Company Description All Care Therapies company is at the forefront of utilizing cutting-edge technology to deliver in-home speech, occupational, and physical therapy services for a diverse clientele, spanning children to adults with various disorders and conditions. As a leading provider of virtual in-home therapy, we excel in addressing the unique needs of each client within the familiar comfort of their environment. Job Description Are you Interested in Teletherapy? Join our OT team! We are hiring in all 50 states to provide services for clients in California. We are also offering reimbursement for California licensure! As a Remote Certified Occupational Therapy Assistant (COTA), you will provide occupational therapy services to clients remotely. You will collaborate with licensed Occupational Therapists to assess and implement appropriate treatment plans, monitor progress, and provide guidance to clients through virtual platforms. Your primary goal will be to help clients achieve their occupational therapy objectives and improve their functional abilities in a remote setting. What You Will Do - Intervention: Provide remote occupational therapy services, including exercises, activities, and interventions to help patients achieve their goals and improve their functional abilities. - Education: Educate patients and their caregivers on techniques and strategies to enhance their independence and well-being. - Documentation: Maintain accurate and up-to-date patient records, including progress notes and other necessary documentation. - Compliance: Adhere to relevant ethical and legal standards and regulations, including patient privacy and confidentiality (e.g., HIPAA compliance). - Technology: Utilize telehealth platforms and tools effectively to conduct remote therapy sessions. - Continuing Education: Stay current with the latest developments in occupational therapy and engage in ongoing professional development. Why Join Us - We are a therapist-owned and operated organization - Career Advancement - We believe in recognizing high-performing teams - Efficient web-based documentation system - Growing company in a new model of service delivery - Monthly team meetings - Supportive collaboration with the Clinical team and Supervisors - Training and materials provided Compensation W2 | $27.00 - $46.00 per hour commensurate with experience, qualifications, and bilingualism. Qualifications - Valid certification as a Certified Occupational Therapy Assistant (COTA) - Active CA State Certified Occupational Therapy Assistant License or ability to apply - Experience in a clinic, private practice, hospital, or home health setting - Technical proficiency to conduct teletherapy through our all-inclusive platform - Should be comfortable working with pediatrics (18 months+) - Prefer strong experience in feeding, sensory, hand, emotional regulation and neurodiverse clients Additional Information All your information will be kept confidential according to EEO guidelines. All Care Therapies is an equal opportunity employer. All aspects of employment, including the decision to hire, promote, discipline, or discharge, will be based on merit, competence, performance, and business needs. We do not discriminate based on race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law. - Department: Provider Network

Job DetailsJob Location: Allied Benefit Systems - CHICAGO, IL 60606Position Type: Full TimeSalary Range: $23.00 - $24.00 HourlyJob Category: Medical Management POSITION SUMMARY An ECM Coordinator supports department staff with administrative tasks related to a member’s medical condition(s), department case work, communication with internal and external stakeholders, and manage audits. This role will engage with members to offer support and resources related to their medical condition(s) through Allied Care. ESSENTIAL FUNCTIONS Facilitate reviews, referrals, and outreach for referral-based proprietary strategies as well as engaging with members across Medical Management products Document all engagement accurately and concisely within the Microsoft Customer Relationship Management (CRM) system Manage escalated and time sensitive case management questions received from members, broker relationships, and internal and external Allied stakeholders Collaborate with strategic vendor partners to provide supportive services and support to members Lead and facilitate claims auditing in conjunction with ECM Coordinators. Complete department auditing related to daily tasks to ensure accuracy and identify escalations Identify impactful scenarios through appropriate closing summaries in timely fashion. Share impactful scenarios with the department’s leadership team to deliver to internal departments, such as Sales, Operations, and Executive leadership Identifying escalations for department leadership team, as appropriate Other duties as assigned EDUCATION Bachelor’s Degree or equivalent work experience, required EXPERIENCE AND SKILLS At least 3-5 years of administrative support experience required. Focus on patient-provider engagement, needs assessments, coordination of care, and or patient treatment adherence within the healthcare or social service industry preferred Understanding of intermittent medical terminology such as CPT, HCPC, and diagnostic codes Understanding of basic benefit plan design terminology such as deductible, out-of-pocket, prescription drugs, physical medicine services, etc. Strong verbal and written communication skills Strong analytical and problem-solving skills COMPETENCIES Communication Customer Focus Accountability Functional/Technical Job Skills PHYSICAL DEMANDS This is a standard desk role – long periods of sitting and working on a computer are required. WORK ENVIROMENT Remote Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive. The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate. Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life and Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend. Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role.Qualifications

