care coordination specialist

Avail Health

<div>
 
 
 About Avail Health&nbsp;
 
 
 
 Avail Health is a Nurse Practitioner&ndash;founded organization dedicated to removing barriers to care, access, and meaningful clinical work for Medicare-age individuals. We combine thoughtful technology, strong operational infrastructure, and deep respect for the patient&ndash;provider relationship to enable nurse-led virtual and mobile care models. As a fast-growing organization, we are building durable clinical infrastructure to support innovative care programs across multiple states, with a focus on improving outcomes for complex and underserved senior populations. For more information visit availhealthcare.co
 
 
 
 About the Role&nbsp;
 
 
 
 The Care Coordinator (CC) &ndash; I-SNP is a clinical support and care coordination role responsible for&nbsp;enabling&nbsp;front-line clinicians&nbsp;to deliver&nbsp;high-quality psychiatric and medical care to Medicare Advantage Institutional Special Needs Plan (I-SNP) members&nbsp;residing&nbsp;in long-term care&nbsp;skilled nursing facility&nbsp;settings. The CC functions as a&nbsp;hybrid front and back office clinical&nbsp;support&nbsp;partner&nbsp;across Avail Health&rsquo;s mobile and telehealth settings of care.&nbsp;
 
 
 The majority of&nbsp;the role is focused on front and&nbsp;back-office&nbsp;support, including managing inbound communications, coordinating care, and supporting clinical workflows. The CC serves as&nbsp;a central point&nbsp;of contact for the practice team, managing inbound calls, portal messages, and faxes from patients, caregivers, and facility staff, and ensuring&nbsp;timely,&nbsp;accurate&nbsp;routing and resolution of requests.&nbsp;
 
 
 On the&nbsp;back-office&nbsp;side, the CC supports virtual and mobile Nurse Practitioners (NPs) and Registered Nurses (RNs) through scheduling, visit preparation, documentation support, and coordination of follow-up care. This includes close collaboration with the behavioral health team, including a Psychiatric Nurse Practitioner (PMHNP) and Community Health Workers (CHW),&nbsp;to ensure seamless, integrated care delivery across medical and behavioral health needs.&nbsp;
 
 
 While this is primarily a remote coordination role, the CC may also provide occasional in-person support in the field to&nbsp;facilitate&nbsp;telehealth visits when needed. This includes assisting with technology setup, ensuring visit readiness, and supporting patient engagement during telehealth encounters in&nbsp;their facility.&nbsp;
 
 
 The I-SNP population is clinically and socially complex, with a high burden of behavioral health conditions, cognitive impairment, comorbid medical illness, and significant social determinants of health needs. The CC plays a critical role in supporting efficient, coordinated care delivery, allowing clinicians to&nbsp;operate&nbsp;at the top of their license while ensuring a high-quality patient and caregiver experience.&nbsp;
 
 
 This role&nbsp;operates&nbsp;within Avail Health&rsquo;s integrated, team-based care model and serves as a key operational and coordination hub across disciplines, supporting both the execution and scalability of the program.&nbsp;
 
 
 
 Location &amp; Work Environment&nbsp;
 
 
 
 This is a hybrid role
 
 requiring residence within Maryland
 
 , with regional coverage spanning multiple skilled nursing facilities.&nbsp;There will be some travel throughout the&nbsp;state.&nbsp;Standard hours are Monday through Friday, 8:00 AM &ndash; 5:00 PM EST. Remote work requires a reliable high-speed internet connection and a dedicated, HIPAA-compliant workspace.&nbsp;
 
 
 
 
 Key Responsibilities&nbsp;
 
 
 
 
 
 Clinical Support &amp; Care Coordination&nbsp;
 
 
 <ul>
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 Manage inbound communications for the practice and routing to the&nbsp;appropriate team&nbsp;members, ensuring&nbsp;timely&nbsp;follow-up and resolution.&nbsp;
 
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 Support virtual and mobile Nurse Practitioners (NPs) and Registered Nurses (RNs) with scheduling, visit preparation, and follow-up coordination.&nbsp;
 
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 </ul>
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 Coordinate care plans, referrals, and longitudinal follow-up across medical and behavioral health needs.&nbsp;
 
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 </ul>
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 Collaborate closely with the behavioral health team to ensure integrated, team-based care delivery.&nbsp;
 
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 Manage and&nbsp;optimize&nbsp;provider schedules, including behavioral health and medical visits, follow-ups, and facility coordination.&nbsp;
 
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 Ensure alignment between provider availability, patient needs, and facility workflows to maximize efficiency and access to care.&nbsp;
 
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 Documentation, Quality &amp; Operational Excellence&nbsp;
 
 
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 Complete&nbsp;accurate,&nbsp;timely, and compliant documentation within the electronic health record (EHR).&nbsp;
 
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 Support clinical workflows, quality initiatives, and adherence to regulatory and organizational standards.&nbsp;
 
