Coordinate high-quality transitions of care for patients and families, advocate for appropriate care levels, partner with healthcare providers in care activities, and utilize critical thinking to enhance patient outcomes across the healthcare...

Title: Protective Services Case Worker Location: Lawrence United States - Protective Services - Lawrence, MA, USA - 31.00-33.00 per hour - Hourly - Full Time - Full Benefits Package Available Job Description: AgeSpan About Us: Since 1974 our agency has strived towards supporting an individual's desire to make their own decisions, secure their independence and remain living independently in the community. We are proud of our employees who make this possible every day. Our agency is a thought-leader, a nationally known generator of new ideas, because it welcomes creativity, your ideas. It is an outstanding place to work stimulating, friendly, collaborative. We offer competitive salaries, generous vacation time, and an excellent work/life balance. We value diversity and encourage career growth. If you have a passion for improving the lives of the elderly community and enjoy working in a diverse team driven by its mission, you've found the right place! At AgeSpan, you'll find a work environment that combines: - A refreshing culture that is supportive, collaborative, and encouraging of diverse perspectives and backgrounds. - A focus on innovation with a team recognized for developing and implementing innovative programs and novel solutions. - Encouragement of your development through opportunities to get involved, use your voice, and gain new knowledge and skills. - A satisfying balance between your work and personal life, including a flexible workplace, generous paid time off, and wellness programs. Depending on your role and your hours, we offer - Flexible schedule and hybrid work opportunities - Competitive salaries - Healthcare (medical, dental) - 403b Retirement Plan with agency match - 20 Vacation Days, 12 Sick Days, and 12 Paid Holidays - Social Work Licensing Program - License Renewal Paid by agency for RN's and Social Workers - And MORE! Position Summary: The Protective Services Case Worker will assess and investigate Protective Services cases. The Caseworker is responsible for investigating Protective Services reports, assessing the level of client risk, providing crisis intervention services, advocacy, and monitoring of the case to resolve crisis issues. Essential Functions: (Core duties or tasks that are fundamental and not marginal to the performance of the job) - Investigate Protective Services reports as assigned by the Protective Services Supervisor. - Conduct field visits to assess an older adult's physical, social, emotional, and environmental status to determine their eligibility and needs in their homes in accordance with Executive Office of Elder Affairs regulations. - Provision of crisis intervention, advocacy, and casework services. - Completion of appropriate paperwork and maintenance of client files, including computer database, as defined by the Protective Services Supervisor, and as regulated by the Executive Office of Elder Affairs. - Development and maintenance of ongoing service plans to assist in the resolution of Protective Services cases. - Accessing appropriate mental health, medical resources, and legal assistance when cases require this attention. - Liaison and clinical consultation with case management staff when appropriate. - Assist with community education efforts as assigned by Protective Services Supervisor. - Utilization of court system, when necessary, as indicated under the MGL Chapter 19A 651 CMR law and other mandates. - Case coverage and liaison efforts with other staff members of the Protective Services team. - Work collaboratively within the team when difficult scenarios and issues arise within a teammate's caseload. - Coverage responsibilities for the Protective Services team including participation in the after hours on-call, as needed. - Other duties as assigned by the Protective Services Supervisor. Qualifications: A Masters or higher degree from an accredited school in social work, psychology, counseling, human development, nursing, sociology, criminal justice, public health, public policy, or gerontology, plus at least one year of experience in counseling, casework, case management, preferably in a Protective Services or crisis intervention role preferred; A Bachelors' degree from an accredited school in social work, psychology, counseling, human development, nursing, sociology, criminal justice, public health, public policy, or gerontology, plus at least two years of experience in counseling, casework or case management providing protective or crisis intervention services may be substituted for Masters; LSW eligibility within 2.5 years of hire required; exceptional negotiation/ problem solving, written/verbal communication skills essential; experience with computers, necessary. Bilingual capacity preferred but not required. Hours: 37.5 per week At AgeSpan, we carefully consider a wide range of factors when determining rate of pay. Actual rate of pay depends on factors including but not limited to internal equity, experience, and qualifications. The pay range for this position is $31.00 - $33.00/hour. Our Commitment to Diversity and Inclusion AgeSpan is strongly committed to fostering a professional environment that recognizes, respects, and encourages the unique contributions of a broad spectrum of qualified employees. It is important that our employees reflect the diverse communities we serve. We maintain a work atmosphere that allows people of varied backgrounds to grow professionally and contribute to our mission by promoting diversity, equity, inclusion, and work-life balance.

