Position Title: Nurse Practitioner Bilingual 100% Virtual, CareBridge Location: TX United States Job Description: job requisition id JR184091 Job Description: CareBridge Advance Practice Provider, Nurse Practitioner Bilingual Sign on Bonus: $5,000 Seeking Bilingual Nurse Practitioners licensed in Texas AND Must have an active RN Compact license. Virtual: This role enables associates to work virtually full-time, except for 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 accommodation is granted as required by law. Carebridge Health is a proud member of the Elevance Health family of companies within our Carelon business. Carebridge Health exists to enable individuals in home and community-based settings to maximize their health, independence, and quality of life through home care and community-based services. Location: Texas Work Shift: Monday – Friday, 8:00 am to 5:00 pm CST And rotating on-call The Advance Practice Provider, Nurse Practitioner Bilingual is responsible for collaborating with company physicians, the patient’s other physicians and providers, and their family members to develop complex plans of care in accordance with the patient’s health status and overall goals and values. Provides clinical and non-clinical support to patients. How you will make an impact Primary duties may include but are not limited to: - Provides primary and urgent health care via telephone and tele video modalities to patients who receive home and community-based services through state Medicaid programs, dual eligible members and other membership as assigned by our MCO partners. - Develops and implements clinical plans of care for adult patients facing chronic and complex conditions (e.g., co-morbid medical and mental health diagnoses, limited personal resources, chronic medical conditions.). - Gathers history and physical exam and diagnostics as needed, and then develops and implements treatment plans given the patient’s goals of care and current conditions. - Identifies and closes gaps in care. - Meets the patient’s and family’s physical and psychosocial needs with support and input from the company’s inter-disciplinary team. - Educates patients and families about medication usage, side effects, illness progression, diet and nutrition, medical adherence and crisis anticipation and prevention. - Maintains contact with other clinical team members, patients’ other physicians and patients’ other medical providers to coordinate optimal care and resources for the patient and his or her family in a timely basis and consistent with state regulations and company health standards and policy. - Maintains patient medical records and medical documentation consistent with state regulations and company standards and policy. - Participates in continuing education as required by state and certifying body. - Prescribes medication as permitted by state prescribing authority. Minimum Requirements: - Requires an MS in Nursing. - Requires an active national NP certification. - Requires valid, current, active and unrestricted Family or Adult Nurse Practitioner (NP) license in the state of Texas - Experience working with Electronic Medical Records (EMR) required. - Requires 2+ years of experience in managing complex care cases. - Bilingual or Multi-language skills required. Preferred Skills, Capabilities and Experiences: - Experience in managing complex care cases for developmental disabilities and chronically ill patients strongly preferred. - Possession of DEA registration or eligibility preferred. - Bilingual in Spanish is highly preferred - Active Medicaid number in the state of Texas is highly preferred. Job Level: Non-Management Exempt Workshift: 1st Shift (United States of America) Job Family: MED > Licensed/Certified - Other 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 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.

Title: Medical Assistance Specialist 3 (MAS3/AHSO) - Wenatchee Salary;$47,100.00 - $63,252.00 Annually Location ;Chelan County – Wenatchee, WA Job Type;Full Time - Permanent Remote Employment;Flexible/Hybrid Job Number;2026-02370 Department;Health Care Authority Job Description:71036581 This position is based out of the Columbia Valley Community Health Center in Wenatchee, WA. This position works a hybrid schedule based out of the Columbia Valley Community Health Center to determine individual and family eligibility for Washington State medical assistance programs. Within the Apple Health Services and Operations (AHSO) Division, this position supports the Health Care Authority (HCA) mission to provide access to medical care for all eligible Washington citizens. All HCA employees will apply an equity lens to their work, which may include but is not limited to all analyses of core business and processes. About the division: The Apple Health Services and Operations (AHSO) Division works across the Health Care Authority (HCA) and in partnership with the health care community at local, state and federal levels, in order to develop, and manage high quality, and evidence-based health care programs and purchase services that enhance Washington State's citizens' ability to access appropriate, quality health care. About the position: This position supports the HCA mission to provide access to medical care for all eligible Washington citizens. The position determines initial eligibility and/or ongoing individual and family medical eligibility for Medicaid Title XIX, Children's Health Insurance Program (CHIP) Title XXI program, and other Medicaid and state funded medical assistance programs available in Washington State. This position is eligible to telework but is typically required to report on-site three days per week in the Columbia Valley Community Health Center. This expectation may increase or decrease depending on the facility's needs.The default assigned work location of all Health Care Authority (HCA) positions - both on-site and telework eligible positions - is within the State of Washington. This position