• Serve as a direct point of contact for members’ questions and concerns. • Responsible for taking member calls, as well as making proactive calls, as needed. • Liaison between the members and SCAN’s internal and external stakeholders. • Ensure that members’ issues/questions/concerns are being addressed across the entire SCAN internal and external value chain with timely and effective resolution. • Drive SCAN’s Concierge customer service philosophy and are critical to ensure members get their healthcare administrative issues/questions resolved in a timely fashion. • Assist the team leads, the Concierge and Associate Concierge, in managing their memberships as a book of business. • Serve primarily on an in-bound call queue resolving member’s questions as they call SCAN. • Following-up on pending member issues. • Performing research to resolve a member’s issue. • Performing proactive outreach to members. • Performing hand-offs amongst team members regarding resolving member issues. • Coordinating issue resolution between internal and external stakeholders. • Support the Concierge in owning and maintaining the relationship with internal and external stakeholders. • Document interactions with members to update member’s records and help track issue resolution.

Anticipated End Date: 2026-03-19 Position Title: Telephonic Nurse Case Manager II Job Description: Telephonic Nurse Case Manager II Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Hours: Monday - Friday 9:00am to 5:30pm EST and 1 late evening 11:30am to 8:00pm EST. *****This position will service members in different states; therefore, Multi-State Licensure will be required. This position requires an on-line pre-employment skills assessment. The assessment is free of charge and can be taken from any PC with Internet access. Candidates who meet the minimum requirements will be contacted via email with instructions. In order to move forward in the process, you must complete the assessment within 48 hours of receipt and meet the criteria. The Telephonic Nurse Case Manager II is responsible for care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically. How you will make an impact: - Ensures member access to services appropriate to their health needs. - Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment. - Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements. - Coordinates internal and external resources to meet identified needs. - Monitors and evaluates effectiveness of the care management plan and modifies as necessary. - Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans. - Negotiates rates of reimbursement, as applicable. - Assists in problem solving with providers, claims or service issues. - Assists with development of utilization/care management policies and procedures. Minimum Requirements: - Requires BA/BS in a health-related field and minimum of 5 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. - Current, unrestricted RN license from the State of Georgia is required. - Multi-state licensure is required if this individual is providing services in multiple states. Preferred Capabilities, Skills and Experiences: - Ability to talk and type at the same time. - Certification as a Case Manager. - Demonstrate critical thinking skills when interacting with members. - Experience with (Microsoft Office) and/or ability to learn new computer programs/systems/software quickly. - Ability to manage, review and respond to emails/instant messages in a timely fashion. Job Level: Non-Management Exempt Workshift: Job Family: MED > Licensed Nurse Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.

Department: 37403 Wake Forest Baptist Medical Center - Surgery: Orthopedics Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: M-F, 8a-5p Pay Range $20.80 - $31.20 Join our team as a Care Coordinator Auth Scheduling Specialist, where you’ll play a vital role in ensuring patients receive timely, well-coordinated care. In this position, you’ll partner closely with patients, providers, and insurance plans to manage referrals, obtain authorizations, and schedule essential services. If you’re detail-oriented, compassionate, and thrive in a fast-paced healthcare environment, this role offers a chance to make a meaningful impact every day. Essential Functions - Complete and process patient referrals, coordinating between referring and receiving practices or departments. - Prepare and communicate financial estimates for patients as needed. - Secure all required authorizations to ensure timely patient care. - Guide patients toward providers within their insurance network. - Review benefits and educate patients on insurance coverage and financial responsibility. - Schedule surgical procedures, diagnostic testing, and other clinical services with internal and external providers. - Review daily schedules to ensure accuracy, proper time allocation, and efficient workflow. - Follow up on all referrals to prevent care gaps and support seamless patient experiences. Education, Experience & Certification Requirements - High School Diploma or GED required. - Prior computer experience required. - Strong understanding of insurance coverage (FSC/Coverage/Plan types) and medical necessity guidelines preferred. - Experience with electronic medical records or medical record software preferred. - Customer service experience required. Shift Details - Monday-Friday, 8:00 a.m. - 5:00 p.m. - Remote - Must reside within 75 miles of Winston Salem, NC Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation - Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training - Premium pay such as shift, on call, and more based on a teammate's job - Incentive pay for select positions - Opportunity for annual increases based on performance Benefits and more - Paid Time Off programs - Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability - Flexible Spending Accounts for eligible health care and dependent care expenses - Family benefits such as adoption assistance and paid parental leave - Defined contribution retirement plans with employer match and other financial wellness programs - Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

