administrative support clerk - case management

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administrative support clerk - case management Jobs in Ohio

clinical case manager, behavioral health Jobs in Ohio

clinical case manager, behavioral health

pbm client experience manager Jobs in Ohio

pbm client experience manager

telephonic case manager

Sedgwick

<div>By joining Sedgwick, you'll be part of something truly meaningful. It&rsquo;s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there&rsquo;s no limit to what you can achieve.
Newsweek Recognizes Sedgwick as America&rsquo;s Greatest Workplaces National Top Companies
Certified as a Great Place to Work&reg;
Fortune Best Workplaces in Financial Services &amp; Insurance
Telephonic Case Manager
<div>PRIMARY PURPOSE OF THE ROLE: While partnering with the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through advocacy, communication and coordination of medical services.
ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work.
<ul><li>Apply your medical/clinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury.
</li><li>Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment.
</li><li>Enjoy flexibility and autonomy in your daily work, your location, and your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting.
</li><li>Enable our Caring counts&reg; mission supporting injured employees from some of the world&rsquo;s best brands and organizations.
</li><li>Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
</li><li>Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more.
</li><li>Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.
</li></ul>ESSENTIAL RESPONSIBLITIES MAY INCLUDE
<ul><li>Performs initial and ongoing clinical assessment via telephone calls to evaluate the injured worker's injury, medical treatment, psychosocial needs, cultural implications and support systems.
</li><li>Effectively communicates and builds relationships with the claims&rsquo; examiner, client, injured worker, attorney and supervisor.
</li><li>Identifies issues related to delayed recovery and/or return to work and problem solves with a creative thinking approach
</li><li>Negotiates treatment and disability duration with providers through use of medical and disability duration guidelines, adhering to quality.
</li><li>Identifies opportunities to expedite care for cost containment and timely medical recovery.
</li><li>Provides recommendations for alternate clinical resources to support claim resolution.
</li><li>Maintains client's privacy and confidentiality, promotes client safety and advocacy; and adheres to ethical, legal, accreditation and regulatory standards.
</li></ul>EDUCATION AND LICENSING
Current unrestricted RN license(s) in a state or territory of the United States required. Bachelor's degree in nursing (BSN) from accredited college or university or equivalent work experience preferred. Certification in case management, rehabilitation nursing or a related specialty is highly preferred. 
TAKING CARE OF YOU BY
<ul><li>Offering flexibility and autonomy.
</li><li>Supporting meaningful work that promotes critical thinking and problem solving.
</li><li>Providing on-going learning and professional growth opportunities.
</li><li>Promoting a strong team environment and a culture of support.
</li><li>Recognizing your successes and celebrating your achievements.
</li><li>Thrives when everyone is working towards the same vision/goals.
</li><li>We offer a diverse and comprehensive benefits including medical, dental vision, 401K, PTO and more beginning your first day.
</li></ul>NEXT STEPS
If your application is selected to advance to the next round, recruiter will be in touch.
As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $72,000 - $75,000/year. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
#nurse #telephoniccasemanager
</div>Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
<h2 class="jobSectionHeader">If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.</h2></div>

Telephonic Case Manager

Montgomery County, OH

<div><div><div><h2 class="jobSectionHeader">Position Overview</h2></div>
<div>POSITION SUMMARY:
The Administrative Support Clerk &ndash; Case Management serves in the Case Management Department and reports to the Case Management Manager.
The Administrative Support Clerk &ndash; Case Management is responsible for providing support to the Case Management team, which requires general clerical and administrative duties.</div>
<div><h2 class="jobSectionHeader">Summary of Job Duties</h2></div>
<div>ESSENTIAL DUTIES AND RESPONSIBILITIES:
The essential duties and responsibilities of the position are as follows:<ul><li>
Answers telephone inquiries, directs callers to appropriate offices, and provides information to requesting parties.</li><li>
Greets defendants, attorneys and the general public, and directs them to the appropriate person or location. Accesses computer for court appearance information.</li><li>
Monitors supplies, collects and distributes mail, maintains orderly and clean reception area.</li><li>
Schedules conference rooms for court employees and various elected officials.</li><li>
Participates in training opportunities, court activities, projects, and committees as requested or required.</li><li>
Completes other duties and responsibilities as required.</li></ul></div> 

