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LVN Healthcare Coordinator Wellmed Carrollton-logo
LVN Healthcare Coordinator Wellmed Carrollton
UnitedHealth Group Inc.Carrollton, TX
$1,500 Sign On Bonus For External Candidates 8 days of PTO & Closed on Major Holidays, 401K Match WellMed, part of the Optum family of businesses, is seeking a LVN Healthcare Coordinator to join our team in Carrollton, TX. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone. At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together. The Nurse Case Manager I (NCM) is responsible for patient case management for longitudinal engagement, coordination for discharge planning, transition of care needs and outpatient patient management through the care continuum. The Nurse Care Manager will determine medical appropriateness of outpatient services following evaluation of medical guidelines and benefit determination. The Nurse Case Manager will coordinate, or provide appropriate levels of care under the direct supervision of an RN or MD. Function is responsible for clinical operations and medical management activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring and evaluating). This includes case management, coordination of care, and medical management consulting. Function may also be responsible for providing health education, coaching and treatment decision support for patients. This role acts as a support to team members, coaching, guiding and providing feedback as necessary. The Nurse Case Manager will act as an advocate for patients and their families guide them through the health care system for transition planning and longitudinal care. The Nurse Case Manager will work in partnership with an assigned Care Advocate and Social Worker. Primary Responsibilities: Engage patient, family, and caregivers telephonically to assure that a well-coordinated action plan is established and continually assess health status Provide member education to assist with self-management goals; disease management or acute condition and provide indicated contingency plan Identify patient needs, close health care gaps, develop action plan and prioritize goals With oversight of RN and/or MD, utilizing evidence-based practice, develop interventions while considering member barriers independently Provide patients with "welcome home" calls to ensure that discharged patients' receive the necessary services and resources according to transition plan In partnership with care team triad, make referrals to community sources and programs identified for patients Utilize motivational interviewing techniques to understand cause and effect, gather or review health history for clinical symptoms, and determine health literacy Manages assessments regarding patient treatment plans and establish collaborative relationships with physician advisors, clients, patients, and providers Collaborates effectively with Interdisciplinary Care Team (IDCT) to establish an individualized transition plan and/or action plan for patients Independently confers with UM Medical Directors and/ or Market Medical Directors on a regular basis regarding inpatient cases and participates in departmental huddles Demonstrate knowledge of utilization management processes and current standards of care as a foundation for utilization review and transition planning activities Maintain in-depth knowledge of all company products and services as well as customer issues and needs through ongoing training and self-directed research Manage assigned caseload in an efficient and effective manner utilizing time management skills Enters timely and accurate documentation into designated care management applications to comply with documentation requirements and achieve audit scores of 95% or better on a monthly basis Maintain current licensure to work in state of employment and maintain hospital credentialing as indicated Performs all other related duties as assigned In 2011, WellMed partnered with Optum to provide care to patients across Texas and Florida. WellMed is a network of doctors, specialists and other medical professionals that specialize in providing care for more than 1 million older adults with over 16,000 doctors' offices. At WellMed our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. WellMed has more than 22,000+ primary care physicians, hospitalists, specialists, and advanced practice clinicians who excel in caring for 900,000+ older adults. Together, we're making health care work better for everyone. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Licensed Practical/Vocational Nurse Current, unrestricted LPN/LVN license required, specific to the state of employment 2+ years of managed care and/or case management experience 2+ years of clinical experience Proven knowledge of managed care, medical terminology, referral process, claims and ICD-10 codes Proven excellent verbal and written skills Preferred Qualifications: Case Management certification Proven knowledge of utilization management and/or insurance review processes as well as current standards of care, a solid knowledge of health care delivery systems and the ability to interact with medical directors, physician advisors, clinicians and support staff Proficient computer skills in Microsoft applications and Microsoft Excel Demonstrated skills in planning, organizing, conflict resolution, negotiation and interpersonal skills to work with autonomy in meeting case management goals and initiatives Demonstrated ability to work independently in accomplishing assignments, program goals and objectives Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 to $35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Posted 4 weeks ago

Consulting Director, Healthcare Supply Chain Automation-logo
Consulting Director, Healthcare Supply Chain Automation
Huron Consulting GroupChicago, IL
Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise. Join our team as the expert you are now and create your future. At Huron, Directors represent the pinnacle of professionalism and expertise. They effectively collaborate with Huron and client senior leaders to design and implement complex and sustainable solutions while delivering remarkable results for our clients that often exceed engagement objectives. Throughout their projects, they develop enduring client relationships that benefit the firm in profound ways including networking, ongoing business development, and sales opportunities. Their talents and leadership qualities instill passion and trust in clients, junior staff members, and Huron management. If you can lead teams, create customized solutions, and masterfully communicate on every level…If you're a consummate professional, a prospective champion of integrity and excellence, and an inspiration of confidence and trust… then you can and will-leave your mark on the future of consulting. Create your future at Huron. Key Responsibilities: Drive intelligent automation solutions to develop and implement strategies for SC cost reduction and efficiency. Identify and implement intelligent automation opportunities to streamline internal SC methodologies with a focus on improving quality and reducing the cost to deliver. Identify third party solutions and relationships to accelerate SC intelligent automation through partnerships and potential acquisitions. Leverage automated solutions to optimize the review of purchased services, clinical supplies, and GPO contracts. Collaborate with clinical teams to streamline procurement of clinical supplies and physician preference items using technology. Develop and implement intelligent automation tools to drive best practices in inventory management. Design and oversee automated inventory management systems to maintain optimal stock levels. Assist in developing proposals and presentations for potential clients, highlighting technological efficiencies. Build relationships with internal and external stakeholders, focusing on technology-driven initiatives. Communicate progress and outcomes of supply chain improvements to executive leadership. Lead cross-functional teams to achieve organizational goals through innovative solutions. Qualifications: Bachelor's degree in Supply Chain Management, Business Administration, Healthcare Administration, or a related field. Advanced degree preferred. Minimum of 7-10 years of experience in healthcare supply chain management and consulting. Proven track record of developing SC intelligent automation solutions to achieve cost reductions and process improvements Strong knowledge of GPOs, clinical supplies, physician preference items, and purchased / support services. Experience with inventory management systems and automation technologies. Experience with developing automated or AI solutions to meet internal or client needs. Experience with Large Language Models and their use in the healthcare industry. Excellent analytical, problem-solving, and communication skills. Ability to work collaboratively in a fast-paced, dynamic environment. #LI-RH1 The estimated base salary range for this job is $170,000 - $215,000. The range represents a good faith estimate of the range that Huron reasonably expects to pay for this job at the time of the job posting. The actual salary paid to an individual will vary based on multiple factors, including but not limited to specific skills or certifications, years of experience, market changes, and required travel. This job is also eligible to participate in Huron's annual incentive compensation program, which reflects Huron's pay for performance philosophy. Inclusive of annual incentive compensation opportunity, the total estimated compensation range for this job is $212,500 - $290,250. The job is also eligible to participate in Huron's benefit plans which include medical, dental and vision coverage and other wellness programs. The salary range information provided is in accordance with applicable state and local laws regarding salary transparency that are currently in effect and may be implemented in the future. Position Level Director Country United States of America

Posted 2 weeks ago

Senior Consultant, Infor Payroll- Digital Healthcare (Evergreen) (Open)-logo
Senior Consultant, Infor Payroll- Digital Healthcare (Evergreen) (Open)
Huron Consulting GroupChicago, IL
Huron is a global consultancy that collaborates with clients to drive strategic growth, ignite innovation and navigate constant change. Through a combination of strategy, expertise and creativity, we help clients accelerate operational, digital and cultural transformation, enabling the change they need to own their future. Join our team as the expert you are now and create your future. Huron consultants are industry experts interested in short and long-term contracts and/or interim staffing opportunities JOB RESPONSIBILITIES: Provide consulting and subject matter expertise to client's by assessing, identifying, and providing solutions to their Infor Payroll System. Provide guidance on workflows, system design, build, training, testing and integration points. changes and ongoing maintenance. Conduct system testing and validation to ensure functionality and data integrity. Identify opportunities for system optimization and enhancement to improve efficiency and user satisfaction. Provide ongoing technical support and troubleshooting for end-users. Develop and maintain documentation for system configurations, processes, and training.. Create user guides, manuals, and other educational resources to support learning and adoption. Coordinate and manage project timelines, resources and deliverables during implementation and optimization projects. Work closely with project leadership, including documentation and facilitation. Work directly with end users. Monitor workflows, provide documentation, and optimization suggestions. Maintain strong communication with PM, leader and team to promote a collaborative working environment. REQUIRED EXPERIENCE: Must have previous experience working as a Senior Infor Payroll Consultant. Must be able to develop a Common Paymaster and must have prior experience developing and implementing a Common Paymaster. Must have Infor v10 system experience. Current permanent U.S. Work authorization required. PREFERRED EXPERIENCE: Undergraduate Degree (e.g. BA, BS) Previous consulting experience in the public sector healthcare industry The estimated base hourly range for this job is $65.00 to $85.00. The range represents a good faith estimate of the range that Huron reasonably expects to pay for this job at the time of the job posting. The actual salary paid to an individual will vary based on multiple factors, including but not limited to specific skills or certifications, years of experience, market changes, and required travel. The job is also eligible to participate in Huron's benefit plans which include medical, dental and vision coverage and other wellness programs. The salary range information provided is in accordance with applicable state and local laws regarding salary transparency that are currently in effect and may be implemented in the future. Posting Category Generalist Opportunity Type Contractor Country

