Company Overview At Enlyte, we combine innovative technology, clinical expertise, and human compassion to help people recover after workplace injuries or auto accidents. We support their journey back to health and wellness through our industry-leading solutions and services. Whether you're supporting a Fortune 500 client or a local business, developing cutting-edge technology, or providing clinical services you'll work alongside dedicated professionals who share your commitment to excellence and make a meaningful impact. Join us in fueling our mission to protect dreams and restore lives, while building your career in an environment that values collaboration, innovation, and personal growth. Be part of a team that makes a real difference. Job Description This is a Part - Time role and you must possess a CRC Certification This position is mostly remote but you must be located in Michigan as you will travel about 30% of the time Perks: Full and comprehensive benefits program, 24 days of paid vacation/holidays in your first year plus sick days, home office equipment including laptop and desktop monitor, mileage and travel reimbursement, Employee Assistance and Referral Program, and hands-on workers’ compensation case management training. Join our compassionate team and help make a positive difference in an injured person’s life. As a qualified Vocational Case Manager, you will provide counseling and expertise to individuals with employment-related psychological or physical challenges, assess readiness for employment, skills, and identify vocational alternatives that are within an individual’s current skill and functional ability levels. In this role, you will: - Demonstrate advanced knowledge, skills, and competency in the application of vocational case management standards of practice. - Conduct comprehensive vocational assessments to recommend and coordinate injured worker participation in various programs, activities, and services designed to prepare them for reentry in the workplace. - Review assessments, interviews and tests, alongside medical information to formulate vocational goals. - Collaborate with treating physicians and therapists to advocate for and coordinate medical assessments to aid in counseling the injured worker on vocational alternatives. - Work with past or present employers and employment facilities to advocate for modifications of job duties based on medical limitations and the individual’s functional assessment. - Research and recommend training programs to individuals, and coordinate/monitor participation. - Facilitate return to work by providing job search skills to injured workers. - Serve as representative of the Company in communications with attorneys, insurance carriers, physicians, employers, and injured workers. - Perform other duties such as coordinate appointments, maintain files, prepare reports, communicate with outside parties, provide expert testimony, and potentially train new staff. Qualifications - Education: Associate Degree or Bachelor’s Degree in vocational evaluation, special education, behavioral psychology, or related field required. Master’s level and/or advanced study strongly preferred or as required by state law. - Certifications, Licenses, Registrations: CRC certification required. Actual certification preferred, or as required by state law. - Experience: Prior industry-related experience in workers’ compensation required. - Skills: Must meet all vocational case management eligibility requirements of the state/jurisdiction of hire. Ability to work independently. Ability to mentor and/or train other case managers as needed or as part of a development opportunity. Knowledge of basic computer skills including Excel, Word, and Outlook Email. Proficient grammar, sentence structure, and written communication skills. Excellent interpersonal skills. - Internet: Must have reliable internet. - Transportation: Must have reliable transportation and be able to travel to and attend in-person appointments with injured workers in assigned geography. Benefits We’re committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living. Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on the applicable US geographic market. The expected base pay for this position ranges from $40-45 hourly. In addition to the base salary, you will be eligible to participate in our productivity-based bonus program. Your total compensation, including base pay and potential bonus, will be based on a number of factors including skills, experience, education, and performance metrics. The Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability. #LI-MC1​​​​​​​ Registered Nurse (RN), Nursing, Home Care Registered Nurse, Emergency Room Registered Nurse, Clinical Nurse, Nurse Case Manager, Field Case Manager, Medical Nurse Case Manager, Workers’ Compensation Nurse Case Manager, Critical Care Registered Nurse, Advanced Practice Registered Nurse (APRN), Nurse Practitioner, Case Management, Case Manager, Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management Specialist, CRC, Certified Rehab Certificate, CRRN, Certified Rehab Registered Nurse, COHN, Certified Occupational Health Nurse, CMC, Cardiac Medicine Certification, CMAC, Case Management Administrator Certification, ACM, Accredited Case Manager, MSW, Masters in Social Work, URAC, Vocational Case Manager

