Patient Relations Manager Jobs Near Me

6 Month Contract Hybrid: Rancho Cucamonga We are committed to providing exceptional healthcare services and support to our community. We are seeking a dedicated and detail-oriented Medical Coordinator to join our team in a hybrid role, combining remote work with in-office responsibilities in Rancho Cucamonga, CA. Job Description: As a Medical Coordinator, you will play a crucial role in ensuring the smooth operation of our medical services. You will be responsible for coordinating patient care, managing medical records, and supporting our healthcare professionals. Your goal is to provide excellent service to our patients and ensure that all administrative tasks are handled efficiently. Key Responsibilities: Checking Referrals for completeness Communicate with Providers regarding authorizations, modifications, denials and other correspondence. Coordinate patient appointments, referrals, and follow-ups. Manage and update patient medical records and ensure confidentiality. Assist healthcare professionals with administrative tasks and patient care coordination. Communicate with patients, families, and healthcare providers to ensure seamless care. Handle patient inquiries and provide information about medical services. Ensure compliance with healthcare regulations and standards. Maintain accurate and organized records of all medical and administrative activities. Requirements: 3 years of data entry experience AA degree preferred Requires knowledge of ICD-9/10 and CPT Codes Managed care or physician's office experience Proven experience in a medical administrative role or similar position. Strong organizational and multitasking skills. Excellent communication and interpersonal skills. Familiarity with medical terminology and healthcare regulations. Proficiency in using medical software and electronic health records (EHR) systems. Ability to work independently and as part of a team. High school diploma or equivalent; additional qualifications in healthcare administration or related field will be a plus.

Form Health is a national telemedicine weight loss clinic specialized in helping patients with obesity lose weight and lead healthier lives. Obesity impacts more than 40% of the US adult population, but only about 1% of patients receive medical treatment for their disease. The field of Obesity Medicine is entering a period of rapid growth that will see treatment rates surge. Today, Form Health can harness this growth to drive patient impact nationwide. We do this by making research-based treatment available to patients through the convenience of telehealth, including long-term care from a specialized physician and dietitian and FDA-approved medication when appropriate. We hold ourselves to the highest standards of clinical care, and to treating every individual with empathy and respect. Founded in 2019, Form Health is a venture-backed startup with an experienced clinical team. Form Health's mission is to empower patients and be the leader in obesity medicine using personalized, research-based treatment delivered through modern technology. The Patient Care Coordinator role supports physicians, dietitians and patients and is critical to our company mission of outstanding clinical care. About the role: Form Health's Patient Care Coordinators provide comprehensive support for daily clinical operations, and growth of the clinical practice and the company. We and our patients need your support to provide an outstanding experience to every single patient we serve and increase practice efficiency. Working collaboratively with the physician and dietitians in our practice, you will help us enable excellent patient care as well as clinical growth. We are passionate about helping people improve their health through weight loss, and will provide you opportunities for learning and professional growth. This role is 100% remote and can be located anywhere in the U.S. but will need to align to the following schedules: Monday - Friday 7:00 AM EST - 3:00 PM EST or Monday - Friday 12:00 PM EST - 8:00 PM EST / 9:00 AM PST - 5:00 PM PST. Where you'll deliver impact: We seek an experienced candidate, a team player with exceptional interpersonal and organizational skills, who is passionate about being part of a healthcare team and excited to work in a non-traditional telemedicine practice environment. Key responsibilities include: Managing a panel of patients, where you are their primary point of contact to answer questions and troubleshoot any issues they may have. Coordinating exceptional care for patients through supporting them with general inquiries, routing clinical questions/concerns to the clinical team, and finding resources to help answer questions about billing and coverage. Scheduling and rescheduling new and returning patient appointments for physicians and dietitians, as well as coordinating clinician schedules/availability. Coordination of appointments requires close attention to detail, and some flexibility with work schedule can be helpful for connecting with busy patients. Regular outgoing patient communications to ensure patients remain consistently engaged with our clinical team, which helps to optimize their success in the program. Helping with prior authorization and other prescription-related tasks. Providing administrative support for clinicians as required for patient care. Providing feedback and communicating patient feedback to other company teams (i.e. Product, Engineering, Marketing) to improve operational tools and patient care. Contributing to special projects as directed. You'll be successful in this role because you have: An Associate's or Bachelor's degree is preferred; candidates with a Certified Medical Assistant (CMA) certification are strongly preferred also. A strong customer service drive, a passion for helping patients, and with efficient work flows. At least two years of experience in a fast-paced medical practice, with knowledge of medical practice operations and professionalism standards. Candidates motivated to pursue a career in clinical medicine are also encouraged to apply. Excellent verbal and written communication skills. Highly organized, with strong coordination, judgment, and prioritization skills. Proven ability to manage multiple tasks and time effectively. Proficient computer skills, with proficiency in platforms such as Slack and Google Workspace, and the ability to quickly adapt to evolving, custom-built IT systems. More about FORM's benefits: Competitive salary and equity in a high growth start-up Comprehensive health benefits (medical, dental, vision) 401k Flexible work schedules and paid time off Paid parental leave FORM Health's commitment to building a diverse, equitable, and inclusive work environment: FORM Health is committed to creating a culture and environment that celebrates diversity and inclusion, while fostering safety and belonging. This extends from our remote patient care to our corporate offices and everywhere in between. We are looking for team members who want to help us further our Diversity, Equity, and Inclusion (DEI) efforts and who share our attitudes for creating an inclusive, safe, and positive work environment. Hourly Pay Range$20—$25 USD

