About Us A pioneer in the caregiving space, Careforth supports family caregivers across the United States to confidently care for their loved ones at home. Through a combination of in-person home visits, remote coaching and our proprietary digital collaboration app, we provide caregivers with support, guidance, confidence, and connection to resources they need. The Caregivers and families we support stay with Careforth for many years, building lasting relationships along the way. Join us today and live our values: lead with heart, cultivate trust, go beyond. Position Summary Reporting to the Director, Care Management, the Manager, Care Management is responsible for directing care management operations and leading a team to deliver services that engage, motivate, and educate family caregivers to support complex individuals, keeping care at home. This individual ensures the delivery of high-quality services in compliance with all state, program, and accreditation requirements. This individual will manage a team of clinical and non-clinical care managers, providing case management services across the continuum of care (assessment, care planning, care coordination, and monitoring and evaluating services). In collaboration with key stakeholders, this individual will create action plans in support of quality improvement efforts and positive health outcomes. Primarily remote position with occasional travel required within Cleveland and the Northeast Ohio region. What You Will Do - Lead and manage a team of clinical and non-clinical care managers to engage, motivate, and educate family caregivers to support complex individuals, keeping care at home. - Oversee care management functions and ensure consistency and compliance with clinical policy, procedure and best practices, including regulatory and contractual agreements as well as NCQA accreditation requirements - Lead, coach and develop staff to meet department goals, ensuring key performance indicators and goals are reviewed regularly in support of a high performance / high engagement work environment - Plan, organize, and oversee timely completion of activities, including assessments, care plans, and discharge planning - Implement and interpret organizational and contractual policies and procedures; regularly review work to ensure policies and guidelines are appropriately applied - Track and trend outcomes for potential improvements in the care management process. Create monitors, evaluate and disseminate programmatic reports weekly, monthly, and as needed - Provide oversight for the appropriate use of tools and person-centered care plans to support caregiver and care recipient needs; provide regular review of incidents to identify cause and recommend interventions - Support and maintain clinical relationships with key external business partners and referral sources to increase care collaboration and foster credibility in our services - Review and analyze data (e.g. hospitalization rates, falls, incidents, activation, suspension, and discharge rates) and engage care management team to determine improvement opportunities and manage interventions - Perform other duties and special projects as assigned What You Will Bring - Bachelor’s degree or equivalent work experience preferably in a health care or social services discipline is required along with 7+ years of case management experience in healthcare and social services, preferably with experience in eldercare, and/or people with disabilities or other complex medical needs - 3+ years of experience managing, coaching or developing staff; 2+ years of program or clinical operations management - Ability to travel (usually by automobile) within assigned geographic area; valid driver’s license and automobile insurance is required (Primarily remote position with occasional travel required within Cleveland and the Northeast Ohio region.) - Working knowledge of case management systems, community service and delivery systems, and proficiency with Microsoft Office suite. You'll Benefit From At Careforth your well-being matters. With flexible schedules, a remote-first culture, and a nationally recognized wellness program, our benefits are designed to help you thrive, both professionally and personally. Discover how we invest in you: https://careforth.com/careers/#benefits The pay range for this position is $72,949 - $94,336. The actual wage offered may be lower or higher depending on budget and candidate experience, knowledge, skills, qualifications, and geographic location. Join Our Award Winning Team Founded in Boston, Careforth's caregiver programs and services improve health outcomes, keeping care at home longer. Additionally, our programs provide financial benefit to caregivers and cost savings to state agencies and health plans. At Careforth, we understand the challenges of caregiving and are committed to supporting family caregivers at every turn. Caregivers play a critical role in the future of healthcare—and so can you. Apply now! For more information, please visit www.Careforth.com. Careforth is an Equal Opportunity Employer* DISCLAIMER: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. *Careforth supports families with diverse backgrounds and as an equal opportunity employer, we seek employees who reflect the diverse population we serve. Careforth complies with all applicable laws concerning hiring and employment practices and is firmly committed to fostering and maintaining a workplace free from discrimination. We pledge to hire, train, and promote our employees without regard to race, religion, gender, gender identity, genetic information, age, national origin, sexual orientation, disability, veteran status, or any other category protected by applicable law. Careforth strives to create experiences that are accessible and welcoming to everyone, including making www.careforth.com and the careers site accessible to any and all users. If you would like to contact us regarding the company’s diversity, equity and inclusion initiatives, inquire about a specific accessibility need or the accessibility of our website, or if you need assistance completing an application process, please contact People & Culture at 866-797-2333.