It's more than a career, it's a calling WI-SSM Health Monroe Home Health & Hospice Worker Type: Regular Job Highlights: SSM is looking for a experienced nurse with Hospice/Liaison or Case Management experience!! The selected individual will be responsible for; • Meeting with patients/families in person to discuss continuum of care services. • Meeting/communicatingwith referral sources (case management, social work, clinics, providers, SNF/ALF facilities etc). • Care coordination between continuum of care departments, such as branch departments, business development etc. • Eligibility/ChartReview to determine appropriateness for continuum of care services - Schedule: This position is primarily a weekend position and Fridays. The hours are 8am-4:30pm with no on-call requirements. - This is a remote position, covering our entire service areas of; WI, IL, OK, and MO. - Multistate licensure required. it is not required at time of hire but would need to work towards it started (this is reimbursed by SSM). Job Summary: Creates an environment that leads to a positive patient care experience by facilitating problem solving and decision making. Ensures accuracy and timeliness on all functions related to insurance prior authorization, plan benefits, and medical necessity documentation. Serves as a liaison between patients, physicians and all other participants of the health care team. Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES - Creates a positive patient care experience by greeting, preparing, exiting and following up with patients for providers according to established competency guidelines, policies and procedures. - Creates an atmosphere of teamwork by contributing to opportunities to improve employee and customer satisfaction, including self development, continuing education (personal and technical), and achieving department objectives and goals. - Provides support, both expected and directed, and collaborates with physicians and multi-disciplinary care team(s) for best care/results. Ensures accuracy of data collection and reporting for quality Initiatives. - Maintains accountability for maximizing revenue capture and growth while optimizing cost savings. Communicates opportunities for organizational growth and improvement. - Applies the existing body of evidence-based practice and scientific knowledge in health care to nursing practice, ensuring that nursing care is delivered based on patient’s age-specific needs and clinical needs as described in the department's Scope of Service. - As an SSM Health nurse, I will demonstrate the professional nursing standards defined in the professional practice model. Uses the ANA Code of Ethics for Nurses to guide his/her response to the current and evolving health and nursing needs of our patients and our patient populations. - Works in a constant state of alertness and safe manner. - Performs other duties as assigned. EDUCATION - Graduate of accredited school of nursing or education equivalency for licensing EXPERIENCE - No experience required PHYSICAL REQUIREMENTS - Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs. - Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements. - Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors. - Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc. - Frequent keyboard use/data entry. - Occasional bending, stooping, kneeling, squatting, twisting and gripping. - Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs. - Rare climbing. REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois - Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) - And - Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri - Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) - And - Registered Nurse (RN) - Missouri Division of Professional Registration - Or - Registered Nurse (RN) Issued by Compact State - And - Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Oklahoma - Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) - And - Registered Nurse (RN) Issued by Compact State - Or - Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) - And - Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Wisconsin - Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) - And - Registered Nurse (RN) Issued by Compact State - Or - Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Weekend Shift (United States of America) Job Type: Employee Department: 8071000114 Intake/Admissions Scheduled Weekly Hours: 24 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. - Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). - Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. - Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.

Imagine a career at one of the nation's most advanced health networks. Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work. LVHN has been ranked among the "Best Hospitals" by U.S. News & World Report for 23 consecutive years. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region. Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. These recognitions highlight LVHN's commitment to teamwork, compassion, and technology with an unrelenting focus on delivering the best health care possible every day. Whether you're considering your next career move or your first, you should consider Lehigh Valley Health Network. Summary Coordinates all patient scheduling activities including appointments, procedures, and exams for multiple hospital, physician practice, outpatient departments, modalities, and facilities. Facilitates communication between staff, referral sources and physician offices regarding concerns/issues related to scheduling. Job Duties - Collects clinical information, obtains insurance, and verifies patient demographics to ensure appropriate scheduling of screening and diagnostic tests. - Schedules patients for physician appointments and diagnostic test procedures. - Educates patients, families and physician offices regarding department protocols, procedures, insurance, referrals and testing criteria. - Monitors practice protocols and department procedures and makes recommendations for improvement. - Utilizes scheduling software and other patient-specific software applications to facilitate patient access into the network. - Serves as a resource for staff, physicians, and referring offices. - Strives to reduce errors, minimize rework and defects through conscientious defects and attention to detail. Minimum Qualifications - High School Diploma/GED - 6 months medical office, call center or customer service oriented work experience or - in lieu of work experience, the completion of an Associate's Degree program or higher will be accepted. - Ability to maintain strict level of confidentiality. - Ability to work in a fast paced environment while handling multiple responsibilities. - Detail-oriented with the ability to enter information accurately into electronic systems. - Demonstrates ability to handle stressful situations. - Proficient in Microsoft Office applications. Preferred Qualifications - Familiarization with EMR and scheduling systems such as EPIC, PHS etc. - Bi-lingual English/Spanish. Physical Demands Lift and carry 25 lbs. frequent sitting/standing, frequent keyboard use, *patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR. Job Description Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require. Lehigh Valley Health Network is an equal opportunity employer. In accordance with, and where applicable, in addition to federal, state and local employment regulations, Lehigh Valley Health Network will provide employment opportunities to all persons without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability or other such protected classes as may be defined by law. All personnel actions and programs will adhere to this policy. Personnel actions and programs include, but are not limited to recruitment, selection, hiring, transfers, promotions, terminations, compensation, benefits, educational programs and/or social activities. https://youtu.be/GD67a9hIXUY Lehigh Valley Health Network does not accept unsolicited agency resumes. Agencies should not forward resumes to our job aliases, our employees or any other organization location. Lehigh Valley Health Network is not responsible for any agency fees related to unsolicited resumes. Work Shift: Day Shift Address: 1200 S Cedar Crest Blvd Primary Location: REMOTE IN PENNSYLVANIA Position Type: Remote Union: Not Applicable Work Schedule: Tuesday to Saturday 9-5:30 Department: 1004-13006 COH-Patient Access Center

