site budgeting solutions to issues that may arise during a project or contract/budget life cycle to enhance negotiation strategy and ensure deliverables are met.
• Establishes project strategies around investigator budget template development and/or budget negotiation parameters to reflect sponsor's specifications, communications and required processes. Initiates and introduces creative ideas and solutions.
• Develops detailed investigator grant budget estimates and country budget templates according to protocol specifications through currently available software package/resources.
• Updates detailed investigator grant budget estimates and country budget templates according to protocol amendment specifications through currently available software package/resources.
• Works closely with internal stakeholders to draft, collaborate with Sponsor and harmonize investigator budget templates, investigator budget parameters and payment terms within Company processes.
• Ensures investigator budget templates are drafted and updated taking into consideration fair market value and key operational aspects indicated in the relevant operational documents (e.g. protocol, Integrated Site Activation and Maintenance Plan, etc.), as well as in the customer agreement documents at a project and organizational level.
• Establishes strong working relationships and collaboration with Sponsor to ensure site budget templates fit into the global strategy set for the program.
• Validates investigator grant budget estimates against available internal and external benchmarking data.
• Identifies possible investigator budget or process operational risk and proactively works to provide solutions.
• Establishes strong working relationships with customer and internal project teams.
• Escalates deviations to senior management and is equipped to resolve issues with Quality Assurance.
• Creates and maintains document status reports, and updates department tools/systems and team members on a regular basis; ensures appropriate documentation is maintained.
• Collaborates with internal and external legal, finance and clinical operations departments, including communicating and explaining legal and budgetary issues.
• Researches, compiles and creates necessary information as required in support of obtaining fair market value and developing investigator budget templates.
• Identifies best practices, investigates root causes of fundamental issues and problems for projects and recommends solutions. Recognizes and develops opportunities for continuous process improvement within investigator budget template development, which lead to greater efficiencies and/or leading best practices.
• Trains and mentors less experienced staff members on department Standard Operating Procedures (SOPs), processes, tools and templates and ensures quality of teamwork products.
• Represents the Company at professional meetings or seminars.
• May support BU and organization through help desk and other defined pathways to resolve and deescalate issues.
• May identify and lead internal team training and/or process improvement initiatives.
• Participates in business development presentations as a subject matter expert in budget development and Fair Market Value (FMV) within the Company.
• Performs other work-related duties as assigned. Minimal travel may be required (up to 25%).

Qualifications

• BS degree in life sciences, a health related field, or equivalent combination of education and experience.
• Extensive experience in a CRO/pharmaceutical industry and related clinical trial expertise (Study Coordinator, CRA, Pharmacy, Nursing, Healthcare Administration) or site start-up experience.
• Thorough knowledge of applicable regulations, drug development and clinical project management procedures.
• Excellent presentation, documentation and interpersonal skills. Proficient in MS Office (Word, Excel and PowerPoint), MS Project, outlook and Internet.   
• Ability to handle multiple tasks to meet deadlines, delivering high quality work in a dynamic environment.
• Above-average attention to detail, effective oral/written communication skills along with the ability to work independently to meet deadlines.
• Excellent leadership skills; ability to teach/mentor team members.
• Ability to coach employees to reach performance objectives.
• Strong background in issue resolution, meeting customer deliverables and driving best practices at organization or customer portfolio level.

Location

• Open to US-Remote candidates.

Salary

• $79,800 - $139,600

At  Syneos Health, we believe in providing an environment and culture in which Our People can thrive, develop and advance. We reward and recognize our people by providing valuable benefits and a quality-of-life balance. The benefits for this position may include a company car or car allowance, Health benefits to include Medical, Dental and Vision, Company match 401k, eligibility to participate in Employee Stock Purchase Plan, Eligibility to earn commissions/bonus based on company and inidual performance, and flexible paid time off (PTO) and sick time.  Because certain states and municipalities have regulated paid sick time requirements, eligibility for paid sick time may vary depending on where you work. Syneos complies with all applicable federal, state, and municipal paid sick time requirements.

Salary Range:

The base salary range represents the anticipated low and high of the Syneos Health range for this position. Actual salary will vary based on various factors such as the candidate’s qualifications, skills, competencies, and proficiency for the role.

Get to know Syneos Health

Over the past 5 years, we have worked with 94% of all Novel FDA Approved Drugs, 95% of EMA Authorized Products and over 200 Studies across 73,000 Sites and 675,000+ Trial patients.

