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. Program Summary Join our Aetna care management team as we lead the way in providing exceptional care to dual eligible populations! You will have a life-changing impact on our Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in both Medicare and Medicaid. As a member of the care team, you will collaborate with members, the internal care team, healthcare providers, and community organizations to meet the complex healthcare and social needs of our members Be part of this exciting opportunity as we expand our DSNP services to transform lives in new markets across the country. Position Summary/Mission As a vital member of our Special Needs Plan (SNP) care team, the Care Coordinator (CC) is responsible for coordinating care for our members through close collaboration with the Care Manager, Social Worker, and other interdisciplinary team members. This role involves evaluating member needs through the annual Health Risk Survey, addressing social determinants of health (SDoH), coordinating care across the continuum, and closing gaps in preventive and health maintenance care. Key Responsibilities - Member Evaluation: Conduct the annual Health Risk Survey to support needs identification for the member’s Individual Plan of Care. - Risk Escalation: Inform the assigned care manager of newly identified health/safety risks or service needs - Care Coordination: Complete care coordination activities delegated by the care manager within an established timeframe. - Quality Issue Escalation: inform the assigned care manager and/or associate manager of any identified quality of care issues. - Advocacy: Passionately support the member’s care coordination needs and drive solutions to address those needs. - Member Engagement: Use problem-solving skills to find alternative contact information for members who are unreachable by care management. Employ motivational interviewing techniques to maximize member engagement and promote lifestyle changes for optimal health. - Monitoring and Documentation: Adhere to case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies. Essential Competencies and Functions - Meet performance and productivity metrics, including call volume, successful member engagement, and compliance with state/federal regulatory requirements. - Conduct oneself with integrity, professionalism, and self-direction. - Demonstrate a willingness to learn about care management within Medicare and Medicaid managed care. - Familiarity with community resources and services. - Navigate various healthcare technology tools to enhance member care, streamline workflows, and maintain accurate records. - Maintain strong collaborative and professional relationships with members and colleagues. - Communicate effectively, both verbally and in writing. - Exhibit excellent customer service and engagement skills. Work Expectations - Access to a private, dedicated space to conduct work effectively to meet the requirements of the position - Dependents must have separate care arrangements during work hours, as continuous care responsibilities during shift times are not permitted Required Qualifications - 2+ years in behavioral health, social services, or a related field relevant to the program focus - Proficient in Microsoft Office Suite (Word, Excel, Outlook, OneNote, Teams) and capable of utilizing these tools effectively in the Care Management Coordinator role - Access to a private, dedicated space to conduct work effectively to meet the requirements of the position - Dependents must have separate care arrangements during work hours, as continuous care responsibilities during shift times are not permitted Preferred Qualifications - Case management and discharge planning experience - Managed care experience Education - High School Diploma with equivalent experience (REQUIRED) - Associate’s or Bachelor’s Degree or non-licensed master’s level clinician in behavioral health or human services (psychology, social work, marriage and family therapy, counseling) or equivalent experience (PREFERRED) 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: 04/18/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

At Accendra Health, we understand that healthcare is complex, and we’re here to make it easier. We help deliver care beyond traditional settings, making essential products and services more accessible through every stage of life. As part of the care team, our teammates play a critical role in delivering personalized, long-term care for the patients we serve. With deep expertise promoting health outside the hospital and a presence in communities nationwide through our Apria and Byram Healthcare brands, Accendra Health does more than just deliver the essentials. If you’re interested in meaningful work with impact, explore our career opportunities and join us in our purpose of Bringing Care To Life™. The anticipated salary range for this position is $17.67 - $18.89 hourly. The actual compensation offered may vary based on job related factors such as experience, skills, education and location. Patient Qualification Specialist JOB SUMMARY The Patient Qualification Specialist will provide excellent customer service and product information, solutions and relevant details to patients and providers. Most importantly, this position provides above and beyond communication with our patients so that they feel heard, understood, valued and more connected with Apria. Key responsibilities for creating a positive, patient-centric environment include: - Evangelize our customers and turn our disgruntled patients into our biggest fans. - Support our Field