Role Description Trillium Health Resources has a career opening for a Transition Care Coordinator to join our team! The Transition Care Coordinator (TCC) is responsible for providing care coordination (treatment planning, assessment, monitoring, educating, and referral/linking) to individuals identified in the Transitions to Community Living Initiative Special Needs Populations (TCLI) by targeting those with chronic, unresolved, or complex physical, behavioral health, and social determinant needs. TCC will provide care planning as well as discharge and transition planning from Adult Care Homes, inpatient units, and detention centers with foundations in national evidence-based and informed standards providing whole person care. On a typical day, you might: - Work collaboratively with licensed Clinicians, Registered Nurses, and Peer Support Specialists to ensure successful discharge/transition planning/post transition monitoring. - Provide care coordination/care management to assigned TCL individuals who may have identified needs with behavioral health, physical health, co-occurring, co-morbid, or multi-morbid conditions. - Assess member’s needs who have transitioned into supportive housing to determine if additional support and services are needed for continued independent living. - Complete assessments as needed. - Ensure timely and accurate documentation of all planning and coordination efforts in multiple software platforms and State database systems. Qualifications - Master’s degree in a human services field or licensure as an RN and one (1) year of relevant experience working directly with individuals with SED or SMI; OR - Bachelor’s degree in a human services field or licensure as an RN and three (3) years of relevant experience working directly with individuals with SED or SMI. - Must have a valid driver’s license. - Must reside within Trillium’s North Central Region, which includes the following counties: Beaufort, Dare, Edgecombe, Greene, Hyde, Nash, Pamlico, Pitt, Tyrrell, Washington, or Wilson. - Must be able to travel within catchment as required. Requirements - Experience and knowledge of peer support and experience working with individuals who are certified peer support specialists. Benefits - Typical working hours: 8:30 am – 5:00 pm, flexible work schedules with some roles with management approval. - Work-from-home options available for most positions. - Health Insurance with no premium for employee coverage. - Flexible Spending Accounts. - 24 days of Paid Time Off (PTO) plus 12 paid holidays in your first year. - NC Local Government Retirement Pension (defined-benefit plan). - 401k with 5% employer match and immediate vesting. - Public Service Loan Forgiveness (PSLF) qualifying employer. - Quarterly stipend for remote work supplies.

Care Coordinator (Remote - US) **This is a remote position, it is not mobile. Candidates must have a private, stationary, and HIPAA-compliant workspace within their home that is dedicated solely to work. Candidates must reside in the United States to be considered.** Job Title: Care Coordinator Compensation: $16.33 per hour - $19.00 per hour. (based on experience) Location: Remote (Arizona) Work Environment: Remote with HIPAA-compliant home office setup Why Choose Us? Cosán is a leading healthcare services organization committed to delivering exceptional patient care and innovative solutions to providers and partners. Join a mission-driven, collaborative team that values compassionate care and meaningful patient outcomes. As a Care Coordinator, you’ll play a vital role in closing gaps in patient care and making a real difference in the lives of those managing chronic conditions. What We’re Looking For: We’re looking for a compassionate, patient-centered Care Coordinator to manage a panel of patients and provide health coaching through monthly outreach. The ideal candidate is an excellent communicator who can build rapport with patients, collaborate with clinical teams, and advocate for patient needs. You thrive in fast-paced environments, are comfortable navigating multiple technology platforms, and are passionate about helping patients achieve better health outcomes. What You’ll Do: Patient Outreach & Health Coaching - Manage an assigned panel of 400-450 patients and conduct required monthly outreach to ensure continuity of care. - Conduct 50-60 daily outbound calls to patients, providing care plan support and health coaching aligned to their specific needs. - Maintain call quality standards through consistent engagement and professional communication in every patient interaction. Care Coordination & Collaboration - Collaborate with clinical teams, providers, and caregivers to identify and address clinical and social needs. - Support care coordination goals by staying on schedule with monthly outreach targets. - Close gaps in patient care through Chronic Care Management, Behavioral Health Integration, and Remote Physiological Monitoring services. Patient Advocacy - Advocate for patient needs by actively listening to concerns, investigating issues, and communicating solutions to the patient’s care circle. - Partner closely with providers, clinical teams, and caregivers to support positive patient outcomes. Documentation & Compliance - Document all patient interactions