Title: Operating Systems Software Manager I Location: Wake County United States Job Description: Agency Dept of Health and Human Services Division SEC OFFICE - INFO TECH - NC FAST Job Classification Title Operating Systems Software Manager I (NS) Position Number 65013812 Grade DT11 About Us The North Carolina Department of Health and Human Services (DHHS) is one of the largest, most complex agencies in the state, and has approximately 17,000 employees. It is responsible for ensuring the health, safety, and well-being of all North Carolinians, providing human service needs for special populations including individuals who are deaf, blind, developmentally disabled, and mentally ill, and helping poor North Carolinians achieve economic independence. Description of Work This role is a pivotal technical leadership position responsible for administrating enterprise-grade cloud infrastructure. The ideal candidate should possess the ability to self-manage effectively and take proactive initiatives in leading a team to support the development, operation, and maintenance of intricate information technology systems, infrastructures, and environments. This includes tasks related to cloud resource provisioning, optimization, privacy and security compliance, as well as site reliability engineering. The aim is to ensure security, reliability, and availability that meet the needs of both organizational staff and the citizens of North Carolina. The Work will be conducted in a hybrid data center environment but primarily in the cloud, which is mission-critical and must remain continuously available. The position provides essential leadership and hands-on guidance in managing the day-to-day operations of cloud-based systems and services to ensure the 24/7 availability, robust security, and optimal performance of complex cloud-based systems, data storage solutions, and network operations. Responsibilities include: - Infrastructure Management: Spearhead and manage the implementation and upgrade of cloud-based application infrastructure, platform and supporting software. It also includes overall responsibility for reviewing, planning, and deploying OS, database, and platform patches/updates. - Automation and Orchestration: Champion the effective and efficient automation and orchestration of cloud infrastructure and operations, leveraging various automation tools and technologies. - Monitoring and Logging: Ensure robust monitoring and logging solutions are in place to maintain real-time visibility into infrastructure and application health. - Leadership: Lead a team comprising DevOps engineering staff, Batch process development and execution team to guide them on day-to-day priorities based on agile engineering practices. - Emergency Response: Demonstrate flexibility and preparedness to respond to system emergency situations, including production issues and public health crises. Knowledge Skills and Abilities/Management Preferences Salary Grade Range: $91,600.00 - $160,299.00 Recruitment Range: $91,600.00 - $132,000.00 Candidates now meet the minimum qualifications of a position if they meet the minimum education and experience listed on the vacancy announcement. The Knowledge, Skills, and Abilities (KSAs)/ Management Preferences are not required. Applicants who possess the following skills are preferred: - Demonstrated hands-on experience with AWS services, including a deep understanding of services like EC2, S3, IAM, VPC, ALB, and RDS. - Documented knowledge of Terraform, Ansible, and Cloud Native automation tools. - Extensive hands-on experience in providing technical leadership for information systems, including managing platforms, infrastructure, and overseeing operations and optimization of large-scale IT application systems hosted on AWS Cloud. - Hands-on experience in scripting languages such as Python, Bash, or PowerShell for automation tasks and managing infrastructure at scale. - Familiarity with interpreting logs and metrics from various services like CloudWatch, CloudTrail, Dynatrace to identify issues and troubleshoot them. The Posting Will Close At 11:59 P.M. The Night Before The End Date This Position Is Funded In Part Through Federal Funds About the Office of the Secretary The Office of the Secretary serves as the executive leadership arm of the North Carolina Department of Health and Human Services (NCDHHS), guiding the Department's mission to improve the health, safety, and well-being of all North Carolinians. Through strategic oversight and collaborative leadership, the Secretary's Office supports the effective coordination of over a dozen core divisions, ensuring that agency-wide priorities are aligned, resources are used responsibly, and services are delivered with equity and impact. About the NC DHHS Information Technology Division In collaboration with our partners, the North Carolina Department of Health and Human Services (DHHS) protects the health and safety of all North Carolinians and provides essential health and human services. The IT division (ITD) is one of the divisions that