Elara Caring

Registered Nurse – Remote Psychiatric Clinical Navigator (Part-Time) Locations: - Meriden, Connecticut (General Area) - Wethersfield, Connecticut Work Arrangement: Remote (Local Connecticut residency required) Job Type: Part-time (20 hours/week) Job Description: At Elara Caring, we have a unique opportunity to play a huge role in the growth of an entire home care industry. Here, each employee has the chance to make a real difference by carrying out our mission every day. Join our elite team of healthcare professionals, providing the Right Care, at the Right Time, in the Right Place. Job Description: Registered Nurse Psych Clinical Navigator- Remote Training in a local CT branch- Must live locally Part Time 20 hours - between 8a-5p M-F Oasis knowledge Reviewing for accuracy and moving the workflow Join our mission to keep clients home where they most want to be. The Behavioral Health Clinical Navigator Registered Nurse is responsible for reviewing, processing, and ensuring the accuracy of clinical documentation. The Clinical Navigator is responsible for suggesting and implementing changes, educating field staff on documentation requirements, and ensuring state and federal requirements are consistently followed. The Behavioral Health Clinical Navigator RN optimizes quality of care across the clinical departments by undertaking efforts to review clinical competency and ensure regulatory adherence. At Elara Caring, we care where you are and believe the best place for your care is where you live. We know there’s no place like home, and that’s why our teams continue to provide high-quality care to more than 60,000 patients each day in their preferred home setting. Wherever our patients call home and wherever they are on their health journey, we care. Each team member has a part to play in this mission. This means you have countless ways to make a difference as a Behavioral Health Clinical Navigator Registered Nurse by providing quality care. Being a part of something this great starts by carrying out our mission every day through your true calling: being an outstanding Behavioral Health Clinical Navigator Registered Nurse. To continue to be an industry pioneer delivering unparalleled care, we need a Behavioral Health Clinical Navigator Registered Nurse with commitment and compassion. Are you one of them? If so, apply today! Why Join the Elara Caring mission? - Work autonomy and flexible schedules - 1:1 patient care - Supportive and collaborative environment - Competitive compensation package - Tuition reimbursement for full-time staff and continuing education opportunities for all employees - Comprehensive insurance plans for medical, dental, and vision benefits - 401(K) with employer match - Paid time off, paid holidays, family and pet bereavement - Pet insurance What is Required? - High School Diploma or GED - Associate degree in a Nursing related field required - 2 years of experience as a nurse in an appropriate clinical care setting - Experience in management, Infection control, and Home Health and Hospice surveys is preferred - Experience in a home health or hospice setting is preferred - Home Care Home Base knowledge and platform familiarity with PointCare - Working knowledge of Federal and State rules and regulations for Medicare and Medicaid - Valid driver’s license and insurance - Reliable transportation to perform job tasks You will report to the Branch Director. This is not a comprehensive list of all job responsibilities; a full job description will be provided. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace. Equal Employment Opportunity: We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. If you require assistance due to a disability in the application or recruitment process, please submit a request via email at recruiting@elara.com. Pay & Benefit Information: Compensation for this role will be determined based on a variety of factors, including qualifications, skills, competencies, and relevant experience. Elara offers a broad range of benefits. Learn more at https://careers.elara.com/us/en/benefits EVerify: Elara Caring participates in E-Verify after a job offer is accepted and Form I-9 completed.