WELLBE INTRODUCTION The WellBe care model is a Physician Led Advanced Geriatric Care Program focused on the quality of care of the frail, poly-chronic, and elderly Medicare Advantage patients. This population is typically underserved and very challenged with access to overall health care. To address these problems, we have elected to bring the care to the patient, instead of trying to bring the patient to the care. WellBe's Care Model is to provide our members the entire continuum of care from chronic to urgent care in the home, hospital, skilled nursing facility, assisted living, palliative care, and to end of life care. WellBe's physician/advanced practicing clinician led geriatric care teams' partner with the patient's primary care physician to provide concierge level geriatric medical care and social support in the home as well as delivering and coordinating across the entire care continuum. GENERAL SUMMARY Our Patient Care Coordinator are part of a home-based care team that provides compassionate care to the frail population who suffer from chronic and acute illnesses or injuries. Our PCA's are responsible for answering incoming and outgoing calls, coordinating care with the rest of the medical team, scheduling patient appointments, specialist appointments and coordinating diagnostic tests, being a community resource, working to engage patients that currently are not engaged, and contributing complete and accurate data in patient's records. The successful candidate will employ critical thinking and decision making, be comfortable with technology, have flexibility, and love working with patients and a collaborative interdisciplinary team. We offer a positive, upbeat work environment where all medical personnel work together for the good of the patient. Job Description SKILLS & COMPETENCIES Practices the WellBe mission: To help our patients lead healthier, meaningful lives by delivering the most Complete Care. Updates and maintains all digital client records and assist in transitioning hard copy records to digital format Acts as a community resource for the patient Conduct patient scheduling, registration and eligibility verification Manage patient medical records as appropriate Answer phone calls and emails from patients, make outcoming calls, prioritize patient concerns as appropriate Answer patient non-clinical questions and explains the process Schedules/coordinates WellBe provider visits with patients, tests, specialist appoints, social resources. Ensures all appropriate patient information is in the EMR Provide positive customer service and treat all patients and staff with respect Prioritizes urgent patient needs, scheduling needs for Complete Care Assessment, and efforts to engage the unengaged Collaborates with the interdisciplinary team and participate in regularly scheduled team meetings Support APC in ongoing panel management and quality of care efforts (e.g., HEDIS) Completes next day visit chart prep Utilize reporting to help providers track, meet and exceed team goal, Other tasks needed to accomplish team's objectives/goals Job Requirements Job Requirements Educational/ Experience Requirements: High school graduate or GED License, Certification, Registration MA Certification-Preferred Required Skills and Abilities: 2+ years of experience working for a healthcare practice or hospital EMR documentation experience preferred High level of professionalism Strong critical thinking skills Strong customer centric focus/service skills Strong computer skills, including Word, Excel, and PowerPoint Strong verbal, written, presentation, and interpersonal communication skills Supervisory Responsibility: N/A Travel requirements: Travel may be required up to 25% locally. Work Conditions: Ability to lift up to 20lbs. Moving lifting or transferring of patients may involve lifting of up to 50lbs as well as assist with weights of more than 100lbs. Ability to stand for extended periods. Ability to drive to patient locations (ie. home, hospital, SNF, etc). Fine motor skills/Visual acuity The preceding functions may not be comprehensive in scope regarding work performed by an employee assigned to this position classification. Management reserves the right to add, modify, change or rescind the work assignments of this position. Management also reserves the right to make reasonable accommodations so that a qualified employee(s) can perform the essential functions of this role assignments of this position. Management also reserves the right to make reasonable accommodations so that a qualified employee(s) can perform the essential functions of this role.

Title: Patient Access Manager, Rare Disease Company: Ipsen Biopharmaceuticals Inc. Ipsen is a mid-sized global biopharmaceutical company with a focus on transformative medicines in three therapeutic areas: Oncology, Rare Disease and Neuroscience. Supported by nearly 100 years of development experience, with global hubs in the U.S., France and the U.K, we tackle areas of high unmet medical need through research and innovation. Our passionate teams in more than 40 countries are focused on what matters and endeavor every day to bring medicines to patients in 88 countries. We build a workplace that champions human-centric leadership and fosters a culture of collaboration, excellence and impact. At Ipsen, every individual is empowered to be their true selves, grow and thrive alongside the company's success. Join us on our journey towards sustainable growth, creating real impact on patients and society! For more information, visit us at ********************** and follow our latest news on LinkedIn and Instagram. Job Description: The Patient Access Manager, Rare Diseases is part of the Patient Services, Value and Access organization. The purpose of this team is to ensure seamless, patient-centric support to help patients have access to appropriate education and support to start and continue prescribed therapy with Ipsen products where appropriate. Specifically, activities of this role include working directly with patients, HCP offices, Payers, and Specialty Pharmacies on a one-on-one basis to ensure that patients have an appropriate understanding of complex reimbursement issues, their insurance options and limitations, benefits, and requirements necessary to initiate and maintain prescribed therapy. This function also helps ensure the prompt shipment of products to eligible patients. This is not a promotional or selling role. Our goal is to ensure availability for our customers and a work-life balance for our employees. Patient Access Managers (PAMs) will have the flexibility to work from home once fully onboarded, with the understanding that there will be times when attendance in the office is required for training, team building, meetings, etc. Main Responsibilities & Job Expectations * Support appropriate patient access for Ipsen products by providing timely and appropriate reimbursement information related to coverage across all payers. * Help providers, patients, and caregivers understand complex reimbursement issues, insurance options and limitations, benefits, and requirements necessary to initiate and maintain therapy as prescribed. * Collaborate with the Ipsen Value & Access home office, sales teams, brand teams, and to expand access and/or reduce barriers to access for Ipsen products. * Work directly with Field Access Director to resolve complex access questions in a timely manner * Coordinate with others to ensure appropriate product supply/delivery. * Support strategic analysis and planning related to changes in local payer coverage policies. * Ability to understand local/regional payer trends and policies. * Help troubleshoot and support resolution of reimbursement issues (insurance changes, prior authorizations, appeals, other) according to established SOPs. * Strive to deliver an exceptional customer service experience. * Maintain complete, timely and compliant case records for all interactions and case records in the CRM system and other systems as required * Strictly follow all relevant Ipsen Policies and SOPs * Utilize only approved resources and messages to perform function responsibilities Knowledge, Abilities & Experience * BA/BS in health care, social work, nursing or equivalent * 5+ years of recent case management experience in the healthcare or Pharma/Biotech industry, or 5 years of reimbursement experience related to specialty products, or 5+ years working with patient access, benefits investigations, billing and coding, and social service support * Exceptional proficiency to overcome access-related issues at the provider and payer level. * Rare-disease experience is a strong plus; ideally liver and/or GI product experience * Demonstrated passion for patients * Reimbursement experience and strong understanding of health insurance and benefits, co-pay assistance programs, Medicare, Medicaid, and private-payer policies * Strong understanding of and comfort with a highly regulated life-sciences environment The annual base salary range for this position is $91,500 to $134,000 This job is eligible to participate in our short-term incentives program. At Ipsen we are proud to offer a comprehensive employee benefits package, including 401(k) with company contributions, group medical, dental and vision coverage, life and disability insurance, short- and long-term disability insurance, as well as flexible spending accounts. Ipsen also provides parental leave, paid time off, a discretionary winter shutdown, well-being allowance, commuter benefits, and much more. The pay range displayed above is the range of base pay compensation within which Ipsen expects to pay for this role at the time of this posting. Individual compensation within this range depends on a variety of factors, including, but not limited to, prior education and experience, job-related knowledge and demonstrated skills. IPSEN is an equal opportunity employer that strictly prohibits unlawful discrimination. We recruit, employ, train, compensate, and promote without regard to an individual's race, color, religion, gender, sexual orientation, gender identity/expression, national origin/ancestry, age, mental/physical disability, medical condition, marital status, veteran status, or any other characteristic protected by law.