Company Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. Job Summary and Responsibilities Acentra Health is looking for a Clinical Reviewer - LPN/LVN or RN (remote U.S.) to join our growing team. Job Summary: The purpose of this position is to utilize clinical expertise to review medical records against appropriate criteria in conjunction with contract requirements. ***This position is remote within the United States, but applicants must be clinically licensed for the State of Indiana or have a compact license.*** ***Work Schedule: Five 8-hour shifts between 9:00 AM to 6:00 PM Eastern Time with alternating weekends and holidays*** Responsibilities: - Assures accuracy and timeliness of all applicable review type cases within contract requirements. - Assesses, evaluates, and addresses daily workload and queues; adjusts work schedules daily to meet the workload demands of the department. - In collaboration with Supervisor, responsible for quality monitoring activities. - Maintains current knowledge base related to review processes and clinical practices. - Functions as providers' liaison for customer service issues and problem resolution. - Performs all applicable review types as workload indicates. - Fosters positive and professional relationships with internal and external customers. - Attends training and scheduled meetings for current/updated information. - Cross trains to provide flexible workforce to meet client/customer needs. - Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules. The list of accountabilities is not intended to be all-inclusive and may be expanded to include other education- and experience-related duties that management may deem necessary from time to time. Qualifications Required Qualifications: - Active, unrestricted LPN/LVN or RN license in the state of Indiana or a Compact state clinical license. - Associate's degree (bachelor's preferred) or Practical/Professional nursing diploma from an accredited nursing school, college, or university. - 2+ years of Utilization Review/Management (UR/UM) and/or Prior Authorization experience. - 2+ years of medical necessity review experience. - 1+ years of InterQual criteria and/or Milliman Care Guidelines (MCG) experience. - Knowledge of medical records, medical terminology, and disease processes. - Strong clinical assessment and critical thinking skills. - Excellent written and verbal communication skills. - Proficient in navigating multiple systems with the ability to switch between systems seamlessly and effectively. - Flexibility and strong organizational skills. - Ability to work five 8-hour shifts between 9:00 AM to 6:00 PM Eastern Time with alternating weekends and holidays. Preferred Qualifications: - 3+ years of clinical experience in an acute, behavioral health, and/or med-surgical environment. - Knowledge of current National Committee for Quality Assurance (NCQA) standards. - Knowledge of Utilization Review Accreditation Commission (URAC) standards. - Ability to work in a team environment. - Proficient in Microsoft Office. - Efficient time management, including the ability to prioritize tasks, and meet deadlines. - Exhibit the ability to maintain confidentiality standards and ensure HIPAA compliance when assessing relevant issues. Why us? We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. We do this through our people. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career. Benefits Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more. Compensation The pay range for this position is listed below. “Based on our compensation philosophy, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.” Thank You! We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search! ~ The Acentra Health Talent Acquisition Team Visit us at https://careers.acentra.com/jobs EEO AA M/F/Vet/Disability Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law. Pay Range USD $28.37 - USD $39.19 /Hr.

If you’re passionate about building a better future for individuals, communities, and our country—and you’re committed to working hard to play your part in building that future—consider WGU as the next step in your career. Driven by a mission to expand access to higher education through online, competency-based degree programs, WGU is also committed to being a great place to work for a diverse workforce of student-focused professionals. The university has pioneered a new way to learn in the 21st century, one that has received praise from academic, industry, government, and media leaders. Whatever your role, working for WGU gives you a part to play in helping students graduate, creating a better tomorrow for themselves and their families. The salary range for this position takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. At WGU, it is not typical for an individual to be hired at or near the top of the range for their position, and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is: Grade: Faculty 504 Pay Range: $28.26 - $42.40 Job Description The Evaluator applies expertise in the relevant content area to review students’ assessments and determine mastery of learning objectives and course competencies. The Evaluator provides accurate and helpful feedback on assessments to helps students develop course competencies and progress through their academic programs. This role applies evaluation processes, procedures, and policies to ensure assessment feedback is consistent, personalized, and timely. This role participates in ongoing training to ensure they apply the latest evaluation strategies to new and updated course and program learning objectives and competencies. - - Essential Functions and Responsibilities: Analyze and evaluate assessments to determine students’ mastery of learning objectives and course competencies. Prepare accurate, helpful, and consistent feedback to help students develop course competencies. Apply evaluation processes, policies, and procedures when reviewing and determining students’ mastery of course learning objectives and program competencies. Stay current with updates to evaluation processes; adopt and apply updated and new evaluation processes as they occur. Collaborate with team members and leadership when evaluating new and complex assessments to ensure consistent evaluation ratings. Review evaluation feedback from team members and leaders, apply input as needed to ensure evaluation methods align with department and team expectations. Partner with team members and leaders to improve evaluation