About the Role We are looking for a stellar Member Support Specialist who will support our Brightline members with signing up, scheduling, billing and any other administrative help they need. You will be joining a small, but mighty team at the cusp of an exciting growth phase, and be integral in helping us provide great support to every member who accesses our services. Key responsibilities of this role include: - Conducting first phone calls with new members to assess fit for Brightline services - Scheduling appointments for members - Ensuring member paperwork has been completed - Supporting Providers with a variety of administrative tasks - Answering all admin-related questions between sessions - Conducting eligibility checks, filing claims, and collecting member payment - Keeping our internal software tool for the Member Support team ultra-organized - Identifying ways to delight our members, ease the workday for our clinical team, and overall improve our operational processes as we scale - Providing support to Brightline members in both English and Spanish - Ability to work the 12 pm - 9 pm PST shift This position is 100% remote. The target range for this position is $40,000 - $63,000. Individual pay may vary from the target range and is determined by a number of factors including certifications, experience, location, internal pay equity, and other relevant business considerations. About You You will thrive at Brightline if you have: - A passion for our mission to redefine behavioral health for children and their families. - A desire to create a one-of-a-kind member experience and a background in providing excellent customer service. - Ability to effectively communicate with Spanish-speaking members and provide support in both English and Spanish. - The drive to be part of building something new - to work hard, to be your best self and to change the lives of our families. - Comfort with a wide variety of technology including email, EHR, scheduling tools and more. Most of our systems are designed with you in mind, so you’ll thrive if you can learn them quickly and provide feedback on how to make them better. - Excellent communication skills (written and verbal) and organization skills. - Ability to revel in the details and commitment to following through on all tasks, simple and complex. - Previous experience managing a medical office and/or familiarity with insurance billing are a bonus. Total Rewards - Comprehensive Insurance: Medical, Dental, Vision, Life - Time Off: Holidays, PTO, Sick Days, Parental Leave - Stipends/Reimbursements: Learning and Development, Health & Wellness, Home Office - Financial Wellness: 401k - Community & Perks: Remote First Workforce, Collaborative culture This position is 100% remote. The target range for this position is $21-29/hour. Individual pay may vary from the target range and is determined by a number of factors including certifications, experience, location, internal pay equity, and other relevant business considerations. Our Commitment to Building a Diverse, Equitable, and Inclusive Workforce At Brightline, we believe that Diversity, Equity, Inclusion, and Belonging are essential to the foundation that we build our mission upon. We are compelled to build a future where all families can access inclusive, high-quality care. We are committed to creating an environment that encourages our employees to show up authentically, reach their highest potential, and have an equal opportunity to thrive. We are committed to systematically evaluating and improving our inherent beliefs, observed behaviors, structures, and systems. We are committed to ensuring that every employee, candidate, client, and family we serve is valued and respected. About Brightline Brightline is on a mission to build a bright future for every child, bringing extraordinary behavioral health care to children and families. We’re in the middle of a behavioral health crisis that we can’t ignore—especially not when it comes to our children. 1 in every 5 children has a behavioral health condition, yet up to 80% still get little or no help. Far too many families face insurmountable barriers when their child really needs help, and parents are too often left feeling alone and without the support they need. We can do so much better. That’s why we’re here! Brightline is convening a team of leading clinicians, technologists, business leaders, and creative thinkers to completely transform what behavioral health care looks like. Together, we’re building exceptional technology and real-world care to bring a warm, supportive, and goal-oriented experience to families. And we’re all here to help children and families thrive.