About the Role: As a Care Coordinator Assessor, you will conduct in-person and virtual Health Risk Assessments (HRAs) and Support Plans with residents of St. Louis County (Duluth area). This role is part-time and up to 25 hours a week. Job Location: This position will be hybrid with some work in-person in the community (Duluth/St. Louis County) and work from home. Essential Responsibilities: Using person-centered practices, complete Health Risk Assessments and Support Plans with individuals with disabilities, mental health conditions, or terminal illness. Interact professionally with interdisciplinary team members including the person supported, family caregivers and guardians, employers, case managers, community providers, and other involved stakeholders. Meet face-to-face and remotely with individuals and their support teams to complete HRAs and assess physical and mental wellness, needs, preferences, and abilities; apply information to develop tailored support plans. Integrate and improve the coordination of care by: Ensuring optimal health status and decreasing the rate of health decline. Providing social or community support systems. Promoting a safe environment. Reducing or, if possible, eliminating the impact of behavioral health issues. Encouraging self-reliance. Advocate for individuals, including awareness of and sensitivity to culturally appropriate care. Apply ethical practice principles such as respect for the autonomy, dignity, privacy and rights of the individual. Promote collaborative, proactive, and person-focused relationships. Practice customer service excellence and prompt responses (within one business day) for all communication, including written and verbal correspondence. Demonstrate strong written communication skills; complete all required paperwork to comply with contractors and funding sources. Complete documentation of all services provided in the selected electronic health record/database system within one business day of providing services. As a mandated reporter, respond and report all incidents that occur while providing services to protect the health and safety of and minimize risk of harm to the person(s) supported following Accord's policy and MN Statutes. Represent the agency to the people we support, our community partners and external constituents. Serve as a positive role model for other employees. Meet completion deadlines for all required and assigned training related to the position. Comply with all federal and state laws, regulations and administrative rules that apply to program areas. Travel throughout the St. Louis County service area to job sites and meeting locations; limited overnight travel possible. Perform other duties as assigned. Requirements Bachelors degree in Human Services or related field required. Care Coordination Assessors are required to be Qualified Professionals (defined in Minnesota as a licensed social worker, mental health professional, registered nurse, physician assistant, nurse practitioner, public health nurse or physician). 2+ years of work experience in the field of social services required, preferably working with older adults and/or people living with disabilities. Knowledge of health, social services, and funding sources that support individuals. Self-starter with ability to work independently and as part of a team. Strong organizational skills with ability to work in a fast-paced environment. Proficient with technology and demonstrated ability to manage multiple computer systems. Benefits Compensation: $28-$31 per hour depending on background and experience. Mileage reimbursement for providing direct services. #AccordJobs

The VFP Pharmacy Group Patient Care Coordinator works under the direction of our Operations Supervisor to compassionately and efficiently assist patients, provider offices and clients via the telephone, email or chat. They are expected to process prescription claims including data entry into the pharmacy processing system and to adjudicate claims to payers. The PCC is also expected to answer and field questions from internal and external business partners via telephone and email. They will work to ensure VFP remains complaint, ethical, adherent to pertinent regulations and laws, and promotes an open, inclusive, and patient-centric culture. Daily tasks will include department tasks, workflow, aligned processes across all VFP locations (as needed). The PCC works closely with our Call Center Technicians and operates under the supervision of the clinical pharmacist teams. Essential Functions Delivers superior customer service and can work professionally in pharmacy environment Interacts professionally with pharmacists, medical providers, consultants, and other staff Accurately obtain and enter patient information, including shipping, insurance and payment information. Entering Prescriptions into pharmacy operating system accurately via knowledge of medical terminology including sig codes and brand/generic medication. Other pharmacy terminology familiarity preferred Responsible for identifying prescription errors and anomalies and escalating as necessary Responsible for identifying and managing payer requirements within utilization and waste management with pharmacist assistance Responsible for identifying prescription errors and anomalies and escalating as necessary Responsible for identifying and managing payer requirements within utilization and waste management with pharmacist assistance Exercises good team collaboration to ensure order timeliness, quality and service metrics are routinely achieved Collaborates with members of health disciplines in the interest of the patient's health care Refers patients to available resources in a timely manner Brings a winning attitude to work each day Other duties as assigned Requirements and Preferences High School Diploma or equivalent California Pharmacy Technician License preferred Must be available to work an 8-hour shift Monday through Friday, within the hours of 8:30am-6pm occasional holidays & rotating weekends Minimum 1-3 years of call center experience, preferably in healthcare, insurance or specialty pharmacy setting Strong working knowledge of HIPAA and other pertinent and applicable laws and regulations surrounding pharmacy and patient care Strong technical knowledge of pharmacy processing system and phone systems Ability to problem solve, think critically, and improve workflow procedures Proven track record for handling large volume of inbound and outbound calls in a quality, compliant, and patient-centric fashion Next-level compassion and empathy required to assist sensitive patient population Ability to think holistically and continuous improvement mindset is essential Excellent verbal and written communication skills required Strong organizational skills, attention to detail and problem-solving skills Ability to multi-task Strong interpersonal, communication, and organizational skills required Equal Opportunity Employer VFP Pharmacy Group is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, ethnicity, age, disability, veteran status, marital status, or any other characteristic protected by law. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an hourly rate of 17.75 - 19 USD / hourly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

The Clover Care Services organization delivers proactive support and care to our members through our clinical Clover Home Care teams, and quality improvement services to our aligned providers through our practice engagement team. Clover has built one of the most proactive, data-driven health care services platforms and is excited about how technology impacts our ability to bring transformative results to both patients and providers. The Patient Care Coordinator (LPN/RN), will support the Dialysis Care Management (DCM) Program, ensuring comprehensive care for Clover Health members with ESRD receiving dialysis. This role focuses on member outreach, care coordination, transportation assistance, appointment management, and addressing non-adherence to improve health outcomes and member satisfaction. This is a hybrid role, working from home with the expectation of conducting field visits weekly. As a Patient Care Coordinator (LPN/RN), you will: Initiate outreach to newly identified and existing targeted Clover Medicare Advantage (MA) plan members. Introduce the DCM program, explain benefits and conduct needs assessments. Collaborate with members to address any barriers to completing appointments including transportation, scheduling and overall provider satisfaction. Provide education to members on dialysis adherence. Build relationships with dialysis providers to track completed and missed appointments. Follow-up with members for missed appointments to understand reasons and offer assistance as needed including transportation services and scheduling assistance. Identify chronically non-adherent members and engage to uncover barriers. Schedule follow-up appointments with CCS providers as needed. Refer members to Supportive Care or Behavioral Health for clinical decline or reconsideration of hemodialysis continuation. Document assessments in the electronic medical record and maintain accurate records in the program tracker. Work collaboratively with internal and external resources including providers and behavioral health specialists, pharmacists, nephrologists, and dialysis center care managers. Monitor reports and dashboards to identify trends and discover opportunities for improvement. Take on other projects, duties and responsibilities as may be assigned. You should get in touch if: You have at least 2 years of related work experience and hold the following degrees or certifications: Current and valid Compact LPN or RN license (required). High School Graduate/GED/Equivalent Work or Vocational/Technical School/Diploma (required). Current Basic Life Support (BLS) (required). You have case management or care coordination experience. You are able to communicate fluently in English and Spanish, both orally and in writing (preferred). You have a valid driver's license and have access to a vehicle (required). You are proficient in computer use and have experience using EMRs, Athena preferred. You are comfortable working with members of diverse social, ethnic, and cultural backgrounds. Benefits Overview: Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions. Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare. Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location. Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews. Additional Perks: Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities Reimbursement for office setup expenses Monthly cell phone & internet stipend Remote-first culture, enabling collaboration with global teams Paid parental leave for all new parents And much more! About Clover: We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most. We always put our members first, and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare. From Clover's inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one's identity. All of our employee's points of view are key to our success, and inclusion is everyone's responsibility. #LI-Remote Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company. A reasonable estimate of the base salary range for this role is $22 to $32/hour. Final pay is based on several factors including but not limited to internal equity, market data, and the applicant's education, work experience, certifications, etc.