Role Description At Elara Caring, we care where you are—and we believe the best place for care is where you live. There’s truly no place like home, which is why our teams deliver high-quality, compassionate care to more than 60,000 patients each day, right where they feel most comfortable. As a Sales Intake Specialist , you will: - Lead high-volume outbound calls to engage potential and existing clients, connecting them to the right care solutions. - Build meaningful relationships by understanding customer needs and delivering exceptional, personalized service. - Become an expert in our services—confidently communicating features, benefits, and pricing. - Consistently meet or exceed monthly sales targets and performance metrics. - Guide individuals through the intake and referral process—from discovery to successful conversion. - Skillfully navigate objections, turning challenges into opportunities. - Collaborate cross-functionally to ensure a seamless, positive customer experience. - Participate in ongoing training to stay ahead of industry trends and sales strategies. - Maintain strict confidentiality in accordance with HIPAA Privacy Final Rule. - Support additional duties and projects as needed. Qualifications - High school diploma or equivalent required. - Experience in a call center sales environment. - Home care, healthcare, or social work experience preferred. - Strong knowledge of Medicare/Medicaid (MCO, MLTC, and other payer types), home care benefits, and multi-state regulations. - Comfort working with multiple systems, databases, and data entry tools. - Reliable transportation to perform job responsibilities. Requirements You will report to the Director of Sales. This is not a comprehensive list of all job responsibilities; a full job description will be provided. Benefits - Thrive in a collaborative, supportive, and purpose-driven environment. - Be rewarded with a meaningful opportunity to truly make a difference. - Competitive compensation package with bonus potential. - Comprehensive sales training program to sharpen your skills. - Clear pathways for career advancement. - Tuition reimbursement for full-time staff & continuing education for all employees. - Comprehensive medical, dental, and vision insurance plans. - 401(k) with employer match. - Generous paid time off, holidays, and family & pet bereavement leave. - Pet insurance options.

Role Description At Elara Caring, we have a unique opportunity to play a huge role in the growth of an entire home care industry. Here, each employee has the chance to make a real difference by carrying out our mission every day. Join our elite team of healthcare professionals, providing the Right Care, at the Right Time, in the Right Place. You have a passion for exceeding the expectations of each patient you serve – and that’s why we are a great match. Partnering with Elara Caring, Telehealth Registered Nurse RN provide patient care across the entire continuum of care. Our Telehealth Registered Nurse RN make a meaningful impact, caring for patients wherever it is they call home. Being a part of something this great starts by carrying out our mission every day through your true calling: being an outstanding Registered Nurse. Delivering the right care, at the right time, in the right place is the mission that inspires Elara Caring, and that starts with the right people. Currently, we serve over 65,000 patients nationwide, with constant opportunities to have a significant influence in the lives of our patients and their families. This means you have countless ways to make a difference in your role as Telehealth Registered Nurse RN by providing quality care. To continue to be an industry pioneer delivering unparalleled care, we need clinicians with commitment and compassion. Are you one of them? If so, apply today! Qualifications - Bachelor’s Degree in Nursing or related field - 2 years of experience as a Registered Nurse - Experience in Medicare/Medicaid home health care benefits, policies and procedures is preferred - Passion for patient care Requirements - Employment is contingent upon the holding and maintaining an active Registered Nurse (RN) license and/or compact (multistate) license for all states serviced by Elara Caring, or obtaining the required licensure within 30 days of hire. In instances where state processing timelines exceed 30 days, an extension may be granted at the Company's discretion. Benefits - You’ll work in a collaborative environment - You’ll be rewarded with a unique opportunity, caring for patients where they call home - Outstanding compensation package - Comprehensive onboarding and mentorship - Opportunities for advancement - Medical, dental, and vision benefits, 401K match and paid time off for full-time staff

Title: Transitional Liaison Registered Nurse Location: Byfield - MA Job Description: time type Full time job requisition id JR-135621 At Elara Caring, we have a unique opportunity to play a huge role in the growth of an entire home care industry. Here, each employee has the chance to make a real difference by carrying out our mission every day. Join our elite team of healthcare professionals, providing the Right Care, at the Right Time, in the Right Place. Job Description: *Hybrid position* At Elara Caring, we care where you are and believe the best place for your care is where you live. We know there’s no place like home, and that’s why our teams continue to provide high-quality care to more than 60,000 patients each day in their preferred home setting. Wherever our patients call home and wherever they are on their health journey, we care. Each team member has a part to play in this mission. This means you have countless ways to make a difference as a Transitional Liaison Registered Nurse. Being a part of something these great, starts by carrying out our mission every day through your true calling: developing an amazing team of compassionate and dedicated healthcare providers. To continue to be an industry pioneer delivering unparalleled care, we need a Transitional Liaison Registered Nurse with commitment and compassion. Are you one of them? If so, apply today! Why Join the