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 </ul>
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 Identify&nbsp;workflow gaps and escalate opportunities for process improvement to enhance team efficiency and patient experience.&nbsp;
 
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 Telehealth &amp; Mobile Visit Support&nbsp;
 
 
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 Provide real-time support during telehealth visits, including troubleshooting, documentation&nbsp;assistance, and coordination of&nbsp;next&nbsp;steps.&nbsp;
 
 </li>
 </ul>
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 Occasionally provide in-person support to&nbsp;facilitate&nbsp;telehealth visits,&nbsp;assist&nbsp;with technology, and support patient engagement when needed.&nbsp;
 
 </li>
 </ul>
 
 
 Required Qualifications&nbsp;
 
 
 <ul>
 <li>
 
 High school diploma or equivalent required;&nbsp;Medical Assistant&nbsp;certification or&nbsp;Associate&rsquo;s&nbsp;degree&nbsp;a plus.&nbsp;
 
 </li>
 </ul>
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 Minimum 2 years of experience in&nbsp;a clinical&nbsp;support, medical assistant, care coordination, or healthcare operations role.&nbsp;
 
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 </ul>
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 Experience supporting behavioral health or complex medical populations preferred.&nbsp;
 
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 Strong organizational, communication, and technology skills.&nbsp;
 
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 Preferred Qualifications&nbsp;
 
 
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 Experience in telehealth, mobile care, or long-term care settings.&nbsp;
 
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 Behavioral health care coordination&nbsp;and/or behavioral health medical practice&nbsp;experience.&nbsp;
 
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 What Success Looks Like&nbsp;
 
 
 <ul>
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 Seamless communication hub:&nbsp;Inbound calls, messages, and faxes are addressed promptly with clear,&nbsp;timely&nbsp;resolution and minimal escalation.&nbsp;&nbsp;
 
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 Strong care coordination:&nbsp;Referrals, follow-ups, and care plans&mdash;across medical and behavioral health&mdash;are completed accurately and without gaps.&nbsp;&nbsp;
 
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 Reliable telehealth execution:&nbsp;Occasional in-person support effectively enables patient participation when needed.&nbsp;&nbsp;
 
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 Optimized scheduling:&nbsp;Provider schedules are well-managed, balancing access, efficiency, and facility coordination.&nbsp;&nbsp;
 
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 High-quality documentation &amp; compliance:&nbsp;EHR documentation is&nbsp;timely,&nbsp;accurate, and meets organizational and regulatory standards.&nbsp;&nbsp;
 
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 Proactive problem-solving:&nbsp;Workflow gaps are&nbsp;identified&nbsp;early, with solutions that improve team efficiency and patient experience.&nbsp;
 
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 Compensation &amp; Benefits&nbsp;
 
 
 <ul>
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 Total Salary:&nbsp;$52,000 to $60,000;&nbsp;commensurate&nbsp;with experience&nbsp;
 
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 Retirement:&nbsp;&nbsp;401(k) retirement plan with a 2% employer match, subject to plan terms and eligibility requirements&nbsp;
 
 </li>
 </ul>
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 Performance Bonus: Employees may be eligible for a discretionary performance bonus based on individual performance, role-specific metrics, and overall company performance. Bonus structure and targets vary by role and are not guaranteed. Employees must be actively employed on the payout date to receive any bonus.&nbsp;
 
 </li>
 </ul>
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 Annual Compensation Review:&nbsp;Compensation is reviewed annually and may be adjusted based on performance, market data, and organizational factors. Adjustments are not guaranteed.&nbsp;
 
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 Mileage Reimbursement:&nbsp;$0.725 per mile for travel exceeding 30 miles per day, up to $200 per day.&nbsp;
 
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 Benefits Package:&nbsp;Comprehensive benefits include medical, dental, and vision coverage. The company offers a Direct Primary Care (DPC) model paired with a high-deductible health plan and covers 100% of employee medical premiums, with dependent coverage subsidized.&nbsp;Additional&nbsp;benefits include company-paid life and disability insurance, and employer contributions to a Health Savings Account (HSA).&nbsp;
 
 </li>
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 Paid Time Off:&nbsp;Employees&nbsp;accrue&nbsp;15 days&nbsp;of paid time off annually, increasing with tenure. PTO&nbsp;accrues&nbsp;per pay period.&nbsp;
 
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 </ul>
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 Holidays: 8 paid company holidays plus 1 floating holiday annually.&nbsp;
 
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 Retirement:&nbsp;401(k) retirement plan with a 2% employer match, subject to plan terms and eligibility requirements&nbsp;
 
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 Additional Requirements&nbsp;
 
 
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 Valid driver&rsquo;s license, reliable transportation, and active automobile insurance; must be able to travel daily within the assigned region and provide proof of insurance upon request&nbsp;
 
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 Ability to meet privileging, background&nbsp;check&nbsp;and screening requirements (employment contingent upon completion)&nbsp;
 
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 </ul>
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 Compliance with all applicable federal, state, and organizational regulations governing clinical practice and community health work&nbsp;
 
