Overview Join our mission to revolutionize access to mental healthcare for students nationwide through innovative, school-based solutions. We currently partner with over 60 school districts, including Kaiser Permanente, reaching more than one million students across the U.S. Our clinicians benefit from a stable caseload and consistent referrals. We are seeking licensed mental health clinicians to provide teletherapy services to students ages 11-24 throughout California. As a Remote Mental Health Therapist, you will deliver high-quality care while collaborating with schools, caregivers, and community partners to ensure student success. Key Benefits - Competitive Compensation: - W-2: $55,000–$115,000 annual (bi-weekly standardized payment) - Flexible Schedule: Set your hours Monday–Friday (3-8 PM) with optional weekends (9am-5pm) - Caseload Commitment: We ask you to commit to a caseload of 25 sessions per week, with a target minimum of 17 completed sessions per week (averaged over the course of the month) to maintain your base salary and full benefits package. - Full Benefits (W-2): Medical, dental, vision, PTO, paid holidays, CEUs, supervisor support - Daybreak covers around 90% of medical premiums, and 100% of dental and vision premiums for W2 employees - Daybreak covers around 65% of medical, dental, and vision premiums for all eligible dependents - Choose between two comprehensive health plans: Kaiser and Anthem (Blue Cross Blue Shield) - Administrative support: We handle billing, credentialing, and scheduling so you can focus on care - Fully Remote Role: Work from anywhere in the US with a reliable Internet connection - Professional Development: CE credits, malpractice insurance, and ongoing training opportunities - Supportive Clinical Community: Peer consultation, collaborative network, and team discussions Qualifications - Licensed Professional with LCSW, LPCC, or LMFT credentials in the State of California - Experience working with youth and families in clinical or school settings - Strong telehealth skills and reliable high-speed Internet connection - Commitment to culturally responsive care and equity Role & Responsibilities - Provide evidence-based individual teletherapy to students ages 11–24 with mild-to-moderate mental health conditions - Build trusted relationships with students and families - Provide psychoeducation to parents/caregivers Minimum caseload: W-2 full-time requires at least 25 time slots with a minimum of 17 completed sessions per week. Employment Type: This is a 1099 start to W-2 with full benefits pathway position. Our Commitment to Diversity Daybreak Health embraces diversity and inclusion and is committed to equity and opportunity for all. We encourage individuals from all backgrounds to apply. Equal Employment Opportunity At Daybreak Health, we embrace diversity and inclusion and are committed to equity and opportunity for all. We encourage individuals from all backgrounds to apply, including those from diverse communities such as race, ethnicity, gender identity, sexual orientation, ability, age, religion, and socioeconomic background.

Overview Join our mission to revolutionize access to mental healthcare for students nationwide through innovative, school-based solutions. We currently partner with over 60 school districts, including Kaiser Permanente, reaching more than one million students across the U.S. Our clinicians benefit from a stable caseload and consistent referrals. We are seeking licensed mental health clinicians to provide teletherapy services to students ages 11-24 throughout California. As a Remote Mental Health Therapist, you will deliver high-quality care while collaborating with schools, caregivers, and community partners to ensure student success. Key Benefits - Competitive Compensation: - W-2: $55,000–$115,000 annual (bi-weekly standardized payment) - 1099: $70–$85 per session (plus no-show & late-cancel pay) - Flexible Schedule: Set your hours Monday–Friday (3-8 PM) with optional weekends (9am-5pm) - Caseload Commitment: As a 1099 contractor, caseloads start as low as 5 clients a week. For the W2 role, we ask you to commit to a caseload of 25 sessions per week, with a target minimum of 17 completed sessions per week (averaged over the course of the month) to maintain your base salary and full benefits package. - Full Benefits (W-2): Medical, dental, vision, PTO, paid holidays, CEUs, supervisor support - Daybreak covers around 90% of medical premiums, and 100% of dental and vision premiums for W2 employees - Daybreak covers around 65% of medical, dental, and vision premiums for all eligible dependents - Choose between two comprehensive health plans: Kaiser and Anthem (Blue Cross Blue Shield) - Contract Perks (1099): Low weekly caseload minimum (5 sessions), bilingual pay, cross-license bonuses in states we are active in - Administrative support: We handle billing, credentialing, and scheduling so you can focus on care - Fully Remote Role: Work from anywhere in the US with a reliable Internet connection - Professional Development: CE credits, malpractice insurance, and ongoing training opportunities - Supportive Clinical Community: Peer consultation, collaborative network, and team discussions Qualifications - Licensed Professional with LCSW, LPCC, or LMFT credentials in the State of California - Experience working with youth and families in clinical or school settings - Strong telehealth skills and reliable high-speed Internet connection - Commitment to culturally responsive care and equity - Availability for at least 5 hours weekly during peak hours (3-8 PM M-F) for 1099 contractors Role & Responsibilities - Provide evidence-based individual teletherapy to students ages 11–24 with mild-to-moderate mental health conditions - Build trusted relationships with students and families - Provide psychoeducation to parents/caregivers Minimum caseload: Varies by employment type. W-2 full-time requires at least 25 time slots with a minimum of 17 completed sessions per week. 1099 contractors have a minimum of 5 sessions per week. Employment Type: W-2 with full benefits (1099 contract to W2 pathway) OR 1099 Independent Contractor Our Commitment to Diversity Daybreak Health embraces diversity and inclusion and is committed to equity and opportunity for all. We encourage individuals from all backgrounds to apply. Equal Employment Opportunity At Daybreak Health, we embrace diversity and inclusion and are committed to equity and opportunity for all. We encourage individuals from all backgrounds to apply, including those from diverse communities such as race, ethnicity, gender identity, sexual orientation, ability, age, religion, and socioeconomic background.

About the role We're looking for a forward-thinking, tech-savvy, and efficient Nurse Practitioner (APRN) to join our care team. This is a unique opportunity to influence the future of MoldCo and help modernize care for Mold Related Illness. You’ll play a central role in delivering specialized care to patients in our launch states and, soon, across the country. Your clinical insight will help refine our guidelines and accelerate innovation across our telehealth products and platforms. The opportunity: - Fully remote opportunity - Full-time roles begin as contractor positions during the probation period - Highly collaborative clinical and operations team - Opportunities to contribute to research and protocol development - Supportive culture focused on provider and patient well-being - Flexible hours and competitive hourly compensation - Medical malpractice coverage included - Ongoing professional development and Mold Illness-specific training Benefits include: - Competitive salary range: $120,000 - $170,000 per year (based on experience and qualifications) with performance-based incentives - Equity awards - Medical and dental insurance, paid time off and sick leave for full-time hires - Medical malpractice insurance coverage - 401(k) with company match - Ongoing professional development and specialized training in Mold Illness What you'll do - Provide virtual care through video visits and asynchronous messaging, following MoldCo’s clinical guidelines and evidence-based protocols - Conduct comprehensive assessments, including symptom reviews, medical history, and environmental factors - Order labs and prescribe medications when clinically indicated - Educate patients on mold-related health impacts and guide them through diagnostic and treatment pathways using MoldCo’s platform resources - Contribute to ongoing development of protocols and digital health tools Qualifications Must-haves: - APRN certification from an accredited program - An active APRN license in at least 15 states, in good standing - Experience in early-stage or fast-paced environments - Ability to manage high-volume patient communications - Proficiency with telehealth and digital platforms - Comfort adopting new technologies and operating in a rapid-growth setting - Minimum 3,600 hours of in-person clinical experience under physician supervision - Strong virtual communication skills and the ability to build rapport remotely - Confidence delivering telehealth care and digital follow-up Bonus points: - Training or certification in Mold Illness diagnosis and treatment - NLC (Nurse Licensure Compact) licensure - APRN licensure across all 50 states - Prescriptive authority in your licensed states - Prior experience treating Mold Illness

Department Overview This position is responsible for managed care, insurance verification and patient price estimate processes within the Centralized Managed Care & Price Estimates (CMC) department. This position supports the OHSU systems and operations of ambulatory practices, professional services and hospital departments. This position works closely with internal and external customers including Intake Coordinators, Clinical Staff, Surgery Schedulers, Care Managers, Financial Counselors, Insurance Companies, PCP Office Staff, and CMC Leadership to ensure patients receive optimal financial services related to their care. The Managed Care Coordinator and Insurance Verification & Patient Estimates Specialist are an integral part of the CMC team by providing clear and accurate information regarding our patients' financial obligations related to their visits, treatments, procedures and/or hospital admissions. This role is responsible for obtaining and/or verifying prior authorizations, verifying benefits, creating cost estimates, contacting patients to provide estimates, offer pre-service payment opportunity and collecting pre-service payments for visits, treatments, procedures and/or hospital admissions. This position is also responsible for providing guidance for other staff in the areas of patient liabilities, health care contract terms, complex patient referrals, and other managed care issues. The incumbent will have an extensive knowledge of Managed Care and Insurance Verification processes in the ambulatory and inpatient setting including but not limited to insurance eligibility, benefits verification and authorization requirements. This role is knowledgeable about the Epic system and current best practice referral and prior authorization workflows. The incumbent is able to provide support and backup to the Centralized Managed Care & Price Estimates Department as needed for cross-coverage for all managed care and insurance verification workflows. Function/Duties of Position Centralized Managed Care and Insurance Verification - Review incoming referral orders to assess patient’s needs based on diagnosis, insurance coverage or lack thereof, and previous treatments. Referrals may be received internally via Epic or externally via fax or other methods. - Verify patient information including demographics, insurance coverage and financial status. Confirm patient eligibility for health care coverage and clarify any managed care arrangements. Document any details related to liability insurance (i.e. motor vehicle accident, personal injury, or worker’s compensation) to determine third party liability. - Obtains benefit information including current eligibility, deductible or co-pays, co-insurance, stoploss or out of pocket status, authorization requirements, PCP referral requirements, days approved (for routine admissions), and correct billing address. - Document information based on department protocols in the Epic Referral shell. - Work closely with referring providers to obtain necessary insurance referrals and authorizations. - For urgent/emergent admissions, provides admit information and sets up authorizations and/or PCP referrals. Contacts care-management to provide clinical review and obtain length of stay. - For routine admissions, confirms that the authorizations and/or PCP referrals cover the designated admission. If authorizations and/or PCP referrals are not noted in the system, contacts the Managed Care Coordinator from specialist’s office requesting the admission for follow up with the designated insurance company. - Send notification of admission for urgent admissions. - When appropriate, obtain authorizations for all clinical care, procedures, diagnostic studies, medications, outpatient infusion treatment, and inpatient admissions including notifying insurance upon admission. - Follow up on all pending authorizations and/or PCP referrals until accounts are secured. - Maintains current information on managed care insurance plans and serves as a liaison and information resource for patients, referring physician offices, and other OHSU staff. Applies problem solving and negotiating skills in resolving patient concerns and managed care related issues. - Collects detailed information of trauma admissions (motor vehicle accident, personal injury, and/or worker’s compensation) to determine accident-related liability. - Appropriately codes insurance plans in EPIC system for billing purposes. - Work directly with insurance companies, the denial coordinator and the clinical staff and/or provider to supply necessary information to appeal denied claims and/or authorization requests as applicable. - Appropriately code insurance plans within EPIC system for billing purposes. - Provide backup support for other Managed Care coordinators within the Centralized Managed Care & Price Estimates department. - For self-pay patients, complete duties associated with financial assistance determinations such as above/below the line. Including connecting patients with necessary social work or financial counseling to assist in the coverage process. - Complete necessary forms prior to upcoming procedures, admissions, and/or appointments (i.e. Non-Covered Charges Form (NCCF), Advanced Beneficiary Notification (ABN) or Patient Financial Estimate (FE)) as required. Patient Liability Estimates - Review work queue for patients that need an estimate created. - Document information based on department protocols in the Epic referral shell. - Create a Patient Liability Estimate. - Complete accurate pre-registration via phone as applicable. - Contact the patient prior to service to inform them of their estimate and collect any pre-payments at that time. Other duties as assigned. Required Qualifications - One year of experience in a medical office setting in a managed care position, including high-volume scheduling of appointments, multi-line phone system, medical terminology, verifying medical insurance and obtaining managed care authorizations; OR - One and a half years of work experience in a high-volume direct public contact position and 6 months experience in a medical office setting. Knowledge, Skills, and Abilities - The candidate must have a thorough knowledge of PAS policies and procedures. - Candidates will have demonstrated advanced PAS user skills as well as extensive knowledge of integrated care at OHSU. - The candidate must have a thorough knowledge of managed care policies and procedures, as well as authorization and referral processes in EPIC. - The candidate must have a thorough knowledge of verifying medical insurance including worker’s comp and third-party liability. - Experience with electronic scheduling, managed care websites and electronic medical record systems. - Basic computer skills, including MS Word, Excel and Access, OHSU Epic skills and online resource use knowledge. - Excellent communication skills, both written and verbal. - Demonstrated knowledge of managed care and insurance verification policies and procedures including appropriate timelines, paperwork, regulations, communication and follow-up are also required. - Demonstrated efficiency, problem solving and negotiation skills in resolving patient concerns and managed care/insurance related problems. - Must meet Department performance standards measuring efficiency, production, timeliness and accuracy. This will be reviewed on a regular basis both as a team and as an individual. - Ability to multi-task in a high-volume situation. - Strong attention to detail and processes. - Ability to work autonomously, with a high level of accuracy, speed and exhibit a willingness to work with deadlines. - Strong customer service orientation. - Demonstrated effectiveness in confrontational customer interactions. Preferred Qualifications - High School Diploma or GED. - Excel skills and knowledge preferred. Additional Details Work Schedule: Monday - Friday, 8-hour shift during operational hours 7:00am - 5:30pm. Work location: Remote/Downtown Portland (Fifth Avenue Building). Must be able to share office space with other coworkers and able to multi-task in a high-volume environment. Benefits - Healthcare for full-time employees covered 100% and 88% for dependents. - $50K of term life insurance provided at no cost to the employee. - Two separate above market pension plans to choose from. - Vacation - up to 200 hours per year dependent on length of service. - Sick Leave - up to 96 hours per year. - 9 paid holidays per year. - Substantial Tri-Met and C-Tran discounts. - Employee Assistance Program. - Childcare service discounts. - Tuition reimbursement. - Employee discounts to local and national businesses. We are Oregon's only public academic health center. In addition to caring for patients, we lead groundbreaking research. We also train the next generation of health care professionals. As Portland's largest employer, we give you opportunities to learn and advance in a system of hospitals and clinics across Oregon and Southwest Washington. All are welcome. OHSU welcomes people of all ages, ethnicities, genders, national origins, religions and sexual orientations. We are striving to build an anti-racist, multicultural institution and encourage people with diverse backgrounds to apply. To request reasonable accommodation, contact askhr@ohsu.edu