Elara Caring mission? - Work autonomy and flexible schedules - 1:1 patient care - Supportive and collaborative environment - Competitive compensation package - Tuition reimbursement for full-time staff and continuing education opportunities for all employees - Comprehensive insurance plans for medical, dental, and vision benefits - 401(K) with employer match - Paid time off, paid holidays, family and pet bereavement - Pet insurance As a Transitional Liaison Registered Nurse, you’ll contribute to our success in the following ways: - Utilizes accepted internal practices to identify patients who may be eligible for and who benefit from Hospice services. - Adheres to the requirements of internal processes, procedures, and workflows including those related to transition, establishment of hospice eligibility, hospice admission visits, and documentation. - Assesses patient needs and obtains data on physical, psychological, social, and spiritual factors that demonstrate adherence to eligibility requirements and may influence patient/family/caregiver health status. - Collaborates with internal resources to ensure effective patient outreach, documentation of service eligibility and appropriateness, and coordination of care. - Provides direct interaction with patients and caregivers to assess goals of care, preference for service delivery, and initial physical evaluation and assessment. - Ensures that patients and caregivers have information needed regarding available services, including hospice, to make informed decisions about care - Teaches hospice philosophy, general eligibility requirements, and transition process to skilled home health staff, and other internal teams as appropriate, to facilitate coordination of care for transitioning patients; provides support to educate referral sources about transition program scope and guidelines What is Required? - Graduate of an accredited RN Program - 3+ years’ experience in a clinical care setting - Current state license as RN - Must have reliable transportation, a valid driver’s license, and current auto insurance in accordance with the laws of the state. - Experience within Home Health or Hospice is preferred You will report to the Transitional Care Team Lead. The base salary for this position is $75,000 to $90,000 annually based on the company’s good faith estimate at the time of posting. Actual pay will be determined based on factors such as education, experience, skills, and internal equity. This is not a comprehensive list of all job responsibilities; a full job description will be provided. Equal Employment Opportunity: We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. If you require assistance due to a disability in the application or recruitment process, please submit a request via email at recruiting@elara.com. Pay & Benefit Information: Compensation for this role will be determined based on a variety of factors, including qualifications, skills, competencies, and relevant experience. Elara offers a broad range of benefits. Learn more at https://careers.elara.com/us/en/benefits EVerify: Elara Caring participates in E-Verify after a job offer is accepted and Form I-9 completed.

Role Description At Elara Caring, we have a unique opportunity to play a huge role in the growth of an entire home care industry. Here, each employee has the chance to make a real difference by carrying out our mission every day. Join our elite team of healthcare professionals, providing the Right Care, at the Right Time, in the Right Place. Job Title: Hospice Registered Nurse Triage Location: Remote - Part Time Schedule: Every Other Weekend - Sat & Sun 8a-8p and Thurs & Fri 5p-3am (one a month) You have a passion for exceeding the expectations of each patient you serve – and that’s why we are a great match. Partnering with Elara Caring, Triage Nurses provide patient care across the entire continuum of care. Our Triage Nurses make a meaningful impact, caring for patients wherever it is they call home. Delivering the right care, at the right time, in the right place is the mission that inspires Elara Caring, and that starts with the right people. Currently, we serve over 65,000 patients nationwide, with constant opportunities to have a significant influence in the lives of our patients and their families. This means you have countless ways to make a difference in your role as Triage Nurse by providing quality care. To continue to be an industry pioneer delivering unparalleled care, we need clinicians with commitment and compassion. Are you one of them? If so, apply today! Qualifications - Graduate of an accredited School of Nursing - Current State License as a Registered Nurse or Licensed Practical Nurse required - 3 years of experience as a registered nurse in an appropriate clinical care setting - 1 year of supervisory experience - Experience in hospice or home health environment is preferred Requirements You will report to the Branch Director. This is not a comprehensive list of all job responsibilities; a full job description will be provided. Benefits - Work autonomy and flexible schedules - 1:1 patient care - Supportive and collaborative environment - Competitive compensation package - Tuition reimbursement for full-time staff and continuing education opportunities for all employees - Comprehensive insurance plans for medical, dental, and vision benefits - 401(K) with employer match - Paid time off, paid holidays, family and pet bereavement - Pet insurance Company Description We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace. Equal Employment Opportunity: We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. If you require assistance due to a disability in the application or recruitment process, please submit a request via email at recruiting@elara.com. Pay & Benefit Information: Compensation for this role will be determined based on a variety of factors, including qualifications, skills, competencies, and relevant experience. Elara offers a broad range of benefits. Learn more at https://careers.elara.com/us/en/benefits . E-Verify: Elara Caring participates in E-Verify after a job offer is accepted and Form I-9 completed.