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Clinical Liaison serves as a regional liaison between our clients (providers, hospital, post acute care partners) and stroke survivors. This role supports commercial team activities by identifying and establishing relationships with referring providers and facilities, conducting IpsiHand product education, and inservice support to healthcare providers, rehabilitation teams, and patients. - Identify and build trusted relationships with providers and client care teams, providing regular feedback on referral processes and results, and understanding the local landscape regarding expansion partner opportunities. - Deliver presentations and conduct inservice to providers and care teams. - Educate and work with providers on IpsiHand prescription process and medical record needs. - Identify and execute on IpsiHand screening day opportunities, including outreach planning, patient engagement, scheduling, completing screenings, and patient follow-up. - Conduct EEG screenings, both in person and virtually, as requested. - Support intake process, educating patients and caregivers on the onboarding process and setting clear expectations for next steps and communication, including obtaining consents, insurance images, scheduling Kandu appointments (if needed), and completing additional requirements. - Provide feedback on non-enrollment trends, improvements to referral and onboarding workflows, and message testing. - Represent Kandu, Inc. at community-based outreach events, and collect and follow up with new leads. - Participate in client status calls and meetings, as assigned. - Travel to potential and partner sites, with up to 40% national travel required. - Utilize Salesforce to document all activity and monitor data and reporting to support providers and facilities assigned. - Hospital credentialing may be required, which may include TB testing, drug testing, proof of COVID vaccination, MMR vaccination, Hepatitis B vaccination, varicella (chicken pox) vaccination, and other testing as required by clients. Qualifications - At least 4-6 years direct customer service and patient experience required. - 2-4 years experience in a healthcare setting required. - 2-4 years medical device, healthcare, or digital health sales experience required. - Communication skills, ability to adapt communication based on audience. - Experience with health plan benefits and eligibility. - Ability to adapt approach and methods to achieve results in dynamic environments. - Strong comfort level with technology. - Must have reliable transportation (personal vehicle). - Committed to product knowledge and willingness to learn. - Ability to present information succinctly and effectively. Preferred Qualifications - Licensed Occupational Therapist (OTR/L), Physical Therapist (PT/DPT) in good standing. - 2-4 years experience serving stroke survivors and families preferred. Work Environment - Open to overnight travel. - Willing to work daytime and evening hours. Benefits - Competitive Compensation ($105,000-$115,000 annually + Stock Options). - Insurance (Medical/Dental/Vision). - 401(k) with company match. - Unlimited PTO & Holidays. - Life Insurance, LTD, and STD.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Lead Pharmacy Technician in the Veterans Integrated Service Network (VISN) Clinical Contact Center serves as part of an interdisciplinary health care team. The incumbent is a nationally certified pharmacy technician who is efficient, motivated, and focused on customer satisfaction. This position is performed above the full performance level and includes a range of higher-level duties. - Works collaboratively with VISN programs, services, and interdisciplinary coordinated care team members to provide access to care and meet the needs of Veterans, their family members and/or legal representatives via various available contact modalities. - Routinely reviews computer medication profiles for therapeutic duplication, prescription non-compliance, and allergies/drug interactions. - Transfers identified patients to a Pharmacist or Supervisor for further evaluation, if needed. - Reviews patient's medical record and medication profiles to identify situations for polypharmacy and/or abnormal lab findings. - Processes and submits patient requests for new prescription orders and renewals (including controlled substances) accurately and in a timely manner. - Consistently documents patient contact and resolution in VISN Clinical Contact Center software and/or the Electronic Health Record (EHR). - Under the supervision of a Pharmacist, provides supplemental information concerning operational issues or the need for therapy compliance. - Assists in the completion of workload for other VISN Clinical Contact Center Pharmacy Services in the event of natural disasters, low staffing, or other contingency needs. - Performs all duties of lower graded technicians, if required. - Resolves simple and informal problems and complaints