in real time using the care coordination platform. - Maintain HIPAA compliance in all patient communications and documentation. - Maintain accurate, real-time documentation to support care coordination goals. Required Qualifications: - Must hold a nationally recognized medical assistant certification (CMA, RMA, CCMA, NCMA, CMAC, or equivalent state-issued MA-C). - OR Certified Pharmacy Technician (CPhT) - Minimum 2 years of clinical experience in a primary care, hospital, or specialty healthcare setting. - Experience with Electronic Medical Records (EMRs) and strong computer navigation skills. - Proficiency in multiple technology platforms and ability to navigate complex systems. - HIPAA-compliant home office setup with minimum 50 Mbps download / 5 Mbps upload internet capability. - Must be legally authorized to work in the United States. Preferred Qualifications: - Experience in care coordination, chronic care management, or behavioral health integration. - Familiarity with remote patient monitoring (RPM) or remote physiological monitoring platforms. - Previous experience managing large patient panels (200+). - Bilingual capability (English and Spanish preferred). Compensation & Benefits: - Paid Time Off + Company Holidays. - Medical, Dental, Vision Insurance. - Complimentary Life Insurance. - 401(k) Plan. - Optional Short-Term, Long-Term Disability, Critical Illness & Accident coverage. - Employee Assistance Program including mental health resources. - Company-provided equipment (laptop, monitor, headset, etc.). Work Environment & Requirements: - 100% Remote with a Monday–Friday schedule—no weekends or late nights. - High-speed broadband internet and private home workspace required - Candidates must complete a company-provided internet speed test to confirm a minimum of 50 Mbps download / 5 Mbps upload. - Private workspace for compliance with HIPAA privacy laws. If you’re a compassionate healthcare professional ready to make a meaningful impact in patients’ lives, we want to hear from you. Apply today and help us deliver exceptional care coordination! Cosán Group is an Equal Opportunity Employer and values diversity at all levels of the organization. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, veteran status, or any other characteristic protected by law.

Who we are: Founded in 2016, K Health's mission is to deliver accessible, high-quality healthcare at scale. As a leading clinical AI company in primary care, K Health has developed a suite of clinical AI agents that enhance provider efficiency and improve patient outcomes. K Health's virtual primary care platform is enhanced by an AI copilot to complete the initial patient intake, summarizing relevant history from the EMR, and generating “the perfect note” to reduce the time providers spend on basic data collection and non-clinical tasks. Unlike other virtual medicine companies, K Health delivers comprehensive, longitudinal primary care in a virtual setting, enabling our clinicians to be true primary care providers without sacrificing scope of practice or continuity of care. As a venture-backed startup trusted with nearly $400 million in funding and a $900 million valuation as of July 2024, K Health is well-positioned for sustained future growth. We are expanding our partnerships with major health systems (Cedars-Sinai, Hackensack Meridian Health, Hartford HealthCare), enhancing accessibility and quality of care by pairing people with technology. Our providers are credentialed at these renowned academic health systems and adhere to their clinical guidelines, ensuring patient-first, evidence-based care. Fully integrated into Epic, our AI platform enables K Health to operate as an extension of existing healthcare systems, benefiting from a built-in network of specialists and social services to seamlessly serve patients within those communities. Our unique care delivery model enables our providers to deliver the same high-quality, accessible care to a mixed-payer population, including those with commercial insurance, Medicare, and Medicaid. Join us in our mission to deliver smarter, simpler healthcare of the future - today! About the role: Join K Health as we partner with the nation's top-rated hospital systems to expand access to primary care in communities facing complex barriers to in-person care. We are looking for full-time Primary Care Physicians who will deliver fully remote, video-based, comprehensive clinical care encompassing preventive care, sick visits, and chronic condition management. The ideal candidate must be licensed in CA, have a board certification in Family (Preferred) or Internal Medicine, and be comfortable practicing the full spectrum of primary care, including pediatrics and mental health. Work from the comfort of your home and deliver care to those who need it the most, supported by K Health's cutting-edge Clinical AI Platform. Our virtual clinic is fully supported 24/7 by a dedicated team of Care Concierge, Clinical Operations, and technical support staff, which helps significantly reduce your administrative burden. What you'll be doing: - Provide high-quality preventative, acute, and chronic care in a fully remote, virtual setting - Elevate remote care by providing compassionate and meaningful patient encounters - Manage a dedicated panel of patients as their primary care physician - Refer patients to specialists or acute care services when clinically indicated - Work on population health initiatives for risk-attributed patients (AWVs, care gaps, transitions of care, risk capture) - Support patients immediately post-discharge to improve understanding of treatment plans and reduce hospital readmissions - Practice continuous self-evaluation to ensure adherence to clinical guidelines and best practices What we're looking for: - Board-Certified in Family or Internal Medicine - 3+ years of post-residency work experience - A minimum of 2+ years of experience in an in-person primary care setting - Experience with virtual visits required - Must have an active CA state medical license, IMLC preferred - Must have prior experience with EPIC EMR - Must be currently enrolled, or eligible for enrollment, as a Medicare provider - Clean background and medical malpractice history - Willing to commit 40 hours per week, 36 clinical hours - Must be able to work 12 hour shifts Saturday and Sunday and one weekday each week. - Spanish-speaking is a plus - Strong interest in developing longitudinal relationships with patients and managing chronic care conditions - Comfort with management of acute conditions in a virtual setting - Extensive experience handling 3+ cases per hour - Eagerness to learn about and implement cutting-edge technology to improve efficiency and clinical outco Benefits & Perks: #LI-Remote - Malpractice insurance coverage - Work from anywhere in the US - Generous Paid Time Off - Paid parental leave - 401k benefit - Competitive health, dental, and vision insurance options Compensation: $300,000—$325,000 USD We offer competitive compensation packages based on industry benchmarks for function, level, and geographic location. Offer amounts are determined by multiple factors such as a candidate's experience and expertise. We are proud to be an Equal Opportunity Employer and consider applicants for employment regardless of race, ethnicity, religion, color, national origin, ancestry, disability, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, sexual orientation, pregnancy, childbirth and breastfeeding, age, citizenship, military or veteran status, or any other class protected by applicable federal, state, and local laws. We’re deeply committed to building teams as diverse as the patients we serve and strive to cultivate an environment where everyone can bring their most authentic self to work. We depend on our differences to make our team stronger, our workplace more dynamic, and our product accessible to all of our users. We are committed to maintaining the integrity of our hiring process and ensuring a safe environment for all candidates. All communication for job offers from K Health will come from email addresses ending in @khealth.com. K Health will never ask you to provide financial information about yourself during the recruitment process. We will never use personal email accounts or other domains for official correspondence. Our official job postings are only listed on our official website and reputable job boards. Be cautious of job offers from sources other than these platforms.

Optum Washington, (formerly The Everett Clinic), is looking for a Nurse Practitioner (NP) to expand our virtual, primary care team in Washington State. As a member of the Optum Care Delivery team, you’ll be an integral part of our vision to make healthcare better for everyone. Here, you’ll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion. We believe you deserve an exceptional career and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together. Position Highlights & Primary Responsibilities: - This role will see established Optum Washington patients with acute care needs who are unable to see their primary care provider or have a concern that can be seen virtually, developing their panel overtime. - You will treat general as well as acute care patients to ensure proper injury care, disease prevention, diagnosis, treatment and recovery, as well as prescribe and administer medication and provide advice regarding personal health. - This is a full-time role, with 36 patient contact hours weekly and dedicated administrative time. - Most providers work a 4-Day work week; schedule is negotiable. - Dedicated administrative time with visits lasting 40 or 20 minutes. - 18-22 patients per day. - MA in-basket support and RN phone triage. - As always, providers are backed by our extensive network of specialty care doctors, pharmacy and ancillary services. Please note, while care is delivered virtually, this role requires the team member to live in Washington State and participate in onsite training. Your Benefits: - $10,000 Hiring Bonus for external candidates - Generous salary + performance quality incentives - CME Reimbursement and Related Time Off - Paid License Renewals - Malpractice Coverage - Employee Wellness Program  Required Qualifications: - Unrestricted License to practice in Washington State - Certified Nurse Practitioner Certification - 2+ years of experience in an Urgent Care, Walk-in Clinic or Outpatient setting Compensation for this specialty generally ranges from $109,500 - $164,000. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.