teams, Operations and Sales, by delivering timely feedback that empowers our teams to deliver exceptional patient experiences. - Critically problem-solve common complaints by flagging trends and partnering cross-functionally to recommend and implement preventative measures. - Proactively create a better patient experience. - Be a champion of the employee experience and drive our unique company culture. - Support the development and implementation of employee programs that nurture our company's core values to engage employees and create a positive culture. ESSENTIAL DUTIES AND RESPONSIBILITIES - Responsible for supporting hundreds of local branch offices across the country by reviewing new patients orders and documentation submitted by referral sources in order to obtain required documentation and clinical requirements of individual health insurance plans, allowing our patients to maximize their available health plan benefits and to receive the much-needed care as soon as possible. - Requests health plan authorizations/information as required; either electronically or verbally. - Demonstrates and ability to develop business relationships within the field leadership through close collaboration, partnership, engagement and communication. - Performs other duties as required. SUPERVISORY RESPONSIBILITIES - N/A MINIMUM REQUIRED QUALIFICATIONS Education and/or Experience - High school degree or equivalent - 1-3 years’ experience in healthcare/health insurance industry desired SKILLS, KNOWLEDGE AND ABILITIES - Patient-Focused: You start with the patient and work backwards. You invest the time and energy to understand the patients’ objectives, then tie all your activities directly to the achievement of those objectives. - Action-Oriented: You thrive as a self-starter who proactively senses and responds to problems and opportunities and requires minimal supervision. - Collaborative: You love teamwork. Your colleagues love having you on the team. You work well across functions and groups. - An Effective Communicator: You write and speak clearly, concisely and with a spirit of partnership. You actively inform and inspire with your messaging. You speak plainly and are transparent with your business colleagues. - Energetic & Passionate: Your passion and energy for health and well-being is deeply founded in your desire to help others and to be a positive role model. - Relationship Builder: You excel in getting people involved and building a network of contacts that allow you to multiply your influence on the organization. Computer Skills - Intermediate skills in Access, Excel, PowerPoint, MS Project, Visio, Word Language Skills - English (reading, writing, verbal) Mathematical Skills - Intermediate level mathematical proficiency, with a strong ability to understand, interpret and develop spreadsheet data. PHYSICAL DEMANDS This is a stationary position that requires frequent sitting or standing, repetitive wrist motions, grasping, speaking, listening, close vision, color vision, and the ability to adjust focus. It also may require occasional lifting, carrying, walking, climbing, kneeling, bending/stooping, twisting, pulling/pushing, walking, bending, stooping, and reaching above the shoulder. This position also may require the occasional lifting of equipment up to 50 lbs. - This position is remote and requires a distraction free environment - Required to be in a home office/workspace during scheduled work hours OTHER INFORMATION The essential duties and responsibilities, physical requirements, and work environment described above are representative of those typically required for this position but may vary depending on staffing and business needs at specific locations. The inclusion or omission of a specific duty or physical requirement is, therefore, not determinative of whether that function is essential to a specific individual’s position. Reasonable accommodations will be provided to assist or enable qualified individuals with disabilities to perform essential functions. PLEASE NOTE: This is a remote position which is US-based. This role requires individuals to physically reside and work within the United States. Company systems and equipment are monitored for security and other purposes and removal of Company equipment outside of the United States is not permitted without prior authorization. Teammate Benefits As an Accendra Health employee, you have choices to fit your life. Our comprehensive benefits program is designed to meet you where you are — through all of life’s stages. We’ve got you and your family covered with benefits that support your health, finances, and overall wellness. Our benefits program includes: - Medical, dental, and vision care coverage - Paid time off plan - 401(k) Plan - Flexible Spending Accounts - Basic life insurance - Short-and long-term disability coverage - Accident insurance - Teammate Assistance Program - Paid parental leave - Domestic partner benefits - Mental, physical, and financial well-being programs If you feel this opportunity could be the next step in your career, we encourage you to apply. Accendra is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, sex, sexual orientation, genetic information, religion, disability, age, status as a veteran, or any other status prohibited by applicable national, federal, state or local law. Note: Accendra is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at our Company via email, the Internet, or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of our Company. No fee will be paid in the event the candidate is hired by our Company as a result of the referral or through other means.

About Pacaso: Pacaso exists to enrich lives by making second home ownership possible and enjoyable for more people. Our innovative co-ownership model is the easiest, smartest and most responsible way for people to experience the joy of a second home. We provide all the benefits of true ownership without the hassles through our simplified financial structure, easy and equitable scheduling, and dedicated local property management.Founded by former Zillow executives, Pacaso has facilitated over $1 billion in gross real estate transactions and service fees across more than 40 markets nationwide, as well as internationally in Paris, London, and Cabo. We have been featured in The New York Times, Wall Street Journal, Fortune, Forbes, CNBC and more.Pacaso is a certified Great Place to Work and has received numerous accolades for its workplace culture. Fortune and Great Place To Work named Pacaso to the 2024 Best Workplaces in Real Estate list. In 2023, Pacaso was recognized as a Best Workplace in the Bay Area™, and in 2022, it ranked among the Best Medium Workplaces™, Best Workplaces for Real Estate™, and Best Workplaces for Millennials™. Additionally, Pacaso was ranked #6 on Glassdoor's 2022 list of Best Places to Work and was one of LinkedIn's top startups in 2022. The Owner Experience Agent is the front line of the Pacaso owner journey, delivering high-touch, concierge-level service across phone, email, chat, text, and AI-supported channels. Operating within a 24/7 support environment, this role supports approximately 2,000 owners and serves as the first point of contact for all inquiries, issues, and stay-related needs. Agents diagnose concerns, resolve the majority remotely, and coordinate cross-functionally when necessary — maintaining full ownership through resolution. Core Responsibilities Owner Relationship Management & Case Ownership - Serve as the primary point of contact for all owner inquiries - Deliver empathetic, confident, and personalized service aligned with Pacaso’s luxury standards - Take end-to-end ownership of cases, ensuring clear communication and resolution - Maintain detailed documentation of owner preferences, history, and case notes to ensure seamless continuity across shifts - Build trusted, long-term relationships through proactive updates and consistent follow-through Issue Resolution & Stay Support - Troubleshoot home systems and operational issues using playbooks and home-specific knowledge - Resolve the majority of issues without escalation - Partner with downstream teams (Asset Management, Accounting, Legal, Experience Managers, etc.) when needed, maintaining accountability for outcomes - Provide real-time support during owner stays, including urgent maintenance, housekeeping coordination, access needs, and concierge-style requests - Remain calm and solution-oriented during high-pressure in-stay situations Operating Standards - Meet or exceed service-level expectations for responsiveness, resolution time, and owner satisfaction - Participate in 24/7 shift coverage, including weekends, holidays, and on-call rotations - Contribute to continuous improvement of workflows, playbooks, and service standards - Uphold Pacaso’s luxury brand standards in every interaction Qualifications - 3–5+ years of experience in hospitality, luxury property management, concierge services, or high-end customer support - Experience supporting high-value clients or owners with elevated expectations - Strong troubleshooting and critical-thinking skills - Calm, professional presence under pressure - Excellent written and verbal communication skills - Comfortable working in a 24/7 support environment (shift work) You’ll love working at Pacaso because of our ... - Competitive salary and stock options. - Unlimited, flexible PTO for exempt employees. - Excellent medical, dental and vision insurance. - Sponsored memberships to One Medical, Ginger and Carrot. - 401(k) to help you save for the future. - Paid maternity and paternity leave. - Generous home office stipend and monthly cell phone reimbursement. - Quarterly remote team building events and L&D opportunities. Pacaso encourages applications from people of all races, religions, national origins, genders, sexual orientations, gender identities, gender expressions and ages, as well as veterans and individuals with disabilities.