report to the Operational Excellence portfolio. The ITD division comprises four sections: Implementation and Operations, Strategy and Workforce, Enterprise Technology, and Vendor and Finance. ITD offers the following services but not limited to implementations, operations, project/portfolio management, infrastructure, consulting, business division liaison, digital transformation, IT strategy, enterprise technology, IT contract and vendor management, and data office services. Compensation and Benefits The State of North Carolina offers excellent comprehensive benefits. Employees can participate in health insurance options, standard and supplemental retirement plans, and the NCFlex program (numerous high-quality, low-cost benefits on a pre-tax basis). Employees also receive paid vacation, sick, and community service leave. In addition, paid parental leave is available to eligible employees. Visit website for State Benefits. Supplemental Contact Information The North Carolina Department of Health and Human Services (DHHS) is an Equal Opportunity Employer that embraces an Employment First philosophy, which consists of complying with all federal laws, state laws, and Executive Orders. We are committed to reviewing requests for reasonable accommodation at any time during the hiring process or while on the job. For more information about DHHS: https://www.ncdhhs.gov/. DHHS uses the Merit-Based Recruitment and Selection Plan to fill positions subject to the State Human Resources Act with the most qualified individuals. Hiring salary will be based on relevant qualifications, internal equity, and budgetary considerations pertinent to the advertised position. In accordance with the Governor's Executive Order 303, our agency supports second-chance employment for individuals who were previously incarcerated or justice-involved. We invite all potential applicants to apply for positions for which they may be qualified. Application Process Be sure to complete the application in its entirety. Resumes will not be accepted in lieu of completing this application. - Information should be provided in the appropriate areas, to include the following: Education, including high school and all degrees obtained, Work Experience, and Certificates & Licenses. It is critical to our screening and salary determination process that applications contain comprehensive candidate information. - Answers to Supplemental Questions are not a substitute for providing all relevant information within the body of your application. To receive credit for the supplemental questions, you must provide supporting information within the "Work Experience" section of the application to support your answers. - Applications must be submitted by 11:59 PM the day before the closing date. - Applicants may be subject to a criminal background check. All candidates selected for positions considered "Positions of Trust" will be subject to a criminal background check. - Due to the volume of applications received, we are unable to provide information regarding the status of your application over the phone. To check the status of your application, please log in to your account. Upon the closing date, applications are "Under Review" and will be screened by Human Resources for qualified applicants. The hiring process may take several weeks. - Degrees must be received from appropriately accredited institutions. Transcripts and degree evaluations may be uploaded with your application. The State of North Carolina/Office of State Human Resources uses the National Association of Credential Evaluation Services (NACES) as a referral resource for applicants who need to have their credentials certified as equivalent. - For a list of organizations that perform this specialized service, please visit the NACES membership website at https://www.naces.org/members. Degree/College Credit Verification Degrees must be received from appropriately accredited institutions. Transcripts, degree evaluations, and cover letters may be uploaded with your application. Veterans' and National Guard Preference - Applicants seeking Veteran's Preference must attach a DD-214 Member-4 Form (Certificate of Release or Discharge from Active Duty) to their applications. - Applicants seeking National Guard Preference must attach an NGB 23A (RPAS), along with the state application, if they are a current member of the NC National Guard in good standing. - Applicants who are former members of either the NC Army National Guard or the NC Air National Guard, with honorable discharge and six years of creditable service, must attach a copy of the DD 256 or NGB 22, along with the state application. ADA Accommodations Consistent with the Americans with Disabilities Act (ADA) and the Pregnant Workers Fairness Act (PWFA), DHHS is committed to the full inclusion of all qualified individuals. As part of this commitment, DHHS will ensure that people with disabilities, or known limitations covered by the PWFA, are provided with reasonable accommodation. If reasonable accommodation is needed to participate