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 Support and Resources
 
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 Avail Health provides all necessary devices and technology for clinical and telehealth-related activities&nbsp;
 
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</div>

Care Coordinator – I-SNP (Temp to Hire)

Community Choice dba Action Health Partners

Job SummaryThe Client Care Manager plays a vital role in supporting individuals and families by facilitating access to medical, behavioral health, and social support services. This position provides comprehensive care coordination services across one or more care coordination programs administered by the agency, ensuring services are person-centered, culturally responsive, and aligned with program requirements.Client Care Managers work directly with participants, their families or caregivers, and multidisciplinary partners to identify needs, reduce barriers to care, and support participants in achieving their health and wellness goals. This role requires strong outreach skills, independent work in community settings, accurate documentation, and the ability to collaborate effectively across systems of care.This is a hybrid remote employment opportunity where much of the work is done via a combination of home-based work and field work reaching clients in their homes and other appropriate locations. This position is responsible for providing all aspects of Care Coordination in Chelan and Douglas counties under multiple care coordination programs.The ideal candidate will be trustworthy, organized, and have excellent interpersonal skills to engage and carry a case load of clients. The position requires effective outreach and recruitment of beneficiaries in a large and mostly rural geographic area, ability to work effectively with minimal supervision, and the use of Health IS platforms for documentation.Primary Duties:Outreach<ul><li>Conduct proactive outreach to identify, engage, and enroll eligible individuals into care coordination services in alignment with program requirements.</li><li>Perform outreach through multiple methods including phone, mail, electronic communication, in-person visits, and community-based settings.</li><li>Explain program purpose, services, and participant expectations clearly and accurately to potential participants and their families or caregivers.</li><li>Build and maintain effective working relationships with referral sources, community partners, healthcare providers, and social service organizations to support ongoing referrals and engagement.</li><li>Make repeated and timely attempts to contact hard-to-reach or disengaged participants using approved outreach strategies.</li><li>Document all outreach efforts, contacts, and outcomes accurately and timely in the Electronic Health Record (EHR) or required tracking systems.</li><li>Adjust outreach approaches based on participant needs, cultural considerations, geographic barriers, and program guidelines.</li><li>Meet program-defined outreach, engagement, and enrollment benchmarks as applicable.</li></ul>Client Engagement and Support<ul><li>Engage assigned participants through phone, mail, electronic communication, and in-person visits.</li><li>Build trusting relationships with participants and, when appropriate, their families or caregivers.</li><li>Complete screenings, assessments, and program-required tools to identify needs, strengths, and priorities.</li><li>Support participants in developing and following individualized care or action plans that reflect participant-identified goals.</li><li>Provide services in a respectful, trauma-informed, and culturally responsive manner, with attention to social determinants of health.</li></ul>Care Coordination and Collaboration<ul><li>Client Care Manager&rsquo;s complete program-required care plans, screenings, and consents in accordance with applicable care coordination models and contracts.</li><li>Coordinate care across healthcare providers, behavioral health agencies, social service organizations, and community resources.</li><li>Facilitate referrals and follow-up to ensure continuity and timeliness of services.</li><li>Participate in care team communication, case conferencing, and interdisciplinary collaboration as required by program standards.</li><li>Advocate for participants to reduce barriers to care and improve access to needed services.</li></ul>Documentation and Compliance<ul><li>Maintain accurate, timely, and thorough documentation of all participant contacts and care coordination activities in the Electronic Health Record (EHR) or other required systems.</li><li>Ensure confidentiality and security of participant information in compliance with HIPAA and agency policies.</li><li>Adhere to all relevant federal, state, contractual, and program-specific requirements.</li></ul>Administrative and Organizational Support<ul><li>Manage assigned caseloads effectively and meet productivity and documentation expectations.</li><li>Respond to participant inquiries and concerns in accordance with agency policies and procedures.</li><li>Represent the agency professionally in the community and with partner organizations.</li><li>Assist with program-related projects or duties as assigned by leadership.</li></ul>Requirements/Qualifications<ul><li>Bachelor&rsquo;s degree Nursing, Social Work, Psychology, Social Services, or a closely related field required; OR Associate degree in Nursing, Social Work, Psychology, Social Services, or a closely related field, with four or more years' experience in care coordination.</li><li>Two or more years of experience in care coordination, case management, healthcare, social services, or a related field preferred.</li><li>Experience as a Health Home Care Coordinator or working within a Medicaid Health Home or similar care coordination model is preferred.</li><li>Knowledge of community resources, healthcare systems, and social service networks.</li><li>Experience using Electronic Health Records (EHRs) and basic computer applications (e.g., Microsoft Word, Excel).</li><li>Fluent in Spanish and English</li><li>Strong communication, organizational, and time-management skills.</li><li>Ability to work independently with minimal supervision in community-based settings.</li><li>Reliable transportation, valid driver&rsquo;s license, and ability to travel locally as required.</li><li>Ability to pass a criminal background check.</li></ul>Benefits<ul><li>Free medical and dental insurance for employee-only insurance coverage (premiums are paid 100% by the company)</li><li>Paid Time Off</li><li>Paid Holidays</li><li>Bereavement Leave</li><li>Mileage reimbursement for approved business travel</li></ul>Environmental Factors<ul><li>Must be able to sit or stand for extended periods of time.</li><li>Have speech, visual, and hearing skills sufficient to interact with staff and customers.</li><li>Must have a valid driver&rsquo;s license and proof of insurance.</li><li>Must be able to travel as needed.</li><li>Must have ability to lift 25 pounds.</li></ul>Pay: $26.73 - $38.00 per hourBenefits:<ul><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li></ul>Language:<ul><li>Spanish (Required)</li></ul>Work Location: Hybrid remote in East Wenatchee, WA 98802