reports to Wenatchee, WA. Frequency of onsite work will vary based on business and operational needs. HCA has currently suspended the ability to support out-of-state telework. Some of what you will do: - Independently determine initial and/or ongoing eligibility for Health Care Authority Medicaid Title XIX, CHIP Title XXI, and other Medicaid and state funded medical assistance programs administered by the MEDS office. - Apply complex federal and state eligibility regulations published in WAC and RCW to specific household circumstances resulting in accurate eligibility decisions. - Use and manage multiple interdependent electronic systems including Automated Client Eligibility System (ACES), HealthPlanFinder, ProviderOne, Audit Plus, Microsoft Office, SOLQ, Document Management System (DMS), and Employment Security Department (ESD). - Analyze, research, and resolve complex eligibility issues applying proper rules and procedures with a high degree of independence. - Conduct interviews over the telephone, in person, and/or through written correspondence with clients, providers and/or third parties to obtain information for required documentation and verification to support program eligibility. Establish effective working relationships with clients and their advocates and manage difficult interactions with tact and diplomacy. - Work with individual Take Charge providers to answer inquiries and resolve issues related to eligibility for the Take Charge Family Planning program. - Answer inquiries, resolve questions, update eligibility records and otherwise maintain and expand access to medical care for eligible Washington citizens. Required qualifications: Qualifying candidates will meet one of the following criteria options: Option 1: - Bachelor's degree and - One year of the qualifying experience as defined below. Option 2: - Associate degree and - Three years of the qualifying experience as defined below. Option 3: - Completion of a Certificate of Medical Billing and Coding, or closely related certificate program and - Three years of the qualifying experience as defined below. Option 4: - Five years of the qualifying experience as defined below. Option 5: - One year as a Medical Assistance Specialist 2. Qualifying experience for this position is defined as: - Providing direct client services or counseling of customers in the areas of health insurance, disability, or other related health benefits; - public assistance eligibility determination; - health insurance premiums/claims processing, adjusting, and investigation; - other medical premiums/claims/eligibility related experience; or - experience researching and analyzing complex rules, regulations, or policies and utilizing research and analysis to make determinations, solve problems, or complete work while providing direct customer service either in person or on the telephone. Required competencies: - The ability to take action to learn and grow. - The ability to take action to meet the needs of others. Preferred qualifications: - Experience performing conflict resolution with customers. - Knowledge of Medicaid programs and eligibility. - Experience utilizing Microsoft Office programs such as Outlook, Word, and SharePoint. About HCA: Functioning as both the state's largest health care purchaser and its behavioral health authority, the Washington State Health Care Authority (HCA) is a leader in ensuring Washington residents have the opportunity to be as healthy as possible. There are three pillars of our work: Apple Health (Medicaid); the Public Employees Benefits Board (PEBB) and School Employees Benefits Board (SEBB) programs; and behavioral health and recovery. Under these pillars, HCA purchases health care, including behavioral health treatment for more than 2.7 million Washington residents and provides behavioral health prevention, crisis, and recovery supports to all Washington residents. What we have to offer: - Meaningful work with friendly co-workers who care about those we serve Voices of HCA - A clear agency mission that drives our work and is person-centered HCA's Mission, Vision & Values - A healthy work/life balance, including alternative/flexible schedules and mobile work options. - A great total compensation and benefit package WA State Government Benefits - A safe, pleasant workplace in a convenient location with restaurants, and shopping nearby. - And free parking! Notes: This position is covered by the Washington Federation of State Employees (WFSE). Once the listed position(s) is(are) filled, this recruitment announcement may also be used to fill additional position(s) for up to sixty (60) days. Prior to a new hire, a background check including criminal record history will be conducted. Information from the background check will not necessarily preclude employment. HCA is an equal opportunity employer. We value the importance of creating an environment in which all employees can feel respected, included, and empowered to bring unique ideas to the agency. HCA has five employee resource groups (ERGs). ERGs are voluntary, employee-led groups whose aim is to foster a diverse, inclusive workplace aligned with HCA's mission. Our diversity and inclusion efforts include embracing different cultures, backgrounds and viewpoints while fostering growth and advancement in the workplace. Studies have shown women, racial and ethnic minorities, and persons of disability are less likely to apply for jobs unless they feel they meet every qualification as described in a job description. Persons over 40 years of age, disabled and Vietnam era veterans, as well as people of all sexual orientations and gender identities are also encouraged to apply. The Washington State Health Care Authority (HCA) is an E-Verify employer. All applicants with a legal right to work in the United States are encouraged to apply. E-Verify is a registered trademark of the U.S. Department of Homeland Security. Subscribe to our weekly newsletter to receive a list of new job postings at HCA.