Posted 2 weeks ago

Night Floor Tech - Commercial Services - Beebe Healthcare-logo
Night Floor Tech - Commercial Services - Beebe Healthcare
MastercorpLewes, DE
Join Our Team at MasterCorp, Inc.! At MasterCorp, Inc., we provide exceptional service and innovative solutions in the hospitality industry. As a leader in our field, we believe in the power of teamwork, integrity, and a commitment to excellence. Our dynamic and inclusive workplace fosters growth, creativity, and the opportunity to make an impact. We are looking for passionate and driven individuals to join our team and help us continue to deliver outstanding results for our clients. Start your hospitality career with MasterCorp, the leader in housekeeping and hospitality services! Join a team of dedicated, passionate individuals and enjoy competitive pay along with a full benefits package. $17/Hour Shift: Monday - Friday 6:30pm-2:30am Don't miss out-APPLY TODAY! What We're Looking For: Friendly, enthusiastic, and hard-working individuals who are passionate about hospitality and committed to providing exceptional service, ensuring guests feel safe and cared for during their vacation. Position Overview Responsible for consistently meeting quality and timeliness standards in the floor/carpet care of commercial properties. A Floor Tech must ensure he / she follows the company mission statement and values. The purpose of this position is to achieve a standard of floor/carpet care in the most efficient way to serve customers/tenants with great quality. Essential Functions Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Maintain a high standard of excellence. Makes sure timesheets are completed per job site. Dust mop/sweep hard surface floors. Buff floors Scrub floors Lay wax Strip wax Carpet extraction Shampooing carpet Report unit maintenance issues as per company procedure. Report damaged, dirty or stained carpets. Ensure a safe working environment at each site and office. Utilize supplies and equipment efficiently and effectively. Utilize time wisely and efficiently. Experience and Education Requirements High School Diploma or equivalent combination of education and work experience. Floor technician experience a plus. Strong work ethic. Ability to learn and change behavior. Work irregular hours. Travel - rarely MasterCorp Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, MasterCorp Inc. complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. Equal Opportunity Employer Statement: We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. ____ Thank you for considering a career with MasterCorp, Inc. We look forward to reviewing your application.

Posted 2 weeks ago

Healthcare Planner - Senior-logo
Healthcare Planner - Senior
GenslerNew York, NY
Your Role At Gensler, we design for people. We leverage our global perspective and local presence to innovate at every scale. We're not just designers. We're tinkerers, craftspeople, visionaries, innovators and thought leaders. Fueled by passion and entrepreneurial spirit, our people bring new ideas to solve challenging problems. Whether you're into sketching new ideas, hacking a building or growing client relationships in global markets, there's something here for everyone. As a Healthcare Planner, your job is to combine creativity and technical knowledge with business skills and understanding to produce functionally beautiful spaces for clients. It's your job to collaborate with a team of architects and designers to deliver unparalleled architectural projects. With you as part of the design team, architecture has never been so engaging. You will leverage your technical acumen and Revit skills to drive client projects from concept through build in a collaborative team. What You Will Do Assist in creating, reviewing, and coordinating the architectural floor plans, interior elevations, reflected ceiling plans and equipment plans of clinical spaces Follow the planning and design information through the production and implementation documentation process to ensure continuity of the design intent Actively support firmwide sustainability and resilience goals, guiding clients and project teams toward multi-benefit sustainable and resilient design solutions Participate in the conceptual design of healthcare projects (medical centers, medical office buildings, hospitals, outpatient clinics, surgery centers, community health centers, etc.) Translate client operational model into architectural design/medical plan May serve as the point of contact for client questions Apply governing regulatory codes and hospital licensing standards, and validates that those requirements are met Collaborate with end users to create solutions in real-time Coordinate or prepares drawings and designs in accordance with Gensler standards, best practice, and quality expectations Participate in and may lead team meetings to discuss project issues, technical issues and coordination with other disciplines Maintain detailed documentation of client meetings May be responsible for preparing meeting minutes and other appropriate documents for consultant coordination meetings Understand fundamental accounting principles and the project accounting process Collaborate in and may be responsible for delivering a project on defined budget requirements Understand research methodology and integrates research into practice Leverage cross functional teams and the Gensler Research institute to develop informed and purposeful user-centric design solutions to unlock strategies which will drive innovation in the healthcare industry Your Qualifications Bachelor's degree in Architecture from an accredited school 10+ years of related experience as a Medical Planner, healthcare design and planning background Highly proficient with Revit Knowledge of 3D modeling software (including Rhino and Grasshopper) preferred LEED AP and Registered Architect (or in process) preferred Experience with developing thought leadership publications and participating in speaking engagement preferred Experience leading user group meetings and working with hospital senior leadership Experience with NYS DOH Certificate Of Needs process Advanced knowledge of current healthcare planning and programming concepts including patient safety, evidence-based design principles, and general industry benchmarks. Understanding of the medical equipment planning process and experience working with medical equipment planners Strong knowledge of architectural building systems, building codes and accessibility guidelines Flexibility to focus on concurrent projects in various stages of development A quick learner with an ability to thrive in a fast-paced work environment Collaborative and team-conscious Must have the ability to maintain existing client relationships and build new client relationships through successful project delivery The base salary range will be estimated between $100-130k plus bonuses and benefits and contingent on relevant experience. Life at Gensler At Gensler, we are as committed to enjoying life as we are to delivering best-in-class design. From curated art exhibits to internal design competitions to "Well-being Week," our offices reflect our people's diverse interests. We encourage every person at Gensler to lead a healthy and balanced life. Our comprehensive benefits include medical, dental, vision, disability, wellness programs, flex spending, paid holidays, and paid time off. We also offer a 401k, profit sharing, employee stock ownership, and twice annual bonus opportunities. Our annual base salary range has been established based on local markets. As part of the firm's commitment to licensure and professional development, Gensler offers reimbursement for certain professional licenses and associated renewals and exam fees. In addition, we reimburse tuition for certain eligible programs or classes. We view our professional development programs as strategic investments in our future. #LI-RF1

Posted 30+ days ago

Pharmacy Strategy Advisor - Cigna Healthcare - Hybrid-logo
Pharmacy Strategy Advisor - Cigna Healthcare - Hybrid
CignaDenver, CO
The Cigna Healthcare Pharmacy Management team is seeking a Pharmacy Strategy Advisor who is strategic, has excellent communication skills, extremely organized, and handles ambiguity well. We are looking for the right candidate who can support the overall vision, goals, and objectives of the Cigna Healthcare integrated Pharmacy business. This position will require extensive coordination with cross-functional partners, The Pharmacy Strategy Advisor will be responsible for supporting the department in strategy development and delivery, product roadmap, portfolio funding prioritization, and special projects to support Cigna Pharmacy sales growth, client retention, and enterprise goals. Additionally, this role will be responsible for participating in innovation and ideation activity for new value creation, key initiative tracking and governance, and project management as needed. The position will report to the Director, Pharmacy Strategy within the Pharmacy Strategy team of Cigna Healthcare. A successful individual in this role will have a deep understanding of pharmacy benefits, clinical programs and customer experience as well as strong analytic, communication, and decision-making skills. The position works closely with cross-functional partners across the enterprise including matrix partners within Express Scripts, Evernorth, and Accredo in addition to the Enterprise Strategy team, Finance, Actuary, Sales, and Senior Leadership. Excellent organizational skills, attention to detail and the demonstrated ability to deliver quality, finished work is a must. Advanced experience with Excel, PowerPoint, and Word is essential and experience with Smartsheets or Wrike as a project management tool is necessary. ESSENTIAL FUNCTIONS Provide support across the Senior Leadership team on strategy development, activation and delivery Provide support and coordination on the Pharmacy component within the US Employer strategy memo Partner with cross functional teams and matrix partners on the product roadmap, portfolio funding, and special projects as defined Participate in new value creation activities such as innovation labs and ideation sessions Govern, track, and report out via appropriate communication channels on key initiative progress and action items Provides support for the development, enhancement, and evaluation of the Pharmacy Product portfolio. Other product management responsibilities as assigned QUALIFICATIONS Bachelor's degree or equivalent experience required. 5+ years' experience in insurance or healthcare industry with 3+ years' experience in pharmacy benefit. Excellent written and verbal communication skills, including demonstrated ability to quickly translate ideas and insights into presentation-ready documents Excellent meeting facilitation and organizational skills Strong strategic, financial, and analytical skills A self-starter with advanced problem-solving skills who has the initiative to work cross-functionally to resolve issues and generate results Demonstrated ability to think/act strategically and influence key leaders and matrix partners Ability to prioritize and balance workload accordingly, detail-oriented and proactive Excellent communication skills (verbal, written, and presentation), especially with the ability to work with executives, clients and broad teams; tailoring communication per audience Demonstrated ability to work with remote personnel to achieve agreed upon goals and objectives If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 100,400 - 167,400 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group. About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Posted 5 days ago

Clinic Healthcare Coordinator LVN Wellmed At Clearfork - Fort Worth, TX-logo
Clinic Healthcare Coordinator LVN Wellmed At Clearfork - Fort Worth, TX
UnitedHealth Group Inc.Fort Worth, TX
WellMed, part of the Optum family of businesses, is seeking a Clinic Healthcare Coordinator LVN to join our team in Fort Worth, TX. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone. At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together. The LVN Health Coach is responsible for successfully supporting Disease Management/Chronic Care Program requirements for medical group/health plan members. The Health Coach acts as an educator, resource, and advocate for members and their families to ensure a maximum level of independence. The LVN Health Coach will interact and collaborate with multidisciplinary care teams, which include physicians, nurses, pharmacists, laboratory technologists, social workers, and other educators. The LVN Health Coach will assist in providing patient empowerment through the use of motivational interviewing skills, problem solving, and self-management goal setting. Primary Responsibilities: Works with the PCP and clinic staff to identify patients with high risk diagnoses such as CHF, IHD, COPD/asthma and diabetes and ensures clinical guidelines are being followed Contacts and performs initial interviews with patients who are in need of health coaching programs Conducts Chronic Care Model visits and reviews the patient's informal and formal support systems, focusing on what patients want to improve and educating them about their chronic disease Provide necessary coaching to reduce or eliminate behaviors that are considered high-risk Identify the required goals that each patient must fulfill and advice feasible options for achieving goal Ensure that patients are made aware of health issues, concerns and the way in which one could combat them Must raise awareness about the different available exercises, weight loss programs and other dietary requirements necessary for a healthy lifestyle Utilizes appropriate motivational interviewing techniques necessary for coaching and assisting the patient to complete a self-management goal/action plan Must be able to provide a chart of habits and lifestyle changes that are imperative for the improvement of the concerned patient's health Enters timely and accurate data into the electronic medical record to communicate patient needs and to ensure complete documentation of patient visits and phone calls. Tracks self-management goal outcomes and documents in electronic medical record Maintains current knowledge regarding CHF, IHD, COPD/asthma and diabetes as well as related treatments and complex medications Assists, initiates referrals, and coordinates transitions of car regarding hospitalization follow-up, palliative care, hospice, etc. Establishes a trusting relationship with identified patients, caregivers, clinic staff members and physicians Attends educational offerings to keep abreast of change and complies with licensing requirements, ensures all patient educational materials are up-to-date, and maintains knowledge of specialty and ancillary provider contract contents, to include exclusions and contract terms Conducts clinic one-on-one visits with Disease Management Chronic Care Program participants, utilizing the Chronic Care Model, to assess patient needs for DME, home health, value-added services and any other necessary resources. Communicates these needs to the appropriate person (i.e. Social Worker, clinic staff, etc.) or addresses them per process Collaborates with the nurse manager to recommend policies, procedures and standards which affect the care of the patient with high-risk chronic disease diagnoses such as CHF, IHD, COPD/asthma and diabetes Performs all other related duties as assigned. i.e. IV Insertion with hydration fluid administration, wound care, dressing changes, suture removal, insertion and removal of urinary catheters, and etc. This is a clinic base position located in Fort Worth, TX. In 2011, WellMed partnered with Optum to provide care to patients across Texas and Florida. WellMed is a network of doctors, specialists and other medical professionals that specialize in providing care for more than 1 million older adults with over 16,000 doctors' offices. At WellMed our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. WellMed has more than 22,000+ primary care physicians, hospitalists, specialists, and advanced practice clinicians who excel in caring for 900,000+ older adults. Together, we're making health care work better for everyone. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: High school diploma or GED Licensed Vocational Nurse with a current license to practice in the state of employment 2+ years of experience in a physician's office, clinical or hospital setting Cardiac, medical-surgical and/or critical care experience Experience related to patient education and/or motivational interviewing skills and self-management goal setting Proficient knowledge of chronic diseases, especially COPD/asthma, diabetes, CHF and IHD Proficient computer skills, including Microsoft Word, Excel, Access and Outlook Proven excellent verbal and written skills Proven ability to interact productively with individuals and with multidisciplinary teams Proven excellent organizational and prioritization skills Preferred Qualifications: 5+ years of experience in a physician's office, clinical or hospital setting Knowledge of managed care, referral processes, claims and ICD-9 and CPT coding Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 to $35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Posted 3 weeks ago

Project Superintendent - Healthcare Construction-logo
Project Superintendent - Healthcare Construction
McCarthy Building Companies, Inc.Houston, TX
Job Opportunities Project Superintendent- Healthcare Construction Field Operations- Houston, TX McCarthy Building Companies, Inc. is America's premier, 100% employee owned commercial construction company. With offices nationwide, we specialize in a wide range of project types that are as diverse and wide-ranging as the communities in which we build. Our innovative teams collaborate with clients and industry partners starting in the earliest stages of design, throughout construction and beyond project completion. McCarthy's reputation for tackling the toughest building challenges starts with our focus on developing high-performing individuals and teams. We do this through our award winning training programs, a best in class Total Rewards program, and a focus on equipping diverse teams of employee owners through a connected and inclusive culture aligned with our values of: Genuine. We, Not I. All In. How do McCarthy partners define our culture? We Live Our Core Values: We do whatever it takes to deliver on our promises with honesty and integrity in alignment with our Strategic Map. We Are Employee Owned: We are personally invested in building the things people need in our communities. We Feel Like A Family: We value human to human connections and help each other succeed. We Are Builders: We respect the work we do and everyone who helps make it happen. Position Summary McCarthy's Houston Commercial Business Unit is seeking an experienced Project Superintendent to join our field operations team on a healthcare megaproject in Houston, TX. The Project Superintendent is a critical field leadership position and is foundational to our projects' success and safety. The Project Superintendent will oversee construction of the project in the field, providing leadership to field foremen and ensuring successful completion of trade work. The Project Superintendent will also work closely with the Project Manager to ensure timely and quality completion of construction process. Key Responsibilities Assist with bidding opportunities and preconstruction services, development of chart of accounts, CPM schedules, detailed scopes of work and site logistics plan and with the shop drawing and submittal process Maintain a thorough understanding of contract documents Manage McCarthy's labor force to achieve optimum performance, providing leadership in the quality process and safety/accident prevention programs, as well as EEO and Affirmative Action programs Review and understand material/equipment budgets and negotiate purchase orders/rental rates, monitoring project costs and identifying areas for improvement Document daily construction activities Chair weekly subcontractor coordination meetings Qualifications 10+ years of experience with healthcare, commercial, laboratory, aviation, education and/or parking structures construction required Knowledge of construction principles/practices required Experience directing and coordinating trades with self-perform concrete background preferred Experience working with Project Management team including successful completion of projects McCarthy is proud to be an equal opportunity employer, including disability and protected veteran status. #LI-DNI