Department Overview The C3 Patient Access Resource Staff is responsible for providing the highest level of customer service while handling all aspects of the scheduling of clinic appointments, referral management, visit preparation, patient eligibility, and financial clearance for the Connected Care Center clinical services. This position is responsible for all aspects of scheduling and supporting patient care coordination across multiple clinical specialties. This position will respond to patient Connected Care Center scheduling requests which include but are not limited to, patient phone calls, MyChart or provider requests. The employee in this position promotes OHSU’s mission statement by delivering high quality, cost effective, patient centered, service excellence. Function/Duties of Position Customer Service - Deliver exceptional customer service to external customers (patients, families, referring providers, insurance carriers, etc.) and internal customers (OHSU healthcare providers and staff). - Meet or exceed service standards of the healthcare industry. - Communicate promptly and professionally. - Demonstrate patient-centered customer service skills. - Handle crisis situations effectively. - Utilize available information technology efficiently. - Process complaints following standard procedures. - Provide flexible coverage for internal service needs. - Apply continuous process improvement methods and skills. Multi-Specialty Call Processing & Scheduling - Answer incoming calls and handle various inquiries related to scheduling, general information, referral status, and care-related matters. - Transfer calls to Nurse Triage when necessary, following established guidelines. - Schedule and manage patient access to clinical services in the Connected Care Center. - Record accurate and detailed information in the electronic medical record (EMR) for telephone encounters, including medication refill requests, complaints, general inquiries, and urgent healthcare concerns. - Assess and direct calls to the appropriate staff for patient care and needs. - Process calls promptly, professionally, and courteously. - Provide callers with relevant information, such as directions, addresses, and operating hours. - Utilize schedules and departmental procedures to connect callers with the appropriate on-call personnel. - Follow departmental policies for different types of encounters (e.g., refills, telephone consultations, documentation). - Schedule patient appointments for Connected Care Center clinical services through various sources, including inbound calls, workqueues, clinical service requests, etc. - Act as a liaison and information resource for physicians and nursing support staff. - Return phone messages and send out new patient information packets via mail. - Direct patients to the appropriate clinicians for healthcare issues. - Process and route direct referrals to other clinical services. - Accurately enter patient information into the Epic system. - Utilize proper OHSU forms and documentation for all patients. - Collaborate with providers to maintain up-to-date clinic templates and block schedules in Epic. - Assist with scheduling surgical services as needed. Registration, Managed Care, Financial Clearance - Ensure administrative and financial preparation of patients prior to their visit by following registration workflows. Gather and verify patient information, including demographics, insurance coverage, and financial status. - Pre-register patients with accurate demographic data, including race, ethnicity, language, and disability information. - Conduct financial screening using the Experian tool to determine patient eligibility for financial assistance programs. - Transfer patients to the appropriate department to address their financial concerns. - Confirm patient eligibility for healthcare coverage and clarify managed care arrangements. - Enter all information accurately into Epic EMR. - Set up reservations and admissions for elective inpatient and day patient procedures. - Obtain managed care authorizations for consultations, procedures, office visits, and care arrangements when needed. Follow up on pending authorizations until they are obtained. - Stay updated on managed care insurance plans and serve as a resource for physicians, nursing support staff, and colleagues. - Provide information on authorization requirements per diagnosis and service to referring physician offices, OHSU Health Plan Office, patients, and insurance companies. - Maintain proficiency in ICD-10 requirements. - Schedule appointments and coordinate with other ancillary and clinical services as necessary. - Resolve patient concerns and managed care-related problems using problem-solving and negotiation skills. - Create medical record if not already available. Visit Preparation & Integrated Care - Prepare for patient visits by reviewing established visit preparation items and documenting their completion while speaking with the patient. - Contact referring providers to obtain any necessary items that have not been obtained. - Record, track, and verify referrals and authorizations for outpatient clinic and lab visits when required. - Schedule patient appointments and accommodate walk-ins as needed. - Obtain prior medical records and studies