We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Potential Anticipated Backfill-Remove this before posting. Position Summary This is a full-time field-based telework position, in Ohio. This position requires the ability to travel within the assigned region of Ohio to member homes and other requested member locations, up to 50% or more of the time. Applicants must reside in central or southeastern Ohio. Preferred counties: Franklin, Ashland, Athens, Coshocton, Delaware, Fairfield, Fayette, Gallia, Guernsey, Highland, Hocking, Holmes, Jackson, Knox, Licking, Meigs, Morgan, Morrow, Muskingum, Noble, Perry, Pickaway, Pike, Richland, Ross, Vinton, Washington and Wayne. Monday-Friday 8-5pm with flexibility needed to work later to meet member needs. Business Overview As part of the bold vision to deliver the “Next Generation” of managed care in Ohio Medicaid, OhioRISE will help struggling children and their families by focusing on the individual with strong coordination and partnership among MCOs, vendors, and ODM to support specialization in addressing critical needs. The OhioRISE Program is designed to provide comprehensive and highly coordinated behavioral health services for children with serious/complex behavioral health needs involved in, or at risk for involvement in, multiple child-serving systems. The Care Management Coordinator utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools and resources. Fundamental Components: • Be clinically and culturally competent/responsive with training and experience necessary to manage complex cases in the community across child-serving systems. • Evaluation of Members: o Through the use of care management tools and information/data review, conducts comprehensive evaluation of referred member's needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services. Identifies high risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. o Coordinates and implements assigned care plan activities and monitors care plan progress. • Enhancement of Medical Appropriateness and Quality of Care: o Using holistic approach consults with case managers, supervisors, Medical Directors and/or other health/behavioral health programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary review in order to achieve optimal outcomes. o Works collaboratively with the members' Child and Family Teams. o Identifies and escalates quality of care issues through established channels. o Utilizes negotiation skills to secure appropriate options and services necessary to meet the member's benefits and/or healthcare needs. o Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health. o Provides coaching, information, and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices. o Helps member actively and knowledgably participate with their provider in healthcare decision-making. o Serves a single point of contact for members and assist members to remediate immediate and acute gaps in care and access. • Monitoring, Evaluation and Documentation of Care: o Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures. Required Qualifications - 2+ years of experience in behavioral health, social services, or human services - 2+ years of experience with personal computers, keyboard and multi-system navigation, and MS Office Suite applications (Outlook, Word, Excel, SharePoint). - 2+ years of experience in children's mental health, child welfare, developmental disabilities, juvenile justice, or a public sector human services or behavioral health care field, providing community-based services to children and youth, and their family/caregivers. - 2+ years experience in one or more of the following areas of expertise: family systems, community systems and resources, case management, child and family counseling/therapy, child protection, or child development. - 2+ year of experience with Ohio delivery systems, including local community networks and resources. - Willing and able to travel within the assigned region up to 50% of the time; Some travel to the New Albany office may be required for trainings/meetings: - Reliable transportation required - Mileage is reimbursed per our company expense reimbursement policy - Willing and able to work beyond core business hours of Monday-Friday, 8am-5pm, as needed. - Bachelor’s degree or non-licensed master level clinician required - Must reside in Ohio Preferred Qualifications - Case management and discharge planning experience. - Managed Care experience. - Medicaid experience. Education Bachelor’s degree or non-licensed master level clinician required, with either degree being in behavioral health, human services, health services, or public health preferred. (i.e. psychology, social work, marriage and family therapy, counseling, juvenile justice). Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $21.10 - $40.90 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: - Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. - No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. - Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 03/31/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary As a Call Center Representative - Remote Arkansas at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Here are the details on this position. Your role in our mission This role falls under the Insurance/Healthcare job family and leverages call center expertise to support insurance and healthcare operations. The position is responsible for applying general insurance and healthcare policies in compliance with state and federal regulations. It serves as a subject matter expert for providers on enrollment and Credentialing Verification Organization (CVO) activities related to their submitted applications. The role involves responding to provider inquiries with a focus on issue resolution, guiding providers in navigating the GAMMIS system to access current and future information needs, and advising on the status of applications, including any outstanding documentation required for final review and disposition. • Handle Inbound calls from providers regarding CVO/Provider Enrollment • Creates CTN for each call as a record. • Escalate Concerns and issues to management as needed. • Participates productively as a member of a team. • Completes tasks beyond general support level. • Accepts instruction and direction from leadership. Ability to manage tasks and assignments without detailed direction. • Identifies, prioritizes, and resolves some issues independently, and escalates more complex questions or issues appropriately. • Complies with contract requirements, business unit rules and related legal regulations. What we're looking for • High School Diploma or equivalent; may hold 2-year post-high school Degree; may hold bachelor’s degree. • Prior office or clerical experience preferred with the ability to follow written policies and procedures. • 1-2 years of working experience in Contact (Call) Center; experience with CxOne, Avaya or previous call center software is a plus • Ability to access and retrieve information using a laptop and basic understanding of Microsoft Office products. • Ability to follow procedural guidelines and work on assignments with limited instructions from leadership. What you should expect in this role Candidates must be residents of Arkansas to be eligible for the remote position based in the state. Successful completion of Haver Assessment is required. Video cameras must be used during all interviews, as well as during the initial week of orientation. To work effectively as a teleworker or hybrid positions with Gainwell, employees must have a broadband internet connection with a minimum speed of 24 Mbps download and 8 Mbps upload. Higher speeds are recommended for optimal performance. To Test your internet download and upload speed: Go to Google. Search for Internet Speed Test or click here. Employee Benefits & Perks: Health benefits (medical, dental, and vision) begin on Day 1 of employment. 401(k) with company match and additional benefits become available within the first few months. Employees can take advantage of the flexible vacation policy after 90 days of employment. Any exceptions require manager approval before the employee's start date at Gainwell. Career growth and advancement opportunities are encouraged and supported. A company-provided computer is supplied for work use. Schedule Information: Please note during training, the first couple of weeks the training hours will vary. The shift will be a schedule within a timeframe of 6:00 AM CST to 6 PM CST with two 15 minute breaks and a 30 minute lunch. #LI-Remote #LI-PP1 #LI-CM1 The pay range for this position is $28,500.00 - $40,700.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings. Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.

