• Responsible for initial review and outreach of new monthly LTC enrollees. • Outreach and promoting active connection through management of persistent outreach. • Manages LTC Medicaid Redetermination and Eligibility concerns. • Receives and compose Service Decision Review tasks for submission to MD. • Ensures timeliness and efficiency of associated tasks and responsibilities. • Completes outbound calls to members to obtain confirmation of enrollment and member’s demographics. • Utilizes Aetna systems to build, research and enter member information, as needed. • Supports the development and implementation of FL LTC plan. • Coordinates and arranges Service Decision Reviews for MD review. • Provides delivery of decision under the direction of MD accordingly. • Promotes communication to enhance effectiveness of care management services. • Performs non-medical research pertinent to the establishment, maintenance, and closure of open cases. • Provides support services to team members by answering telephone calls, researching information, and assisting in solving problems. • Adheres to compliance with policies and regulatory standards. • Maintains accurate and complete documentation of required information that meets contractual, regulatory, and accreditation requirements. • Protects the confidentiality of member information and adheres to company policies regarding confidentiality.

Are you a compassionate, skilled Psychiatric Nurse Practitioner who speaks Spanish fluently? We are a growing behavioral health practice committed to delivering culturally competent, evidence-based mental health care to our diverse patient population. We are seeking a dedicated bilingual Psychiatric NP to join our collaborative team and make a meaningful impact in the lives of our Spanish-speaking patients. About the Role - Provide comprehensive psychiatric evaluations, diagnoses, and individualized treatment planning for adults and/or adolescents - Conduct medication management appointments and psychopharmacology consultations - Deliver culturally sensitive care and communicate directly with Spanish-speaking patients without interpreter barriers - Collaborate with therapists, case managers, and primary care providers to coordinate holistic patient care - Maintain accurate, timely documentation in the electronic health record (EHR) - Participate in team meetings, case conferences, and ongoing quality improvement efforts ★ What We Offer ✓ Competitive salary commensurate with experience✓ Medical, dental & vision insurance✓ Malpractice / liability insurance covered✓ 401(k) with employer match✓ Paid time off + paid holidays✓ CME allowance & paid CME days✓ Flexible scheduling options✓ Supportive, mission-driven team culture✔ Required Qualifications - Active, unrestricted Nurse Practitioner license in [State] - Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) board certification - Fluency in Spanish and English (written and spoken) — required - Current DEA license with prescriptive authority - Minimum 1 year of psychiatric NP experience (new grads with strong PMHNP clinical rotations encouraged to apply) - Proficiency with electronic health records (EMR/EHR systems) ✔ Preferred Qualifications - Experience working with diverse, underserved, or immigrant patient populations - Familiarity with trauma-informed care, motivational interviewing, or CBT principles - Bilingual patient communication experience in a clinical setting - Experience with telehealth platforms

Version française ci-dessous Company Name: PBS Systems Job Location: Remote (Montreal area) Job Type: Full-time, Permanent No. of Openings: 1 Job Requirement(s): Bilingual; Travel across Canada and USA approx. 2 weeks per month Internal Job Title: DTO Bilingual Trainer – Fixed Ops Reports To: Team Lead, DTO Fixed Ops PBS is the fastest growing “All Inclusive Business Platform” vendor in North America and we’ve only just begun! PBS has been transforming how people buy and service cars for almost 40 years, becoming the third largest Dealership Management System (DMS) provider in North America. Each month, hundreds of new users join our platform, which helps dealerships manage sales, service, inventory, and accounting. What sets us apart is how we treat our customers - as partners, innovators and friends. At PBS, we invest in your growth. Your career can progress in alignment with your strengths, interests, and aspirations. Apply today! The Role: As a DTO Bilingual Trainer – Fixed Ops, you will deliver expert training and support in English and French to new and existing customers on our Dealer Management Software. You will primarily conduct virtual training sessions to guide customers through the software implementation process, ensuring a smooth transition. Additionally, you will provide onsite training for new software installations in person. This role is essential in providing exceptional customer service, fostering continuous learning, and promoting collaboration and process improvement to maximize customer success with our software. This is a remote work opportunity based out of the Montreal and surrounding area. 50% of your time would be spent working from home and 50% of your time would be spent travelling to customer sites throughout North America. Job Responsibilities: - Develop a thorough understanding of PBS software and related training processes - Gain proficiency in data entry and other key operational tasks - Independently manage and deliver all assigned training sessions within primary silo - Become an install resource without assistance - Prioritize tasks independently and demonstrate accountability without requiring direction - Ensure that assigned DTO Cornerstone tickets are handled in a timely manner - Provide excellent customer service by effectively navigating and demonstrating the PBS DMS system, while maintaining positive, solutions-focused relationships to ensure customer needs are met or exceeded - Respond promptly to internal and external training requests - Write up tickets that arise and escalate issues to the corresponding teams - Stay up-to-date and understand process documentation as departmental processes evolve - Share knowledge across silos and contribute to team learning and development - Take the initiative to expand product knowledge and participate in cross-training opportunities if possible - Support a collaborative and positive team environment - Perform other duties and responsibilities as assigned MUST HAVE Skills: - Fluent in French and English (speaking, reading, writing) - 1-2 years’ experience in a car dealership environment, with a focus in Fixed Operations - Strong computer skills are required, including proficiency in Microsoft Office Suite (Outlook, Word, Excel). The ability to quickly learn and adapt to new software tools is essential! - Ability to travel within Canada and the USA up to 2 weeks per month; valid passport, U.S. visa (if applicable), and full driver’s license are required Additional Skills: - Excellent communication skills, including presentation and public speaking - PBS software experience is a strong asset - Experience facilitating in-person and virtual training sessions is a strong asset - Strong problem solving and troubleshooting skills - Effective time management and organizational skills - Ability to multitask and prioritize - Outstanding documentation abilities - High School Diploma What we offer: - Professional Development – Continuous training, industry certifications, and clear pathways for career advancement. - Travel Opportunities - Travel to locations across Canada, the U.S., and the Caribbean - Comprehensive health benefits - Medical and dental coverage to support your well-being. - Paid Time Off – Generous PTO to help you recharge and maintain work-life balance. - Inclusive culture - A collaborative, supportive team environment where your ideas and voice truly matter. - Employee recognition - Regular appreciation programs and performance-based incentives - Competitive compensation package - Competitive annual base salary - Up to $4,800 per year in product certification bonuses - Outstanding travel incentive bonuses - Additional performance incentives - Attractive referral bonuses - Staff discounts – Exclusive savings with partners such as GM, Dell, and more Should you be selected for an interview, you will be contacted via email. Please monitor your junk/spam folder. PBS is an equal opportunity employer. Accommodations will be provided during the hiring process as required. ______________________________________________________ Nom de l'entreprise (Company Name) : PBS Systems Lieu d'emploi (Job Location) : À distance (région de Montréal) Type d'emploi (Job Type) : Temps plein, permanent Poste(s) à combler (No. Of Openings): 1 Nom interne du poste (Internal Job Title) : Formateur.rice bilingue, opérations fixes (DTO) Se rapporte à (Reports To) : Chef d'équipe, DTO – Opérations fixes Exigences du poste (Job Requirements) : Bilingue (FR-EN); Voyager en Amérique du Nord environ 2 semaines par mois « PBS est le fournisseur de plateforme d’affaires tout-en-un qui connaît la croissance la plus rapide en Amérique du Nord, et ce n’est que le début ! » Opportunité : PBS transforme l’expérience client dans l’achat et l’entretien des voitures depuis plus de 37 ans. Nous sommes le troisième plus grand fournisseur de systèmes de gestion de concessionnaires (DMS) en Amérique du Nord. Chaque mois, des centaines de nouvel·le·s utilisateur·trice·s rejoignent notre plateforme logicielle, qui aide les concessionnaires à gérer les ventes, le service, l'inventaire et la comptabilité. Ce qui nous distingue, c’est la manière dont nous percevons nos client·e·s. Nous les considérons comme partenaires, innovateur·rice·s et ami·e·s. Chez PBS, nous investissons dans votre croissance. Votre carrière peut progresser en fonction de vos forces, intérêts et aspirations. Postulez dès aujourd'hui! Rôle : En tant que formateur·rice bilingue aux opérations fixes dans notre département de formation et d’optimisation des concessionnaires (DTO), vous offrirez une formation hors pair et un soutien en anglais et en français à notre clientèle (nouvelle et existante) via notre système de gestion de concessions. Vous animerez principalement des sessions de formation virtuelles pour guider les client·e·s tout au long du processus d'implantation du logiciel, assurant ainsi une transition en douceur. Lorsque nécessaire, vous effectuerez de la formation sur place en concession pendant les nouveaux déploiements. Vous jouerez un rôle clé dans la livraison d’un service exceptionnel et la promotion de l'apprentissage continu. Vos actions favoriseront la collaboration et l'amélioration des processus afin de maximiser la réussite client grâce à notre logiciel. Il s'agit d'une opportunité de travail à distance, basée à Montréal et dans la région environnante. 50 % de votre temps serait consacré au télétravail et 50 % à des déplacements vers les sites de notre clientèle partout en Amérique du Nord. Responsabilités : - Apprendre et comprendre le logiciel de PBS d’une manière approfondie, ainsi que le processus de formation - Démontrer de fortes aptitudes en saisie de données et dans l’accomplissement de tâches opérationnelles connexes - Livrer et coordonner, de façon autonome, toutes les sessions de formation associées à votre département principal - Devenir une ressource autonome et indépendante pour les installations de notre logiciel - Démontrer une capacité à prioriser les tâches sans intervention des chef·fe·s d'équipe - Traiter les billets assignés au département en temps opportun - Offrir un excellent service à la clientèle en naviguant efficacement dans le système de gestion des concessions (DMS) de PBS et en le présentant de manière claire, tout en maintenant des relations positives axées sur les solutions afin de répondre aux attentes des client·e·s, voire les surpasser. - Répondre rapidement aux demandes de formation, qu’elles proviennent de collègues ou de la clientèle - Documenter les demandes ou problèmes rencontrés sous forme de billets (tickets) et les transmettre aux équipes responsables lorsque nécessaire - Se tenir à jour et bien comprendre la documentation des processus, surtout lorsque ceux-ci évoluent au sein du département - Partager ses connaissances avec les autres équipes pour favoriser l’apprentissage collectif et le développement des compétences - Prendre l’initiative d’approfondir sa connaissance des produits et participer à des formations croisées lorsque possible - Contribuer à maintenir un environnement de travail collaboratif, positif et axé sur le soutien mutuel - Accomplir toute autre tâche ou responsabilité confiée dans le cadre du poste COMPÉTENCES INDISPENSABLES : - Parler couramment le français et l'anglais (parler, lire et écrire) - 1 à 2 années d'expérience en concession automobile, spécifiquement en opérations fixes - De solides compétences informatiques sont requises, y compris la maîtrise des logiciels Microsoft Office (Outlook, Word, Excel). Apprendre rapidement et s'adapter aux nouveaux outils logiciels est essentiel! - Capacité de voyager au Canada et aux États-Unis jusqu'à 2 semaines par mois; passeport valide, visa américain (si applicable), et un permis de conduire valide et sans restriction sont requis Compétences supplémentaires : - Excellentes compétences en communication, incluant une facilité à présenter et parler devant un public - Connaître le logiciel de PBS (atout majeur) - Expérience en animation de formations en personne et virtuelles (atout majeur) - Solides compétences en résolution de problèmes et en dépannage - Gestion efficace du temps et compétences organisationnelles - Capacité de gérer plusieurs tâches en même temps et leurs priorités - Compétences exceptionnelles en gestion de documentation - Diplôme d'études secondaires Ce que nous offrons : - Développement professionnel – Formation continue, certifications et opportunités de croissance - Opportunités de voyage – Explorez le Canada, les États-Unis et les Caraïbes - Avantages sociaux complets – Couverture médicale et dentaire - Congés payés – Congés, jours personnels et jours fériés payés - Culture inclusive – Un environnement d'équipe collaboratif et de soutien où votre voix compte - Reconnaissance du personnel – Programmes d'appréciation sur une base régulière et incitatifs à la performance - Salaire compétitif – en plus d’un salaire de base, nous offrons des primes pour la certification produit pouvant aller jusqu'à 4 800 $ par année, une excellente prime pour le référencement, etc. - Rabais pour le personnel – GM, Dell, GoodLife, etc. Si vous êtes sélectionné(e) pour une entrevue, nous vous contacterons par courriel. Veuillez surveiller vos courriers indésirables. PBS est un employeur offrant l'égalité des opportunités. Des accommodements seront offerts lors du processus d'embauche, selon les besoins.

Hi, we're Oscar. We're hiring a Bilingual Customer Service Representative to join our Member and Provider Services team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role: This role is a volume-driven customer service and production-based role that handles the daily activities involved in running a health insurance company including customer interactions and back office tasks following standard operating procedures. You will report to the Concierge Operations Manager. Work Location: This is a remote position, open to candidates who reside in: Florida. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote Pay Transparency: he set pay rate for this role is $19.00 per hour. You may be eligible to receive an additional $1.00 per hour upon successful completion of the bilingual assessment. You are also eligible for employee benefits and monthly vacation accrual at a rate of 15 days per year. Work Schedule & Availability We offer a variety of full-time shift options. All available schedules are Monday through Friday. Available Florida (EST) Shifts: - 8:00 AM – 4:30 PM - 9:00 AM – 5:30 PM - 9:00 AM – 6:00 PM - 12:00 PM – 8:30 PM Responsibilities: - Develop a comprehensive understanding of the current processes, procedures, and tools associated with the Oscar business model. - Work with members, brokers, providers, and Oscar vendors through multiple channels according to assignment needs - Manage an assigned caseload, maintaining service delivery, productivity, and quality expectations - Form working relationships with all partners. - Support the leadership team by identifying issues through established escalation pathways - Monitor and track the health of all assigned work-in-progress issues. - Escalate and resolve issues to ensure appropriate turnaround times - Participate in process improvement projects - Comply with all operational, regulatory, and compliance standards relating to member Personal Health Information (PHI) - