Job Summary TMG is on the lookout for our next great Eligibility Screener! If you love doing meaningful work that helps others live their best lives, we want to hear from you! We’re currently in search for someone with a background in human services, social work, healthcare or case management to join our team. This is a remote position, where you will partner with people in your community who use the TMG IRIS Consultant Agency. While this role is home-based, you will spend most days visiting IRIS participants in their homes. While you’ll have a routine for the work that you do, no two days are alike! As an Eligibility Screener, you would be responsible for completing the Adult Long-Term Care Functional Screens (LTC-FS) for participants of the Wisconsin IRIS program – a Medicaid long-term care option for older adults and people with disabilities. The job includes completing annual rescreens and any change-in-condition screens using the Adult LTC-FS tool to ensure program eligibility. Successful candidates will be approachable, compassionate and respectful of people of all different backgrounds and abilities, and be able to see and articulate the strengths that people inherently have. TMG is committed to maintaining a diverse and inclusive workforce, and prioritizes helping staff have a good work/life balance. Even though the position is remote, you’ll have lots of support from your TMG team and coworkers across the organization. If this sounds like the job for you, apply today! Job Duties - Meets with IRIS participants face to face to complete the screening process. - Completes the Adult Long Term Care Functional Screen (LTC-FS) for people in IRIS according to the Wisconsin Adult LTC-FS Instructions. - Completes contacts to verify screen results with IRIS Consultants, Medicaid Personal Care agencies, and verifies diagnosis information with physicians and the Social Security Administration, when needed.  - Meets the highest standards of documentation and program regulations, while ensuring timely completion of screens. - Maintains screening skills by participating in weekly team meetings, monthly All Screener Meetings, trainings and testing. - Other duties as assigned by management. Required Qualifications • At least 2 years experience in health care, preferably in care coordination, and least 1 year of experience serving target groups of the IRIS program (adults with physical/intellectual disabilities or older adults), or equivalent combination of relevant education and experience. • Must be currently certified to conduct/administer the adult long-term care functional screens or pass the Wisconsin adult long-term care functional screen certification modules (80% or higher on each module) within first week of hire and maintain certification as a screener. • Bachelor of arts or science degree or more advanced degree in a health or human services related field (e.g. social work, psychology) or graduate from an accredited school of nursing. • If a graduate from an accredited school of nursing, must have an active and unrestricted Wisconsin Registered Nurse (RN) license in good standing. • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements. • Attention to detail and ability to ensure accuracy of data. • Strong organizational and time-management skills. • Strong customer service skills and the ability to work cooperatively as part of a team and independently. • Ability to remain flexible in the work environment and willing and able to adapt to changing organizational needs. • Excellent verbal and written communication skills. • Demonstrated computer and software skills required including Microsoft Office suite/applicable software program(s) proficiency. • Travel Requirements 5%. Preferred Qualifications • Current or former certification to conduct/administer adult Long-Term Care Functional Screening (LTCFS) in the state of Wisconsin. 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

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. **This role requires approximately 60% travel to support members in Johnson county, and we are open to candidates who reside in Iowa, Linn, or Washington counties. Applicants have the flexibility to work remotely from their home the remaining time. We provide all required equipment and reimburse for mileage at the current IRS rate. The schedule is Monday - Friday, 8am - 5pm.** 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 on-site visits to assess member's needs and collaborates with providers or resources, as appropriate - 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 1+ years of experience with populations served, or RN with 6+ years of experience with population served. Pay Range: $22.94 - $38.79 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

CareDx, Inc. is a leading precision medicine solutions company focused on the discovery, development, and commercialization of clinically differentiated, high-value healthcare solutions for transplant patients and caregivers. CareDx offers products, testing services, and digital healthcare solutions along the pre- and post-transplant patient journey, and is the leading provider of genomics-based information for transplant patients. As a Clinical Liaison at CareDx, you will interact with medical professionals at leading clinics to provide support and problem resolution, ensuring their long-term success. You will use your knowledge of the healthcare industry and medical diagnostic processes to be a proactive and thorough problem solver, activating customer trust and confidence in CareDx. You will be an integral part of our commercial team and be responsible for the day-to-day support as the lifeline to our transplant centers and patients. Our customers include health care providers (physicians, nurses, clinical laboratory personnel), patients/caregivers, payers, and CareDx counterparts. Responsibilities: - Responsible for patient management, in support of CareDx’s transplant offerings, with a primary focus on CareDx’s laboratory tests. - Work with transplant center staff, as a Clinical Educator, to streamline workflows and integrate CareDx’s transplant services into their process - Liaise between customers and cross-functional internal teams, ensuring CareDx solutions are delivered timely and successful - Respond to and resolve common external requests in a timely manner, including (but not limited to) customer order entry, results, reporting, reimbursement - Work with patients to coordinate blood draw logistics and ensure receipt of compliant orders - Lead operational efficiency exercises and identify ordering process improvements for healthcare providers and/or transplant centers. - Coordinate timely processing for samples and customer inquiries - Maintain compliance with all applicable regulations referenced in CareDx SOPs, including HIPAA, CLIA, FDA, etc. - Field travel within assigned geography to key accounts for business reviews and product updates - Other duties as assigned Qualifications: - RN degree is required - 5 plus years Transplant experience preferred - Certified Clinical Transplant Coordinator (CCTC) preferred - 25 - 30% Field Travel within assigned geography - Ability to thrive both independently and in a team environment - Proficiency in reporting and data analytic tools like Excel, Salesforce.com - Strong verbal and written communication skills - Demonstrated ability to influence without direct authority and to develop and maintain strong cross-functional partnerships - Proven experience in managing customer expectations and product development updates Additional Details: Every individual at CareDx has a direct impact on our collective mission to improve the lives of organ transplant patients worldwide. We believe in taking great care of our people, so they take even greater care of our patients. Our competitive Total Rewards package for US Employees includes: - Competitive base salary and incentive compensation - Health and welfare benefits, including a gym reimbursement program - 401(k) savings plan match - Employee Stock Purchase Plan - Pre-tax commuter benefits - And more! - Please refer to our page to view detailed benefits at https://caredx.com/company/careers/ In addition, we have a Living Donor Employee Recovery Policy that allows up to 30 days of paid leave annually to a full-time employee who makes the selfless act of donating an organ or bone marrow. With products that are making a difference in the lives of transplant patients today and a promising pipeline for the future, it’s an exciting time to be part of the CareDx team. Join us in partnering with transplant patients to transform our future together. CareDx, Inc. is an Equal Opportunity Employer and participates in the E-Verify program. By proceeding with our application and submitting your information, you acknowledge that you have read our U.S. Personnel Privacy Notice and consent to receive email communication from CareDx. ***We do not accept resumes from headhunters, placement agencies, or other suppliers that have not signed a formal agreement with us.*** Certain jurisdictions require notice of how we use and protect your personal information. For more information, please read our Privacy Policy. #LI-Remote This is the anticipated base salary range in the United States. The final salary offered to a successful candidate will be dependent on several factors that may include, but are not limited to, the type and length of experience within the job, the type and length of experience within the industry, education, etc. Base pay is one part of the Total Package that is provided to compensate and recognize employees for their work, and this role may be eligible for additional discretionary bonuses/incentives and restricted stock units. CareDx is a multi-state employer, and this salary range may not reflect positions that work in other states. Remote: US only roles $84,000—$105,000 USD

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Clinical Quality LPN is responsible for Primary Source Verification and Supplemental Data Entry. They assist with the coordination of HEDIS® and STARs data gathering within various applications. - Evaluate the quality and completeness of clinical documentation - Perform quality medical record reviews - Assist in the improvement of the clinical documentation process - Maintain accurate records of review activities - Ensure all data submitted to the health plan meets the HEDIS/Star technical specifications for medical records - Support end of year final push activities and hybrid chart chase processes You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Schedule: Monday - Friday, 8:00 a.m. - 5:00 p.m. in your time zone - Review and abstract medical record data into appropriate application(s) - Support chart chase processes by requesting/obtaining records as needed - Primary source verify abstracted medical record data - Analyze chart data, evaluate for possible data integrity and/or data deficits and document findings - Provide education and feedback to abstractors - Navigate multiple documentation systems and obtain medical record sections supportive of HEDIS/Star measures - Support member outreach campaigns within the H&C organization, as needed - Maintain education/knowledgebase of HEDIS®/STARs standards and guidelines - Assist team with re-training - Perform all other related duties as assigned Qualifications - Licensed Professional/Vocational Nurse - 3+ years of experience with data analysis/quality chart reviews - 2+ years of HEDIS/STAR experience or participation with similar regulatory reporting - Proven excellent communication practices, both oral and written - Experience using Microsoft office applications, including databases, word-processing, and Excel spreadsheets Requirements - Associate degree (preferred) - Undergraduate degree or equivalent experience (preferred) - Certified Professional Coder (preferred) - Training experience (preferred) - Ability to be flexible in a continuously changing environment Benefits - Comprehensive benefits package - Incentive and recognition programs - Equity stock purchase - 401k contribution (all benefits are subject to eligibility requirements)