Client Care Manager

Access: Supports For Living

At Access: Supports for Living and our Access: Network partners, we help people live the healthiest and fullest lives possible - and we support our staff in doing the same. Across our family of organizations, team members work in mental health, substance use, disability, employment, housing, and family services, doing meaningful work in a collaborative and respectful environment. We offer supportive leadership, opportunities to learn and grow, competitive benefits, and the chance to build a career with purpose. If you’re looking for work that matters and a team that values what you bring, the Access Network is a great place to be.
 
Location: Kingston, NY
 Hours: M-F 930 am to 6 pm
 Rate of Pay: $28.85
 
OVERVIEW OF PRIMARY RESPONSIBILITES: 
The position of Care Navigator (CN) is responsible for working closely with individuals to promote effective connection and collaboration to services. Care Navigators are committed to assisting in removing the barriers to care by identifying critical resources, navigating through health care services, insurance plans, and systems. Care Navigators help individuals "navigate" the maze of insurances, administrative systems and support services. They focus on integrating services around the needs of the individual.
 Effective Care Navigators build working relationships, solve problems, direct to resources, and manage information.
 
PRIMARY FUNCTIONS: 
Primary functions include coordination to improve quality of care through the efficient use of resources and thereby enhancing quality, cost-effective outcomes.
 Core Responsibilities
 <ul>
<li>Act as an advocate and assist in coordination of care to minimize the fragmentation of health care delivery systems.</li>
<li>Gather insurance information.</li>
<li>Assist in navigating the complex healthcare and insurance systems.</li>
<li>Assist in securing health insurance.</li>
<li>Assist with completion of paperwork for the sliding scale fee.</li>
<li>Complete referrals to care management services and other internal and external services as needed.</li>
<li>For referrals to care management (internal) follow up with the individual until a warm hand-off to care management is complete.</li>
<li>Identify and effectively utilize community resources to meet the needs of the member/family. Facilitate access to community resources.</li>
<li>Care across the healthcare continuum and optimize clinical and financial outcomes.</li>
<li>Maintain a working knowledge of payer requirements. Negotiate on behalf of the member for cost-effective, high quality services and to maximize the efficient use of resources.</li>
<li>Serve as a liaison to providers, members and families for coordination of services.</li>
<li>Document all interventions using the Complex Care Management billable documentation.</li>
<li>Work collaboratively as part of a team.</li>
</ul>
Community Engagement and Outreach
 <ul>
<li>Routinely engage with members and potential members in community settings, which may include homes, shelters, community centers, and other public locations, to address barriers to care and directly facilitate service access.</li>
<li>Conduct community-based resource identification and networking to establish and maintain strong partnerships with local organizations.</li>
<li>Represent the organization at community health fairs, meetings, and events to promote services and identify individuals needing care navigation support.</li>
<li>Provide safe and reliable transportation for clients to and from appointments, resource centers, and other essential services as required for care coordination.</li>
</ul>
ADDITIONAL FUNCTIONAL / ORGANIZATIONAL SUPPORT: 
<ul>
<li>Build strong working relationships with internal and external partners.</li>
<li>Support organizational priorities through adaptability and process improvement.</li>
<li>Contribute to department goals by maintaining open communication and professional collaboration.</li>
<li>Utilize Electronic Health Records and other systems for accurate and timely documentation.</li>
<li>Participate in staff meetings, trainings, and other organizational development initiatives as required.</li>
</ul>
QUALIFICATIONS AND ATTRIBUTES: 
<ul>
<li>Excellent written, verbal and listening abilities. Communicate appropriately and clearly to staff and providers.</li>
<li>Willingness to establish effective working relationships with internal and external providers / resources. Maintain a good working relationship within the department and with other departments.</li>
<li>Ability to manage conflict, stress and multiple simultaneous work demands in an effective and professional manner.</li>
<li>Ability to work well independently, while collaborating with other team members.</li>
<li>Ability and willingness to self-motivate, to prioritize and change processes to improve effectiveness and efficiency. Adapts to changing program or organizational priorities.</li>
<li>Ability to make independent decisions in accordance with established policies and procedures. Decisions and problem solving require a combination of analysis, evaluation and interpretive thinking.</li>
<li>Knowledge of and appreciation for cultural diversity and low literacy issues in care provision.</li>
<li>Computer literacy. Ability to navigate Electronic Health Records and other systems.</li>
<li>Willingness and ability to travel locally and work in various community settings.</li>
</ul>
EDUCATION AND EXPERIENCE: 
Required (one of the following): 
<ul>
<li>Bachelor's Degree in Health and Human Services or related field (major concentration in social work, psychology, nursing, rehabilitation, education, occupational therapy, physical therapy, recreation or recreation therapy, counseling, community mental health, child and family studies, sociology, speech and hearing or other human services field) or</li>
<li>NYS licensure and registration as a Registered Nurse and a bachelor's degree or</li>
<li>Bachelor's level education or higher in any field with five years of experience working directly with highly vulnerable populations (i.e. those with health, behavioral health, substance use issues), or a Credentialed Alcoholism and Substance Abuse Counselor (CASAC) or equivalent experience in behavioral health, human services or other.</li>
<li>Must possess a valid driver's license and maintain a clean driving record for client transportation purposes.</li>
<li>Bilingual English and Spanish speaking preferred</li>
</ul>
Experience: 
<ul>
<li>Two years of experience in linking individuals with SMI, Developmental Disabilities, or alcoholism or substance abuse to a broad range of services essential to successful living in a community setting</li>
<li>A Master’s degree in a related education field may be substituted for one year of experience.</li>
</ul>
PHYSICAL CHARACTERISTICS: 
These physical demands are representative of the physical requirements necessary for an employee to perform the job's essential functions successfully. Reasonable accommodation can be made to enable people with disabilities to perform the described essential functions of the position, which are reviewed in each case.
 <ul>
<li>Must be capable to access all rooms in a 2-story home</li>
<li>Able to work in open space floor plan</li>
<li>Must be capable to move throughout work day</li>
<li>Occasional lifting of &gt; _25+ pounds</li>
</ul>
An Equal Opportunity Employer, including disability and Veterans
 IND2024

CARE NAVIGATOR - CCBHC URGENT CARE

Methodist Health System

<div>Hours of Work :
40 hours per week
Days Of Week :
Monday - Friday
Work Shift :
Job Description :<div>
Your Job: 
The Care Coordinator will support MMG Primary Care Practices, Physicians, and staff (&ldquo;Patient Care team&rdquo;) in various quality driven projects and act as an extension of the Patient Care team to help MMG achieve quality driven goals. The Care Coordinator participates in planning, providing, and evaluating patient care at the appropriate skill level. The position has a duty to provide a standard of care that meets or exceeds that of a reasonably competent and knowledgeable Medical Assistant. The Care Coordinator works under the direction of the MMG Care Coordination Clinical Manager and in coordination with the Patient Care Team to outreach to patients whose clinical measures need to be addressed. This individual will partner with MMG Primary Care physician offices to help achieve benchmarks for patient care and maintain/improve quality of care delivery across multiple payers and patient populations. 
 
Your Job Requirements: 
 
<ul><li>Graduation from an accredited Medical Assistant program</li><li>Medical Assistant Certification required</li><li>Experience of at least 5 years as a Certified Medical Assistant</li><li>High school graduate or GED equivalent.</li><li>Current Basic Life Support certification.</li><li>Proven ability to mentor others</li><li>Expert in computer literacy in electronic health record.</li><li>Knowledge of medical terminology.</li><li>HEDIS Quality Measures experience</li><li>Excellent communication and customer service skills required</li><li>Proficiency in Word, Excel, and PowerPoint required.</li><li>Ability to work independently, while collaborating with other team members</li><li>Ability to self-motivate, prioritize, and be willing to invest in a change process to improve efficiencies</li></ul> 
Your Job Responsibilities: 
 
<ul><li>Educate and train Patient Care team on standardized operational workflows, developed in coordination with Care Coordination Clinical Manager, to close gaps in care and ultimately optimize quality metrics as measured by various value-based care programs</li><li>Partner with the Patient Care team to assist patients in completing health screens and address preventive care measures that are not yet completed</li><li>Support the Patient Care team as needed by outreaching to Patients with clinical measures needing to be addressed, to either address clinical measures over the telephone or scheduling an office visit for the Patients to address the clinical measures</li><li>Update preventive health screens and clinical measures that have been determined as completed in the EMR, as needed</li><li>Communicate regularly with interdisciplinary team members to coordinate/update a patient&rsquo;s care</li><li>Maintain accurate tracking log of patients who have been outreached and status of their preventive health screens and clinical measures</li><li>Participate in various quality driven initiatives within MMG and collaborate together to achieve high level patient outcomes</li><li>Submit data to external agencies as directed by Care Coordination Clinical Manager</li><li>Explain the importance of preventive health screens and clinical measures to patients and families</li><li>Perform as needed all duties at the expert level within the scope of a Medical Assistant&rsquo;s scope of practice</li><li>Record patient care documentation in the medical record accurately and in a timely manner</li><li>Coordinate patient care as directed by provider, and policies/procedures</li><li>Rotate clinic to clinic within MMG locations as assigned by Care Coordination Clinical Manager</li></ul></div> 
Methodist Health System is a faith-based organization with a mission to improve and save lives through compassionate, quality healthcare. For nearly a century, Dallas-based Methodist Health System has been a trusted choice for health and wellness. Named one of the fastest-growing health systems in America by Modern Healthcare, Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Methodist has more than two dozen clinics located throughout the region, renowned teaching programs, innovative research, and a strong commitment to the community. Our reputation as an award-winning employer shows in the distinctions we&rsquo;ve earned:<ul><li>
Great Place to Work Certified 2026-2027</li><li>
Glassdoor&rsquo;s Best Places to Work 2025 &amp; 2026</li><li>
Glassdoor&rsquo;s Best Places to Work in Healthcare, Biotech &amp; Pharma 2026</li><li>
TIME&rsquo;s Best Companies for Future Leaders 2025 &amp; 2026</li><li>
Newsweek&rsquo;s America&rsquo;s Most Admired Workplaces 2026</li><li>
Glassdoor&rsquo;s Best-Led Companies 2025</li><li>
Fortune Best Workplaces in Health Care 2025</li><li>
Military Friendly Gold Employer 2025</li><li>
Becker&rsquo;s Hospital Review 150 Top Places to Work in Healthcare 2025</li><li>
Newsweek&rsquo;s Americas Greatest Workplaces 2025</li></ul></div>

Clinical Care Coordinator

OhioHealth

<div>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 &ndash; in our careers and in our communities.
Job Description Summary:
The Case Manager extender works collaboratively with all interdisciplinary staff internal to OhioHealth and also external organizations to achieve timely, cost efficient and effective management of patient care. Primary responsibilities include but are not limited to: insurance verification, obtaining pre-authorization and data entry of patient information, triaging phone calls, and directing calls appropriately, status changes, entering initial and correcting inpatient room and bed charges and performing charge reconciliation. The case manager extender is well organized, highly motivated, customer service oriented and expresses good communication skills.
Responsibilities And Duties:
60%
 
ASSURING APPROPRIATE PAYER AUTHORIZATION AND/OR PAYER REQUIREMENTS ARE IN PLACE FOR HOSPITAL PAYMENT. 1. Responsible for insurance verification. When necessary, obtains pre-authorization from insurance companies. Interacts with physician offices and other third parties to obtain all necessary paperwork. 2. Triage incoming calls within the phone processing benchmarks. Answers multi line phone system, screens calls for office/hospital associates, directing to appropriate office/hospital associate, and ensures appropriate phone coverage. 3. Communicate and document accurate and appropriate information to internal and external customers. Communicates with third party payers and sends appropriate clinical information for authorization of hospital stay. 4. Perform authorization data entry and coordination of services through proactive collaboration and communications with utilization management and care coordination team. 5. Monitor commercial payers accounts, to include but not limited to: attachment of requested dictation to claims, addition of diagnosis allowances and authorization numbers 6. Refer utilization management/clinical decisions beyond level of authority to care coordination/UM team and Manager/Director of UM team for review and decision. 7. Provides general office and clerical support for office as assigned by Office Supervisor and or Manager, to include but not limited to: faxing dictation to referring physician offices, completion of disability forms, FMLA forms, Attorney request letters for reports, patient record releases, Industrial C-9s, C-84s, C-86s, Medco 17s, Industrial appeal paperwork and retroactive C-9s. 8. Researching, obtaining and completing required documents for the team. 9. Coordinating ancillary services according to policies 10. Facilitate communication between community agencies, care coordination and utilization management team. 1 1. Facilitates transfers of patients to alternative facilities 12. Attends staff meetings 13. Attends continuing in-house education seminars for further education as needed
 
30%
 
PATIENT STATUS AND CHARGE RECONCILIATION 1. Responsibility for updating/correcting patient status for appropriate claim drop. 2. Perform charge entry to match appropriate patient status. 3. Review the charge reconciliation report daily to ensure that all room and bed charges are entered correctly on a patient. 4. Work in conjunction with the clinical, revenue and observation billers to correct or adjust any claims as directed by payer discussions.
 
10%
 
ORGANIZATIONAL/OFFICE RESPONSIBILITIES 1. Sorts, distributes, and mails transcription as assigned 2. Orders and stocks office supplies. 3. Ensure office equipment, are clean and well-maintained. 4. Provides support to appropriate staff members as assigned 
 
 
 
As a High Reliability Organization (HRO), responsibilities require focus on safety, quality and efficiency in performing job duties.
 
 
The job profile provides an overview of responsibilities and duties and is not intended to be an exhaustive list and is subject to change at any time
Minimum Qualifications:
High School or GED (Required)
Additional Job Description:
Associates degree, or three to five years related Experience and/or training, or equivalent combination of and Experience . Computer competency in Microsoft Word, Excel, and Outlook, with a strong aptitude to learn other programs as needed. Ability to manage multiple priorities.
Work Shift:
Day
Scheduled Weekly Hours :
As Needed
Department
UM Care Coord-North Hub
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</div>

Case Manager Extender - Part-time Casual - Mansfield Hospital

Advanced Monitored Caregiving

<div>The Telephonic Health Services Coordinator (HSC) serves as the primary point of contact for newly referred patients and plays a critical role in patient outreach, registration, enrollment, and ongoing telephonic engagement. This role supports patients with chronic conditions such as congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), diabetes, hypertension, and related conditions.
As the first member of the clinical team that most patients interact with at AMC Health, the HSC is responsible for building trust, demonstrating empathy, clearly explaining Remote Patient Monitoring (RPM) services, and ensuring a smooth and compliant enrollment process. Following enrollment, the HSC collaborates closely with nurse care managers, nurse care associates, and other members of the clinical care team to support patients in meeting their health goals and adhering to care plans.
This position is essential to organizational growth, patient engagement, and fulfillment of client enrollment commitments.
Essential Job Functions
The following duties are representative of the essential functions of the position and are not intended to be exhaustive:
Patient Outreach, Enrollment &amp; Engagement
<ul><li>Conduct outbound outreach to newly enrolled prospective patients to explain AMC Health&rsquo;s Remote Patient Monitoring programs, services, and benefits.</li>
<li>Accurately describe program features, expectations, and value in a clear, compassionate, and patient-centered manner.</li>
<li>Engage patients telephonically to establish rapport, address questions, and encourage participation and adherence to monitoring programs.</li>
<li>Complete required telephonic interventions, including Welcome Calls and Post-Physician Visit Updates.</li>
</ul>
Care Coordination &amp; Clinical Support
<ul><li>Document patient information accurately and comprehensively in the electronic health record (EHR) in accordance with organizational policies and standards of practice.</li>
<li>Collaborate with nurse care managers and the broader care team to support patient care goals.</li>
<li>Track hospitalizations and notify nursing staff upon patient discharge, as required.</li>
<li>Coordinate patient assistance services as directed, including referrals for transportation, housekeeping, home modifications, food assistance, or other approved services.</li>
<li>Follow up with patients to confirm services have been initiated and are meeting expectations.</li>
</ul>
Communication &amp; Administrative Responsibilities
<ul><li>Respond to inbound patient, client, and provider inquiries and appropriately determine service needs.</li>
<li>Initiate outbound communications (phone, fax, email) with patients, clients, physician offices, and care providers.</li>
<li>Confirm and maintain accurate provider contact information, including phone and fax numbers.</li>
<li>Escalate unresolved patient issues or care-coordination concerns to leadership in a timely and appropriate manner.</li>
</ul>
Performance &amp; Compliance
<ul><li>Meet or exceed established performance metrics and service level agreements (SLAs), including but not limited to:
<ul><li>Call volume expectations and disengagement thresholdComply with all company policies, procedures, HIPAA requirements, and applicable federal and state regulations.</li>
</ul></li></ul>Required Competencies &amp; Skills
<ul><li>Strong organizational, time management, and multitasking skills.</li>
<li>Excellent verbal and written communication skills with strong attention to detail.</li>
<li>Demonstrated ability to actively listen and engage patients with empathy and professionalism.</li>
<li>Ability to work independently in a remote environment while maintaining accountability for assigned tasks.</li>
<li>Strong problem-solving and critical-thinking skills, with the ability to follow issues through resolution.</li>
<li>Proven ability to build rapport and maintain productive relationships in a telephonic, remote setting.</li>
<li>Comfort navigating multiple systems and technologies simultaneously.</li>
<li>Bilingual (Spanish) preferred.</li>
</ul>
Education, Experience &amp; Technical Requirements
<ul><li>Preferred: Completion of a Medical Assisting program accredited by CAAHEP or ABHES.</li>
<li>Minimum experience requirements:
<ul><li>At least six (6) months of experience performing general duties as a Medical Assistant OR</li>
<li>Three (3) years of experience working in a clinic or comparable healthcare setting with direct patient contact.</li>
</ul></li><li>Knowledge of medical terminology and prior experience using electronic health record (EHR) systems.</li>
<li>Strong technical aptitude, including the ability to assist patients remotely with health devices and troubleshoot basic issues.</li>
<li>Ability to type a minimum of 50&ndash;60 words per minute while speaking with patients by phone.</li>
<li>Must be able to work schedules aligned to client-specific time zone requirements, as dictated by business needs.</li>
</ul>
Licensure and Certification Requirements
<ul><li>Active CNA certification or equivalent certification (e.g., Pharmacy Technician), in good standing.</li>
</ul>
Physical Demands &amp; Work Environment
<ul><li>Ability to work effectively in a fully remote environment.</li>
<li>Must maintain a dedicated home office that is private, quiet, secure, and free from distractions.</li>
<li>Reliable internet access that meets company minimum technical requirements.</li>
<li>This role is primarily sedentary and requires extended periods of computer and telephone use.</li>
</ul>
Equal Employment Opportunity &amp; ADA Statement
In compliance with the Americans with Disabilities Act (ADA), this job description identifies the essential functions of the position. Reasonable accommodations will be considered to enable qualified individuals with disabilities to perform these essential functions. Employees are expected to comply with all company policies, procedures, and applicable legal and regulatory requirements.</div>