No matter what your role is, you’ll take the initiative and challenge the status quo with us in a highly competitive and ever-changing environment. Learn more about Syneos Health.

Additional Information

Title:Site Grant Analyst - II

Location: USA-NC-Morrisville-Hybrid

Job type: Hybrid

Job Description:

Site Grant Analyst - II

Syneos Health® is a leading fully integrated biopharmaceutical solutions organization built to accelerate customer success. We translate unique clinical, medical affairs and commercial insights into outcomes to address modern market realities.  

Our Clinical Development model brings the customer and the patient to the center of everything that we do. We are continuously looking for ways to simplify and streamline our work to not only make Syneos Health easier to work with, but to make us easier to work for.

Whether you join us in a Functional Service Provider partnership or a Full-Service environment, you’ll collaborate with passionate problem solvers, innovating as a team to help our customers achieve their goals. We are agile and driven to accelerate the delivery of therapies, because we are passionate to change lives.

Discover what our 29,000 employees, across 110 countries already know: 

WORK HERE MATTERS EVERYWHERE

Why Syneos Health

• We are passionate about developing our people, through career development and progression; supportive and engaged line management; technical and therapeutic area training; peer recognition and total rewards program.
• We are committed to our Total Self culture – where you can authentically be yourself. Our Total Self culture is what unites us globally, and we are dedicated to taking care of our people. 
• We are continuously building the company we all want to work for and our customers want to work with. Why? Because when we bring together ersity of thoughts, backgrounds, cultures, and perspectives – we’re able to create a place where everyone feels like they belong.

Job Responsibilities

• Serves as subject matter expert equipped to help resolve global site budgeting issues, and escalation point within the Company for internal customers to seek assistance.
• Proposes site budgeting solutions to issues that may arise during a project or contract/budget life cycle to enhance negotiation strategy and ensure deliverables are met.
• Establishes project strategies around investigator budget template development and/or budget negotiation parameters to reflect sponsor's specifications, communications and required processes. Initiates and introduces creative ideas and solutions.
• Develops detailed investigator grant budget estimates and country budget templates according to protocol specifications through currently available software package/resources.
• Updates detailed investigator grant budget estimates and country budget templates according to protocol amendment specifications through currently available software package/resources.
• Works closely with internal stakeholders to draft, collaborate with Sponsor and harmonize investigator budget templates, investigator budget parameters and payment terms within Company processes.
• Ensures investigator budget templates are drafted and updated taking into consideration fair market value and key operational aspects indicated in the relevant operational documents (e.g. protocol, Integrated Site Activation and Maintenance Plan, etc.), as well as in the customer agreement documents at a project and organizational level.
• Establishes strong working relationships and collaboration with Sponsor to ensure site budget templates fit into the global strategy set for the program.
• Validates investigator grant budget estimates against available internal and external benchmarking data.
• Creates and maintains document status reports, and updates department tools/systems and team members on a regular basis; ensures appropriate documentation is maintained.
• Collaborates with internal and external legal, finance and clinical operations departments, including communicating and explaining legal and budgetary issues.
• Researches, compiles and creates necessary information as required in support of obtaining fair market value and developing investigator budget templates.
• Identifies best practices, investigates root causes of fundamental issues and problems for projects and recommends solutions. Recognizes and develops opportunities for continuous process improvement within investigator budget template development, which lead to greater efficiencies and/or leading best practices.
• Trains and mentors less experienced staff members on department Standard Operating Procedures (SOPs), processes, tools and templates and ensures quality of teamwork products.
• May support BU and organization through help desk and other defined pathways to resolve and deescalate issues.
• May identify and lead internal team training and/or process improvement initiatives.
• Performs other work-related duties as assigned. 
• Minimal travel may be required (up to 25%).

Required Qualifications

• BS degree in life sciences, a health related field, or equivalent combination of education and experience.
• Strong experience in a CRO/pharmaceutical industry and related clinical trial expertise (Study Coordinator, CRA, Pharmacy, Nursing, Healthcare Administration) or site start-up experience.
• Thorough knowledge of applicable regulations, drug development and clinical project management procedures.
• Strong presentation, documentation and interpersonal skills. Proficient in MS Office (Word, Excel and PowerPoint), MS Project, outlook and Internet.
• Ability to handle multiple tasks to meet deadlines, delivering high quality work in a dynamic environment.
• Attention to detail, effective oral/written communication skills along with the ability to work independently to meet deadlines.
• Strong leadership skills; ability to teach/mentor team members.