<div><h2 class="jobSectionHeader">Minimum Qualifications and Requirements</h2></div>
<div>REQUIRED KNOWLEDGE, ABILITIES, AND SKILLS:<div><ul><li>
Knowledge of: general office practices and procedures; court system processes and procedures; case management processes and procedures; grammar and sentence structure; spelling and punctuation.</li></ul></div><div></div><div><ul><li> 
Ability to: understand and apply work processes and procedures; establish work priorities; answer routine inquiries from officials and general public; resolve complaints calmly.</li></ul></div><div></div><div><ul><li> 
Skill in: analyzing information against established standards; operating a computer and general office equipment; application of job software programs, including spreadsheets and word processing; general typing.</li></ul></div><div></div> 
GENERAL EXPECTATIONS OF ALL COURT EMPLOYEES:
All court employees are expected to stay current in their areas of technical expertise; maintain attention to detail; exhibit good organizational skills; work effectively on own initiative and by cooperating with others; engage in active listening; speak and write clearly and concisely; demonstrate good manners, friendly demeanor, and professional behavior; uphold the policies, procedures, and practices of the court; maintain the confidentiality of sensitive and privileged information; and represent the court with honesty and integrity.
EDUCATION AND EXPERIENCE QUALIFICATIONS:
The position requires an appropriate combination of formal education, additional training and courses, and work experience. There is not an exact level or mixture of these elements to indicate one will necessarily be successful in, or qualify for, the position.
For example purposes only, an acceptable combination of qualifications for the position would include a bachelor&rsquo;s degree in public administration, business administration; criminal justice or related field, or an associate&rsquo;s degree in public administration, business administration, criminal justice or a related field and two years&rsquo; work experience.<div>
LICENSURE OR CERTIFICATION REQUIREMENTS:</div>
A valid state of Ohio motor vehicle operator&rsquo;s license is preferred in order to carry out job-related essential functions. Private insurance is required if private vehicle is employed for job-related functions.</div> 

<div><h2 class="jobSectionHeader">Supplemental Information</h2></div>
<div>SCOPE OF SUPERVISION:
The position requires no supervisory duties or responsibilities.
EQUIPMENT OPERATED:
Vehicle, computer, calculator, copier, fax, telephone, and other general office equipment.
WORK ENVIRONMENT AND USUAL PHYSICAL DEMANDS:
The following physical demands are typically exhibited by the incumbent performing the requirements of the position. These physical demands are not, and should not be construed to be, job qualification standards. They are illustrated to help the court, incumbent, and applicant for the position identify reasonable accommodations that may need to be made when an otherwise qualified person is unable to perform the job&rsquo;s essential functions because of a recognized disability covered by, and in accordance with, the requirements of the Americans with Disabilities Act.
While performing duties of this job, the employee regularly exhibits digital dexterity and eye-hand coordination when performing typing and other tasks. The employee frequently sits for extended periods of time, and occasionally stands and walks. Employee converses verbally with others in person and by telephone. Vision demands include close, relatively detailed vision when typing and using a computer screen. Job may involve operating and sitting in a vehicle.
This position description in no manner states or implies, and should not be construed as stating or implying, that it is a complete or exhaustive listing of the duties, responsibilities, qualifications for, and requirements of, an incumbent filling the position. The incumbent may be required to follow additional instructions and perform other duties required by a supervisor or designee.
The provisions of this position description do not constitute a contract, expressed or implied, and any provision contained in this description may be modified or revoked without notice.</div></div></div>