Role Description Responsible for Medicare/Medicaid credentialing and revalidations. Works closely and effectively communicates with the departments, payers, and management; and other duties as assigned. Qualifications - High school diploma or general education degree (GED) preferred - Two or more years of experience in a medical office setting specific to provider credentialing Benefits - The referenced base salary range represents the low and high end of University of Maryland’s Faculty Physician’s Inc. salary range for this position. - Some candidates will not be eligible for the upper end of the salary range. - Exact salary will ultimately depend on multiple factors, which may include the successful candidate's geographic location, skills, work experience, market conditions, internal equity, responsibility factor and span of control, education/training and other qualifications. - University of Maryland Faculty Physician’s Inc. offers a total rewards package that supports our employees' health, life, career and retirement. - More information can be found here: Employee Benefits Company Description

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. Job Profile Summary The Utilization Management Physician Reviewer ensures timely and clinically sound coverage determinations for inpatient and outpatient services using evidence-based criteria, clinical judgment, and organizational policies. This role collaborates with internal and external care teams to recommend appropriate care and maintain compliance with CMS and payer guidelines. Responsibilities include reviewing service requests, documenting decisions, participating in quality improvement initiatives, and supporting care coordination efforts. Candidates must be licensed MDs or DOs with 3–5 years of clinical experience, including at least one year in utilization management for Medicare or Medicaid populations. Strong communication, managed care expertise, and attention to detail are essential for success. Role Description: The Utilization Management Physician Reviewer-FT role is responsible for provisioning accurate and timely coverage determinations for inpatient and outpatient services by applying utilization management (UM) criteria, clinical judgment, and internal policies and procedures. Regardless of the final determination, the Physician Reviewer is responsible for ensuring medically appropriate care is recommended to the patient and their care team, which may require coordination with internal and external parties including, but not limited to requesting providers, external UM and case management staff, internal transitional care managers, employed primary care providers, and regional medical leaders. We strive for clinical excellence and ensuring our patients receive the right care, in the right setting, at the right time. Core Responsibilities: ( Weekend Coverage is Required) Review service requests and document the rationale for the decision in easy to understand language per organizational policies and procedures and industry standards; types of requests include but not limited to: Acute, Post-Acute, and Pre-service (Expedited, Standard, and Retrospective) Use evidence-based criteria and clinical reasoning to make UM determinations in concert with an enrollee’s individual conditions and situation. The organization does not solely make authorization determinations based on criteria, but uses it as a tool to assist in decision making. Work collaboratively with the Transitional Care and PCP care teams to drive efficient and effective care delivery to patients Maintain knowledge of current CMS and MCG evidence-based guidelines to enable UM decisions Maintain compliance with legal, regulatory and accreditation requirements and payor partner policies Participate in initiatives to achieve and improve UM imperatives; for example, participate in committees or work-groups to help advance UM efforts and promote a culture of continuous quality improvement Assist in formal responses to health plan regarding UM process or specific determinations on an as-needed basis Adhere to regulatory and accreditation requirements of payor partners (e.g., site visits from regulatory & accreditation agencies, responses to inquiries from regulatory and accreditation agencies and payor partners, etc.) Participate in rounding and patient panel management discussions as required Fulfill on-call requirement, should the need arise Other duties, as required and assigned What are we looking for? A current, clinical, in good standing, unrestricted license to practice medicine (NCQA Standard) Graduate of an accredited medical school. M.D. or D.O. Degree is required. (NCQA Standard) Experience: 3-5 years of clinical practice in a primary care setting with at least one year experience providing Utilization Management services to a Medicare and/or Medicaid line of business Excellent verbal and written communication skills Deep understanding of managed care, risk arrangements, capitation, peer review, performance profiling, outcome management, care coordination, and pharmacy management Strong record of continuing education activities (relevant to practice area and needed to maintain licensure) Demonstrated understanding of culturally responsive care Proven organizational and detail-orientation skills Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $174,070.00 - $374,920.00 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. 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: 07/31/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.