Conduct RX reviews - qill que up based on availbilty Complete service calls, documenting activities and results in a timely manner. Maintain a current calendar reflecting availability for patient appointments. Clinicians must present themselves in a professional manner while interacting with patients, family members/caretakers, medical staff and Inogen employees. Maintain regular and punctual attendance. Comply with all company policies and procedures. Assist with any other duties as assigned. Skills pharmacy, respiratory therapist, Call center, Customer service, Customer support, Customer service call center Top Skills Details pharmacy,respiratory therapist,Call center,Customer service Additional Skills & Qualifications RT experience, customer service/pharmacy CSR Experience Level Entry Level Pay and Benefits The pay range for this position is $34.00 - $35.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: - Medical, dental & vision - Critical Illness, Accident, and Hospital - 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available - Life Insurance (Voluntary Life & AD&D for the employee and dependents) - Short and long-term disability - Health Spending Account (HSA) - Transportation benefits - Employee Assistance Program - Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on May 30, 2025. About TEKsystems and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

The Patient Care Coordinator plays a pivotal role in care coordination and healthcare service management for the Medicare patient population within the primary care practice. Collaborating closely with healthcare providers, the Patient Care Coordinator ensures seamless transitions of care and supports follow-up engagement of high risk or vulnerable patients within the practice. The Patient Care Coordinator duties involve patient-facing tasks, facilitating smooth communication, support, and assistance throughout the patient's healthcare journey. The position demands a comprehensive understanding of clinical care delivery, coupled with robust communication abilities, all aimed at elevating patient satisfaction and care quality. This is a hybrid role with approximately 80% remote work and periodic working hours in supported clinics. ESSENTIAL FUNCTIONS Responsible for coordinating care management activities: Collaborate with clinical teams to ensure comprehensive care for responsible patients, including pre-visit planning and retrieval of post-discharge summaries. Serve as an essential conduit of information flow between healthcare entities and our care teams and systems. Engage patients in health improvement activities and educate them on self-management tasks to avoid unnecessary ED visits and hospitalizations. Support team huddles to enable clinic team to review active hospital census and population health data to close gaps in care, identify high risk patients in need of a visit, and review utilization trends. Actively manage a panel of high risk patients, anticipating their needs, addressing barriers to care, and coordinating with their attributed PCP care team to provide them access to care. Collaborate with patients, physicians, and care team members to assess progress toward health goals and ensure consistent documentation of patient self-management measures and progress. Maintain confidentiality and adhere to HIPAA regulations. Treat all individuals with dignity and respect. Participate in professional development activities. Responsible for coordinating care coordination services: Monitor various platforms to stay informed of patient utilization events such as hospital admissions, ED visits etc. and document occurrences. Perform and document transitional care activities, including 48-hour follow-ups post hospital visits, medication reviews, obtaining hospital records, and TCM visit scheduling. Collaborate with healthcare providers and staff to identify patients for care transition services. Support providers in regular engagement and scheduling for high-risk, complex patients. Collaborate with Medical Receptionists, Medical Assistants and clinicians to proactively identify gaps in care and risks that may lead to avoidable hospitalizations during patient visits. Coordinate with the PHP Care Management Team to escalate issues with C-SNP members in the office's panel. Ensure patient's health plan is flagged appropriately in the EMR, including flagging new C-SNP members. Provide clinical follow-up with patients as needed and offer guidance on effective care transitions. Support use of coding tools in the clinic during patient visits to capture chronic conditions. Maintain accurate and timely documentation of care coordination activities. EDUCATION and EXPERIENCE Preferred Qualifications: Active Medical Assistant Certification Or minimum of 3 years experience Minimum Qualifications: One (1) year medical experience in physician's office Experience in Primary Care is highly desirable Acquainted with value-based care & Medicare Advantage preferred Preferred, but not required: Experience with care navigation or care coordination to include transitions of care support KNOWLEDGE, SKILLS and ABILITIES: Current Basic Life Support Certification Advance knowledge of medical terminology Supports practice mission and goals Bilingual Spanish may be preferred Salary Range: $22.28- $25 hourly

divp style="text-align:inherit"/pp style="text-align:left"bJob Description:/b/pp The Patient Care Coordinator plays a pivotal role in care coordination and healthcare service management for the Medicare patient population within the primary care practice. Collaborating closely with healthcare providers, the Patient Care Coordinator ensures seamless transitions of care and supports follow-up engagement of high risk or vulnerable patients within the practice. The Patient Care Coordinator duties involve patient-facing tasks, facilitating smooth communication, support, and assistance throughout the patient's healthcare journey. The position demands a comprehensive understanding of clinical care delivery, coupled with robust communication abilities, all aimed at elevating patient satisfaction and care quality. This is a hybrid role with approximately 80% remote work and periodic working hours in supported clinics. /ppb ESSENTIAL FUNCTIONS/b/ppb Responsible for coordinating care management activities:/b/pulli Collaborate with clinical teams to ensure comprehensive care for responsible patients, including pre-visit planning and retrieval of post-discharge summaries. /lili Serve as an essential conduit of information flow between healthcare entities and our care teams and systems. /lili Engage patients in health improvement activities and educate them on self-management tasks to avoid unnecessary ED visits and hospitalizations. /lili Support team huddles to enable clinic team to review active hospital census and population health data to close gaps in care, identify high risk patients in need of a visit, and review utilization trends. /lili Actively manage a panel of high risk patients, anticipating their needs, addressing barriers to care, and coordinating with their attributed PCP care team to provide them access to care. /lili Collaborate with patients, physicians, and care team members to assess progress toward health goals and ensure consistent documentation of patient self-management measures and progress. /lili Maintain confidentiality and adhere to HIPAA regulations. /lili Treat all individuals with dignity and respect. /lili Participate in professional development activities. /li/ulpb Responsible for coordinating care coordination services:/b/pulli Monitor various platforms to stay informed of patient utilization events such as hospital admissions, ED visits etc. and document occurrences. /lili Perform and document transitional care activities, including 48-hour follow-ups post hospital visits, medication reviews, obtaining hospital records, and TCM visit scheduling. /lili Collaborate with healthcare providers and staff to identify patients for care transition services. /lili Support providers in regular engagement and scheduling for high-risk, complex patients. /lili Collaborate with Medical Receptionists, Medical Assistants and clinicians to proactively identify gaps in care and risks that may lead to avoidable hospitalizations during patient visits. /lili Coordinate with the PHP Care Management Team to escalate issues with C-SNP members in the office's panel. /lili Ensure patient's health plan is flagged appropriately in the EMR, including flagging new C-SNP members. /lili Provide clinical follow-up with patients as needed and offer guidance on effective care transitions. /lili Support use of coding tools in the clinic during patient visits to capture chronic conditions. /lili Maintain accurate and timely documentation of care coordination activities. /li/ulpb EDUCATION and EXPERIENCE/b/pulli Preferred Qualifications: iActive Medical Assistant Certification/iulli Or minimum of 3 years experience/li/ul/lili Minimum Qualifications: One (1) year medical experience in physician's office/lili Experience in Primary Care is highly desirable/lili Acquainted with value-based care amp; Medicare Advantage preferred/lili Preferred, but not required: Experience with care navigation or care coordination to include transitions of care support/li/ulp/ppb KNOWLEDGE, SKILLS and ABILITIES:/b/pulli Current Basic Life Support Certification/lili Advance knowledge of medical terminology/lili Supports practice mission and goals/lili Bilingual Spanish may be preferred/li/ulp style="text-align:inherit"/pp style="text-align:left"bSalary Range:/b/pp$22. 28- $25 hourly/p/div