processes that promote consistent scoring and improve evaluation processes. Knowledge, Skill, and Abilities: Ability to review students’ responses on assessments and determine mastery of learning objectives and course competencies. Ability to evaluate assessments and develop accurate, helpful, personalized, and consistent feedback to students in a way that helps them progress through their academic programs. Ability to maintain expertise in content relevant to the role. Demonstrate excellent communication skills (verbal and written). Demonstrated competency with technology needed to evaluate and respond to students’ assessments. Ability to adapt quickly to new processes and apply changes to evaluation processes. Ability to provide and receive constructive feedback and ensure consistency in evaluation responses. Demonstrated attention to detail and accuracy. Demonstrated ability to collaborate and work effectively as part of a team. Ability to work independently to complete assessment evaluations consistent with standard practices and policies. Minimum Qualifications - MSN with a Nursing Education focus - 3 years or more of work experience in nursing education - Active unencumbered registered nursing license Preferred Qualifications - Terminal Degree in Nursing (Ph.D., DNP) - Certified Nursing Education (CNE) This position requires occasional travel of up to 20%, including required attendance at designated company summits (typically one to two per year). Additional travel may include conferences, visits to company locations, and other business-related events as needed. Additional travel may be assigned as needed to support business requirements. Position & Application Details Part-time Regular Positions (classified as regular and working less than 30 standard weekly hours): This is a part-time, regular position (classified for less than 30 SWH) that is eligible for vision and mental healthcare; flexible spending account; voluntary life insurance; accident, critical illness and hospital indemnity supplemental coverages; legal and identity theft coverage; retirement savings plan; wellbeing program; discounted WGU tuition; and prorated paid holidays and accrued sick time. How to Apply: If interested, an application will need to be submitted online. Internal WGU employees will need to apply through the internal job board in Workday. Additional Information Disclaimer: The job posting highlights the most critical responsibilities and requirements of the job. It’s not all-inclusive. Accommodations: Applicants with disabilities who require assistance or accommodation during the application or interview process should contact our Talent Acquisition team at recruiting@wgu.edu. Equal Employment Opportunity: All qualified applicants will receive consideration for employment without regard to any protected characteristic as required by law.

***Remote and must live in Wayne County for member visits*** JOB DESCRIPTION Job Summary Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Completes comprehensive member assessments within regulated timelines, including in-person home visits as required. • Facilitates comprehensive waiver enrollment and disenrollment processes. • Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate health care professionals and member support network to address the member needs and goals. • Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. • Promotes integration of services for members including behavioral health care and long-term services and supports (LTSS) and home and community resources to enhance continuity of care. • Assesses for medical necessity and authorizes all appropriate waiver services. • Evaluates covered benefits and advises appropriately regarding funding sources. • Facilitates interdisciplinary care team (ICT) meetings for approval or denial of services and informal ICT collaboration. • Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts. • Assesses for barriers to care and provides care coordination and assistance to members to address psycho/social, financial, and medical obstacles concerns. • Identifies critical incidents and develops prevention plans to assure member health and welfare. • Collaborates with licensed care managers/leadership as needed or required. • 25-40% estimated local travel may be required (based upon state/contractual requirements). Required Qualifications • At least 2 years health care experience, including at least 1 year of experience working with persons with disabilities/chronic conditions long-term services and supports (LTSS), and 1 year of experience in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience. •Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN). Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice. • In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements). • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law. • Demonstrated knowledge of community resources. • Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations. • Ability to operate proactively and demonstrate detail-oriented work. • Ability to work independently, with minimal supervision and self-motivation. • Ability to demonstrate responsiveness in all forms of communication, and remain calm in high-pressure situations. • Ability to develop and maintain professional relationships. • Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change. • Excellent problem-solving, and critical-thinking skills. • Strong verbal and written communication skills. • Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases. • In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements). Preferred Qualifications • Certified Case Manager (CCM), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN). License must be active and unrestricted in state of practice. • Experience working with populations that receive waiver services. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V