We’re unique. You should be, too. We’re changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy? We’re different than most primary care providers. We’re rapidly expanding and we need great people to join our team. The Supervisor, Advanced Practice Providers (APP), CareLine is responsible for overseeing diagnostic patient care primarily through virtual, remote consultation via video conference or telephone delivered by a remote team of RNs and APPs. The incumbent in this role serves as the supervisory authority for after-hours and weekend clinical calls in their assigned pod. They are further accountable for assessing, diagnosing, treating and precisely documenting patients' physical and psychosocial health status through the collection of health data while operating in a clinical function.ESSENTIAL JOB DUTIES/RESPONSIBILITIES: - Coordinates services with other programs, including other COEs and Center-based clinical teams. - Evaluates and develops programs to improve clinical operations. - Develops and oversees APP during regularly scheduled shifts; managing workflow. - Assist/manage team schedules. - Educates colleagues and/or trainees and serves as a preceptor/mentor/trainer. - Participates with and/or leads committee(s) to support growth/development. - Provides feedback regarding the practice of others to improve patient care. - Through virtual video conference or telephone, assesses acute and non-acute clinical problems. Performs and documents physical evaluations and patient histories, analyzes trends in patient conditions and develops, documents and implements a patient management plan based on interpretation of findings. Aids in the development of a plan of care that may include health education, physician referrals, case management referrals and patient/family counseling. - Evaluates need for immediate nursing intervention, consultation and/or referral and facilitates the necessary patient care. - Plans patient care based on knowledge of the patient population and/or protocol. Considers the patient's cultural background, level of understanding, personality and support systems to anticipate and identify physiological and/or psychological problems. Serves as patient advocate. - In collaboration with the Manager owns talent lifecycle of Registered Nurse population including selection, training, development, building engagement, and performance management. - Collects comprehensive and focused data relating to the health needs of patients and families. Analyzes data to determine appropriate health maintenance and/or improvement methods. - Confers with the patient's PCP and other medical providers to report health data and ensure compliance with guidelines. - Consults with patients and/or family members on health outcomes and works with them to maintain positive health habits and/or improve opportunities. - Leads efforts to ensure achievement of optimal patient outcomes through use of Telemedicine. Collaborates with on-call PCP, as needed, to support expected clinical outcomes. Implements the appropriate protocol to attain expected outcomes. Evaluate progress toward expected outcomes. - Documents assessments, interventions and progress toward outcomes in an easy-to-understand and translate format. - Works with key contributors to enhance the quality of telehealth practices and systems through the utilization of data demonstrating program effectiveness and success. - Communicates using a variety of formats, tools and technologies to build professional relationships and deliver care across the continuum. - Utilizes appropriate resources to plan and provide services that are safe, effective and financially responsible. - Provides extraordinary customer service and professionalism to all internal and external customers. - May also participate in clinical rounds and conferences, risk and quality management programs, clinical and other relevant meetings. - Adheres to strict departmental goals/objectives, standards of performance, regulatory compliance, quality patient care compliance, policies, and procedures. Practices in accordance with a written or electronic practice agreement. - Participates with the physician in the formulation of telehealth/telemedicine policies, procedures and protocols. - Initiates/participates in quality improvement activities that result in approved outcomes - Performs other duties as assigned and modified at manager’s discretion. KNOWLEDGE, SKILLS AND ABILITIES: - Expert-level business acuity - Expert knowledge and understanding of general/core job-related functions, practices, processes, procedures, techniques and methods - Knowledge and understanding of medical practices to function independently as a certified practitioner and in collaboration and consultation with licensed physicians, specialists and other medical providers - Demonstrated record of consistently achieving clinical performance metrics - Technical capability to conduct telemedicine visits in accordance with state and federal regulations - Ability to demonstrate excellent clinical judgement - Ability to problem solve - Ability to prioritize and work under pressure - Ability to provide constructive feedback - Ability to communicate and collaborate with physicians, patients and other team members in a professional manner - Ability to operate effectively with a multidisciplinary team - Proficient skill in Microsoft Office Suite products including Excel, Word, PowerPoint and Outlook; competent in keyboarding and other systems required for the position - Must be available to work evening, weekends and holidays - Spoken and written fluency in English; bilingual (Spanish/Creole) a plus - This job requires use and exercise of independent judgment - Acquires knowledge and skills to maintain expertise in area of practice. EDUCATION AND EXPERIENCE CRITERIA: - Bachelor's degree in Nursing (BSN) and graduate of a school of nursing for Advanced Practice Nursing with certification in area of specialty required; Master's degree in Nursing required. - Basic Life Support (BLS) certification from the American Heart Association (AMA) or American Red Cross required within first 90 days of employment. - For NPs: Board certification by AANP (American Association of Nurse Practitioners) or ANCC (American Nurses Credentialing Center) required. - Must reside within the Continental United states and within a state where the company is establised as a legal business entity - Multi state licensure to include FL, VA, and at least 2 licenses in the following states: GA, KS, MI, MO, OH, PA, TN, TX, IL, KY, LA. - A minimum of 3 years of leadership experience is required. - A minimum of 3 years acute/primary care clinical work experience required. - A minimum of 2 years telehealth work experience highly preferred - Ability to travel 25% of the time within the United States is required - Weekend availability required PAY RANGE: $119,476 - $170,680 SalaryThe posted pay range represents the base hourly rate or base annual full-time salary for this position. Final compensation will depend on a variety of factors including but not limited to experience, education, geographic location, and other relevant factors. This position may also be eligible for a bonuses or commissions. EMPLOYEE BENEFITS https://chenmed.makeityoursource.com/helpful-documents We’re ChenMed and we’re transforming healthcare for seniors and changing America’s healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We’re growing rapidly as we seek to rescue more and more seniors from inadequate health care. ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people’s lives every single day. Current employees, if you want to apply to our internal career site, please click HERE Current Contingent Worker please see job aid HERE to apply #LI-Remote

Company Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. Job Summary and Responsibilities Acentra Health is seeking a Clinical Social Worker (LCPC/LCSW) (Remote) to join our growing team. Job Summary: Join Acentra Health as a Clinical Social Worker and play a vital role in strengthening the health and independence of the communities we serve. In this impactful position, you will conduct comprehensive, needs-based eligibility assessments for individuals applying for Medicaid-funded personal care services delivered in private homes, adult care settings, or supervised living environments. As a trusted clinical professional, you will evaluate level-of-care (LOC) criteria to support informed, person-centered determinations that enable individuals to remain in or safely transition back to home and community-based settings. Your clinical judgment and compassionate approach will directly enhance quality of life and promote independence for priority populations. This full-time, remote position supporting the state of Maine offers the opportunity to create meaningful impact within a collaborative, mission-focused organization. Job Responsibilities - Conduct a comprehensive assessment with youth, guardian and treatment team members. - Conduct assessment to determine whether the beneficiary meets the conditions and criteria using state-approved standardized assessment tool(s) for specific services. - Ensure services provided on a "needs basis" in quantities appropriate to the Beneficiary's unmet need for services based on the severity of their condition, functioning, physical, or cognitive impairment. - Ensure the privacy and dignity of individuals receiving assessment is maintained at the highest standards - Ensure that new, expedited, annual, and change of status assessments are conducted within established timeframes - Include an interview with family members and informal caregivers - Attend and actively participate in staff meetings and conduct case consultations/peer reviews/internal auditing as assigned - Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules Qualifications Required Qualifications, Knowledge and Experience - Active and unrestricted Licensed Clinical Social Worker (LCSW) or Licensed Clinical Professional Counselor (LCPC) license for the state of Maine. - Graduate from an accredited Master's Degree Program - Minimum of two years' experience in behavioral/mental healthcare - Minimum of one year of assessment experience - Strong clinical assessment and critical thinking skills - Medical record abstracting skills Preferred Qualifications - Knowledge of the organization of medical records and medical terminology - Excellent verbal and written communication skills - Ability to work in a team environment - Flexibility and strong organizational skills - Strong working knowledge of Microsoft Office Suite, including Word, Excel, Outlook, and Teams Why us? We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. We do this through our people. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career. Benefits Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more. Compensation The pay range for this position is listed below. “Based on our compensation philosophy, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.” Thank You! We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search! Visit us at Acentra.com/careers/ EEO AA M/F/Vet/Disability Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law. Pay Range USD $67,300.00 - USD $80,000.00 /Yr.