Title: Transitional Liaison Registered Nurse Location: Topeka - KS Job Description: At Elara Caring, we have a unique opportunity to play a huge role in the growth of an entire home care industry. Here, each employee has the chance to make a real difference by carrying out our mission every day. Join our elite team of healthcare professionals, providing the Right Care, at the Right Time, in the Right Place. Job Description: *Hybrid position* At Elara Caring, we care where you are and believe the best place for your care is where you live. We know there’s no place like home, and that’s why our teams continue to provide high-quality care to more than 60,000 patients each day in their preferred home setting. Wherever our patients call home and wherever they are on their health journey, we care. Each team member has a part to play in this mission. This means you have countless ways to make a difference as a Transitional Liaison Registered Nurse. Being a part of something these great, starts by carrying out our mission every day through your true calling: developing an amazing team of compassionate and dedicated healthcare providers. To continue to be an industry pioneer delivering unparalleled care, we need a Transitional Liaison Registered Nurse with commitment and compassion. Are you one of them? If so, apply today! Why Join the Elara Caring mission? - Work autonomy and flexible schedules - 1:1 patient care - Supportive and collaborative environment - Competitive compensation package - Tuition reimbursement for full-time staff and continuing education opportunities for all employees - Comprehensive insurance plans for medical, dental, and vision benefits - 401(K) with employer match - Paid time off, paid holidays, family and pet bereavement - Pet insurance As a Transitional Liaison Registered Nurse, you’ll contribute to our success in the following ways: - Utilizes accepted internal practices to identify patients who may be eligible for and who benefit from Hospice services. - Adheres to the requirements of internal processes, procedures, and workflows including those related to transition, establishment of hospice eligibility, hospice admission visits, and documentation. - Assesses patient needs and obtains data on physical, psychological, social, and spiritual factors that demonstrate adherence to eligibility requirements and may influence patient/family/caregiver health status. - Collaborates with internal resources to ensure effective patient outreach, documentation of service eligibility and appropriateness, and coordination of care. - Provides direct interaction with patients and caregivers to assess goals of care, preference for service delivery, and initial physical evaluation and assessment. - Ensures that patients and caregivers have information needed regarding available services, including hospice, to make informed decisions about care - Teaches hospice philosophy, general eligibility requirements, and transition process to skilled home health staff, and other internal teams as appropriate, to facilitate coordination of care for transitioning patients; provides support to educate referral sources about transition program scope and guidelines What is Required? - Graduate of an accredited RN Program - 3+ years’ experience in a clinical care setting - Current state license as RN - Must have reliable transportation, a valid driver’s license, and current auto insurance in accordance with the laws of the state. - Experience within Home Health or Hospice is preferred You will report to the Transitional Care Team Lead. This is not a comprehensive list of all job responsibilities; a full job description will be provided. Equal Employment Opportunity: We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. EVerify: Elara Caring participates in E-Verify after a job offer is accepted and Form I-9 completed.