Title: LTSS Service Care Manager Location: Clearwater, Largo and Safety Harbor areas. Full time Job Description: You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Centene is seeking a LTSS Service Care Manager to join our Sunshine Health Long Term Services and Supports (LTSS) team. This is a hybrid role covering Pinellas County specifically Clearwater, Largo and Safety Harbor areas. This position is 75% field-based, with the opportunity to work remotely when not visiting members. Standard work hours are Monday – Friday, 8:00 AM – 5:00 PM (local time). Key Responsibilities: - Provide case management support for members in their homes or facilities - Collaborate with healthcare providers, social service agencies, and community resources - Ensure members receive high-quality, person-centered care Ideal Candidate: - Background in case management, healthcare, or social/community services - Strong ability to build relationships and support members in the community - Commitment to improving health outcomes and quality of life Position Purpose: Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service care plans/service plans for long-term care members and educates members and their families/caregivers on services and benefits available to meet member needs. - Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome - Assists with developing ongoing long-term care plans/service plans and works to identify providers, specialist, and/or community resources needed for long-term care - Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members - Provides resource support to members and their families/caregivers for various needs (e.g. employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans - Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs - Interacts with long-term care healthcare providers and partners as appropriate to ensure member needs are met - Collects, documents, and maintains long-term care member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators - May perform home and/or other site visits to assess member’s needs and collaborate with healthcare providers and partners - Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits - Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner - Performs other duties as assigned. - Complies with all policies and standards. Education/Experience: Requires a Bachelor's degree and 2 – 4 years of related experience. For Iowa Only: Bachelor's degree and 2+ years of experience with populations served; or RN with 6+ years of experience with population served. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Pay Range: $27.02 - $48.55 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act.

Remote If you are a current Adventist HealthCare employee, please click this link to apply through your Workday account. Adventist HealthCare seeks to hire an experienced Clinical Documentation Integrity Quality Reviewer for our Medical Coding Department who will embrace our mission to extend God’s care through the ministry of physical, mental, and spiritual healing. As a Clinical Documentation Integrity Quality Reviewer, you will: •Conducts retrospective and concurrent audits of clinical documentation reviews performed by CDI specialists to ensure compliance with organizational standards, coding guidelines, and regulatory requirements. Prepare audit reports, track key quality metrics, and present findings to CDI leadership and related stakeholders. •Work closely with HIM, Coding, Compliance, Physician Advisory teams to resolve discrepancies related to MAHCs, PPCs, PSI, SOI/ROM and Mortality, and ensure cohesive clinical documentation practices. •Develop and deliver targeted training sessions based on audit findings to address knowledge gaps and support CDI team competency. Provides ongoing education to CDI staff and physicians, and clinical teams to enhance knowledge of documentation standards and practices. •Oversee the accuracy, specificity, and completeness of clinical documentation to support compliance, quality care, and proper reimbursement. •Collaborates with CDI leadership to recommend quality improvement initiatives, update audit tools, refine CDI workflows, and ensure all documentation aligns with regulatory requirements, such as CMS guidelines, HIPAA, and organizational policies. •Analyze findings, identify trends in documentation and coding practices, and provide detailed feedback to CDI team members to support professional development. Qualifications include: •Doctor of Medicine (MD), Doctor of Osteopathy (DO), Foreign Medical Graduate (FMG), or Registered Nurse (RN) •RHIA, RHIT, or related clinical/allied health degree •Minimum of 5 years inpatient clinical experience •2+ years of clinical documentation, coding, case management, utilization review, or acute-care clinical experience •Experience interpreting physician documentation, lab results, imaging, and clinical indicators. •Experience with ICD-10-CM/PCS, DRGs, SOI/ROM or HCC is a plus •Lean Six Sigma Green belt preferred •Solventum360 preferred •CCDS (Certified Clinical Documentation Specialist), CDIP (Clinical Documentation Improvement Practitioner) or equivalent required •Certified Documentation Expert Inpatient (CDEI) preferred •Certified Coding Specialist (CCS) preferred Work Schedule: - Employment Type: Full-time - Hours per Week: 40 hours - Typical Daily Schedule: Monday through Friday - Shift Type: Day Shift - Weekend Requirements: No Weekends - Competitive Performance Incentive: Eligible Pay Range: $83,112.12 - $124,675.20If the salary range is listed as $0 or if the position is Per Diem (with a fixed rate), salary discussions will take place during the screening process. Under the Fair Labor Standards Act (FLSA), this position is classified as: United States of America (Exempt) At Adventist HealthCare our job is to care for you. We do this by offering: - Work life balance through nonrotating shifts - Recognition and rewards for professional expertise - Free Employee parking - Medical, Prescription, Dental, and Vision coverage for employees and their eligible dependents effective on your date of hire - Employer-paid Short & Long-Term Disability, Basic Life Insurance and AD&D, (short-term disability buy-up available) - Paid Time Off - Employer retirement contribution and match after 1-year of eligible employment with a 3-year vesting period - Voluntary benefits include flexible spending accounts, legal plans, and life, pet, auto, home, long term care, and critical illness & accident insurance - Subsidized childcare at participating childcare centers - Tuition Reimbursement - Employee Assistance Program (EAP) support As a faith-based organization, with over a century of caring for the communities in the Maryland area, Adventist HealthCare has earned a reputation for high-quality, compassionate care. Adventist HealthCare was the first and is the largest healthcare provider in Montgomery County. If you want to make a difference in someone’s life every day, consider a position with a team of professionals who are doing just that, making a difference. Join the Adventist HealthCare team today, apply now to be considered! COVID-19 Vaccination Adventist HealthCare strongly recommends all applicants to be fully vaccinated for COVID-19 before commencing employment. Applicants may be required to furnish proof of vaccination. Tobacco and Drug Statement Tobacco use is a well-recognized preventable cause of death in the United States and an important public health issue. In order to promote and maintain a healthy work environment, Adventist HealthCare will not hire applicants for employment who either state that they are nicotine users or who test positive for nicotine and drug use. While some jurisdictions, including Maryland, permit the use of marijuana for medical purposes, marijuana continues to be classified as an illegal drug under the federal Controlled Substances Act. As a result, medical marijuana use will not be accepted as a valid explanation for a positive drug test result. Adventist HealthCare will withdraw offers of employment to applicants who test positive for Cotinine (nicotine) and marijuana. Those testing positive are given the opportunity to re-apply in 90 days, if they can truthfully attest that they have not used any nicotine products in the past ninety (90) days and successfully pass follow-up testing. ("Nicotine products" include, but are not limited to: cigarettes, cigars, pipes, chewing tobacco, e-cigarettes, vaping products, hookah, and nicotine replacement products (e.g., nicotine gum, nicotine patches, nicotine lozenges, etc.). Equal Employment Opportunity Adventist HealthCare is an Equal Opportunity/Affirmative Action Employer. We are committed to attracting, engaging, and developing the best people to cultivate our mission-centric culture. Our goal is to have a welcoming, equitable, and safe place to work and grow for all employees, no matter their background. AHC does not discriminate in employment opportunities or practices on the basis of race, ethnicity, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, pregnancy and related medical conditions, protected veteran status, or any other characteristic protected by law. Adventist HealthCare will make reasonable accommodations for applicants with disabilities, in accordance with applicable law. Adventist HealthCare is a religious organization as defined under applicable law; however, it will endeavor to provide reasonable accommodations for applicants’ religious beliefs. Applicants who wish to request accommodations for disabilities or religious belief should contact the Support Center HR Office.