Are you an experienced registered nurse (BScN), physiotherapist, occupational therapist, social worker, or speech language pathologist seeking a rewarding career that cares for others, in a professional practice that cares for you? You're looking in the right place. As a Care Coordinator, you will assess and determine patient care needs and eligibility, provide access and referrals to community services, and engage with patients, caregivers and other health care practitioners. Whether you work in our office, in the community, or a health care facility - you will play a lead role in providing connected, accessible, patient-centred care - and be supported by our collaborative team that includes over 9,000 regulated health care and other professionals. As a valued team member, your mission will be to help our patients be healthier at home, while you benefit from our supports for professional growth, personal wellness and work-life balance. We are currently recruiting for a temporary full-time (1-year contract) and a permanent full-time Care Coordinator position on our Access Care Team (ACT). Schedules will include day shifts, afternoon shifts and some weekend shifts. During the 6-month probation period, the role will be working on-site at our Mississauga office. After probation the role is hybrid, rotating between working from the office and working from home. Candidates must be able to start on June 9th to attend a 6-week orientation full-time Monday to Friday 8:30 am to 4:30 pm. What will you do? In collaboration with patients and their families, assess care needs, determine eligibility for services, and develop individual care and service plans Link patients with service providers Coordinate and monitor care plan delivery Establish a helping relationship with patients and their families Balance patient needs and choices with available resources, ensuring patients' values and preferences are respected What must you have? Membership, in good standing, with the applicable regulatory body: College of Nurses of Ontario College of Physiotherapists of Ontario College of Occupational Therapists of Ontario Ontario College of Social Workers and Social Service Workers College of Audiologists and Speech Language Pathologists of Ontario 2+ years of recent experience in community health or a related field Knowledge of the health care delivery system and community resources Excellent interpersonal, communication, assessment, problem-solving, and decision-making skills Effective time management, prioritization and organizational skills, with the ability to work independently and co-operatively in a busy multidisciplinary environment Established ability to accurately complete required documentation, reports and forms A valid driver's licence and access to a reliable vehicle Proficient in a Windows environment We have a mandatory COVID-19 vaccination policy. As a condition of employment, all employees are required to submit proof of COVID-19 vaccination status prior to start date. What would give you the edge? Experience working with diverse patient groups, e.g., multicultural, homeless, palliative, acquired brain injury (ABI), mental health, geriatrics, pediatrics Case management experience or recent related community experience Ability to speak French or another second language What do we offer? We know wellness is supported with work-life balance. In an inclusive culture committed to support your passion for continuous learning, growth and innovation, we offer: Attractive comprehensive compensation packages and benefits Valuable development opportunities Membership in a world class defined benefit pension plan Who we are We are Ontario Health at Home, ready to serve every person in Ontario. We partner with patients and caregivers, primary care providers, hospitals, long-term care and retirement homes, service providers and Ontario Health Teams, to deliver responsive, accessible, integrated, patient-centred care. If you're interested in driving excellence in care and service delivery, and seeking an unparalleled opportunity to lead and learn, partner and connect, care and be cared for, this is your home. Equity, Inclusion, Diversity and Anti-Racism Commitment Ontario Health at Home is committed to a culture of equity, inclusion, diversity and anti-racism. We are committed to attracting, engaging and developing a workforce that reflects the diverse communities we serve. We welcome and encourage applications from all qualified applicants. Accommodations for persons with disabilities required during the recruitment process are available upon request. We thank all applicants for their interest; however, only those selected for an interview will be contacted .

divdivdivpb Patient Care Coordinator /b/p/divpspan The /spanb VFP Pharmacy Group/bbspan Patient Care Coordinator /span/bspanworks under the direction of our Operations Supervisor to compassionately and efficiently assist patients, provider offices and clients via the telephone, email or chat. They/span spanare expected to process prescription claims including data entry into the pharmacy processing system and to adjudicate claims to payers. The PCC is also expected to answer and field questions from internal and external business partners via telephone and email. /spanspan They will work to ensure VFP remains complaint, ethical, adherent to pertinent regulations and laws, and promotes an open, inclusive, and patient-centric culture. /spanspan Daily tasks will include department tasks, workflow, aligned processes across all VFP locations (as needed). /spanspan The PCC works closely with our Call Center Technicians and operates under the supervision of the clinical pharmacist teams. /span/pdivh1Essential Functions/h1/divulli Delivers superior customer service and can work professionally in pharmacy environment/lili Interacts professionally with pharmacists, medical providers, consultants, and other staff/lili Accurately obtain and enter patient information, including shipping, insurance and payment information. /lili Entering Prescriptions into pharmacy operating system accurately via knowledge of medical terminology including sig codes and brand/generic medication. Other pharmacy terminology familiarity preferred/lili Responsible for identifying prescription errors and anomalies and escalating as necessary/lili Responsible for identifying and managing payer requirements within utilization and waste management with pharmacist assistance/lili Responsible for identifying prescription errors and anomalies and escalating as necessary/lili Responsible for identifying and managing payer requirements within utilization and waste management with pharmacist assistance/lili Exercises good team collaboration to ensure order timeliness, quality and service metrics are routinely achieved/lili Collaborates with members of health disciplines in the interest of the patient's health care/lili Refers patients to available resources in a timely manner/lili Brings a winning attitude to work each day/lili Other duties as assigned/li/uldivh1Requirements and Preferences/h1/divulli High School Diploma or equivalent/lili California Pharmacy Technician License preferred/lili Must be available to work an 8-hour shift Monday through Friday, within the hours of 8:30am-6pm occasional holidays amp; rotating weekends/lili Minimum 1-3 years of call center experience, preferably in healthcare, insurance or specialty pharmacy setting/lili Strong working knowledge of HIPAA and other pertinent and applicable laws and regulations surrounding pharmacy and patient care/lili Strong technical knowledge of pharmacy processing system and phone systems/lili Ability to problem solve, think critically, and improve workflow procedures/lili Proven track record for handling large volume of inbound and outbound calls in a quality, compliant, and patient-centric fashion/lili Next-level compassion and empathy required to assist sensitive patient population/lili Ability to think holistically and continuous improvement mindset is essential/lili Excellent verbal and written communication skills required/lili Strong organizational skills, attention to detail and problem-solving skills/lili Ability to multi-task/lili Strong interpersonal, communication, and organizational skills required/li/ulp/ppb Equal Opportunity Employer /bVFP Pharmacy Group is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, ethnicity, age, disability, veteran status, marital status, or any other characteristic protected by law. /pp/p/divp style="text-align:inherit"/pbr/p style="text-align:inherit"/pIf you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. p style="text-align:inherit"/pp style="text-align:inherit"/pp For this position, we anticipate offering an hourly rate of 17. 75 - 19 USD / hourly, depending on relevant factors, including experience and geographic location. /pp/pp This role is also anticipated to be eligible to participate in an annual bonus plan. /pp/pp We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit a href="************** safelinks. protection. outlook. com/?url=http%3A%2F%2Fjobs. thecignagroup. com%2Fus%2Fen%2Flife-careersamp;data=05%7C01%7Ctara. lacy%40alight. com%7C614ff3e76611438bf19e08db0528595d%7C232a81501ff64e00ad51c491fb66cb74%7C1%7C0%7C63**********488453%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7Camp;sdata=sujv OguJwxMApr%2F9VE3wKJvbkTt6wFwO8tzzzz6QPtM%3Damp;reserved=0" target="_blank"Life at Cigna Group/a. /pp/pp/pp/pp style="text-align:left"bAbout Evernorth Health Services/b/pp style="text-align:inherit"/pEvernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. p style="text-align:inherit"/pp style="text-align:inherit"/pp style="text-align:left"iQualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. /i/pp style="text-align:inherit"/pp style="text-align:inherit"/pp style="text-align:left"iIf you require reasonable accommodation in completing the online application process, please email: spanspanspanspanspanspanspan class="WCO0"SeeYourself@cigna. com/span/span/span/span/span/span/span for support. Do not email spanspanspanspanspanspanspan class="WCO0"SeeYourself@cigna. com/span/span/span/span/span/span/span for an update on your application or to provide your resume as you will not receive a response. /i/pp style="text-align:inherit"/pp style="text-align:inherit"/pp style="text-align:left"iThe Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. /i/pp style="text-align:inherit"/pp style="text-align:inherit"/pp style="text-align:left"ispan Qualified applicants with criminal histories will be considered for employment in a manner /spanspanconsistent with all federal, state and local ordinances. /span /i/p/div