Role Description At Elara Caring, we care where you are—and we believe the best place for care is where you live. There’s truly no place like home, which is why our teams deliver high-quality, compassionate care to more than 60,000 patients each day, right where they feel most comfortable. As a Sales Intake Specialist , you are the spark that ignites the journey. You’ll be the first connection, the trusted voice, and the driving force behind connecting families to life-changing care. Your work ensures our elite healthcare professionals can do what they do best—care for those who need it most. To continue leading the industry with innovation and heart, we’re looking for a Sales Intake Specialist who is energized by purpose, driven by results, and passionate about making meaningful connections. As a Sales Intake Specialist, you will: - Lead high-volume outbound calls to engage potential and existing clients, connecting them to the right care solutions - Build meaningful relationships by understanding customer needs and delivering exceptional, personalized service - Become an expert in our services—confidently communicating features, benefits, and pricing - Consistently meet or exceed monthly sales targets and performance metrics - Guide individuals through the intake and referral process—from discovery to successful conversion - Skillfully navigate objections, turning challenges into opportunities - Collaborate cross-functionally to ensure a seamless, positive customer experience - Participate in ongoing training to stay ahead of industry trends and sales strategies - Maintain strict confidentiality in accordance with HIPAA Privacy Final Rule - Support additional duties and projects as needed Qualifications - High school diploma or equivalent required - Experience in a call center sales environment - Home care, healthcare, or social work experience preferred - Strong knowledge of Medicare/Medicaid (MCO, MLTC, and other payer types), home care benefits, and multi-state regulations - Comfort working with multiple systems, databases, and data entry tools - Reliable transportation to perform job responsibilities Requirements You will report to the Director of Sales. This is not a comprehensive list of all job responsibilities; a full job description will be provided. Benefits - Thrive in a collaborative, supportive, and purpose-driven environment - Be rewarded with a meaningful opportunity to truly make a difference - Competitive compensation package with bonus potential - Comprehensive sales training program to sharpen your skills - Clear pathways for career advancement - Tuition reimbursement for full-time staff & continuing education for all employees - Comprehensive medical, dental, and vision insurance plans - 401(k) with employer match - Generous paid time off, holidays, and family & pet bereavement leave - Pet insurance options

Title: RN Clinical Team Specialist | Home Health Location:US Job Description: If you think you’ll be stretched, you will be (a situation we’d like to avoid-smile). Cover letters are appreciated and read (by a human). 100% remote and must be US based. Company Overview: The brainchild of David Ricks, CEO of Lilly, and incubated by Boston Consulting Group’s Digital Ventures, PrescriberPoint is a Series A healthtech firm (L.P.s Lilly, Pfizer, Adobe, MasterCard) focused on helping HCPs reduce the time, tension, and anxieties they and their patients encounter during the prescribing journey. We offer an end-to-end AI-enabled solution that includes drug awareness and education, medical affairs content, real-time coverage and affordability tools, PA support, and patient start programs, including Sampling. Position Overview: We are seeking a dynamic and results-oriented Director of Business Development with pronounced experience in selling technology to the commercial pharmaceutical industry. Reporting directly to the CEO/CRO, the ideal candidate will be responsible for driving sales growth of our leading-edge Patient Services solutions. This role requires tested consultative selling skills, in-depth knowledge of commercial infrastructure, strong understanding of current technologies, and the ability to effectively position product features, benefits, and value to diverse stakeholders. Key Responsibilities: - Sales Execution: Generate, pursue and close opportunities focusing on key decision-makers from patient services, market access, brand, and marketing teams - Sales Presentations: Conduct engaging presentations and product demonstrations, highlighting the benefits and value of our solutions geared to the specific functional needs of our clients - Negotiation: Negotiate contracts and pricing agreements to maximize profitability while ensuring customer satisfaction - Collaboration: Work closely with cross-functional teams, specifically marketing, to develop brand-specific presentations and proposals - Data Maven: Serve as a data denizen, intentionally updating, leveraging, and proactively evolving our CRM system (Hubspot) and related AI tools - Product Knowledge: Developing a robust understanding of our solutions and how they impact our client’s needs and metrics Key Competencies: - Communication Skills: Excellent verbal, written, and presentation skills. Ability to present ideas clearly and persuasively using a variety of formats to different audiences, including executives, clients, and team members. - Consultative Selling: Ability to creatively sell complex solutions by understanding and navigating sophisticated sales journeys; can pivot pitches based on objections without fluttering an eyelash - Relationship Building: Exceptional networking skills to build and maintain relationships with key stakeholders, partners, clients , and internal staff. Ability to leverage existing relationships to drive business growth in both new and existing accounts. - Market Knowledge: In-depth understanding of the industry, market dynamics, agencies, and competitive landscape. Ability to conduct market research and use data to drive business decisions. Negotiating & Deal Making: Expertise in negotiating deals, partnerships, and contracts. Proven track record of closing complex business deals. - Gets Stuff Done: The ability to plan, prioritize, pivot, project manage, make decisions, update, and delegate as appropriate to meet defined timelines and workstreams and then execute. Leveraging AI in these pursuits is critical. Qualifications: - Strong understanding of the HCP-related technology providers, market dynamics, and industry trends - Successful sales experience servicing commercial pharmaceutical needs; topical management consulting backgrounds are also looked on kindly; SaaS focus is nice to have but not mandatory; open to folks who have worked for manufacturers as well - Available and yearn for in-person meetings - Adept at and committed to embracing CRM systems (Hubspot) - Generative AI exposure is required; Agentic AI exposure is a big plus - Experience working with agencies is a plus - Startup/early stage experience a big plus - Preferred Bachelor’s degree; MBA is a plus Compensation: Base: $150-175k range, depending on experience and location Bonus: $100K target based on company and personal performance So, why (on earth!) would you want to leave what you’re doing and join us? - We have a really good shot at improving the millions of lives and careers of HCPs, Patients, and their families (even pets!) - We hire adults with a Trust-first/It's All Life philosophy - We have some great benefits for a firm at our stage: 401(k) w/matching, all kinds of insurance (including matching HSA and pets!), commute from your kitchen, Open PTO (which leaders use!), remote stipend, yearly education budget, and working with some of the smartest yet humblest and respectful people in the business - We’re (objectively) way better looking than our competitors :-) Beliefs: PrescriberPoint is an equal opportunity employer that is committed to inclusion and diversity. We take affirmative action to ensure equal opportunity for all applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, status as a qualified individual with a disability, veteran status, or other legally protected characteristics.