Telephonic Health Services Coordinator

Milwaukee County

Interested in joining Milwaukee County? Milwaukee County is searching for authentic people who are out to change the game and bring their whole selves to work every day.
 
Milwaukee County oversees operations from our Airport, Behavioral Health, Child Support, Combined Court Operations, Sheriff's Department, Community Reintegration Center, Human Services, Parks, Public Safety, Public Works, Fleet Operations, Transportation, and at the Zoo. Our departments are also dedicated to our Seniors and those with Disabilities in Aging and Disability Services, and Veterans in Veterans Services. Our employees also remain committed to serving the cultural, human, recreational, and social needs of the entire community.
 
Milwaukee County offers a wide variety of interesting jobs for people who want to make a difference in our community. Milwaukee County provides a competitive benefit package and is an Equal Opportunity Employer. If disability related accommodations are needed, please contact 414-278-3936. For submitted application inquiries please contact careers@milwaukeecountywi.gov. Please note: an online application must be submitted for consideration.
 
We are searching for Changemakers to come and join our team and discover our diverse and versatile community of independent spirits and unique talents, we are redefining the way you think about Milwaukee County!
 
Community Program Liaison
 Behavioral Health Services – Comprehensive Community Services
 Hourly Pay Range: $26.88 - $40.31
 
Closing Date: 5/17/2026 or upon receipt of the first 50 applications
 
Bilingual Spanish Speaking Candidates are Encouraged to Apply
 
Job Summary: The Community Program Liaison aides in the enrollment process, monitors quality, and provides support to contracted agencies delivering Comprehensive Community Services (CCS). This role ensures individuals receive appropriate and high-quality care, offers support to care coordination teams, and conducts audits to ensure compliance with DHS 36, ForwardHealth, and Milwaukee County policies and procedures.
 
Essential Responsibilities: 
<ul>
<li>Ensure timely and equitable access to Comprehensive Community Services (CCS) through active monitoring of referrals and enrollment processes. This includes coordinating with care coordination teams and internal staff to ensure enrollment.</li>
<li>Conduct routine audits and reviews to ensure compliance with DHS 36, ForwardHealth requirements, and Milwaukee County policies and procedures.</li>
<li>Provide guidance, training, and technical assistance to care coordination teams and service providers.</li>
<li>Provide client contact and clinical support by offering telephonic and walk-in assistance to clients and natural supports engaged in or seeking program services. Participate in clinical staffings and collaborate with system partners also serving the client base, as needed.</li>
<li>Perform all other duties as assigned.</li>
</ul>
Minimum Requirements: 
<ul>
<li>Current resident of Wisconsin.</li>
<li>Possession of a valid Wisconsin Driver’s License, able to be maintained throughout employment.</li>
<li>Possession of a Bachelor’s Degree or higher in Social Work, Psychology, Human Services, or a Related Field.</li>
<li>At least three (3) years of professional experience with mental health or substance use disorders.</li>
<li>Willing and able to travel within the community up to 5% of the time in this role.</li>
</ul>
Preferred Qualifications: 
<ul>
<li>Knowledge of federal, state, and county regulations in relation to the provision of behavioral health services.</li>
<li>Understanding of supportive services, including CCS, Community Support Programs (CSP), Targeted Case Management (TCM), and substance abuse treatment programs.</li>
<li>Bilingual (English and Spanish Speaking).</li>
</ul>
NOTE: This ORIGINAL APPLICATION is open to qualified residents of the State of Wisconsin at the time of application. Candidates need to submit a full account of their training and experience (i.e., by submitting an up-to-date resume or by fully completing the application) during the application process and may also be asked to take additional written or performance tests as part of the selection process.
 
APPLICANTS MUST POSSESS MINIMUM QUALIFICATIONS AT TIME OF FILING APPLICATION
 
Milwaukee County is committed to fostering an equitable working environment, free from discrimination and harassment, on the basis of any characteristic protected by law. We prohibit any form of discrimination, harassment based on race, color, religion, sex, gender, gender identity or expression, sexual orientation, pregnancy, pregnancy related condition, national origin, age, disability, FMLA status, sexual orientation, military status, marital status, or any other category or status that is now or in the future protected by federal, state, and local law. We maintain a drug-free workplace and perform pre-employment substance abuse testing, background checks and pre-employment physicals subject to job requirements. If special accommodations are needed, please contact 414-278-3936.

Community Program Liaison

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