The Service Agent provides excellent experience for patients and providers by fielding and responding to their requests. They help keep provider schedules full and optimized, and guide patients through the intake process. They also ensure all patients are matched appropriately to a provider, and take care of administrative tasks like faxes, emails, and authorizations. The successful candidate must be available to work one of the following shifts: 7:30am-4pm EST 9:30am-6pm EST About us: Talkiatry transforms psychiatry with accessible, human, and responsible care. We're a national mental health practice co-founded by a patient and a triple-board-certified psychiatrist to solve the problems both groups face in accessing and providing the highest quality treatment. 60% of adults in the U.S. with a diagnosable mental illness go untreated every year because care is inaccessible, while 45% of clinicians are out of network with insurers because reimbursement rates are low and paperwork is unduly burdensome. With innovative technology and a human-centered philosophy, we provide patients with the care they need-and allow psychiatrists to focus on why they got into medicine. You WillAnswer incoming inquiries from patients, answer questions, and schedule appointments Make outbound phone calls to patients, pharmacies, and insurance companies Create and triage tickets in ServiceNow Ensure that providers are scheduled for best use of time Schedule appointments as needed in eClinicalWorks Support clinicians via Microsoft Teams Chat to: Schedule patient follow-up appointments Reach out to patients who are late to tele visits Send referral information to patients Send discharge letters Monitor and complete tickets in ServiceNow to: Inform patients of insurance benefits Respond to patient inquiries Add copies of insurance cards/IDs to patient documents Troubleshoot minor technological issues or escalate them to our helpdesk Desired CompetenciesStrong written and verbal communication skills Excellent customer service skills Ability to multitask while maintaining accuracy Enjoy working in team-based environment Your QualificationsExperience providing phone, email and chat-based customer service Experience answering phones and multitasking in a fast-paced environment Experience scheduling appointments Medical Reception experience and experience using an Electronic Health Record (EHR) is a plus, but not required Microsoft Office (M365), plus if you have worked with Microsoft Teams Why Talkiatry?Top-notch team: we're a diverse, experienced group motivated to make a difference in mental health care Collaborative environment: be part of building something from the ground up at a fast-paced startup Flexible location: work where you want to, either remotely across the U.S. or from our HQ in NYC Excellent benefits: medical, dental, vision, effective day 1 of employment, 401K with match, generous PTO plus paid holidays, paid parental leave, and more! Grow your career with us: hone your skills and build new ones with our Learning team as Talkiatry expands It all comes back to care: we're a mental health company, and we put our team's well-being first $18 - $18 an hour Compensation for this position is $18.00/hr, depending on experience; actual compensation will be dependent upon the specific role, location, as well as the individual's qualifications, experience, skills and certifications. Talkiatry participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. only after a job offer is accepted and Form I-9 is completed. For more information on E-Verify, please visit the following: EVerify Participation & IER Right to Work. At Talkiatry, we are an equal opportunity employer committed to a diverse, inclusive, and equitable workplace and candidate experience. We strive to create an environment where everyone has a sense of belonging and purpose, and where we learn from the unique experiences of those around us. We encourage all qualified candidates to apply regardless of race, color, ancestry, religion, national origin, sexual orientation, age, citizenship, marital or family status, disability, gender, gender identity or expression, pregnancy or caregiver status, veteran status, or any other legally protected status.

WELLBE INTRODUCTION The WellBe care model is a Physician Led Advanced Geriatric Care Program focused on the quality of care of the frail, poly-chronic, and elderly Medicare Advantage patients. This population is typically underserved and very challenged with access to overall health care. To address these problems, we have elected to bring the care to the patient, instead of trying to bring the patient to the care. WellBe's Care Model is to provide our members the entire continuum of care from chronic to urgent care in the home, hospital, skilled nursing facility, assisted living, palliative care, and to end of life care. WellBe's physician/advanced practicing clinician led geriatric care teams' partner with the patient's primary care physician to provide concierge level geriatric medical care and social support in the home as well as delivering and coordinating across the entire care continuum. GENERAL SUMMARY Our Patient Care Coordinator are part of a home-based care team that provides compassionate care to the frail population who suffer from chronic and acute illnesses or injuries. Our PCA's are responsible for answering incoming and outgoing calls, coordinating care with the rest of the medical team, scheduling patient appointments, specialist appointments and coordinating diagnostic tests, being a community resource, working to engage patients that currently are not engaged, and contributing complete and accurate data in patient's records. The successful candidate will employ critical thinking and decision making, be comfortable with technology, have flexibility, and love working with patients and a collaborative interdisciplinary team. We offer a positive, upbeat work environment where all medical personnel work together for the good of the patient. Job Description SKILLS & COMPETENCIES Practices the WellBe mission: To help our patients lead healthier, meaningful lives by delivering the most Complete Care. Updates and maintains all digital client records and assist in transitioning hard copy records to digital format Acts as a community resource for the patient Conduct patient scheduling, registration and eligibility verification Manage patient medical records as appropriate Answer phone calls and emails from patients, make outcoming calls, prioritize patient concerns as appropriate Answer patient non-clinical questions and explains the process Schedules/coordinates WellBe provider visits with patients, tests, specialist appoints, social resources. Ensures all appropriate patient information is in the EMR Provide positive customer service and treat all patients and staff with respect Prioritizes urgent patient needs, scheduling needs for Complete Care Assessment, and efforts to engage the unengaged Collaborates with the interdisciplinary team and participate in regularly scheduled team meetings Support APC in ongoing panel management and quality of care efforts (e.g., HEDIS) Completes next day visit chart prep Utilize reporting to help providers track, meet and exceed team goal, Other tasks needed to accomplish team's objectives/goals Job Requirements Job Requirements Educational/ Experience Requirements: High school graduate or GED License, Certification, Registration MA Certification-Preferred Required Skills and Abilities: 2+ years of experience working for a healthcare practice or hospital EMR documentation experience preferred High level of professionalism Strong critical thinking skills Strong customer centric focus/service skills Strong computer skills, including Word, Excel, and PowerPoint Strong verbal, written, presentation, and interpersonal communication skills Supervisory Responsibility: N/A Travel requirements: Travel may be required up to 25% locally. Work Conditions: Ability to lift up to 20lbs. Moving lifting or transferring of patients may involve lifting of up to 50lbs as well as assist with weights of more than 100lbs. Ability to stand for extended periods. Ability to drive to patient locations (ie. home, hospital, SNF, etc). Fine motor skills/Visual acuity The preceding functions may not be comprehensive in scope regarding work performed by an employee assigned to this position classification. Management reserves the right to add, modify, change or rescind the work assignments of this position. Management also reserves the right to make reasonable accommodations so that a qualified employee(s) can perform the essential functions of this role assignments of this position. Management also reserves the right to make reasonable accommodations so that a qualified employee(s) can perform the essential functions of this role.