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 OR, have a board certification in Family 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 experience in an in-person primary care setting - Experience with virtual visits required - Must have an active OR state medical license, IMLC preferred - Must have prior experience with EPIC EMR - Clean background and medical malpractice history - Willing to commit 40 hours per week, 36 clinical hours - Must be able to work Monday and Friday with flexibility over starting hours (i.e., 7 am-12:30 pm EDT) - 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 outcomes Benefits & Perks: #LI-Hybrid - 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: $230,000—$290,000 USD Who We Are: Behind every leading health system is K Health’s AI-powered virtual care engine. Esteemed health systems like Mayo Clinic, Cedars-Sinai, Mass General Brigham, Hackensack Meridian Health, and Hartford Healthcare partner with K Health to build and run modern primary virtual care clinics on their behalf. Our deeply integrated model modernizes the primary care loop by using AI to put humans first. For our patients, we offer clinical AI (i.e., PatientGPT) and unparalleled access to close care gaps around the clock. For our Providers, we deliver provider-serving agentic solutions (i.e., Perfect Note) to eliminate administrative overload and burnout. And for the health systems, we deploy our top-grade Virtualists in AI-powered virtual clinics 24/7 to capture the patients' care journeys at step one, retain the journey through the system for longitudinal care, and strengthen profitability. We’re founded in 2016, headquartered in New York City, and backed by nearly $400 million from leading investors including Valor Equity Partners, Claure Group, Mangrove Capital Partners, 14W, Notable Capital, Lerer Hippeau, Primary Venture Partners, Comcast Ventures, PICO Venture Partners, Max Ventures, and other strategic healthcare partners. 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.

Point C is a National third-party administrator (TPA) with local market presence that delivers customized self-funded benefit programs. Our commitment and partnership means thinking beyond the typical solutions in the market – to do more for clients – and take them beyond the standard “Point A to Point B.” We have researched the most effective cost containment strategies and are driving down the cost of plans with innovative solutions such as, network and payment integrity, pharmacy benefits and care management. There are many companies with a mission. We are a mission with a company. The Nurse Care Navigator – Drug Optimization & Pharmacy Coordination is a licensed nurse responsible for coordinating and overseeing case management services related to medication optimization, international drug sourcing, and pharmacy benefit management (PBM) collaboration. This role serves as a clinical liaison among members, PBMs, international sourcing partners, providers, and internal teams to ensure safe, cost effective, and clinically appropriate medication use. Primary Responsibilities: - Coordinate case management activities related to medication optimization, adherence, and therapeutic appropriateness - Review medication regimens and clinical documentation to identify optimization opportunities - Collaborate with providers, PBMs, and pharmacy partners to support evidence-based medication use and access - Support specialty and high-cost medication coordination initiatives - Coordinate international drug sourcing programs, including partner collaboration, member education, and continuity of care - Serve as a clinical liaison across PBMs, pharmacy vendors, and internal teams to align on formulary options and access strategies - Conduct member outreach, education, and follow-up to support adherence and understanding - Review clinical records, pharmacy data, and provider documentation; escalate complex cases as needed - Ensure compliance with nursing scope of practice, regulatory requirements, and organizational policies - Maintain accurate and timely clinical documentation Qualifications: - Active, unrestricted RN or LPN/LVN license (compact preferred, where applicable) - Nursing degree or diploma from an accredited program - 3–5+ years of experience in nursing, case management, care coordination, or a related clinical role - Strong knowledge of pharmacology and medication management - Experience collaborating across multiple stakeholders, including providers, PBMs, and pharmacy partners - Experience in case management, PBMs, specialty pharmacy, or medication access programs preferred - Familiarity with evidence-based guidelines (e.g., MCG, InterQual) preferred - Experience in a TPA, managed care, or employer-sponsored health plan environment preferred - Strong clinical judgment within scope of licensure - Excellent communication skills and attention to detail, with a focus on accurate documentation - Ability to coordinate member-focused care across cross-functional teams - Working knowledge of regulatory and compliance requirements Individual compensation will be commensurate with the candidate's experience and qualifications. Certain roles may be eligible for additional compensation, including bonuses, and merit increases. Additionally, certain roles have the opportunity to receive sales commissions that are based on the terms of the sales commission plan applicable to the role. Pay Transparency $70,000—$80,000 USD Benefits: - Comprehensive medical, dental, vision, and life insurance coverage - 401(k) retirement plan with employer match - Health Savings Account (HSA) & Flexible Spending Accounts (FSAs) - Paid time off (PTO) and disability leave - Employee Assistance Program (EAP) Equal Employment Opportunity: At Point C Health, we know we are better together. We value, respect, and protect the uniqueness each of us brings. Innovation flourishes by including all voices and makes our business—and our society—stronger. Point C Health is an equal opportunity employer and we are committed to providing equal opportunity in all of our employment practices, including selection, hiring, performance management, promotion, transfer, compensation, benefits, education, training, social, and recreational activities to all persons regardless of race, religious creed, color, national origin, ancestry, physical disability, mental disability, genetic information, pregnancy, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, and military and veteran status, or any other protected status protected by local, state or federal law.