Administrative Support Clerk - Case Management

CVS Health

<div>We&rsquo;re building a world of health around every individual &mdash; shaping a more connected, convenient and compassionate health experience. At CVS Health&reg;, you&rsquo;ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger &ndash; helping to simplify health care one person, one family and one community at a time.
Position Summary:
Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider coordination/collaboration, and coordination of psychosocial wraparound services to promote effective utilization of available resources and optimal, cost-effective outcomes. 
Assessment of Members:<ul><li>
Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member&rsquo;s needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member&rsquo;s benefit plan and available internal and external programs/services.</li><li>
Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and address complex clinical indicators which impact care planning and resolution of member issues.</li><li>
Using advanced clinical skills, performs crisis intervention with members experiencing a behavioral health or medical crisis and refers them to the appropriate clinical providers for thorough assessment and treatment, as clinically indicated.</li><li>
Provides crisis follow up to members to help ensure they are receiving the appropriate treatment/services.</li></ul>
Enhancement of Medical Appropriateness and Quality of Care:<ul><li>
Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member&rsquo;s needs to ensure appropriate administration of benefits</li><li>
Using holistic approach consults with supervisors, Medical Directors and/or other programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary view in order to achieve optimal outcomes</li><li>
Identifies and escalates quality of care issues through established channels</li><li>
Ability to speak to medical and behavioral health professionals to influence appropriate member care.</li><li>
Utilizes influencing/motivational interviewing skills to ensure maximum member engagement and promotes lifestyle/behavior changes to achieve optimum level of health</li><li>
Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.</li><li>
Helps member actively and knowledgably participate with their provider in healthcare decision-making</li><li>
Analyzes all utilization, self-report and clinical data available to consolidate information and begin to identify comprehensive member needs.</li></ul> 
Monitoring, Evaluation and Documentation of Care<ul><li>
In collaboration with the member and their care team develops and monitors established plans of care to meet the member&rsquo;s goals</li><li>
Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.</li><li>
Ability to take and manage crisis calls.</li></ul> 
Required Qualifications:<ul><li>
Unencumbered Independent Behavioral Health clinical license in the state where they reside and work:</li></ul><h3 class="jobSectionHeader">
Licensed Mental Health Counselor (LMHC)</h3><h3 class="jobSectionHeader">
Licensed Clinical Social Worker (LCSW)</h3><h3 class="jobSectionHeader">
Licensed Independent Social Worker (LISW)</h3><h3 class="jobSectionHeader">
Licensed Marital and Family Therapist (LMFT)</h3><h3 class="jobSectionHeader">
Licensed Professional Counselor (LPC)</h3><ul><li>
3+ years of direct clinical practice experience post masters degree, e.g., hospital setting or alternative care setting such as ambulatory care or outpatient clinic/facility</li><li>
3+ years minimum of Behavioral Health experience</li><li>
Applicants must be willing to work standard business hours in EST or CST.</li></ul> 
Preferred Qualifications<ul><li>
Case management and discharge planning experience
</li><li>Crisis intervention skills
</li><li>Managed care/utilization review experience
</li><li>Ability to take and manage crisis calls</li></ul>
Education
Minimum of a Master&rsquo;s degree in Behavioral/Mental Health or related field
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$54,095.00 - $142,576.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. 
This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. 
Additional details about available benefits are provided during the application process and on Benefits Moments. 
We anticipate the application window for this opening will close on: 05/02/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.</div>

Clinical Case Manager, Behavioral Health

Corebridge

<div>Who We Are
 
 
At Corebridge Financial, we believe action is everything. That&rsquo;s why every day we partner with financial professionals and institutions to make it possible for more people to take action in their financial lives, for today and tomorrow.
 
 
We align to a set of Values that are the core pillars that define our culture and help bring our brand purpose to life:
<ul><li>We are stronger as one: We collaborate across the enterprise, scale what works and act decisively for our customers and partners.
</li><li>We deliver on commitments: We are accountable, empower each other and go above and beyond for our stakeholders.
</li><li>We learn, improve and innovate: We get better each day by challenging the status quo and equipping ourselves for the future.
</li><li>We are inclusive: We embrace different perspectives, enabling our colleagues to make an impact and bring their whole selves to work.
</li></ul>Who You'll Work With
Corebridge Financial Services has been helping Americans plan for and enjoy a secure retirement for more than half a century. We are an industry-leading provider of financial planning tools for community members who work in healthcare, higher education, K-12, government, and other not-for-profit institutions. We love what we do and we think you will too.
About the Role
Are you passionate and self-motivated? Do you seek to improve the lives of others in your community? Join Corebridge Financial Services. We are searching for a Financial Advisor to provide a personalized retirement and financial planning experience for our customers and their families. If you want the flexibility to create your own schedule and build your career on your terms, join our team.
Responsibilities
<ul><li>You will meet with existing and prospective clients to plan their financial future.
</li><li>Utilize our company-provided technology and tools to improve your operation.
</li><li>You will also use marketing support in the form of mailings, email blasts, and customized flyers to expand your business and reach new customers.
</li><li>Collaborate with co-workers and your District Vice President to learn new skills, methods, and best practices.
</li></ul>To help you get started, we offer you the resources needed to create your own success:
<ul><li>Competitive benefits package with immediate access to medical, dental, vision, life insurance and 401(k) plan with match
</li><li>Company-provided technology, including equipment, helpdesk assistance, client management and financial planning tools
</li><li>Company-paid E&amp;O, licensing fees, continuing education and compliance support
</li></ul>Skills and Qualifications
<ul><li>High school diploma or GED
</li><li>Ideally, you have 2+ years of experience working as a Financial Advisor.
</li><li>A proven and successful sales track record.
</li><li>You have an active FINRA Series 7 licenses and a Series 63 and 65 or 66.
</li><li>You also have an active state variable life and health license.
</li></ul>Work Location
This position is currently designated as remote. 
<ul><li>
</li></ul> 
Estimated Travel
<ul><li>May include up to 25% travel.
</li></ul>#LI-CBF
#LI-KE1
This role is deemed a &ldquo;covered associate&rdquo; under SEC Rule 206(4)-5, 17 CFR &sect; 275.206(4)-5, Political contributions by certain investment advisers, and other federal and state pay-to-play rules. Candidates for the role must not have made any political contributions that, under 17 CFR &sect; 275.206(4)-5 or other federal or state pay-to-play regulations, would disqualify the candidate or Corebridge Financial from conducting Corebridge Financial&rsquo;s business, or that would otherwise create a conflict of interest for Corebridge Financial. Applicants who are selected to move forward with the application process will be required to disclose all U.S. political contributions they and their household family members have made over the past two years.
Why Corebridge?
 