Description We're growing - Join our award winning culture as we serve members in your area! Under the direction of the Service Utilization Supervisor, the Registered Nurse Transition of Care Specialist (TOCS) serves as the clinical point of contact for complex transitions from hospitals to home, hospitals to residential settings or Skill Nursing Facilities (SNF’s), and SNFs to community living. This role consults with care teams and assists in identifying and addressing discharge barriers to support timely discharge when members are medically stable. Through the work, this role will build relationships with hospital staff, provider stakeholders, DHS, and counties which will support seamless transitions of care for the LCI members to reach their outcomes. The position also oversees the Money Follows the Person (MFP) work, which will maximize funding available to LCI for successful transitions from SNFs to a less restrictive environment. Essential Competencies: - Apply professional nursing judgement when reviewing member records and evaluating the clinical risk and on the care planning process specific to the member’s transition of care needs. - Serve as a resource and collaborate through consultation with LCI’s Care Management Staff to support comprehensive, outcome-based care planning for members who are transitioning into different levels of care. - Maintain accurate, timely, and complete hospitalization tracking data within required spreadsheets, ensuring appropriate clinical review, documentation and submission in accordance with state and organizational requirements - Develop and analyze proactive indicators to address the changing and emerging needs of members. - Assess medical complexity, functional status, and clinical stability when identifying barriers to member discharge planning and proactively address problems through collaboration. - Determine which stakeholders need to be a part of a member’s discharge planning meeting. - Collect, analyze, and utilize data to review clinical trends impacting discharge. - Serve as the point of contact for hospitals to ensure smooth discharges and facilitate any complex discharge meetings to ensure appropriate resources are supporting the transition. as well as - Develop and provide training on new and/or more effective guidance to improve overall experiences with discharge planning from various settings and Money Follows the Person. - Serves as the point of contact with external and internal stakeholders across the counties LCI supports. Excellent communication and organizational skills are needed for this pivotal LCI role. - Provide clinical expertise to help ensure safe, appropriate, and medically informed transitions. - Exhibit maturity, resiliency, and sound judgement when dealing with organizational challenges. - Respond constructively to emotional situations, high pressure, and conflict. - Collaborate with internal stakeholders, including CM Program, CM Practice Departments, Network Relations, and Business/Fiscal, to ensure quality and sustainability outcomes are met, and in alignment with LCI’s Strategic Plan and Goals. - Work in partnership with other internal divisions to monitor, evaluate, and process member discharge planning needs. - Serve as a clinical liaison with community and provider stakeholders to support continuity of care and risk mitigation. - Promote a strong commitment to cross-departmental teamwork. - Collaboratively work with internal departments on policy and processes for transitions of care. - Evaluate levels of risk to the organization, support work to mitigate, and report as needed to the appropriate leadership. Requirements - Current License to practice as a Registered Nurse in the State of Wisconsin. - Bachelor’s degree in nursing strongly preferred - Minimum of two (2) years of skilled nursing experience preferred, ideally in gerontology/disabilities and /or home. - Demonstrates proficiency in applying the Family Care principles. - Strong data analysis and application skills. - Strong evaluation, assessment, and interview skills. - Must demonstrate proficiency in Microsoft Office (Word, Excel, PowerPoint, Outlook). - Must have exceptional verbal and written communication skills. - Must have creative problem solving and critical thinking skills. - Must have excellent organization and interpersonal skills. - Must have strong analytical and negotiation skills. - Ability to develop effective working relationships with providers, external stakeholders, and care management staff. - Current driver’s license, acceptable driving record and proof of adequate insurance required. ------------------------------------------------------------------------------------------------- Lakeland Care is a Wisconsin-based non-profit organization that focuses on creating a world we all want to live in. With long-standing roots as a managed care organization (MCO), we provide long-term care services to eligible elders and individuals with physical and intellectual or developmental disabilities. Currently we serve members in 22 counties and have 11 offices throughout the Central to North East region of Wisconsin. Our Mission Empowering individuals. Strengthening communities. Inspiring futures. Our Vision To create a world we all want to live in. Our Core Values Kindness – We believe kindness is always possible and that no compassionate act is ever wasted. Inclusion – We believe that open hearts and open minds are the only path to a brighter future. Trust – We believe that honesty is still in style and that promises still have power. We are an equal employment opportunity employer functioning under an Affirmative Action Plan. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law. We are an organization that participates in E-Verify.

• Provide excellent quality clinical care on a consistent basis that exemplifies Rivia Mind’s culture, values, and guiding principles • Service and maintain a weekly average standard of 31 patients across self-pay, insurance, and Medicare • Maintain a consistent weekly patient care schedule in alignment with Rivia Mind’s standard productivity expectations • Follow Care Model practices that emphasize continuity of care, high-frequency follow-up appointments, and effective calendar management • Conduct comprehensive intake evaluations and develop curated patient-centered treatment plans • Provide appropriate Psychotherapy practices that leverage various modalities (CBT, DBT, motivational interviewing, etc.) • Provide clinical support & counseling to diverse patient populations in a telehealth environment • Coach patients on how to manage ongoing health conditions and provide therapy to help patients make positive behavior changes • Counsel and provide crisis intervention for patients, including assessment and treatment of emotional and behavioral problems • Comply with clinical standards and adhere to timely and thorough session note documentation • Promote a friendly work culture that encourages a fun, collaborative, and co-learning environment that benefits individuals' well-being, self-improvement, and potential • Perform other related role and team function duties as assigned by department and group leaders