What We Strive For At Strive Health, we're driven by a purpose: transforming the broken kidney care system. Through early identification, engagement, and comprehensive coordinated care, we significantly improve outcomes for people with kidney disease, reducing emergency dialysis and inpatient utilization. Our high-touch care model integrates with local providers and uses predictive data to identify and support at-risk patients along their entire care journey. We embrace diversity, celebrate successes, and support each other, making Strive the destination for top talent in healthcare. Join us in making a real difference. Benefits & Perks Hybrid-Remote Flexibility - Work from home while fulfilling in-person needs at the office, clinic, or patient home visits. Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance programs, employer-paid and voluntary life and disability insurance, plus health and flexible spending accounts. Financial & Retirement Support - Competitive compensation with a performance-based bonus program, 401k with employer match, and financial wellness resources. Time Off & Leave - Paid holidays, flexible vacation time, sick time, and paid birthgiving, bonding, sabbatical, and living donor leaves. Wellness & Growth - Family forming services through Maven Maternity at no cost and physical wellness perks, mental health support, and an annual professional development stipend. What You'll Do The Care Coordinator works collaboratively with the care team to provide ongoing support and communication to chronic kidney disease (CKD) and End-Stage Renal Disease (ESRD) patients. This individual acts as a single point-of-contact to coordinate resources along the care delivery spectrum, identify gaps, and provide proactive follow-up. The Care Coordinator is responsible for making sure the patient's care at various locations is connected and there are no gaps in care or communication. This role will report to the Lead, Care Coordinator. The Day to Day Performs outbound calls to patients to understand their clinical needs and connect them with appropriate resources. Performs outbound calls to providers to make appointments for patients or follow up on care. Answers inbound calls from patients, providers, and other resources. Follows up with patients to ensure their needs are met and schedules future check-ins. Notifies patients of location and appointment times as needed. Coordinates with clinical resources and providers to ensure smooth continuum of care for patients. Assists with completing applications for resources, paperwork for provider visits, etc. Monitors patient hospitalizations and follows up as necessary with care team members and outside resources to confirm Strive gathers all relevant patient information. Provides patients with education materials and sends communications to primary care physicians, nephrologists, and specialists for new enrollments/appointments. Collaborates well with all levels of a clinical team (from Medical Assistants to Physicians) and partners closely with the Strive Nurse Practitioner (NP) to manage all pieces of care related to resources, appointments, care transitions, and care gaps. Minimum Qualifications 2+ years combined of related education, experience, or certification. Current BLS or CPR Certification required. Efficient and reliable transportation allowing for the ability to commute to patient homes. Provides in-person patient care which may include standing, sitting, walking, pushing, pulling, and lifting. Internet Connectivity - Min Speeds: 3.8Mbps/3.0Mbps (up/down): Latency Preferred Qualifications Active Community Health Worker (CHW) Certification.

Job Details Experienced EMPOWER HEALTHCARE SOLUTIONS - LITTLE ROCK, AR Fully Remote Full Time High School or GED Up to 25% Day Health CareDescription Care Coordinator Department: Coordinated Care Full Time/Part Time, Exempt/Nonexempt: Full Time, Non-Exempt Reports To: Supervisor, Care Coordination Position Summary: The Managed Care Coordinator plays a crucial role in facilitating and coordinating the delivery of managed care services within an organization. This position is responsible for managing and overseeing the administrative processes associated with managed care plans, ensuring compliance with relevant regulations, and ensuring effective communication between healthcare providers, insurance companies, and patients. Key Responsibilities: • Coordinate Managed Care Services: o Oversee and facilitate the coordination of managed care services, including verifying eligibility, managing referrals, and obtaining authorizations for medical procedures, treatments, and services. o Deliver personalized health education and coaching to members based on identified concerns outlined in treatment and service plan. requested services, ensuring compliance with established guidelines and policies. o Provide member support access in addressing social determinants of health, such as facilitating access to exercise opportunities and nutritious food. • Insurance Verification: o Verify insurance coverage and benefits for patients, ensuring accurate and up-to-date information is obtained and documented. o Conduct utilization reviews to evaluate the medical necessity and appropriateness of o Collaborate with insurance companies and healthcare providers ensuring availability and quality of services. o Facilitate coordination with diverse healthcare providers for diagnostics, ambulatory care, and hospital services. • Member Advocacy: o Serve as a point of contact for members, addressing their questions, concerns, and complaints related to managed care services, and advocating for their needs within the organization. o Encourage initiatives aimed at improving the health of patients and their communities, including outreach efforts, quality improvement initiatives, and patient panel management. o Coordinate community-based management of medication therapy • Compliance and Documentation: o Ensure compliance with applicable laws, regulations, and contractual obligations related to managed care services. Maintain accurate and complete documentation of all interactions, authorizations, and communications. o Ensure compliance with the PCSP and assist with any resources needed or barriers to accessing treatment. • Continuous Improvement: o Identify opportunities for process improvement and efficiency enhancement in managed care operations. Propose and implement strategies to optimize service delivery and enhance patient satisfaction. o Collaborates with both external and internal stakeholders to ensure the highest level of service efficiency. Qualifications Education and Experience: • High School diploma and One (1) year experience in the mental health field. • Bachelor's degree in a relevant field such as healthcare, social work, Psychology or social services and other healthcare related field preferred • Knowledge of managed care principles, processes, and regulations. • Familiarity with health insurance terminology, coverage, and benefit structures. • Strong organizational skills with the ability to manage multiple tasks simultaneously. • Excellent communication and interpersonal skills to effectively collaborate with internal and external stakeholders. • Detail-oriented and ability to maintain accurate records and documentation. • Proficiency in using computer systems and software applications relevant to managed care operations. License/Certification: • A valid driver's license and up to date automobile insurance must meet the minimum requirement in your state. Physical Requirements: • Must be able to drive and perform quarterly visits to their members. • Prolonged periods of sitting at a desk and working on a computer. • The ability to occasionally lift objects weighing up to 15 pounds is required. Note: This is not intended to be exhaustive. It aims to outline the fundamental duties and minimum qualifications required for this position. The individual(s) holding this position may be assigned additional job-related responsibilities and tasks beyond those specified in this job description. Management retains the right to assign or reassign job-related responsibilities and tasks to this position at any time. Certain functions are considered essential, including but not limited to attendance, teamwork, working a complete shift, and performing under stressful conditions. If an incumbent or applicant is unable to perform an essential function or requirement due to a disability as defined by the Americans with Disabilities Act (ADA), reasonable accommodations will be provided to the extent that they are medically and reasonably feasible, solely for the incumbent/applicant in question. The necessity of any essential function may be evaluated in such cases.

