clinical care coordinator

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

Catholic Charities of the Archdiocese of Washington

<div>Description:

ORGANIZATION OVERVIEW: At Catholic Charities of the Archdiocese of Washington, your knowledge and service in areas such as immigrants and refugees, mental health, social work, employment and adult education, legal and financial services, health care, food assistance, shelter and housing, developmental disabilities and prison outreach can make a profound difference in the lives of many. Through more than 50 programs across the district and five surrounding counties, Catholic Charities is opening doors to help and hope. At CCADW, we continue to build an inclusive culture that celebrates a diverse workforce. We offer so much more than just a job. We offer careers. We take pride in our &ldquo;promote from within&rdquo; culture. We offer professional development, a comprehensive benefits package, and a passion for building and motivating world class, high performing teams. Explore your career opportunity with Catholic Charities. Join us in Inspiring Hope and Building Futures.
JOB SUMMARY: The Clinical Care Coordinator provides assessment of consumers&rsquo; functioning and leads development and documentation of individualized rehabilitation plans based on the Recovery Model for adults who have mental illnesses.
ESSENTIAL DUTIES and RESPONSIBILITIES:<ul><li>
Provide services to consumers in accordance with the principles and practices of the ACT Fidelity Model.</li></ul>
 a. Lead the process of developing, updating, and guiding implementation of consumers&rsquo; Individual Recovery Plan (IRP), in collaboration with consumer, Team Leader and other significant parties of the ACT team.
 b. Coordinate treatment planning and discharge meetings at area hospitals to ensure a smooth transition to the community.
 c. Develop and maintain a professional and clinical relationship with area hospital staff to ensure a smooth transition for agency consumers to and from the hospital.
 d. Educate and assist consumers with learning or re-learning activities of daily living (ADL) skills necessary to improve the quality of life including acquisition of consumer health care benefits.
 e. Update Consumer&rsquo;s IRP, Functional Psychosocial Assessment (FPSA), Level of Care Utilization System (LOCUS), Global Appraisal of Individual Needs (GAINS) and Crisis Plan every 180 days.
 f. Provide an average of 4.25 hours of services per day to ACT consumers.
 g. Establish constructive relationships with consumers to promote acquisition of rehabilitative goals.
 h. Maintain adherence to all policies and procedures consistent with Dept. of Mental health (DMH) and the District of Columbia board of social work.<ul><li>
Participate in treatment team meetings and conduct follows ups as indicated in the following areas.</li></ul>
 a. Crisis assessment and intervention.
 b. Symptom assessment, management and individual supportive therapy.
 c. Assistance in the treatment of substance abuse for consumers with co-occurring addictive disorders.
 d. Psychosocial rehabilitation and skill development.
 e. Recommend and sometimes make decisions about the best course of action for a particular service user.
 f. Provide support services to ACT team and consumers.
 g. Develop IRP and other care plans as indicated. Conduct needs and risk assessment.
 i. Provide resolution and referrals services for consumers.
 j. Conduct psychosocial assessments using the Functional Psychosocial Assessment (FPSA) every 180 days for consumers served by the ACT team
 k. Education, support and consultation to consumers&rsquo; families and/or their support system, which is directed exclusively to the well-being and benefit of the consumer.<ul><li>
Develop and implement quality improvement (QI) activities for individual clinical staff members and the clinical aspects of the ACT team. Attend QI meetings as appropriate;</li><li>
Ensure that all IRP&rsquo;s, FPSA&rsquo;s, and other pertinent paperwork is submitted on time.</li></ul>
Requirements:

EDUCATION and EXPERIENCE:<ul><li>
Bachelor&rsquo;s degree in Social Work or related field.</li><li>
Current DC professional license as applicable i.e. LSWA.</li><li>
Three years of experience working with consumers in mental health setting.</li><li>
Driving is required. Must have valid local driver&rsquo;s license and clean driving record.</li></ul>
SKILLS and COMPETENCIES:<ul><li>
Skill in co-occurring disorders treatment. Ability to work effectively with clients in a diverse community and demonstrate cultural competency.</li><li>
Skill in the use of computer systems (preferably in a PC, Windows-based operating environment) and MS Office products, and able to become proficient in Catholic Charities&rsquo; electronic health record, database, and remote access systems.</li></ul>
Benefits Package:<ul><li>
Robust Professional development and training opportunities</li><li>
Medical, prescriptions, dental and vision insurance</li><li>
Retirement savings plan with company match</li><li>
Company-paid and supplemental life insurance</li><li>
Short Term/ Long Term disability</li><li>
Group Life Insurance and AD&amp;D</li><li>
Other Volunteer Insurance Benefits</li><li>
Flexible spending accounts</li><li>
Paid vacation, sick and personal leave</li><li>
11 paid holidays</li><li>
Tuition reimbursement</li><li>
Employee referral bonus program</li><li>
Parenting leave</li><li>
Pet&rsquo;s Insurance</li></ul>
Work Schedule: Monday - Friday, 9:00 AM - 5:30 PM</div>

Clinical Care Coordinator, (1123)

Amae Health

<div><div><div>The Problem

Severe mental illness affects over 15 million adults in the United States. Schizophrenia. Schizoaffective disorder. Bipolar I. Treatment-resistant depression. These are the conditions the rest of healthcare has systematically failed to build for.

What makes this problem different from most of healthcare is that the tools to solve it do not exist. The clinical protocols, the measurement science, the precision medicine, the technology to deliver coordinated longitudinal outpatient care for this population. None of it has been built. This is a frontier problem, and it requires frontier science and care delivery to solve.

We are developing all of it. The care, the science, the technology.
</div></div><div>
Who We Are

Amae Health is a Series B, venture-backed Public Benefit Corporation delivering specialty outpatient care for people with severe mental illness through high-acuity, in-person clinics nationwide.

Our integrated model brings psychiatry, therapy, primary care, dietitians, and community support together under one roof. Leading health systems&mdash;including NewYork-Presbyterian, Cedars-Sinai, Mass General Brigham, Novant Health, and CommonSpirit&mdash; collaborate with us to expand this level of care.

Alongside care delivery, we are building the science and technology the field has long lacked&mdash;proprietary clinical protocols, novel measurement, and an AI-driven data platform designed for severe mental illness.

The impact: fewer hospitalizations, greater stability, and more people living meaningful lives in their communities.

The Team

We are clinicians, operators, technologists, and scientists who chose Amae because the problem is hard and the stakes are real. We are not interested in incremental improvements to a broken system&mdash;we are redefining it.

Our teams work cross-functionally because the work demands it. The psychiatrist informs the product roadmap. Engineers understand the clinical complexity their technology must solve. Researchers sit alongside the operators running the clinics their work measures.

Every function&mdash;finance, product, people, growth, technology&mdash;exists to serve one goal: better outcomes for the people we care for.

The Opportunity:</div>
<div></div>
<div>As a key member of the interdisciplinary clinic team, the Clinical Care Coordinator (CCC) plays an essential role in supporting members' daily experiences and sense of belonging at Amae Health. You'll help create a warm, engaging environment by facilitating group activities, wellness programming that encourage connection and growth. Working closely with our clinicians and staff, you'll share insights and contribute to a collaborative approach to member care. In addition to member engagement, you'll support clinic operations by managing communications, maintaining accurate records, and assisting with daily workflows. This is a hands-on, growth-oriented role, ideal for someone passionate about mental health, eager to learn, and excited to make a meaningful impact in their community.</div>
<div></div>
<div>What You Will Work On:</div>
<ul><li>Member Engagement &amp; Support - Facilitate groups, arts and crafts, and recreational activities to enhance the member experience at Amae Health. Encourage positive social interactions and engagement in daily programming.</li>
<li>Clinic &amp; Operational Support- Welcome members to the clinic, manage communications via phone and email, and assist with scheduling and member record updates to support smooth daily operations.</li>
<li>Team Collaboration - Collaborate with the interdisciplinary care team&mdash;including psychiatrists, therapists, dietitians, and primary care providers&mdash;to share observations and support coordinated member care. Participate in team meetings and contribute to discussions about member engagement.</li>
<li>Member Advocacy &amp; Resource Connection - Identify members' ongoing needs and help connect them with community resources and supports that promote wellness.</li>
<li>Growth &amp; Development - Contribute to projects that support clinic growth and ongoing member success. Participate in training and supervision to build skills in mental health support, community resources, and member engagement.</li>
</ul><div>About You:</div>
<div>
You're a people-person who enjoys creating meaningful connections and helping others feel supported. Organized and proactive, you bring positive energy to member activities and thrive in a collaborative, fast-paced environment. You enjoy being part of a multidisciplinary team and contributing ideas that help members and teammates succeed. Curious and eager to learn, you welcome feedback and are motivated to grow your skills in mental health support and community resources. Most of all, you lead with empathy and keep members at the heart of everything you do. If you're excited to help shape a new clinic and make a lasting impact in your community, we'd love to hear from you!
</div>
<div>What You'll have:</div>
<ul><li>Enrolled or recently graduated in a degree program related to mental health, such as pre-med, psychology, social work, or nursing</li>
<li>Interest in mental health and desire to work with members with Severe Mental Illness</li>
<li>Strong interpersonal skills and ability to work in a team environment</li>
<li>Detail-oriented and organized</li>
<li>Comfortable working either one-on-one or in group settings, must possess excellent interpersonal skills and be able to adapt to changing situations</li>
<li>Willingness to collaborate with others</li>
<li>Well-organized and some experience planning and designing events and activities</li>
<li>Basic computer skills are required</li>
<li>The candidate should possess a holistic perspective of &quot;health.&quot; Clinical Care Coordinators will demonstrate the ability to work effectively in a wide range of settings with people from diverse backgrounds, including members and co-workers</li>
</ul><div>What We Provide:</div>
<div></div>
<div>Amae Health is proud to offer a comprehensive benefits package to take care of you now and in the future, focusing on your personal, financial and professional wellness.</div>
<ul><li>Comprehensive Medical, Dental, &amp; Vision Insurance</li>
<li>Paid Time Off</li>
<li>Short-Term and Long-Term Disability Insurance</li>
<li>Commuter Benefits</li>
<li>12 Weeks Paid Parental Leave &ndash; Available to both birthing and non-birthing parents</li>
<li>401(k) Retirement Plan</li>
<li>11 company holidays</li>
<li>FSA &amp; HSA savings programs</li>
<li>A best in class work environment led by UCLA professors &amp; VA Clinicians, fostering side-by-side collaboration with psychiatrists, therapists, peer support, and others.</li>
</ul><div>Amae Health is committed to fair and equitable compensation practices. Base pay for this position is $19.00 per hour.</div>
<div>
What We're Building

Most healthcare companies ask you to optimize an existing system. We're building one that has never existed.
<ul>
<li>A national care model designed for the highest-acuity patients in behavioral health.</li>
<li>Precision medicine for severe mental illness, using multimodal clinical, behavioral, and social data to personalize treatment.</li>
<li>A clinical operating system that integrates longitudinal data, real-time patient signals, and purpose-built tools into a single decision layer.</li>
<li>New science and measurement frameworks to define what real outcomes look like in SMI&mdash;stability, functional improvement, and hospitalizations avoided.</li>
<li>A health-system partnership model proving coordinated SMI care can work at scale.</li>
</ul>
If you want to maintain the status quo, this isn't the place. If you want to build what doesn't exist yet&mdash;and change how an entire population receives care&mdash;keep reading.

Compensation &amp; Benefits

Amae Health is committed to fair and equitable compensation practices. Base salary range for this role is $21.50 per hour. Comprehensive medical, dental, and vision coverage. Parental leave and programs built around well-being. We'll share specifics during the interview process.

If you want to practice at the top of your license, learn from the best in academic medicine, contribute to research that is defining a new field, and do it all inside a team that was actually built for this work, we'd like to talk
</div><div>
What We Value

We center care in all we do. Empathy is not a brand value. It's how we make clinical decisions, build products, and treat each other.

We challenge convention. The existing system is the problem. We question it, we test alternatives, and we move with urgency when something works.

We take the work seriously, not ourselves. High standards and humanity are not in tension. We hold a hard bar for quality while leaving room for humor and levity.

Your job isn't done until the job is done. We close gaps, we follow through, and we don't hide behind titles or org charts.

We win together and fail together. We own outcomes as a team. We learn fast. We don't do blame.

We hustle with humility. Speed matters. So does integrity. We assume best intent and stay grounded in the mission.</div></div>

ML Healthcare

<div>At The Springs Nursing and Rehabilitation our associates are our most valuable asset. Each associate provides a service that directly or indirectly affects patients, families, other team members, and the public. We strive to excel in providing the highest quality healthcare and customer service possible, which is incumbent upon the excellence and commitment of our leaders and caregivers.

Clinical Care Coordinator

Must have experience and a Nurse (LVN or RN)

Cedar Park, Tx

Full-Time Benefits
<ul>
<li>Very Competitive Pay</li>
<li>Scrubs on Wheels</li>
<li>Generous Paid Time Off (PTO) and Holidays</li>
<li>Medical</li>
<li>Dental</li>
<li>Vision</li>
<li>Company-paid life insurance &amp; LTD/AD&amp;D insurance</li>
<li>Short-Term Disability</li>
<li>Supplemental Insurances (Hospital Indemnity, Cancer Policies, Legal Plans, &amp; More!)</li>
<li>401k with matching</li>
</ul>
Responsibilities
<ul>
<li>Participate in the QOL, QAPI meetings conducted in the community.</li>
<li>Follow systems, nursing standards and guidelines.</li>
<li>Coordinate and oversee the Medicare Advantage procedures for the facility.</li>
<li>Timely and accurate completion of residents&rsquo; care plans/assessments/PASRR and take follow-up action as necessary.</li>
<li>Participate in the pre-admission process to determine potential residents&rsquo; level of care and participate in resident level of care determination upon admission.</li>
<li>Support the billing schedules and procedures.</li>
<li>Be familiar with residents&rsquo; condition and care needs and follow and educate community associates on the review process and provide recommendations to address potential areas of concern/opportunity, utilizing programs and reports on various state and company generated reports.</li>
<li>Provide education to community associates on POC documentation, change of condition alerts; late and mid-loss ADL&rsquo;s to support MDS and QM data elements.</li>
<li>Provides information to regional operations, clinical and community management team on the status of clinical and financial reimbursement.</li>
<li>Participates in all training as required including CEU 360, PCC, SimpleLTC/TMHP, Nethealth and company program rollouts. Associate Commitment &ndash; Clinical Care Coordinator 04/01/2019 Page 2</li>
<li>Participate in clinical assignments for comprehensive reviews as part of community IDT.</li>
<li>Conduct audits of each communities EHR/documentation systems.</li>
<li>Perform other duties as assigned by the community administrator.</li>
</ul>
Qualifications:
<ul>
<li>Current/valid Texas RN or LVN nursing license or a current/valid RN/LVN/LPN license from a Compact Party State. (The RN/LVN may continue to practice under the former home state license and multistate licensure privilege for a period not to exceed thirty days.)</li>
<li>Preferred Skilled Nursing Facility Experience a Management level nurse Traits/Skills/Other Requirements</li>
<li>Proficient in use of computer systems (Word, Excel, Electronic Health Record system (PCC), etc.)</li>
<li>Must have excellent command of English language.</li>
<li>Must possess the ability to make decisions using discretion and independent judgment with respect to matters of significance to the Company.</li>
<li>Must be in good standing with the Federal and State Government</li>
</ul>
We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.</div>

Clinical Care Coordinator (LVN)

Columbia University

<div><ul><li>Job Type: Officer of Administration</li>
<li>Bargaining Unit:</li>
<li>Regular/Temporary: Regular</li>
<li>End Date if Temporary:</li>
<li>Hours Per Week: 35</li>
<li>Standard Work Schedule:</li>
<li>Building:</li>
<li>Salary Range: $135,000 - $145,000</li>
</ul><div>The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to departmental budgets, qualifications, experience, education, licenses, specialty, and training. The above hiring range represents the University's good faith and reasonable estimate of the range of possible compensation at the time of posting.</div> 
<div></div>

Position Summary

The Clinical Care Coordinator &ndash; NP will be responsible for working in the dynamic and innovative academic practice at NYP/Columbia University Medical Center. Rapidly growing department offers collaborative practice opportunities to establish an ambulatory care practice and participate in the development of new clinical services in the Department of Orthopedic Surgery.

Responsibilities
<ul>
<li>Work independently or collaboratively with the Attendings, Fellows, and Resident staff as a well as the nurses, therapists, social worker&rsquo;s and other support personnel who take part in caring for orthopedic patients.</li>
<li>Care coordination for patients needing non-operative treatment</li>
<li>Assist in managing pre-operative care across other practitioners to optimize patients for surgery</li>
<li>Obtain relevant consultations from other services and follow up on the information.</li>
<li>Peer-to-peer consults to obtain surgical pre-authorization for testing or surgeries for all spine surgical patients</li>
<li>Rounds independently and/or with attendings on all orthopedic inpatients.</li>
<li>Chart preparation according to protocol and orders appropriate x-rays for office hours using the Electronic Medical Record.
</li><li>Complies with Meaningful Use Measures.</li>
<li>Evaluates and diagnoses patients</li>
<li>Orders and interprets diagnostic and therapeutic tests relative to patient's age-specific needs.</li>
<li>Administers injections/Prescribes appropriate pharmacological and non-pharmacological treatment modalities.</li>
<li>Monitors effectiveness of prescribed intervention.</li>
<li>Remove/apply dressings, sutures, staples, slings and/or braces</li>
<li>See post-op patients for wound checks and post-op care and notify attending of findings if abnormal</li>
<li>Reviews post-operative discharge instructions with patients including regarding wound care and pain management.</li>
<li>Returns patient phone messages at designated times throughout the day; documents action taken in the Electronic Medical Record (EPIC).</li>
<li>Triage incoming telephone calls; instructs patient and family regarding treatment instruction, then documents action taken in the Electronic Medical Record (EPIC).</li>
<li>Oversees appointment bookings and ensures emergency situations are scheduled appropriately</li>
<li>Sends patient prescription requests to pharmacy and documents action in the Electronic Medical Record (EPIC).</li>
<li>Manage and oversee all spine attending in-basket tasks in EPIC
</li><li>Fill out necessary forms, i.e. disability forms, workman's comp, handicap parking as needed; Assist with patient correspondence as needed, i.e. letters of medical necessity, school notes, insurance inquiries, etc.</li>
<li>Assist patients in meeting health needs by identifying potential or existing problems, exploring available alternatives and providing support to the patient and family members to make an informed decision regarding health care.</li>
<li>Facilitates the patient's transition within and between healthcare settings, e.g. admitting, transferring, discharging and home care including visiting nurse referrals.</li>
<li>Formulate patient care protocols and critical pathways.</li>
<li>Assist with development; participate in design and implementation of clinical research trials.</li>
<li>Participate in accordance with hospital policies.
</li>
</ul>Minimum Qualifications
<ul>
<li>Bachelor's degree or equivalent in education and experience plus five years of experience</li>
<li>New York RN licensure, New York Adult Nurse Practitioner (ANP), or New York Nurse Practitioner (NP) licensure and/or New Jersey Nurse Practitioner (NP) licensure</li>
<li>National Certification &amp; DEA required</li>
</ul>
Preferred Qualifications
<ul>
<li>MS in Nursing preferred; other master's degrees considered.</li>
<li>Clinical doctorate</li>
<li>Prior experience in management of adults with orthopedic diseases in an Orthopedic Hip &amp; Knee practice, physical medicine and rehabilitation practice or pain management practice</li>
<li>CPR/AED certification</li>
<li>Bilingual (Spanish/English)</li>
</ul>
Other Requirements
<ul>
<li>Ability to perform comprehensive history and physical examination</li>
<li>Ability to manage and coordinate a patient caseload</li>
<li>Work within a collaborative agreement/protocol with a physician and health care team</li>
<li>Demonstrate leadership ability to manage patients and interact effectively with peers and physicians</li>
</ul>
Equal Opportunity Employer / Disability / Veteran

Columbia University is committed to the hiring of qualified local residents.</div>

Clinical Care Coordinator/NP

Horizon Blue Cross Blue Shield of New Jersey

<div>Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey&rsquo;s health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3.5 million people who place their trust in us. We pride ourselves on our best-in-class employees and strive to maintain an innovative and inclusive environment that allows them to thrive. When our employees bring their best and succeed, the Company succeeds.
About the Role
This position is accountable for assisting and extending support to the field based Care Managers and RN I. This position also ensures facilitation of health care services within a member centric plan of care, under the direction and supervision of an RN.
What You'll Do<ul><li>
Will ensure timely appointments and scheduling.</li><li>
Assist with implementation and facilitation of services members.</li><li>
Ensure timely member follow up. Interacts and communicates effectively with the member during telephonic contact.</li><li>
Encourages member participation and compliance in the program.</li><li>
Assist with all calls to members. Coordinates the delivery of high quality, cost-effective care based on the members- needs and the managed long term support and services model supported by clinical practice guidelines established by the plan.</li><li>
Run reports to monitor compliance on scheduled services to ensure timely delivery of services and required follow up.</li><li>
Utilizes care management process for goal directed member care.</li><li>
Documents accurately and comprehensively based on the standards of practice and current organization policies.</li><li>
Provides telephonic assistance for activities specific to the program.</li></ul>
What You Bring
Education/Experience:<ul><li>
High School Diploma/GED required.</li><li>
Prefers healthcare industry experience.</li><li>
Requires a minimum of one (1) year experience in home care, discharge</li><li>
planning, or case management. Preferably with the elderly frail population.</li><li>
Prefer a minimum of one (1) year experience in the managed care industry.</li></ul>
Knowledge:<ul><li>
Requires knowledge of the standards of practice for coordination of services, and delivery of services.</li><li>
Requires strong knowledge of managed care principles and concepts including Health Plan Effectiveness Data and Information Sheet (HEDIS).</li></ul>
Skills and Abilities:<ul><li>
Requires strong organizational skills.</li><li>
Requires strong oral and written communication skills.</li><li>
Requires good PC skills, knowledge of working with a Medical Management</li><li>
system for electronic medical records and the ability to utilize Microsoft</li><li>
Office applications (Excel, Access, Word, etc.)</li><li>
Requires good problem solving and conflict resolution skills.</li><li>
Requires good presentation skills.</li><li>
Requires ability to work with limited daily supervision.</li></ul>
Why Horizon?
At Horizon, you&rsquo;ll do meaningful work that directly improves lives&mdash;while being supported by a mission‑driven organization that values expertise, collaboration, and growth. We believe that when our people thrive, our communities do too. If you are passionate about making an impact, we&rsquo;d love to hear from you!
Salary Range:
$56,200 - $75,285
This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. This range has been created in good faith based on information known to Horizon at the time of posting. Compensation decisions are dependent on the circumstances of each case. Horizon also provides a comprehensive compensation and benefits package which includes:<ul><li>
Comprehensive health benefits (Medical/Dental/Vision)</li><li>
Retirement Plans</li><li>
Generous PTO</li><li>
Incentive Plans</li><li>
Wellness Programs</li><li>
Paid Volunteer Time Off</li><li>
Tuition Reimbursement</li></ul>
Disclaimer:
Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware. This job summary has been designed to indicate the general nature and level of work performed by colleagues within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of colleagues assigned to this job.
Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or status as an individual with a disability and any other protected class as required by federal, state or local law. Horizon will consider reasonable accommodation requests as part of the recruiting and hiring process.</div>

Providence

<div>Description
The mission of the Coordinator Clinical Care is to identify high risk patients and help coordinate resources to facilitate care, improve health outcomes, and to reduce avoidable hospitalizations and re-admissions. Ultimately to provide the best quality medical care available, while working toward a patient centered medical home, and to help ease our patients' way.
caregivers are not simply valued &ndash; they&rsquo;re invaluable. Join our team at Providence Saint John's Medical Foundation and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we Providence know that to inspire and retain the best people, we must empower them.
Required qualifications:
<ul><li>Graduate of school for medical assistants and certificate. Or
</li><li>Coursework/Training: Diploma/certificate from the military in Medical Specialist Course.
</li><li>2 years Directed patient care at MA level or greater.
</li></ul>Why Join Providence?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
About Providence
At Providence, our strength lies in Our Promise of &ldquo;Know me, care for me, ease my way.&rdquo; Working at our family of organizations means that regardless of your role, we&rsquo;ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
About the Team
The Sisters of Providence and Sisters of St. Joseph of Orange have deep roots in California, bringing health care and education to communities from the redwood forests to the beach shores of Orange county - and everywhere in between. In Southern California, Providence provides care throughout Los Angeles County, Orange County, High Desert and beyond.
Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care, and even our own Providence High School.
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
Requsition ID: 426818
 
Company: Providence Jobs
 
Job Category: Patient Care (Non-Acute)
 
Job Function: Clinical Care
 
Job Schedule: Full time
 
Job Shift: Day
 
Career Track: Clinical Support
 
Department: 7008 FAMILY MEDICINE CA PALISADES
 
Address: CA Santa Monica 1301 20th St
 
Work Location: SJHC Physician Clinic 1301-Santa Monica
 
Workplace Type: On-site
 
Pay Range: $24.82 - $37.98
 
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.</div>

Clinical Care Coordinator - FAMILY MEDICINE

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