Job DetailsJob Location: Advocacy Fort Lauderdale Office - Plantation, FL 33317Position Type: Full TimeSalary Range: $18.00 - $18.00 HourlyJob Category: Customer ServiceDo you want to have a fulfilling career with purpose helping military veterans? The VA Intake Specialist will be a direct point of contact for potential new clients. They provide great customer service and have a clear phone presence. They should be proficient in using computers, be able to verify that there are no discrepancies within documents, and excel at both verbal and written communication. The ideal candidate for this position is detail-oriented, professional, and has a genuine desire to meet the needs of others. Work hours are Monday – Friday and can be from 9:00 am to 6:00 pm EST, or from 10:00 am to 7:00 pm EST. This is a remote work from home position Our benefits package includes health, dental, and vision insurance, company paid life insurance and disability insurance, a 401(k) plan with an employer match, paid time off after 90 days of employment, and ten company paid holidays. Essential Functions: · Receive all inbound and outbound calls for potential disability clients · Perform general office clerk duties · Ask a series of questions verbatim for the purpose of compiling data about the client to confirm eligibility · Record information as needed · Respect client confidentiality · Performs other related duties as assigned. QualificationsRequired Skills/Abilities: · Must have 2 years of experience using an auto-dialer system and reading a script verbatim · Experience using computers and performing data-entry functions · Legal experience is a plus · Minimum typing speed of 35 WPM · Ability to type and talk while using a hands free headset · Solid reading, writing, and verbal communication skills · Professional communication skills over the phone and with co-workers and supervisors · Previous telecommuting/remote work experience is a plus · Must be able to multitask and be proficient in the use of today’s technology · Must have a desk, chair and basic essentials to work from home · Must have a quiet work area without noise or distractions · Must have your own/personal high speed internet ** you cannot use Wi-Fi ** · Reliable and dependable attendance. Education and Experience: · This job requires a minimum of a high school diploma or G.E.D and two years of previous call center experience. Associate degree is preferred. · Experience using computers and performing data-entry functions. Physical Requirements: · Prolonged periods of sitting at a desk, talking on a telephone and working on a computer. Remote Work from Home Requirements: · Not all positions are remote; some require that the employee work in the office. · Must have a desk, chair and basic essentials to work from home. · Must have a quiet work area without noise or distractions. · Must have personal high speed internet service (Wi-Fi is not acceptable). Our minimum internet speed requirement is 100 download & 20 upload MBPS speed. · Must be logged onto your work computer and able to answer calls during your normal work hours. · Remote workers must be based in the United States and must reside in one of the following states: FL, GA, IL, IN, MI, NC, NJ, NV, NY, PA, SC, TX or WV. Must be able to work EST hours provided above.

Role Description As the first point of contact for new patients, referring providers, and vendors, you will play a critical role in ensuring a smooth, efficient, and welcoming onboarding experience. Your ability to multitask, communicate clearly, and maintain data integrity across platforms is essential to the success of our team and patient satisfaction. Responsibilities: - Patient Onboarding & Scheduling: - Schedule all new patient appointments based on provider availability and location-specific schedules. - Understand and maintain knowledge of all 7 practice locations, including the providers who attend each office and their schedules. - Promptly respond to and manage incoming phone calls, online inquiries, and text messages from potential patients, existing patients, referring offices, and vendors. - Conduct outbound calls to follow up on referrals, online appointment requests, and other leads to convert them into new patients. - Gather and accurately document patient demographic information, referring dentist, reason for visit, and insurance details. - Provide basic information about our services, office locations, providers, and what patients can expect during their first visit. - Data Entry & System Management: - Enter and maintain all patient information in CareStack and the Referral Lab platform — ensuring both systems are always in sync and up to date. - Regularly audit new patient schedules to confirm all necessary records, referrals, x-rays, and insurance details have been received and correctly imported. - Manage daily follow-up tasks in Referral Lab to ensure timely communication and efficient processing of patient leads. - Referral & Office Coordination: - Build and maintain strong relationships with referring dental offices through professional communication and timely follow-ups. - Add new referring offices to the Referral Lab and immediately notify the marketing team via email for relationship-building and follow-up. - Assist in monitoring referral trends and help identify opportunities for outreach or improvement. - Additional Duties May Include: - Participate in team meetings and provide feedback to improve workflows. - Support other front office staff during peak times or staff absences. - Stay up to date on insurance changes, provider schedules, and procedural offerings to better assist patients. - Maintain confidentiality and compliance with HIPAA and company policies. Qualifications - Strong communication skills, both verbal and written. - Exceptional phone presence with a professional and friendly demeanor. - High attention to detail and organizational skills. - Previous experience in dental or medical front office setting preferred. - Familiarity with CareStack, Referral Lab, or similar platforms is a plus. - Self-motivated and team-oriented with the ability to adapt to a fast-paced environment. - Tech-savvy and comfortable navigating multiple platforms and software systems. - Strong relationship-building skills. - Ability to work independently. - Proficiency in Microsoft Office. - Professional, approachable, and confident in representing the practice in the community. Benefits - Competitive compensation (base + performance incentives). - Complimentary or discounted services. - Opportunities for professional growth in a rapidly expanding industry. - A supportive and collaborative team environment.