 
At Corebridge Financial, we prioritize the health, well-being, and work-life balance of our employees. Our comprehensive benefits and wellness program is designed to support employees both personally and professionally, ensuring that they have the resources and flexibility needed to thrive.
 
 
Benefit Offerings Include:
<ul><li>Health and Wellness: We offer a range of medical, dental and vision insurance plans, as well as mental health support and wellness initiatives to promote overall well-being.
</li><li>Retirement Savings: We offer retirement benefits options, which vary by location. In the U.S., our competitive 401(k) Plan offers a generous dollar-for-dollar Company matching contribution of up to 6% of eligible pay and a Company contribution equal to 3% of eligible pay (subject to annual IRS limits and Plan terms). These Company contributions vest immediately.
</li><li>Employee Assistance Program: Confidential counseling services and resources are available to all employees.
</li><li>Matching charitable donations: Corebridge matches donations to tax-exempt organizations 1:1, up to $5,000.
</li><li>Volunteer Time Off: Employees may use up to 16 volunteer hours annually to support activities that enhance and serve communities where employees live and work.
</li>Paid Time Off: Eligible employees start off with at least 24 Paid Time Off (PTO) days so they can take time off for themselves and their families when they need it. 
<li>
</li></ul> 
Eligibility for and participation in employer-sponsored benefit plans and Company programs will be subject to applicable law, governing Plan document(s) and Company policy.
We are an Equal Opportunity Employer
 
 
Corebridge Financial, is committed to being an equal opportunity employer and we comply with all applicable federal, state, and local fair employment laws. All applicants will be considered for employment based on job-related qualifications and without regard to race, color, religion, sex, gender, gender identity or expression, sexual orientation, national origin, disability, neurodivergence, age, veteran status, or any other protected characteristic. The Company is also committed to compliance with all fair employment practices regarding citizenship and immigration status. At Corebridge Financial, we believe that diversity and inclusion are critical to building a creative workplace that leads to innovation, growth, and profitability. Through a wide variety of programs and initiatives, we invest in each employee, seeking to ensure that our colleagues are respected as individuals and valued for their unique perspectives.
 
 
Corebridge Financial is committed to working with and providing reasonable accommodations to job applicants and employees, including any accommodations needed on the basis of physical or mental disabilities or sincerely held religious beliefs. If you believe you need a reasonable accommodation in order to search for a job opening or to complete any part of the application or hiring process, please send an email to TalentandInclusion@corebridgefinancial.com . Reasonable accommodations will be determined on a case-by-case basis, in accordance with applicable federal, state, and local law.
 
 
We will consider for employment qualified applicants with criminal histories, consistent with applicable law.
To learn more please visit: www.corebridgefinancial.com
Functional Area:
SC - Sales Commission
Estimated Travel Percentage (%): More than 50%
Relocation Provided: No
The Variable Annuity Life Insurance Company</div>