in the job application or interview process, please contact the person indicated below. CONTACT INFORMATION: If there are any questions about this posting, please contact Talent Acquisition at talentacquisition@dhhs.nc.gov. Resumes will not be accepted in lieu of completing this application. Minimum Education and Experience Some state job postings say you can qualify by an "equivalent combination of education and experience." If that language appears below, then you may qualify through EITHER years of education OR years of directly related experience, OR a combination of both. See the Education and Experience Equivalency Guide for details. Bachelor's degree in computer science or an IT related field or a closely related field from an appropriately accredited institution and five years of progressive experience in systems software programming OR Associate degree in computer science or an IT related field or a closely related field from an appropriately accredited institution and six years of progressive experience in systems software programming OR An equivalent combination of education and experience EEO Statement The State of North Carolina is an Equal Employment Opportunity Employer and dedicated to providing employees with a work environment free from all forms of unlawful employment discrimination, harassment, or retaliation. The state provides reasonable accommodation to employees and applicants with disabilities; known limitations related to pregnancy, childbirth, or related medical conditions; and for religious beliefs, observances, and practices. Recruiter: Dreisa Yvonne Johnson Email: talentacquisition@dhhs.nc.gov

Title: Manager, Medical Management Location: Michigan, Flint United States Work Type: Hybrid Job ID: 26001600 Job Description: McLaren Health Plan (MHP) is a company with a culture of high performance and a mission to help people live healthier and more satisfying lives. We are looking for a Manager, Medical Management to join in leading the organization forward. MHP is a Managed Care Organization dedicated to meeting the health care needs of each member. MHP offers multiple product lines, including individual and family plans, and Medicaid and Medicare plans to Michigan residents for every stage of life. McLaren Health Plan is accredited by the National Committee for Quality Assurance (NCQA). MHP values the talents and abilities of all our employees and seeks to foster an open, cooperative and dynamic environment in which employees and the health plan can thrive. As an employee of MHP, you will be a part of a dynamic organization that considers all our employees as leaders in driving the organization forward and delivering quality service to all our members. Position Summary: Responsible for all aspects of the Medical Management process from the determination of the appropriateness of care to ultimately improving health outcomes. Responsible for the education, monitoring and evaluation of the Medical Management staff for all product lines. Evaluates, designs, implements and adjusts workflows to ensure accuracy and department efficiencies. Manages Medical Management processes to be appropriate; compliant with NCQA standards and regulatory agencies and within budget. Develops and implements departmental policies and procedures as well as documentation of the case management and utilization management processes. Responsible for the ongoing assessment and delivery of Health Services aspects of the Quality Improvement Performance Plan (QPIP) to facilitate that quality standards are met, with a focus on all assigned NCQA standards. Intervenes with providers when utilization patterns deviate from acceptable utilization standards. Combines utilization information with quality goals and acts accordingly to ensure high-quality, cost-effective care is being delivered. Works collegially with Medical Leadership to identify opportunities for improved quality and cost-effectiveness. This is a hybrid position with requirements to come onsite as scheduled, Flint, MI. This position must have experience in case management. Qualifications: Required: - Bachelor's Degree in Nursing, health care or business. - Three (3) years clinical experience. - Valid License in state doing business in. - Five (5) years' experience in the progressively more complex Medical Management arena in Managed Care, such as case management, utilization management and/or quality improvement (i.e. HEDIS, NCQA) with at least two (2) years in a supervisory role for professional clinical staff leading or assisting in all phases of effective supervision (i.e. Recruitment, performance management, training). - May require weekend supervision for staff. Preferred: - Seven (7) years' experience and knowledge of Managed Care functions (i.e., medical delivery, regulatory compliance, HEDIS, NCQA) - Three (3) years' experience in ambulatory medical management. Additional Information - Schedule: Full-time - Requisition ID: 26001600 - Daily Work Times: 8:30 am - 5:00 pm - Hours Per Pay Period: 80 - On Call: No - Weekends: No