regarding VISN Clinical Contact Center Pharmacy Services. - Ensures pharmacy resources are in optimal working condition and alerts the appropriate Pharmacy Supervisor of any necessary changes. - Proactively monitors call volume and VISN Clinical Contact Center Pharmacy Technician performance through Automatic Call Distribution (ACD) metrics. - Completes other duties as assigned. Qualifications - United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. - Certification: Must pass a national certification exam and hold an active national certification through either: - Pharmacy Technician Certification Board (PTCB), Certified Pharmacy Technician (CPhT). - National Healthcareer Association (NHA), Certified Pharmacy Technician (ExCPT). - English Language Proficiency: Must be proficient in spoken and written English. - Experience: One year of experience equivalent to the next lower grade level. - Knowledge, Skills and Abilities (KSAs): - Comprehensive knowledge of concepts, principles, methodology, and policies in a specialized area of pharmacy. - Skill in training and orienting new and existing pharmacy facility employees and students. - Ability to evaluate, analyze, and coordinate workflow and work activities within a specialized area of the pharmacy. - Preferred Experience: 2 years of call center experience and outpatient pharmacy experience preferred. Requirements - Physical aspects associated with work required of this assignment are typical for the occupation. - A pre-placement examination is required for any occupation or assignment that requires the operation of a government-owned or -leased motor vehicle. Benefits - Competitive salary and regular salary increases. - 37-50 days of annual paid time off per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays). - After 12 months of employment, up to 12 weeks of paid parental leave. - After 60 days of employment, full-time employees with a total family income below $144,000 may be eligible for a childcare subsidy. - Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA. - Federal health/vision/dental/term life/long-term care insurance options.

WHO WE ARE NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid. NeueHealth delivers clinical care to health consumers through our owned clinics – Centrum Health and Premier Medical – as well as unique partnerships with affiliated providers across the country. We also enable providers to succeed in performance-based arrangements through a suite of technology and services scaled centrally and deployed locally. Through our value-driven, consumer-centric approach, we are committed to transforming healthcare and creating a better care experience for all. SCOPE OF ROLE The Director, Clinical Performance is responsible for the management of clinical capabilities related to Delegated Utilization Management and Delegated Care Management across multiple health plan clients in the California Medi-Cal, Medicaid delegated services markets. The role is responsible for overseeing day to day clinical operations. This is a work from home position based in California or the Pacific Time Zone. ROLE RESPONSIBILITIES - Ensure clinical review criteria (e.g., evidence-based guidelines) are applied consistently in authorization and review processes. - Support and engage in daily UM workflows, including case review processes, turnaround time management, and staffing models, while helping maintain performance standards for authorizations, denials, and appeals. - Participate in internal and health plan audits, assist in maintaining UM policies and procedures, and support accurate medical necessity determinations in accordance with clinical guidelines. - Partner with medical directors to resolve complex cases and appeals. - Oversee day-to-day UM operations and lead the team, including case review workflows, turnaround times, and staffing models. - Actively participate in day-to-day utilization management (UM) operations, including direct involvement in clinical reviews and authorization decision-making - Maintain performance standards for authorization decisions, denials, and appeals management. - Ensure UM processes meet regulatory, accreditation, and contractual requirements. - Maintain policies and procedures governing UM processes. - Manage workflows, staffing models, and case assignments to maintain appropriate review turnaround times in and accurate medical necessity determinations in accordance with clinical guidelines and regulatory requirements. - Ability to collaborate with analytics to support the development and maintenance of the data governance structure for clinical outcome measures - Identify trends in overutilization, underutilization, and inappropriate site-of-care decisions. - Work closely with Compliance to ensure appropriate operational responses to regulatory changes and ensures policy repository is updated based on state specific requirements or regulatory changes - Adhere to the Policies and Procedures set forth by NeueHealth and performs all additional duties as assigned EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE - Master’s degree in nursing, business, or other related Healthcare field preferred - Minimum 10 years’ experience in the population health management arena - Experience managing a team in a remote work environment - Experience in program development and management LICENSURES AND CERTIFICATIONS - Active and unrestricted license as a Registered Nurse (RN) in California is required. As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of NeueHealth, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.