Financial Advisor - Toledo, OH

Independence Pet Holdings

<div>Established in 2021, Independence Pet Holdings is a corporate holding company that manages a diverse and broad portfolio of modern pet health brands and services, including insurance, pet education, lost recovery services, and more throughout North America. 
We believe pet insurance is more than a financial product and build solutions to simplify the pet parenting journey and help improve the well-being of pets. As a leading authority in the pet category, we operate with a full stack of resources, capital, and services to support pet parents. Our multi-brand and omni-channel approach include our own insurance carrier, insurance brands and partner brands.<h1 class="jobSectionHeader">
Software Engineering Manager</h1><h2 class="jobSectionHeader">
Role Summary</h2>
The Software Engineering Manager is a hands‑on technical leader responsible for driving the design, development, and delivery of core software platforms for an Embrace Pet Insurance. This role leads software engineers while remaining actively engaged in architecture, code reviews, cloud design, and DevOps practices across policy administration systems, claims processing platforms, web applications, and mobile applications.
This position requires expertise in Microsoft Azure and .NET/C#, combined with strong people leadership. The Software Engineering Manager sets technical direction, enforces engineering standards, and directly contributes to solving complex technical challenges while ensuring predictable, high‑quality delivery.<h2 class="jobSectionHeader">
Key Responsibilities</h2><h3 class="jobSectionHeader">
Hands‑On Technical Leadership</h3><ul><li>
Actively participate in solution design, architectural decisions, and technical problem solving</li><li>
Perform and guide code reviews across backend, frontend, and integration layers</li><li>
Partner with senior engineers on complex features, performance issues, and production support</li><li>
Remain current and hands‑on with the Azure platform, .NET/C# stack, Microsoft Dynamics and development tooling</li></ul><h3 class="jobSectionHeader">
Team Leadership &amp; Execution</h3><ul><li>
Lead and mentor multiple software developers and senior engineers, setting clear technical and delivery expectations</li><li>
Balance hands‑on contribution with people leadership, including 1:1s, performance management, and coaching</li><li>
Serve as an escalation point for technical blockers, delivery risks, and production issues</li></ul><h3 class="jobSectionHeader">
Application &amp; Platform Ownership</h3><ul><li>
Oversee development and ongoing enhancement of:<ul><li>
Policy Administration System</li><li>
Claims Processing System</li><li>
Customer‑facing web applications</li><li>
Mobile applications</li></ul></li><li>
Ensure platforms are secure, scalable, resilient, and aligned with insurance business needs</li><li>
Drive modernization efforts while managing technical debt and platform stability</li><li>
Responsible for delivering prioritized projects that align with company goals</li></ul><h3 class="jobSectionHeader">
DevOps, CI/CD &amp; Engineering Standards</h3><ul><li>
Actively oversee and improve CI/CD pipelines using Azure DevOps and Azure Pipelines</li><li>
Champion automation, testing strategies, deployment consistency, and environment management</li><li>
Define, document, and enforce engineering standards for:<ul><li>
Coding practices</li><li>
Testing and quality</li><li>
Cloud and security patterns</li><li>
DevOps workflows</li></ul></li></ul><h3 class="jobSectionHeader">
Agile Delivery &amp; Stakeholder Collaboration</h3><ul><li>
Work closely with Product, Policy, Claims, and Operations teams to translate business needs into technical solutions</li><li>
Participate in sprint planning, backlog refinement, and delivery execution using Jira</li><li>
Communicate technical tradeoffs, risks, and timelines clearly to business and technology leadership</li></ul><h2 class="jobSectionHeader">
Qualifications</h2><ul><li>
Bachelor&rsquo;s degree in Computer Science, Engineering, or equivalent experience</li><li>
Deep, hands‑on experience with Microsoft Azure cloud development</li><li>
Extensive hands‑on experience with .NET / C# development</li><li>
5+ years of experience leading software development teams, while remaining technically active</li><li>
Strong experience with Azure DevOps, including CI/CD pipeline design and management</li><li>
Proven experience working in Agile environments using Jira or ADO</li><li>
Solid expertise with SQL Server, data modeling, and performance tuning</li><li>
Strong communication skills with the ability to explain complex technical concepts clearly</li></ul><h2 class="jobSectionHeader">
Preferred Experience</h2><ul><li>
Direct experience supporting insurance platforms, particularly policy administration or claims systems</li><li>
Experience integrating or working with Microsoft Dynamics CRM / Dynamics 365</li><li>
Experience guiding front‑end development for web and mobile applications</li><li>
Background in cloud modernization or refactoring legacy systems</li><li>
Familiarity with security, compliance, and governance in regulated environments</li><li>
Experience leading by example in organizations transitioning toward stronger engineering standards</li></ul>
All of our jobs come with great benefits including healthcare, parental leave and opportunities for career advancements. Some offerings are dependent upon the location of where you work and can include the following:<ul><li>
Comprehensive full medical, dental and vision Insurance</li><li>
Basic Life Insurance at no cost to the employee</li><li>
Company paid short-term and long-term disability</li><li>
12 weeks of 100% paid Parental Leave</li><li>
Health Savings Account (HSA)</li><li>
Flexible Spending Accounts (FSA)</li><li>
Retirement savings plan</li><li>
Personal Paid Time Off</li><li>
Paid holidays and company-wide Wellness Day off</li><li>
Paid time off to volunteer at nonprofit organizations</li><li>
Pet friendly office environment</li><li>
Commuter Benefits</li><li>
Group Pet Insurance</li><li>
On the job training and skills development</li><li>
Employee Assistance Program (EAP)</li></ul>
Interview Technology Notice:
Please note that phone and video interviews or screenings may be recorded and transcribed using interview technology to support our recruitment process.
By continuing with the interview, you consent to this use.
Text Messaging Notice:
If you provide a mobile phone number, you may receive job-related communications via text message. Message and data rates may apply.
You may opt out of text communications at any time by replying &ldquo;STOP.&rdquo;</div>