Posted 2 weeks ago

Plant Healthcare Tech | Chesterfield, MI-logo
Plant Healthcare Tech | Chesterfield, MI
Davey TreeChesterfield, MI
Company: The Davey Tree Expert Company Locations: Chesterfield, MI Additional Locations: . Work Site: On Site Req ID: 210392 Position Overview Performs fertilization and pest management on trees, shrubs and lawns using spray and injection tools by performing the following duties. Job Duties What You'll Do: Cultivate your career and fertilize your future! Properly identify and diagnose insects, weeds, fungus conditions, and pest prone areas. Communicate with and educate the client regarding the diagnosis and the prescribed pest control, and fertilization service with customers. Perform the prescribed fertilization and integrated pest management on tree and shrubs using spray and injection tools. Continuously monitor the pest control and fertilizing methods after application and communicate progress to customers and supervisors. Drive, use, maintain and properly operate truck and sprayer equipment. Qualifications What We're Seeking: Love of the outdoors Preferred: Background in Horticulture or Landscaping Preferred: Turf, Weed, Tree and shrub ID knowledge Ability to complete the Davey landscape career development books upon hire Ability to complete the Davey First Aid, CPR and defensive driving course upon hire Valid driver's license Preferred: Relevant pesticide and related licenses and certificates, if required by state law Additional Information What We Offer: * Paid Time off and paid holidays Opportunities for advancement All job specific equipment and safety gear provided 401(k) retirement savings plan with a company match Employee-owned company & discounted stock purchase options Group Health Plan Employee referral bonus program Locations throughout US in major cities and desirable areas Career Development Program supported by Industry Expert Safety Specialists & Skills Trainers Scholarship Program for Children of Employees Charitable matching gift program all listed benefits available to eligible employees Company Overview Invest in your future. Join one of the largest Employee Owned companies in the nation! Davey has a unique culture that focuses on the open exchanging of ideas, community partnership, a commitment to safety, and delivering unrivaled client service while acting as industry leaders in horticultural and environmental services. We are currently looking to add a dynamic Plant Healthcare Technician to our passionate team of landscape professionals. Your office is outdoors, and you get a new view every day! Divisional Overview The Davey Tree Expert Company is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to protected class, including race, color, religion, sex, pregnancy, sexual orientation, gender identity or expression, national or ethnic origin, marital or familial status, disability, status as a protected veteran, status as an Aboriginal or Indigenous person, or other classification protected by law. The Davey Tree Expert Company provides research-driven tree services, grounds maintenance and environmental consulting for residential, utility, commercial and environmental partners in the U.S. and Canada. We care about our clients, each other and the world around us. We offer the resources, size and stability of a big company while maintaining the culture, entrepreneurial spirit and feel of a small one. We invest in our employees by offering industry-leading training, technology and benefits that lead to a rewarding and safe work experience at all levels. Wherever you want to grow your career, there's a place for you at Davey. To learn more, visit Davey.com. Accommodations: If requested by employee or otherwise as required by law, reasonable accommodations will be made to enable employees with disabilities to perform essential job functions. If you need assistance at any time, please contact us at 1-877-411-7601 or at Recruiting@davey.com. Employment Type: Permanent Job Type: Full Time Travel Expectations: None

Posted 30+ days ago

Senior Manager - Healthcare Consulting-logo
Senior Manager - Healthcare Consulting
EisnerAmperPhiladelphia, PA
Job Description At EisnerAmper, we look for individuals who welcome new ideas, encourage innovation, and are eager to make an impact. Whether you're starting out in your career or taking your next step as a seasoned professional, the EisnerAmper experience is one-of-a-kind. You can design a career you'll love from top to bottom - we give you the tools you need to succeed and the autonomy to reach your goals. EisnerAmper is seeking a Senior Manager for our Health Care Consulting Group. In this role, you will focus on client service projects pertaining to Hospitals and Medical Centers, Physician Practices and Networks, Government Entities, and Accountable Care Organizations. In addition, you will be responsible for the oversight and execution of large, multi-faceted client projects and/or multiple projects simultaneously. What it Means to Work for EisnerAmper: You will get to be part of one of the largest and fastest growing accounting and advisory firms in the industry You will have the flexibility to manage your days in support of our commitment to work/life balance You will join a culture that has received multiple top "Places to Work" awards We believe that great work is accomplished when cultures, ideas and experiences come together to create new solutions We understand that embracing our differences is what unites us as a team and strengthens our foundation Showing up authentically is how we, both as professionals and a Firm, find inspiration to do our best work What Work You Will be Responsible For: Performs comprehensive assessments of client needs and develops client delivery strategy to address the needs while driving profitability. Promote the longevity of the client relationship through quality delivery, innovative solutions, and singular business insights Works with other leadership to define project scope and deliver a detailed plan for a successful outcome based on project objectives. Estimates effort and resources required for responsibilities and ensures all are prioritized effectively and delivered on time Proven ability to assess and improve RCM processes to enhance reimbursement, reduce denials, and decrease days in A/R. Lead RCM transformation projects such as workflow redesign, technology implementation or vendor optimization Exhibits excellent client service skills including the identification of opportunities to provide additional services to clients and/or non-clients. Supports business development activities including client relationship development, program-specific positioning activities, teaming arrangements, proposal preparation, presentations, and contract negotiations consistent with established business development processes. Builds and maintains a growth pipeline, gather referrals, and maintain extensive knowledge on the firm's service lines and offerings, as well as market conditions and penetration of services and solutions. Reports to EisnerAmper Advisory leadership (Partners, Directors, Managing Directors) regarding status of client engagements, including all risks, issues, and opportunities and proactively identifies solutions to address them. May be required to occasionally work extended hours, or travel to/work from different firm offices and/or client locations Basic Qualifications: Bachelor's degree in Business, Health Administration, or related field is required 5+ years in a management or supervisory role 8+ years of related and progressive health care management consulting or health care financial and operations experience Revenue Cycle Management experience is required Preferred/Desired Qualifications: Ability to travel up to 30% Master's Degree in Business, Health Administration, or related field is preferred EisnerAmper is proud to be a merit-based employer. We do not discriminate on the basis of veteran or disability status or any protected characteristics under federal, state, or local law. About our Healthcare Sector Services Group: The Health Care Consulting Group provides tailored services to a wide range of clients: hospitals and health systems, academic medical centers, physician and ancillary services practices, entrepreneurs and PE Firms, managed care entities and government agencies. EisnerAmper assists our health care clients in creating and maintaining a value-based network, implementing positive operational improvements and building sustainable plans to meet strategic, financial and growth goals. The Health Care Consulting Group takes a hands-on approach to optimize performance and revenue through improved operations, governance structures and planning processes while leveraging data and analytics. The team has significant experience with deal structure design, valuation, and negotiations, as well as value-based contracting and assessing clinical programs. About EisnerAmper: EisnerAmper is one of the largest accounting, tax, and business advisory firms, with approximately 450 partners and 4,500 employees across the world. We combine responsiveness with a long-range perspective; to help clients meet the pressing issues they face today and position them for success tomorrow. Our clients are enterprises as diverse as sophisticated financial institutions and start-ups, global public firms, and middle-market companies, as well as high net worth individuals, family offices, not-for-profit organizations, and entrepreneurial ventures across a variety of industries. We are also engaged by the attorneys, financial professionals, bankers, and investors who serve these clients. Should you need any accommodations to complete this application please email: talentacquisition@eisneramper.com #LI-LH1 #LI-Hybrid #LI-Remote Preferred Location: New York For NYC and California, the expected salary range for this position is between 120000 and 200000 The range for the position in other geographies may vary based on market differences. The actual compensation will be determined based on experience and other factors permitted by law.

Posted 2 weeks ago

Aurora Response And Support Call Center (Healthcare/Mental Health) -Part Time (Remote)-logo
Aurora Response And Support Call Center (Healthcare/Mental Health) -Part Time (Remote)
Aurora ServicesEau Claire, WI
Your New Beginning Starts Here! Call for details 715-835-9202! Paid Training Hiring in WI, CO, or MI We're more than a human services agency-we're partners in transformation, walking alongside you on the journey to a fuller, richer life. We are seeking passionate and committed individuals to work in our call center; providing a one-stop resource for individuals needing a wide range of services, providing telephonic assistance with the Employee Achievement Program (EAP), Crisis Line, Scheduling/On Call, Injury Hotline, and Mental Health Support. For over 35 years, Aurora has been a leader in providing customized services that support individuals with disabilities, chronic mental illness, and traumatic brain injuries in residential settings. We value employees that are passionate about making people smile every day by empowering them to live as independently as possible. Responsibilities Manage activities securely and confidentially while maintaining professional therapeutic boundaries Operate a multiple-line telephone system and respond to calls promptly Prioritize a variety of incoming calls/emails and direct to appropriate resource Provide assistance/support while utilizing problem resolution techniques Analyze and de-escalate calls as necessary, remaining calm in any type of situation Document telephonic support services and maintain accurate schedules Write reports and correspondence Conduct calendar/appointment reminders or modifications Communicate training tracking/documentation to corporate office Effectively present information to individuals, small groups, staff, and management Provide team support and assistance in orientation/training of new team members Answer questions clearly, completely, and precisely Creatively problem solve, implement organizational multi-tasking, and provide excellent customer service in demanding situations Attend department/management meetings as scheduled Ensure safe work practices Perform other duties as assigned Competencies Problem Solving - identify and resolves problem in a timely manner, gathering and analyzing information skillfully Interpersonal Skills - maintain confidentiality, remaining open to others' ideas and exhibiting willingness to try new things Oral Communication - speak clearly and persuasively in positive or negative situations; demonstrating group presentation and meeting skills Written Communication - edit work for spelling and grammar, presenting numerical data effectively, and ability to read and interpret written information Planning/Organizing - prioritize and plan work activities, using time efficiently, and develop realistic action plans Quality Control - ensure accuracy, quality, and thoroughness by effectively monitoring own work Adaptability - adapt to changes in the work environment, manage competing demands, and deal with frequent change, delays, or unexpected events Dependability -consistently at work and on time, following instructions, responding to management direction, and soliciting feedback to improve performance Safety and Security - actively promote, personally observe, and promote safety/security procedures, using equipment and materials properly Benefits may Include: Option to get paid before payday Employee discount- Verizon and Dell Health Insurance Life Insurance Dental Insurance Vacation/Personal Hours Employee Stock Ownership 401-K Employee Achievement Program Longevity Bonus for Part Time or Full Time Employees Casual dress (no uniforms), fun work atmosphere And more Training is held Monday- Friday 6a-2p/8a-4p CST for rouhly 3 weeks Training $14/hr. and $15/hr once completed with training If you are looking to make a difference, join the Aurora team! Aurora Community Services is proud to be an Employee Owned Company! An EOE/AA Employer

Posted 2 weeks ago

W
Senior Product Manager, Consumer Driven Healthcare
WEX Inc.Washington, MN
Job Description- Senior Product Manager About the Team / Role At WEX Benefits, we're building world-class experiences that simplify complex processes and empower our customers to thrive. As a Senior Product Manager, you'll play a key role in shaping and delivering solutions that drive value for our customers and business. You'll turn insights into action, guide product strategy, and lead agile teams to bring innovative ideas to life. In this role, you'll own and evolve the product roadmap, collaborate across disciplines, and lead initiatives that elevate our platform and fuel growth. If you're passionate about solving real customer problems, enjoy working in fast-paced, cross-functional teams, and want to make a meaningful impact-this role is for you. What You'll Do Champion the voice of the customer and use data to inform decisions, shape strategy, and drive outcomes Lead 1-2 scrum teams, guiding execution from concept through delivery using agile best practices Build strong partnerships across engineering, UX, analytics, and business teams to align on vision and priorities Identify and drive opportunities to grow our platform, expand revenue streams, and support new business models Translate strategy into actionable plans by defining product requirements, writing user stories, and managing backlogs Continuously experiment, measure impact, and iterate to improve product performance and user experience Coach and collaborate with other PMs to share insights, align roadmaps, and deliver cohesive solutions How You'll Engage Strategic Mindset- Connect daily work to company strategy and market trends Customer Obsessed- Deeply understand user needs and champion their experience Results Focused- Drive measurable business value through thoughtful prioritization and execution Insights Driven- Use data and experimentation to guide decisions Trusted Partner- Communicate clearly, collaborate openly, and influence with credibility Relevant Expertise- Bring strong product instincts, technical curiosity, and domain depth Inspiring Communicator- Present product strategy and outcomes with clarity and confidenc What You'll Bring 8+ years of experience in product management or related roles (product owner, UX, business analyst, etc.) Bachelor's degree required Proven track record of delivering impactful, technology-driven products Strong understanding of agile methodologies, product discovery, and iterative delivery Experience writing clear, actionable requirements and documentation Ability to navigate technical conversations and align on solutions with engineering Experience defining and testing hypotheses to drive product improvement A collaborative spirit, continuous learning mindset, and a passion for innovation The base pay range represents the anticipated low and high end of the pay range for this position. Actual pay rates will vary and will be based on various factors, such as your qualifications, skills, competencies, and proficiency for the role. Base pay is one component of WEX's total compensation package. Most sales positions are eligible for commission under the terms of an applicable plan. Non-sales roles are typically eligible for a quarterly or annual bonus based on their role and applicable plan. WEX's comprehensive and market competitive benefits are designed to support your personal and professional well-being. Benefits include health, dental and vision insurances, retirement savings plan, paid time off, health savings account, flexible spending accounts, life insurance, disability insurance, tuition reimbursement, and more. For more information, check out the "About Us" section. Pay Range: $113,000.00 - $150,000.00

Posted 2 weeks ago

Strategy& Deals Strategy Healthcare Manager-logo
Strategy& Deals Strategy Healthcare Manager
PwCBoston, MA
Industry/Sector HI X-Sector Specialism Deal Strategy Management Level Manager Job Description & Summary At PwC, our people in deals focus on providing strategic advice and support to clients in areas such as mergers and acquisitions, divestitures, and restructuring. They help clients navigate complex transactions and maximise value in their business deals. Those in deal strategy at PwC will focus on providing strategic advice and support to clients in areas such as mergers and acquisitions, divestitures, and restructuring. Your work will involve analysing market trends, assessing business opportunities, and developing strategic frameworks to guide clients in making informed decisions regarding their deals. You will help clients navigate complex transactions, identify potential risks and opportunities, and develop strategies to maximise value and achieve their business objectives. Working in this area, you will play a crucial role in assisting clients in formulating and executing effective strategies to optimise outcomes in their deal-making processes. Enhancing your leadership style, you motivate, develop and inspire others to deliver quality. You are responsible for coaching, leveraging team member's unique strengths, and managing performance to deliver on client expectations. With your growing knowledge of how business works, you play an important role in identifying opportunities that contribute to the success of our Firm. You are expected to lead with integrity and authenticity, articulating our purpose and values in a meaningful way. You embrace technology and innovation to enhance your delivery and encourage others to do the same. Examples of the skills, knowledge, and experiences you need to lead and deliver value at this level include but are not limited to: Analyse and identify the linkages and interactions between the component parts of an entire system. Take ownership of projects, ensuring their successful planning, budgeting, execution, and completion. Partner with team leadership to ensure collective ownership of quality, timelines, and deliverables. Develop skills outside your comfort zone, and encourage others to do the same. Effectively mentor others. Use the review of work as an opportunity to deepen the expertise of team members. Address conflicts or issues, engaging in difficult conversations with clients, team members and other stakeholders, escalating where appropriate. Uphold and reinforce professional and technical standards (e.g. refer to specific PwC tax and audit guidance), the Firm's code of conduct, and independence requirements. The Opportunity As part of the Deals Transaction Services team you assist clients with strategic planning and business reviews, growth, market entry, and international expansion. As a Manager you supervise, develop, and coach teams, manage client service accounts, and drive client engagement workstreams by independently solving and analyzing complex problems to develop top-quality deliverables. You are also responsible for leveraging team strengths, managing performance to meet client expectations, and embracing technology and innovation to enhance your delivery. Responsibilities Assist clients with strategic planning and business reviews Supervise, develop, and coach teams to deliver top-quality work Manage client service accounts and drive engagement workstreams Independently solve and analyze complex problems Utilize team strengths to meet client expectations Embrace technology and innovation to enhance delivery Identify and pursue opportunities for improvement Foster a collaborative and inclusive team environment What You Must Have Bachelor's Degree in Accounting, Finance, Engineering, Economics, Data Processing/Analytics/Science, Computer and Information Science 5 years of experience What Sets You Apart Master's Degree in Business Administration/Management preferred Knowledge in commercial due diligence or corporate strategy Understanding mergers, integrations, spin-offs, and divestiture transactions Assisting clients with strategic planning and business reviews Managing and developing strategic client relationships Building collaborative relationships with team members Active role in new business development Delivering significant business results Conducting quantitative and qualitative analyzes Travel Requirements Up to 60% Job Posting End Date Learn more about how we work: https://pwc.to/how-we-work PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy . As PwC is an equal opportunity employer, all qualified applicants will receive consideration for employment at PwC without regard to race; color; religion; national origin; sex (including pregnancy, sexual orientation, and gender identity); age; disability; genetic information (including family medical history); veteran, marital, or citizenship status; or, any other status protected by law. For only those qualified applicants that are impacted by the Los Angeles County Fair Chance Ordinance for Employers, the Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, San Diego County Fair Chance Ordinance, and the California Fair Chance Act, where applicable, arrest or conviction records will be considered for Employment in accordance with these laws. At PwC, we recognize that conviction records may have a direct, adverse, and negative relationship to responsibilities such as accessing sensitive company or customer information, handling proprietary assets, or collaborating closely with team members. We evaluate these factors thoughtfully to establish a secure and trusted workplace for all. The salary range for this position is: $100,000 - $232,000, plus individuals may be eligible for an annual discretionary bonus. For roles that are based in Maryland, this is the listed salary range for this position. Actual compensation within the range will be dependent upon the individual's skills, experience, qualifications and location, and applicable employment laws. PwC offers a wide range of benefits, including medical, dental, vision, 401k, holiday pay, vacation, personal and family sick leave, and more. To view our benefits at a glance, please visit the following link: https://pwc.to/benefits-at-a-glance

Posted 30+ days ago

Adjunct - Healthcare Specialist-logo
Adjunct - Healthcare Specialist
Ivy Tech Community CollegeAnderson, IN
Adjunct Faculty positions are temporary, part-time positions hired each semester on an as-needed basis. The adjunct faculty member will be responsible for creating a learning environment that assists students in reaching their goals; and for providing effective instruction and assessment within the framework of common syllabi provided by the School. Major Responsibilities: PROGRAM OPERATION: Perform all instructional duties necessary to teach and facilitate student learning in assigned classes. Provide syllabus appropriate to course(s) being taught to students and follows syllabus content and requirements. Maintain student attendance and grading records according to College policy as outlined in the Adjunct Handbook. Submits requested information within established timelines. STUDENTS: Is available to students outside scheduled class time to answer questions/provide assistance. Deal with student concerns and, if necessary, consult with program coordinator to resolve issues. INSTRUCTION: Meet all scheduled classes of contracted course(s). Use technology such as Blackboard, PowerPoint, etc. as appropriate. In event of emergency absence, notifies program/department chair. Conduct all activities with an appreciation and respect for diversity of people, styles, and views. Promote same as an integral part of one's work. Minimum Qualifications: A qualified faculty member in Healthcare Specialist meets all three of the following criteria: Possesses an earned baccalaureate or higher degree from a regionally accredited institution; and Has a minimum of 2 years directly related work experience; and Holds certification or licensure in a health care discipline providing care or service directly to patients. HLHS 113 Course Standard: A qualified faculty member teaching HLHS 113 meets both of the following criteria: Meets the Healthcare Specialist Program Standard, or Possesses an earned associates degree or higher from a regionally accredited institution with at least 5 years directly related work experience; and Possesses current certification in Dementia Care. HLHS 117 and HLHS 130 Course Standard: A qualified faculty member teaching HLHS 117 and HLHS 130 meets all of the following criteria: Possesses an earned associate's or higher degree from a regionally accredited institution, and Is a licensed Registered Nurse holding an unencumbered license in the state of Indiana, and Has a minimum of two years licensed nursing experience, of which at least one year must be in the provision of long term care services, and Completed the required Indiana state department of health instructor QMA course. HLHS 112, 114 Course Standard: A qualified faculty member teaching HLHS 112 and 114 meets all four of the following criteria: Possesses an earned associate's or higher degree from a regionally accredited institution, and Is a registered Nurse, and Has a minimum of two years licensed nursing experience, of which at least one year must be in the provision of home health care, and Completed the required train the trainer sessions from the Indiana Home and Hospice Care Foundation HLHS 117 and HLHS 130 Course Standard: A qualified faculty member teaching HLHS 117 and HLHS 130 meets all of the following criteria: Possesses an earned associate's or higher degree from a regionally accredited institution, and Is a licensed Registered Nurse holding an unencumbered license in the state of Indiana, and Has a minimum of two years licensed nursing experience, of which at least one year must be in the provision of long term care services, and Completed the required Indiana state department of health instructor QMA course. HLHS 221/222 Course Standard: A qualified faculty member for HLHS 221 and 222 meets both of the following criteria: Is a licensed Registered Nurse holding an unencumbered license in the state of Indiana, and Has a minimum of two years of licensed nursing experience, at least one of which must be experience in an acute care setting. Ivy Tech Community College is an accredited, equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, color, ethnicity, national origin, marital status, religion, sex, gender, sexual orientation, gender identity, disability, age or veteran status. As required by Title IX of the Education Amendments of 1972, Ivy Tech Community College does not discriminate on the basis of sex, including sexual harassment in its educational programs and activities, including employment and admissions. Questions specific to Title IX may be referred to the College's Title IX Coordinator or to the US Department of Education Office of Civil Rights.

Posted 2 weeks ago

Healthcare, Regional Sales Representative - Bay Area-logo
Healthcare, Regional Sales Representative - Bay Area
Activate CareSan Francisco, CA
This is a Hybrid role where applicants should reside within the San Francisco Bay Area to be strongly considered for this position. About Activate Care: At Activate Care, we're on a mission to improve health equity and drive improved health outcomes across the country. Our Community Care Record platform, Care Link, enables healthcare and community organizations to coordinate care for populations challenged with health-related social needs (HRSN). Path Assist is our tech-enabled Community Health Worker program for addressing HRSN utilizing an evidence-based, structured intervention. Our goal is simple: address individuals' unmet HRSNs, increase health confidence, improve self-efficacy, and reduce inappropriate healthcare spend. Role Overview: We are seeking a mission-driven Regional Sales Representative to join our small but mighty sales team. In this role, you will lead outreach efforts to Community-Based Organizations (CBOs) across the San Francisco Bay Area. You'll introduce Activate Care's CareLink platform to nonprofits, behavioral health agencies, public health collaboratives, and social service providers that support Medicaid and other vulnerable populations. The ideal candidate will bring a strong background in healthcare technology sales, a deep understanding of care coordination challenges, and a genuine passion for improving community health outcomes. You will be responsible for identifying and engaging prospects, building trusted relationships, and helping CBOs enhance care coordination through the adoption of our CareLink platform. Responsibilities: Identify, generate, and qualify leads across the West Coast by engaging potential clients, including health systems, managed care organizations, government agencies, and community-based organizations. Effectively communicate Activate Care's mission, platform benefits, and customer outcomes to CBO audiences Understand client challenges and demonstrate how CareLink's features-such as closed-loop referral management, automated workflows, and data analytics-can address those needs. Maintain a robust sales pipeline, track opportunities, and forecast sales performance using CRM tools, preferably Hubspot. Maintain accurate records in HubSpot CRM. Conduct platform presentations or demonstrations, either virtually or in person. Partner with the senior sales executive on complex opportunities with Managed Care Organizations Build trust-based relationships with community nonprofits and healthcare stakeholders Support pricing discussions and close new business with guidance from senior sales leadership Participate in regional community health events and networking opportunities Provide local insights and feedback to help shape Activate Care's go-to-market strategy Work closely with marketing, product, and customer success teams to ensure a seamless client experience from initial contact through implementation Deliver compelling presentations and demos of the CareLink platform, highlighting its ability to streamline care coordination and improve patient outcomes

Posted 30+ days ago

Healthcare Recruiter-logo
Healthcare Recruiter
Malone Workforce SolutionsOmaha, NE
Bring your personality to the Malone team! Go-getter. Straight-talker. People person. If that sounds like you, consider joining us for our mission. At Malone, there is nothing we love more than helping people and companies connect to accomplish amazing things. About Us: Malone is a private, award-winning company dedicated to providing staffing and recruitment needs to clients across the nation. Ranked on the SIA 2024 Top 100 List as one of the Largest Staffing Companies in the US, it is our pleasure to serve as the workforce resource and to make a positive impact on people's lives. Malone is actively recruiting an enthusiastic and results-driven Healthcare Recruiter to join our team. If you are passionate about customer service, building your own book of business, have sales, recruiting, or call center experience, we would love to hear from you. Position Summary: The Healthcare Recruiter is primarily responsible for sourcing, recruiting, and placing qualified medical professionals on assignments in healthcare facilities nationwide. This role requires an understanding of the healthcare sector, managing high volume inbound and outbound calls, and the ability to build and maintain relationships with candidates. Location: Omaha, NE 60258 Job Type: Full-time Primary Responsibilities: Source and develop an active network of healthcare professionals for contract, PRN and permanent placement for our client facilities. Develop and implement recruitment strategies to attract and retain top talent in the healthcare industry. Conduct initial phone screens with candidates and assist with the onboarding process Maintain communication with healthcare providers regarding assignment details, compensation, and client expectations Negotiate salary, terms and conditions of employment with candidates Collaborate with Account Managers to source, identify, match and present candidates for placements. Collaborate with Account Managers to ensure all assignment specifics are completed and meet company goals. Stay up to date with industry trends and changes to educate candidates and adjust strategies accordingly. Provide support to candidates. Qualifications: Experience in sales, recruitment, customer service, communications or related role. Knowledge of the healthcare industry and roles is preferred, but not required. Strong organizational skills and attention to detail. Self-motivated individual with drive to take advantage of abundant incentive opportunities. Proficient in Microsoft Office - including Outlook, Word, and Excel Must be able to work in office Monday- Friday 8:00am- 5:00pm The Perks: Full Benefits Package including health, dental, vision, and life insurance Opportunities for internal advancement Relaxed office environment with casual dress code Fun, results-driven culture Career Development Opportunities Opportunity to work with a talented and driven team to support you Paid Time Off and 11 paid company holidays Partnership with Point University, an accredited institution, to provide tuition discounts 2 Paid Days of Giving Health and Dependent Care FSA options 401K with Company Match Management Registry, Inc. hiring decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities. For more information, please contact our corporate office at 1-866-805-8600.

Posted 30+ days ago

C
Complex Claims Consultant - Healthcare
CNA Financial Corp.New York, NY
You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. Start the next chapter of your career as a Complex Claims Consultant in Healthcare for CNA Insurance. CNA is a market leader in insuring healthcare providers and facilities, including dentists, physicians, nurses, nurse practitioners, physical therapists, counselors, pharmacists, massage therapists and more than 100 other categories of medical service providers, along with the facilities and practices in which they work. This role will support the Healthcare business and interact with these key customers. You will be responsible for the overall investigation, management and resolution of Healthcare professional liability claims in multiple states. You will be recognized as a technical expert in the interpretation of complex or unusual policy coverages. Under general management direction, you will work within defined authority limits, to manage professional liability healthcare claims with moderate to high complexity and exposure in accordance with company protocols, quality and customer service standards. You will also partner with internal business partners such as Underwriting and Risk Control, to share claim insights that aid in good underwriting and risk management decisions. The individual will work with insureds, attorneys, other insurers and account representatives regarding the handling and/or disposition of complex litigated and non-litigated claims in multi-state jurisdictions. The individual will investigate and resolve claims, coordinate discovery and team with defense counsel on litigation strategy. They should be able to utilize claims policies and guidelines, review coverage, determine liability and damages, set financial reserves, secure information to negotiate and settle claims. This position enjoys a flexible, hybrid work schedule and is available in any location near a CNA office. JOB DESCRIPTION: Essential Duties & Responsibilities Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex healthcare professional liability claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Ensures exceptional customer service by managing all aspects of the claim, interacting professionally and effectively, achieving quality and cycle time standards, providing timely updates and responding promptly to inquiries and requests for information. Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language, estimating potential claim valuation, working with counsel and following the company's claim handling protocols. Leads focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts where necessary, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority. Establishes and manages claim budgets by achieving timely claim resolution, selecting and actively overseeing appropriate resources, authorizing expense payments and delivering high quality service in an efficient manner. Realizes and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Claim, Recovery or SIU resources for further investigation. Achieves quality standards by appropriately managing each claim to ensure that all company protocols are followed, work is accurate and timely, all files are properly documented and claims are resolved and paid timely. Keeps leadership informed of significant risks and losses by completing loss summaries, identifying claims to include on oversight/watch lists, and preparing and presenting succinct summaries to senior management. Maintains subject matter expertise and ensures compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations or trends for line of business. Mentors, guides, develops and delivers training to less experienced Claim Professionals. May perform additional duties as assigned. Reporting Relationship Typically Director or above Skills, Knowledge & Abilities Thorough knowledge of the professional liability insurance industry, products, policy language, coverage, and claim practices. Understanding of dental malpractice claims and policies is strongly favored. Strong communication and presentation skills both verbal and written, including the ability to communicate business and technical information clearly. Demonstrated analytical and investigative mindset with critical thinking skills and ability to make sound business decisions, and to effectively evaluate and resolve ambiguous, complex and challenging business problems. Strong work ethic, with demonstrated time management and organizational skills. Ability to work in a fast-paced environment at high levels of productivity. Demonstrated ability to negotiate complex settlements. Experience interpreting complex insurance policies and coverage. Ability to manage multiple and shifting priorities in a fast-paced and challenging environment. Knowledge of Microsoft Office Suite and ability to learn business-related software. A commitment to collaboration and demonstrated ability to value diverse opinions and ideas. Education & Experience: Bachelor's Degree or equivalent experience. JD a plus. Typically a minimum six years of relevant experience, preferably in claim handling or medical malpractice litigation. Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable. Professional designations are a plus (e.g. CPCU). #LI-KP1 #LI-Hybrid In Chicago/New York/California, the average base pay range for the Complex Claims Consultant role is $113,000 to $160,000. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $72,000 to $141,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com. CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact leaveadministration@cna.com.

Posted 1 week ago

Consulting Director - Innosight Healthcare Provider Strategy & Innovation (Nationwide)-logo
Consulting Director - Innosight Healthcare Provider Strategy & Innovation (Nationwide)
Huron Consulting GroupCalifornia, MD
Innosight is a global strategy consulting firm focused on helping leading organizations design and create the future. We work with them to develop growth strategies, build innovation capabilities, and accelerate new growth initiatives. As a member of the Innosight team, you'll have the opportunity to work with leaders at Global 1000 companies to tackle some of the most interesting challenges in business. We are the leading practitioners of disruptive innovation, building on the work of our co-founder, Harvard Business School professor Clay Christensen. Because we focus on growth strategy and innovation, we bring unique expertise and authority to the challenges our clients face: Where is our next big opportunity, and what is our strategy to get there? How do we build an organization that is innovative and future focused? How do we disrupt ourselves before others do? Our values - including humility, collaboration, transparency, and intellectual curiosity - guide our work with clients, with each other, and our commitment to enabling innovation in organizations. Our work environment emphasizes the exchange of ideas, continuous learning, and collaboration. And our smaller team structure offers exposure to senior-level executives early in your consulting career. Healthcare organizations must stay ahead of disruption by making data-driven decisions that accelerate transformation. Innosight thoroughly examines the intricate patient care challenges encountered by payor and provider healthcare entities to stabilize business today and create tomorrow's growth engine. As trusted strategic partners to CEOs and C-Suites, we help drive the healthcare industry forward by designing innovative enterprise-level long-term plans and partnerships for the world's leading healthcare organizations. The Correlation between World-Class Consulting Firms and Directors… Thriving consulting firms share a number of traits- a team of first-rate Directors heads the list. At Huron, Directors represent the pinnacle of professionalism and expertise. They effectively collaborate with Huron and client senior leaders to design and implement goal-achieving solutions while delivering remarkable results (ones that meet but usually exceed specified engagement objectives). Throughout the process, they construct enduring relationships that benefit the firm in profound ways including selling additional project work into clients. This is a high-responsibility and high-impact role that requires the Director to be a thought leader and problem-solver on the team leading team efforts. They will liaise with internal senior leadership and managing the day-to-day contact and relationship with the client to ensure the project work stays on track and drives impact. Required Experience: Extensive consulting experience and a proven track record of success with a top management consulting firm: specializing in delivering strategic solutions within the healthcare industry. Demonstrable experience leading engagements focused on: short and long-term enterprise-level strategic planning, growth strategy, M&A/strategic partnerships& alliances, margin expansion, cost strategy etc. within healthcare provider organizations. Expert-level knowledge of the healthcare provider industry: including experience working with diverse provider organizations such as Hospital Systems, Academic Medical Centers, Ambulatory Surgery Centers, Integrated Delivery Networks, Physician Practices/Groups, etc. Conceptual, Strategic and Problem-Solving Skills: Able to integrate diverse information, apply flexible global concepts and think strategically using large scale data and analytics. Strong quantitative and business analysis acumen. Effective in making high quality decisions and taking decisive action. Exceptional Engagement Delivery: Demonstrated ability to manage complex projects, generate clear work plans, and lead junior employees. Successfully execute across multiple projects while delivery quality product to the client. Communication Skills: Exceptionally strong communicator equally adept at communications strategy and execution, with the ability to craft a full range of crystal clear, high-impact communications (e.g., proposals, presentations, workshops). Particularly skilled at coaching teams on how to visualize complex information and insights. Able to communicate in an open and authentic manner in all situations. Talent Development Skills: Ability to attract, evaluate, coach and advance talented people to build an effective organization. Values diversity in the workforce and has a proven track record of providing development opportunities for all people. Possesses a strong need to be part of a winning team and to help drive the future of what will become a renowned organization. Values and Vision: Naturally aligned with our client's core values: simple, open, integrated and mission-driven. Employee-sensitive, strong ethics, commitment to diversity, customer/market-focused and quality-service committed. Consistently models desired organizational values and behaviors with strong personal "presence" and humility. Travel and Home Office: Willingness to travel weekly (up to 80%) is required and living location can be anywhere within the contiguous 48 states and near a major airport. The estimated base salary range for this job is $215,000 - $250,000. The range represents a good faith estimate of the range that Huron reasonably expects to pay for this job at the time of the job posting. The actual salary paid to an individual will vary based on multiple factors, including but not limited to specific skills or certifications, years of experience, market changes, and required travel. This job is also eligible to participate in Huron's annual incentive compensation program, which reflects Huron's pay for performance philosophy. Inclusive of annual incentive compensation opportunity, the total estimated compensation range for this job is $311,750 - $362,500. The job is also eligible to participate in Huron's benefit plans which include medical, dental and vision coverage and other wellness programs. The salary range information provided is in accordance with applicable state and local laws regarding salary transparency that are currently in effect and may be implemented in the future. #LI-JD1 #LI-Remote Position Level Director Country United States of America

Posted 30+ days ago

Sr. Government Healthcare Financial Consultant-logo
Sr. Government Healthcare Financial Consultant
Clark InsuranceSeattle, WA
Company: Mercer Description: We are seeking a talented individual to join our Government Healthcare Consulting team (GHSC) at Mercer. The Sr. Government Healthcare Financial Consultant partners with state governments to examine financial reports in order to understand emerging Medicaid health care experience as well as the financial performance of managed care organization and interacts with credentialed actuaries and financial executives to ensure Medicaid dollars are being utilized efficiently. We specialize in assisting government-sponsored programs in becoming more efficient purchasers of health services. We bring the best critical thinkers forward in helping our clients address their issues. We will count on you to: Work with client and team project managers to clearly define the scope, timelines and deliverable(s) of the project; ensure development and proposes essential project documents, including the budget and work plans Ensure regular communication with client to review project status and expectations; provide expertise and insight to the client and team to solve potential problems within the project; manage scope of project, budget and timelines What you need to have: BA/BS degree 5+ years of healthcare financial analysis experience, including financial modeling, or rate setting Ability to lead large teams, projects, and initiatives in a dynamic environment Advanced MS Office skills What makes you stand out? Medicaid program experience is strongly preferred Why join our team: We help you be your best through professional development opportunities, interesting work and supportive leaders. We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have impact for colleagues, clients and communities. Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being. Mercer, a business of Marsh McLennan (NYSE: MMC), is a global leader in helping clients realize their investment objectives, shape the future of work and enhance health and retirement outcomes for their people. Marsh McLennan is a global leader in risk, strategy and people, advising clients in 130 countries across four businesses: Marsh, Guy Carpenter, Mercer and Oliver Wyman. With annual revenue of $24 billion and more than 90,000 colleagues, Marsh McLennan helps build the confidence to thrive through the power of perspective. For more information, visit mercer.com, or follow on LinkedIn and X. Marsh McLennan is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, veteran status (including protected veterans), or any other characteristic protected by applicable law. If you have a need that requires accommodation, please let us know by contacting reasonableaccommodations@mmc.com. Marsh McLennan is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh McLennan colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one "anchor day" per week on which their full team will be together in person.

Posted 1 week ago

P
Healthcare Project Manager
PBK ArchitectsTampa, FL
For over 40 years, Harvard Jolly | PBK has been a leader in architectural and engineering design solutions across the United States. We are constantly seeking the brightest and most talented minds to be part of our award winning firm. Here at Harvard Jolly | PBK, we pride ourselves in providing the best in class programmers, planners, architects, engineers, and consultants to offer top notch customer service. We strive to make a positive impact for future generations with our actions today. Here's your chance, are you ready to make a difference? The Healthcare Project Manager is responsible for overseeing all aspects of healthcare architectural projects, ensuring they meet the highest quality standards and client expectations. This role involves leading and coordinating project teams to produce high-quality construction documents and deliver exceptional results across all project phases. The Healthcare Project Manager will report to the Client Executive/Principal Architect and is charged with ensuring projects are completed on time, within budget, and in alignment with PBK's quality and client service standards. Your Impact: Oversee and manage the project team, including Project Architects, consultants, and other contributors, to ensure the successful delivery of high-quality healthcare design and construction documents. Lead all phases of the project schedule, including Pre-Design, Schematic Design, Design Development, Construction Documents, Bidding, and Construction Administration. Ensure projects meet client goals, schedules, and budgets while adhering to PBK's quality and healthcare compliance standards. Organize and direct architectural and engineering teams to execute the work efficiently and collaboratively. Mentor and supervise junior staff, overseeing their work and providing guidance for professional development. Build and maintain positive client relationships throughout the project lifecycle, including regular updates and addressing client needs proactively. Provide technical expertise and strategic input to the project team, ensuring compliance with healthcare-specific building codes, standards, and regulations. Support the Client Executive and Principal Architect in delegating tasks and supervising project deliverables. Lead construction administration meetings on-site with contractors, owners, and stakeholders, addressing issues promptly and ensuring smooth project progression. Here's What You'll Need: Bachelor's Degree in Architecture or a related field is required. Architecture License, with healthcare-specific experience a plus. 10-15 years of professional experience in architecture or project management, preferably with healthcare projects. In-depth understanding of healthcare-specific building codes, standards, and design considerations. Strong communication skills to collaborate with clients, consultants, and internal teams effectively. Proven ability to make sound decisions, exhibit strong judgment, and lead multidisciplinary teams. Proficiency in AutoCAD and Revit is required. Familiarity with SketchUp and Adobe Creative Suite is a plus. Excellent organizational, leadership, and time-management skills to handle complex, multi-phase healthcare projects. Experience in construction administration, including leading jobsite meetings and resolving technical challenges. Why PBK: Close-Knit, Collaborative Team: You will have the chance to work closely with leaderships and a tight-knit team of professionals. This environment fosters personal relationships and allows for a greater impact on every project, where everyone's input is valued. Diverse Roles and Responsibilities: You will have the opportunity to be involved in various aspects of the projects, from initial concept through construction, gaining hands-on experience and a broad skill set. Direct Influence on Projects: You will have a direct influence on the design process, client relationships, and overall project delivery. You will see your contributions come to life in the final product. Opportunities for Growth: Your career growth can be organic and tailored to your strengths and ambitions. There's more room for taking on new challenges, stepping into leadership roles, and contributing to the firm's long-term vision. Varied and Meaningful Projects: You will be exposed to a diverse set of design challenges keeping the work exciting and allowing you to build a well-rounded portfolio. A Chance to Make a Big Impact: You will see firsthand how your work contributes to the success of the firm. Each project is critical to the firm's reputation, and you will have the chance to make a tangible difference. Hands-On Learning: You will have access to learning opportunities and conferences to keep up to date with the latest best practices. Freedom and Support: You will have the opportunity to operate independently in addition to participating in a collaborative office. You will also have access to national resources and expertise.

Posted 30+ days ago

UnitedHealth Group Inc. logo
LVN Healthcare Coordinator Wellmed Carrollton
UnitedHealth Group Inc.Carrollton, TX

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Job Description

$1,500 Sign On Bonus For External Candidates

8 days of PTO & Closed on Major Holidays, 401K Match

WellMed, part of the Optum family of businesses, is seeking a LVN Healthcare Coordinator to join our team in Carrollton, TX. Optum is a clinician-led care organization that is changing the way clinicians work and live.

As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone.

At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.

The Nurse Case Manager I (NCM) is responsible for patient case management for longitudinal engagement, coordination for discharge planning, transition of care needs and outpatient patient management through the care continuum. The Nurse Care Manager will determine medical appropriateness of outpatient services following evaluation of medical guidelines and benefit determination. The Nurse Case Manager will coordinate, or provide appropriate levels of care under the direct supervision of an RN or MD. Function is responsible for clinical operations and medical management activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring and evaluating). This includes case management, coordination of care, and medical management consulting. Function may also be responsible for providing health education, coaching and treatment decision support for patients. This role acts as a support to team members, coaching, guiding and providing feedback as necessary. The Nurse Case Manager will act as an advocate for patients and their families guide them through the health care system for transition planning and longitudinal care. The Nurse Case Manager will work in partnership with an assigned Care Advocate and Social Worker.

Primary Responsibilities:

  • Engage patient, family, and caregivers telephonically to assure that a well-coordinated action plan is established and continually assess health status
  • Provide member education to assist with self-management goals; disease management or acute condition and provide indicated contingency plan
  • Identify patient needs, close health care gaps, develop action plan and prioritize goals
  • With oversight of RN and/or MD, utilizing evidence-based practice, develop interventions while considering member barriers independently
  • Provide patients with "welcome home" calls to ensure that discharged patients' receive the necessary services and resources according to transition plan
  • In partnership with care team triad, make referrals to community sources and programs identified for patients
  • Utilize motivational interviewing techniques to understand cause and effect, gather or review health history for clinical symptoms, and determine health literacy
  • Manages assessments regarding patient treatment plans and establish collaborative relationships with physician advisors, clients, patients, and providers
  • Collaborates effectively with Interdisciplinary Care Team (IDCT) to establish an individualized transition plan and/or action plan for patients
  • Independently confers with UM Medical Directors and/ or Market Medical Directors on a regular basis regarding inpatient cases and participates in departmental huddles
  • Demonstrate knowledge of utilization management processes and current standards of care as a foundation for utilization review and transition planning activities
  • Maintain in-depth knowledge of all company products and services as well as customer issues and needs through ongoing training and self-directed research
  • Manage assigned caseload in an efficient and effective manner utilizing time management skills
  • Enters timely and accurate documentation into designated care management applications to comply with documentation requirements and achieve audit scores of 95% or better on a monthly basis
  • Maintain current licensure to work in state of employment and maintain hospital credentialing as indicated
  • Performs all other related duties as assigned

In 2011, WellMed partnered with Optum to provide care to patients across Texas and Florida. WellMed is a network of doctors, specialists and other medical professionals that specialize in providing care for more than 1 million older adults with over 16,000 doctors' offices. At WellMed our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. WellMed has more than 22,000+ primary care physicians, hospitalists, specialists, and advanced practice clinicians who excel in caring for 900,000+ older adults. Together, we're making health care work better for everyone.

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • Licensed Practical/Vocational Nurse
  • Current, unrestricted LPN/LVN license required, specific to the state of employment
  • 2+ years of managed care and/or case management experience
  • 2+ years of clinical experience
  • Proven knowledge of managed care, medical terminology, referral process, claims and ICD-10 codes
  • Proven excellent verbal and written skills

Preferred Qualifications:

  • Case Management certification
  • Proven knowledge of utilization management and/or insurance review processes as well as current standards of care, a solid knowledge of health care delivery systems and the ability to interact with medical directors, physician advisors, clinicians and support staff
  • Proficient computer skills in Microsoft applications and Microsoft Excel
  • Demonstrated skills in planning, organizing, conflict resolution, negotiation and interpersonal skills to work with autonomy in meeting case management goals and initiatives
  • Demonstrated ability to work independently in accomplishing assignments, program goals and objectives

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 to $35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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