Location

• Open to US-Remote candidates.

Salary

• $56,400 - $95,900

At  Syneos Health, we believe in providing an environment and culture in which Our People can thrive, develop and advance. We reward and recognize our people by providing valuable benefits and a quality-of-life balance. The benefits for this position may include a company car or car allowance, Health benefits to include Medical, Dental and Vision, Company match 401k, eligibility to participate in Employee Stock Purchase Plan, Eligibility to earn commissions/bonus based on company and inidual performance, and flexible paid time off (PTO) and sick time.  Because certain states and municipalities have regulated paid sick time requirements, eligibility for paid sick time may vary depending on where you work. Syneos complies with all applicable federal, state, and municipal paid sick time requirements.

Salary Range:

The base salary range represents the anticipated low and high of the Syneos Health range for this position. Actual salary will vary based on various factors such as the candidate’s qualifications, skills, competencies, and proficiency for the role.

Get to know Syneos Health

Over the past 5 years, we have worked with 94% of all Novel FDA Approved Drugs, 95% of EMA Authorized Products and over 200 Studies across 73,000 Sites and 675,000+ Trial patients.

No matter what your role is, you’ll take the initiative and challenge the status quo with us in a highly competitive and ever-changing environment. Learn more about Syneos Health.

Additional Information

Tasks, duties, and responsibilities as listed in this job description are not exhaustive.  The Company, at its sole discretion and with no prior notice, may assign other tasks, duties, and job responsibilities. Equivalent experience, skills, and/or education will also be considered so qualifications of incumbents may differ from those listed in the Job Description.  The Company, at its sole discretion, will determine what constitutes as equivalent to the qualifications described above.   Further, nothing contained herein should be construed to create an employment contract.  Occasionally, required skills/experiences for jobs are expressed in brief terms.  Any language contained herein is intended to fully comply with all obligations imposed by the legislation of each country in which it operates, including the implementation of the EU Equality Directive, in relation to the recruitment and employment of its employees.  The Company is committed to compliance with the Americans with Disabilities Act, including the provision of reasonable accommodations, when appropriate, to assist employees or applicants to perform the essential functions of the job.

Title: Licensed Outpatient Counselor

Location: Johnstown, Pennsylvania

Department: Counseling & Therapy

Job Description:

Clarvida’s success is built on the strength of our people: iniduals who bring the right skills and a deep commitment to our mission of improving lives and communities. Our employees are empowered to bring their full potential to the table, ensuring long-term success for our team and those we serve.

About Your Role:

As a Licensed Outpatient Counselor, you’ll play a vital role in supporting iniduals and families on their journey toward emotional wellness. In this position, you will: 

• Provide inidual and family therapy sessions tailored to each client’s needs. 
• Build meaningful therapeutic relationships that foster growth and resilience. 
• Ensure timely and accurate clinical documentation for your caseload. 
• Collaborate with a supportive team to deliver high-quality, client-centered care.

This role is ideal for compassionate professionals who are committed to making a positive impact in the lives of others while working in a structured, collaborative environment.

Perks of this role:

Hybrid/remote: position is not fully remote. Opportunities for hybrid remote work are available, dependent on consumer needs. 

Competitive pay: Billable rate $40-$45/hour

• Other pay rates apply for training, travel, and administrative time. This information will be shared during phone screen/interviews.

Does the following apply to you?

• Licensed (LPC, LCSW, LMFT) in the state of Pennsylvania.
• Master’s degree from an accredited college or university in Psychology, Social Work, Counseling, or similar clinical discipline.
  • Must have a verified clinical practicum.

 Full Time Employees:   

• • Paid vacation days that increase with tenure  
  • Separate sick leave that rolls over each year  
  • Up to 10 Paid holidays*  
  • Medical, Dental, Vision benefit plan options  
  • DailyPay- Access to your daily earnings without waiting for payday*  
  • Training, Development and Continuing Education Credits for licensure requirements

All Employees:  

• • • 401K  
    • Free licensure supervision  
    • Employee Assistance program   
    • Pet Insurance  
    • Perks @Clarvida- national discounts on shopping, travel, Verizon, and entertainment  
    • Mileage reimbursement*  
    • Company cellphone

*benefits may vary based on Position/State/County  

Application Deadline:  Applications will be reviewed on a rolling basis until the position is filled.

If you're #readytowork we are #readytohire! Now hiring!