Software Engineering Manager

Medical Mutual of Ohio

<div><div>**Medical Mutual employees must submit their applications through MySource.</div>
<div></div>
<div>**This is a remote-based role, and we are currently seeking candidates located in Ohio.</div><div> 
</div>Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans.

Job Summary:
Under limited supervision, promotes effective use of, and provides appropriate resources and assistance to members managing their health care across the continuum of care. Applies evidence-based criteria and benefit interpretations to make coverage decisions. Collaborates with providers, members, and various internal departments to effectively direct care to quality cost-effective network providers at the appropriate level of care.

Responsibilities:
<ul>
<li>Conducts pre-certification of basic to complex outpatient services, surgical and diagnostic procedures, and out of network services to ensure compliance with medical policy, member eligibility, benefits, and contracts.</li>
<li>Evaluates clinical information using established national decision support criteria, company policies, and individual patient considerations to ensure the provisions of safe, timely, and appropriately covered healthcare services.</li>
<li>Promotes effective resource management by directing member care to accessible cost- effective network providers and coordinates services at appropriate level of care. Coordinates with other Pharmacy and Care Management departments to facilitate the timely provision of covered health care services.</li>
<li>Participates in interdepartmental coordination and communication to ensure delivery of consistent and quality health care services. Assists Claims and/or Customer Care Departments as applicable.</li>
<li>Keeps up to date on utilization management regulations, policies, and practices, including applicable coding.</li>
<li>If assigned to Preceptor/Trainer task: Orients, trains, and provides guidance to more junior or less experienced staff. Supports implementation of new procedures, processes, or clinical systems.</li>
<li>Performs other duties as assigned.</li>
</ul>
Qualifications:

Education and Experience:
<ul>
<li>Graduate of a registered nursing program approved by the Ohio State Nursing Board. Bachelor&rsquo;s degree preferred.</li>
<li>3 years of experience as a Registered Nurse with a combination of clinical and utilization/case management experience, preferably in the health insurance industry.</li>
<li>Acute care Medical/Surgical/Critical Care and ambulatory care experience preferred.</li>
</ul>
Professional Certification(s):
<ul>
<li>Registered Nurse with current State of Ohio or multistate unrestricted license.</li>
</ul>
Technical Skills and Knowledge:
<ul>
<li>Strong knowledge of health insurance benefits and network plan designs.</li>
<li>Knowledge of, and the ability to apply fundamental concepts related to HIPAA compliance and related regulations.</li>
<li>Ability to apply knowledge of health plans and industry trends to achieve positive outcomes.</li>
<li>Knowledge of clinical practices, members&rsquo; specific health plan benefits, and efficient care delivery processes.</li>
<li>Intermediate Microsoft Office skills and proficiency navigating windows and web based systems.</li>
</ul>
Medical Mutual is looking to grow our team! We truly value and respect the talents and abilities of all of our employees. That's why we offer an exceptional package that includes:

A Great Place to Work:
<ul>
<li>We will provide the equipment you need for this role, including a laptop, monitors, keyboard, mouse and headset.</li>
<li>Whether you are working remote or in the office, employees have access to on-site fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available. Enjoy the use of weights, cardio machines, locker rooms, classes and more.</li>
<li>On-site cafeteria, serving hot breakfast and lunch, at the Brooklyn, OH headquarters.</li>
<li>Discounts at many places in and around town, just for being a Medical Mutual team member.</li>
<li>The opportunity to earn cash rewards for shopping with our customers.</li>
<li>Business casual attire, including jeans.</li>
</ul>
Excellent Benefits and Compensation:
<ul>
<li>Employee bonus program.</li>
<li>401(k) with company match up to 4% and an additional company contribution.</li>
<li>Health Savings Account with a company matching contribution.</li>
<li>Excellent medical, dental, vision, life and disability insurance &mdash; insurance is what we do best, and we make affordable coverage for our team a priority.</li>
<li>Access to an Employee Assistance Program, which includes professional counseling, personal and professional coaching, self-help resources and assistance with work/life benefits.</li>
<li>Company holidays and up to 16 PTO days during the first year of employment with options to carry over unused PTO time.</li>
<li>After 120 days of service, parental leave for eligible employees who become parents through maternity, paternity or adoption.</li>
</ul>
An Investment in You:
<ul>
<li>Career development programs and classes.</li>
<li>Mentoring and coaching to help you advance in your career.</li>
<li>Tuition reimbursement up to $5,250 per year, the IRS maximum.</li>
<li>Diverse, inclusive and welcoming culture with Business Resource Groups.</li>
</ul>
About Medical Mutual:

Medical Mutual&rsquo;s status as a mutual company means we are owned by our policyholders, not stockholders, so we don&rsquo;t answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us.

There&rsquo;s a good chance you already know many of our Medical Mutual customers. As the official insurer of everything you love, we are trusted by businesses and nonprofit organizations throughout Ohio to provide high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Our plans provide peace of mind to more than 1.2 million Ohioans.

We&rsquo;re not just one of the largest health insurance companies based in Ohio, we&rsquo;re also the longest running. Founded in 1934, we&rsquo;re proud of our rich history with the communities where we live and work.

We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing.

#LI-CS1 #LI-REMOTE</div>

Prior Authorization Nurse Reviewer II

Bobbie

<div>
 
 About Bobbie
 
 
 
 Bobbie is creating a parenting culture of confidence, not comparison. And it starts with how we choose to feed our babies. We crafted our European style infant formula with purposefully sourced, organic ingredients to give parents a product they are proud to feed their babies, direct to their doorstep. Bobbie is proud to be the only US formula that is designed to meet both FDA and EU standards.
 
 
 Although 83% of parents turn to formula in the first year of their baby&rsquo;s life, this is the silent majority that is often shamed for not being able to exclusively breastfeed. Co-founded by two moms and created by a team of mom scientists, nutritionists, pediatricians, and lactation consultants, the Bobbie team knows first hand that there is no one size fits all for feeding. With Bobbie, we hope you can Bottle Boldly.
 
 
 
 The Role
 
 
 
 We're looking for a Customer Experience Specialist who doesn't see the inbox as a queue - they see it as a room full of parents who need support, reassurance, and someone genuinely in their corner.
 
 
 This is not a transactional role. You won't be moving tickets from open to closed. You'll be building trust, one conversation at a time, with families in some of their most tender and high-stakes moments. You care about accuracy and warmth in equal measure. You notice the details others scroll past. And you're always thinking about how a single interaction can deepen the relationship between a parent and the brand.
 
 
 At the same time, you understand that caring deeply and operating efficiently aren't in conflict - they're the job. You bring thoughtfulness to every response and the discipline to move with purpose, manage your time well, and keep up with a real volume of people who need you.
 
 
 The right person here knows that moving with purpose and pausing when a parent needs more aren't opposites - they're the same skill. The inbox will be full, but it should never feel like a conveyor belt.
 
 
 
 What You Will Accomplish
 
 
 
 <ul>
 <li>
 Respond to customer inquiries across channels with compassion, accuracy, and care - treating every message as a conversation, not a case number
 </li>
 <li>
 Support parents navigating feeding decisions, product questions, subscriptions, and order concerns with both expertise and empathy
 </li>
 <li>
 Recognize the nuances in every interaction - knowing when to troubleshoot, when to reassure, and when a moment calls for something more than a resolution
 </li>
 <li>
 Manage your workload with focus and consistency, maintaining high quality without sacrificing pace
 </li>
 <li>
 Look for opportunities to surprise and delight: the unexpected follow-up, the thoughtful note, the small gesture that makes someone feel truly seen
 </li>
 <li>
 Act as a bridge between customers and the broader team - surfacing patterns, flagging feedback, and helping us get better because of what you're hearing
 </li>
 <li>
 Be a living ambassador for Bobbie's mission, bringing warmth and conviction to every single touchpoint
 