Role Description REMOTE POSITION!!! MUST HAVE HOME HEALTH & HOSPICE EXPERIENCE The Appeals Analyst performs medical record reviews to determine the quality of care, identifies quality issues, and assures compliance with medical record standards and regulatory mandates as related to billing compliance. The incumbent analyzes submitted claims and/or claims to be submitted as well as medical records to determine benefit coverage for medical services under review. This position educates providers on all aspects of medical record criteria to determine benefit coverage for medical services. This position prepares written documents and/or reports of completed medical review determinations and submits records to the payer, as requested. Qualifications - Must be a graduate from an accredited nursing school. - A Bachelor’s Degree in Nursing is preferred. - Minimum three (3) years of experience as a registered nurse in a home health and/or hospice clinical care setting is required. - Prior functional working experience in medical records review arena (Utilization Review, Case Management and knowledge of appropriate billing and coding guidelines) is required. - Current License as a Registered Nurse is required. Requirements - Interpersonal skills and ability to manage workload and meet deadlines. - Demonstrated professional oral and written communication skills. - Demonstrated strong organizational skills as well as autonomy with tasks assigned. - Demonstrated ability to think critically and adapt to changes. - Excellent analytical, problem solving, and negotiation skills. - Ability to comprehend medical policy and criteria to clearly articulate health information. - Demonstrated ongoing understanding of current Medicare, Medicaid, and third-party regulations as changes occur. - Demonstrated knowledge in all levels of home health, hospice, palliative, and home medical equipment practices. - Demonstrated proficiency in use of Microsoft Office Suite (Excel, Microsoft Word, Power Point, Outlook). Key Accountabilities - Ensures that all activities performed align with the vision of Elara Caring’s board of directors, executive team, and the leadership of the Compliance team. - Promotes compliance with all regulatory standards, through review of medical records. - Maintains productivity, quality, and accuracy targets set by the Governmental Review Manager. - Participates in Administrative Law Judge hearings as the company expert. - Educates providers on all aspects of medical review criteria. - Participates in the appeals process for claims denied by the government or other payers, as necessary. - Collects appropriate medical records, reviews the documentation for validity, and submits the requested documents for pre-claim reviews, ADR requests, and/or appeals. - Collaborates with providers to adhere to clinical standards of care to ensure appropriate outcomes. - Practices and adheres to departmental, state, and national guidelines. - Communicates with agencies related to documentation needs in a timely manner and follows up with agency leadership, as needed. - Conducts audits, as needed to ensure documentation adequacy. - Provides education related to audit trends and denials. - Communicates significant findings, problems, and changes related to compliance with documentation standards to the director and other personnel involved with patient care. - Identifies and communicates to Governmental Review Manager and other supervisory personnel visit documentation that lacks adequate content to support billing guidelines. - Participates in the development of strategies/education to prevent loss of revenue during recovery audits. - Assists with development of staff education tools/guides to promote appropriate clinical documentation and utilization. - Writes business letters and reports to explain determinations and decisions to a variety of audiences, including, but not limited to governmental payers, private insurance providers, and administrative law judges. - Participates in all levels of appeal, using regulatory guidance and critical thinking to navigate appeals compliantly. - Promotes, coordinates, and evaluates operational systems to enhance operations and promote efficiencies. - Provides leadership to team and support staff in identifying agency/client needs and opportunities for improvement. - Promotes Elara Caring’s philosophy, mission statement and administrative policies to ensure quality of care. - Maintains patient and staff privacy and confidentiality pursuant to HIPAA Privacy Final Rule. - Performs other duties/projects as assigned. Physical and Environmental Demands - Mentally demanding, high stress environment. - Sit, stand, bend, lift and move intermittently and be able to lift at least 25 lbs. - Move equipment and supplies necessary for job functions. - Read, speak, and write English in order to fulfill job functions in an understandable way. - See/hear or use prosthetics that enable accomplishment of job. - Meet the health requirements of the agency. - Possible exposure to infectious and communicable diseases, chemicals, and repetitive motions. - Abide by all occupational safety and bloodborne pathogen protocol to minimize illness and/or injury. - Complete required work daily. - Cope with work involving ill, disabled, and dying patients. Equal Employment Opportunity We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. If you require assistance due to a disability in the application or recruitment process, please submit a request via email at recruiting@elara.com. Pay & Benefit Information Compensation for this role will be determined based on a variety of factors, including qualifications, skills, competencies, and relevant experience. Elara offers a broad range of benefits. Learn more at https://careers.elara.com/us/en/benefits . E-Verify Elara Caring participates in E-Verify after a job offer is accepted and Form I-9 completed.

At Elara Caring, we have a unique opportunity to play a huge role in the growth of an entire home care industry. Here, each employee has the chance to make a real difference by carrying out our mission every day. Join our elite team of healthcare professionals, providing the Right Care, at the Right Time, in the Right Place. Job Description: Intake Specialist Remote At Elara Caring, we care where you are and believe the best place for your care is where you live. We know there’s no place like home, and that’s why our teams continue to provide high-quality care to more than 60,000 patients each day in their preferred home setting. Wherever our patients call home and wherever they are on their health journey, we care. Each team member has a part to play in this mission. This means you have countless ways to make a difference as an Intake Specialist. Being a part of something this great, starts by carrying out our mission every day through your true calling: developing an amazing team of compassionate and dedicated healthcare providers. To continue to be an industry pioneer delivering unparalleled care, we need an Intake Specialist with commitment and compassion. Are you one of them? If so, apply today! Why Join the Elara Caring mission? - Work in a collaborative environment. - Be rewarded with a unique opportunity to make a difference - Competitive compensation package - Tuition reimbursement for full-time staff and continuing education opportunities for all employees at no cost - Opportunities for advancement - Comprehensive insurance plans for medical, dental, and vision benefits - 401(K) with employer match - Paid time off, paid holidays, family, and pet bereavement - Pet insurance As an Intake Specialist you’ll contribute to our success in the following ways: - Receives, interprets, and manages patient referrals with the intent of converting to actual admissions. - Manages and works the pending list to identify opportunities to improve conversion rates. - Responds and satisfies expectations and requirements of internal and external customer needs. - Maintains organized, effective, and efficient systems along with communication to ensure that continuity of patient care is delivered. - Accepts and processes referral information into the company database software applications in accordance with the administrative policy. - Attends on-site meetings with branches and with referral sources upon request by sales and/or referral sources. What is Required? - High School Diploma or GED - 1 year of healthcare experience and knowledge of medical terminology - Proficient with Microsoft Office Suite and data entry - Demonstrates excellent customer service skills - Associates in healthcare is preferred You will report to the Intake Manager. This is not a comprehensive list of all job responsibilities; a full job description will be provided. #ElaraGA We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace. Equal Employment Opportunity: We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. If you require assistance due to a disability in the application or recruitment process, please submit a request via email at recruiting@elara.com. Pay & Benefit Information: Compensation for this role will be determined based on a variety of factors, including qualifications, skills, competencies, and relevant experience. Elara offers a broad range of benefits. Learn more at https://careers.elara.com/us/en/benefits EVerify: Elara Caring participates in E-Verify after a job offer is accepted and Form I-9 completed.