when necessary. - Arrange for stretchers, wheelchairs, interpreters, and other special accommodations as needed. - Send out information packets to patients. - Provide personal reminders to patients about upcoming appointments. - Prepare patient for virtual visits as needed - Prepare patient for virtual visits as needed Referral Management: - Process incoming referrals for the Connected Care Center clinical services. - Verify and update patient demographics, including address, contact numbers, and primary care physician (PCP) information. - Ensure referrals contain the minimum required information. - Contact the referring clinic (internal or external) if any of the minimum required information is missing. - Utilize Media Manager software in Epic to upload documents into patient charts for current medical care or referral purposes. - Perform document scanning at the point of care, paying meticulous attention to detail to ensure accurate placement of records in the patient's chart. Training and Competency - Engage in relevant educational activities to enhance knowledge and skills for assigned work. - Attend staff meetings, informational sessions, and other learning opportunities. - Stay up to date by reading vendor documentation, trade and other relevant publications. - Collaborate with peers and colleagues to exchange information. - Successfully complete required initial training and core competency assessment for PAS (Patient Access Services). - Stay up to date with all required OHSU and role specific modules. - Maintain core competencies and consistently apply acquired skills throughout employment. - Act as a resource for PAS expertise and share PAS information with other PAS Specialists in the service area. - Provide instruction to co-workers on user skills for PAS system software, including Order Entry, EPIC cadence scheduling, and the Radiology Information System (RIS). - Possess a working knowledge of diagnostic and procedural coding, medical terminology, and maintain familiarity with service-specific practices. - Fill in as needed for any PAS/R position within the service area. Other Duties as Assigned - Including, but not limited to the following responsibilities: - Teamwork and Collaboration: Participates with team members in daily huddle discussing daily work for the team to align with OHSU service standards. Must have strong communication, listening skills and awareness of self. Collaborate with various teams to ensure patient access to care. Required Qualifications - One year of experience in a medical office setting, including high-volume direct patient contact, scheduling of appointments and may require experience obtaining managed care authorizations (dependent on position description). OR one and a half years of work experience in a high volume direct public contact position and 6 months experience in a medical office setting. The candidate must have a thorough knowledge of PAS policies and procedures. Candidates will have demonstrated advanced PAS user skills as well as extensive knowledge of integrated care at OHSU. Knowledge and Skills Required: - Basic computer skills including word processing. Windows applications, on-line scheduling, and a preference for data-base skills. Excellent verbal and written communications skills. Strong customer service orientation. Demonstrated effectiveness in confrontational customer interactions. Preferred Qualifications - Advanced Degree - Basic computer keyboarding skills including typing of 40-50 wpm. - Proficient computer skills including word processing. - Extremly high level of attention to detail. Strong customer service orientation. - Must have excellent verbal and written communication, listening skills and awareness of self. - Demonstrated reliable attendance record. - 2+ years patient scheduling experience. - 2+ years experience working in healthcare, preferably Urology, Neurology, Neurosurgery, GI, or Imaging - Experience working with an electronic health record. Additional Details - Monday-Friday during normal hours of operation. - This position works in a busy environment with many interruptions, multiple demands and interactions. - This position will handle a high volume of patient phone calls, high level of multi tasking, and scheduling. - This position requires sitting for at least 2 hours at a time. Heavy use of computers and multi-line phones. Ability to lift and carry 25 pounds. Ability to speak clearly, demonstrate patience and understanding of customer needs. Must be able to deal with competeing needs and priorities of internal customers. Must be able to work independently from a remote location Why apply to OHSU? We are Oregon's only public academic health center. In addition to caring for patients, we lead groundbreaking research. We also train the next generation of health care professionals. As Portland's largest employer, we give you opportunities to learn and advance in a system of hospitals and clinics across Oregon and Southwest Washington. All are welcome. OHSU welcomes people of all ages, ethnicities, genders, national origins, religions and sexual orientations. We are striving to build an anti-racist, multicultural institution and encourage people with diverse backgrounds to apply. To request reasonable accommodation, contact askhr@ohsu.edu