 
 </li>
 </ul>
 
 What We Would Like You To Have
 
 
 
 <ul>
 <li>
 Experience in customer-facing roles where relationships - not just resolutions - were the measure of success
 </li>
 <li>
 Exceptional written communication: clear, warm, human, and free of corporate distance
 </li>
 <li>
 High emotional intelligence and genuine curiosity about the people you're talking to
 </li>
 <li>
 Strong attention to detail alongside the ability to hold the big picture at the same time
 </li>
 <li>
 Proven ability to manage volume without losing quality - you're efficient because you're organized, not because you're cutting corners
 </li>
 <li>
 Deep alignment with Bobbie's mission
 </li>
 <li>
 Comfort with ambiguity and the judgment to know when to escalate vs. when to own it
 </li>
 <li>
 Familiarity with CX platforms and comfort communicating across different channels, including social
 </li>
 <li>
 Availability to work 5 days/week, with at least one weekend day
 
 
 </li>
 </ul>
 
 You&rsquo;re Inspired By Our Core Values
 
 
 
 <ul>
 <li>
 Be Radical - We are change makers, rule breakers and stigma shakers. We are unapologetically bold and use our megaphone for good.
 </li>
 <li>
 Nurture the Tension - Parenthood is full of healthy tension, and so is building a company. We embrace the unknowns, practice humility and are a culture of learners.
 </li>
 <li>
 Deliver Ounce by Ounce - Our customers have entrusted us to feed their babies. We lose sleep over the details, so they don&rsquo;t have to.
 </li>
 <li>
 Don&rsquo;t Assume - We embrace our unique perspectives, withhold judgment, and find beauty in the paths that brought us all to Bobbie. Our strength is celebrating each other and our collective voice.
 
 
 </li>
 </ul>
 
 Compensation And Benefits
 
 
 
 
 Compensation
 
 
 
 Our salaries are based on paying competitively for our size and industry. For fully remote roles, we have a single salary target per role that is differentiated based on geographic location (Group A, B, or C).
 
 
 Group A (SF/Bay Area, Seattle, NYC): $30/hr
 
 
 Group B (Los Angeles, Chicago, Austin, Denver, Boston, Washington DC, San Diego, Philadelphia, Portland, Sacramento): $27/hr
 
 
 Group C (Albany, Atlanta, Baltimore, Baton Rouge, Birmingham, Charleston, Charlotte, Cincinnati, Cleveland, Dallas/Fort Worth, Detroit, Houston, Indianapolis, Las Vegas, Miami, Milwaukee, Nashville, New Orleans, Omaha, Orlando, Phoenix, Pittsburgh, Research Triangle, Salt Lake City, St. Louis, Tampa, Twin Cities): $25/hr
 
 
 
 Benefits
 
 
 
 <ul>
 <li>
 Competitive stock options
 </li>
 <li>
 401k with employer match
 </li>
 <li>
 Employee medical, dental, and vision insurance 100% covered by Bobbie, with options to add dependents through a subsidized pre-tax deduction
 </li>
 <li>
 US-based remote work model
 </li>
 <li>
 Flexible Time Off Policy (including Summer Fridays; half days on Fridays Memorial Day through Labor Day)
 </li>
 <li>
 16 paid company holidays, plus an end of year holiday shut down
 </li>
 <li>
 16 weeks of paid parental leave with the option to take an additional 8 months unpaid
 </li>
 <li>
 One year subscription to Bobbie or Baby's Only
 </li>
 <li>
 $75 monthly internet stipend
 </li>
 <li>
 Co-working space reimbursement
 
 
 </li>
 </ul>
 At Bobbie, we are committed to building a diverse and inclusive company. We seek to create a culture where everyone can belong because we believe that people do their best work when they can show up every day as their authentic selves. We welcome people of different backgrounds, experiences, abilities, and perspectives.
 
 
 Bobbie is an equal opportunity employer. We do not make hiring or employment decisions on the basis of race, religion, color, national origin, gender, gender identity, sexual orientation, age, marital status, veteran status, disability status or genetic information, in compliance with applicable federal, state and local law.
 
 
 Bobbie Personnel Privacy Policy and Notice at Collection
</div>

Customer Experience Specialist

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