HEALTHCARE OPPORTUNITY - CCM/RPM CARE COORDINATOR Healthy Connections, Inc. This position can be based at any of our current clinic locations or remotely depending on the applicant. Join our innovative team at Healthy Connections where we're expanding our Chronic Care Management (CCM) and Remote Patient Monitoring (RPM) programs to better serve our communities across Arkansas. Position Overview: Seeking a dedicated healthcare professional to manage care for patients with chronic conditions through our state-of-the-art remote monitoring platform. You'll be part of a team making a real difference in patients' lives through proactive healthcare management. Preferred Experience: Candidates with direct experience in Medicare Chronic Care Management (CCM) and/or Remote Patient Monitoring (RPM) programs will be given priority consideration. Experience should include: * Care plan development and management * Time-based care documentation * Remote monitoring platform usage * Medicare compliance requirements * G0511 billing familiarity However, we will consider exceptional candidates with strong healthcare backgrounds who demonstrate the ability to quickly master our care management platform. Key Responsibilities: * Monitor patient health data through our digital platform * Review and respond to patient alerts (critical alerts within 30 minutes) * Maintain regular patient communication * Document care management activities * Coordinate with healthcare providers * Ensure quality care metrics are met * Manage a caseload of up to 200 patients * Achieve required monthly time requirements * Maintain 90%+ patient satisfaction rate Required Qualifications: * Medical Assistant, LPN, RN, or similar healthcare background * 2+ years healthcare experience * Strong computer skills * Experience with electronic health records, CGM/eMDs a plus * Excellent communication abilities * Detail-oriented with strong documentation skills Preferred Qualifications: * Direct CCM/RPM program experience * Knowledge of Medicare chronic care requirements * Experience with remote monitoring platforms * Understanding of G0511 billing requirements * Track record of successful patient engagement * Experience meeting quality metrics in similar role * Bilingual (English/Spanish) a plus Quality Metrics You'll Maintain: * Patient satisfaction: 90%+ * Response times: Critical alerts within 30 minutes * Documentation compliance: 100% * Monthly patient contact requirements * Care plan management * Regular provider communications Experience with CCM/RPM programs is highly valued, but we will train the right candidate who demonstrates strong potential and commitment to excellence. Benefits: Healthy Connections offers a competitive employment package, including: * Competitive salary * Health, dental, and life insurance for employees and families at discounted pre-tax rates * 401(k) retirement plan with up to 3% company match and profit-sharing contributions * Comprehensive paid time off, including vacation and sick leave * Supportive work environment with professional growth opportunities How to Apply: To apply, fill out the form on this page and submit your resume and letter of interest.

The VFP Pharmacy Group Patient Care Coordinator works under the direction of our Operations Supervisor to compassionately and efficiently assist patients, provider offices and clients via the telephone, email or chat. They are expected to process prescription claims including data entry into the pharmacy processing system and to adjudicate claims to payers. The PCC is also expected to answer and field questions from internal and external business partners via telephone and email. They will work to ensure VFP remains complaint, ethical, adherent to pertinent regulations and laws, and promotes an open, inclusive, and patient-centric culture. Daily tasks will include department tasks, workflow, aligned processes across all VFP locations (as needed). The PCC works closely with our Call Center Technicians and operates under the supervision of the clinical pharmacist teams. Essential Functions Delivers superior customer service and can work professionally in pharmacy environment Interacts professionally with pharmacists, medical providers, consultants, and other staff Accurately obtain and enter patient information, including shipping, insurance and payment information. Entering Prescriptions into pharmacy operating system accurately via knowledge of medical terminology including sig codes and brand/generic medication. Other pharmacy terminology familiarity preferred Responsible for identifying prescription errors and anomalies and escalating as necessary Responsible for identifying and managing payer requirements within utilization and waste management with pharmacist assistance Responsible for identifying prescription errors and anomalies and escalating as necessary Responsible for identifying and managing payer requirements within utilization and waste management with pharmacist assistance Exercises good team collaboration to ensure order timeliness, quality and service metrics are routinely achieved Collaborates with members of health disciplines in the interest of the patient's health care Refers patients to available resources in a timely manner Brings a winning attitude to work each day Other duties as assigned Requirements and Preferences High School Diploma or equivalent California Pharmacy Technician License preferred Must be available to work an 8-hour shift Monday through Friday, within the hours of 8:30am-6pm occasional holidays & rotating weekends Minimum 1-3 years of call center experience, preferably in healthcare, insurance or specialty pharmacy setting Strong working knowledge of HIPAA and other pertinent and applicable laws and regulations surrounding pharmacy and patient care Strong technical knowledge of pharmacy processing system and phone systems Ability to problem solve, think critically, and improve workflow procedures Proven track record for handling large volume of inbound and outbound calls in a quality, compliant, and patient-centric fashion Next-level compassion and empathy required to assist sensitive patient population Ability to think holistically and continuous improvement mindset is essential Excellent verbal and written communication skills required Strong organizational skills, attention to detail and problem-solving skills Ability to multi-task Strong interpersonal, communication, and organizational skills required Equal Opportunity Employer VFP Pharmacy Group is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, ethnicity, age, disability, veteran status, marital status, or any other characteristic protected by law. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an hourly rate of 17.75 - 19 USD / hourly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Patient Access Liaisons (PAL) provide centralized scheduling services related to patient access, scheduling, and support to assure effective and efficient delivery of health care services, always striving towards a patient experience of excellence. The Shared Patient Access Center handles patient access requests for Boston Children's Hospital patients. The Patient Access Liaisons (PAL) offer a one-of-a-kind appointment experience elevating patient satisfaction. The positions in this job family will work directly with the caller to respond to various questions and issues, resulting in proficiency, accuracy, and quality of patient service care. Fully remote position, prefer candidates located in the New England area. * This position is fully remote and will work Monday through Friday 11:30 am to 8:00 pm The Temporary Patient Access Liaison will: * Provide centralized scheduling services for the Shared Patient Access Center/Call center. Perform tasks to meet patient access, scheduling, and patient satisfaction goals. * Interact with patients and families via telephone to provide information in response to inquiries. Identify caller's needs, clarify information, and provide centralized registration and scheduling for service options of primary care and specialty care. * Register patients by collecting patient and insurance information. * Gather pertinent information for prescription and refill requests. * Receive routine complaints and issues during telephone calls. Reply with the appropriate predetermined response. Elevate non-routine issues to POD supervisor for further action * Attend and participate in team meetings as required. Contribute by making suggestions for process improvements Candidates should have: * One year of related experience, i.e., customer service experience, preferably in a call center environment or healthcare setting. * High-school diploma or GED. * Experience with Epic Scheduling and Power Chart Medical Records data preferred. * Experience with CISCO call center software preferred * Basic knowledge of Microsoft Office Suite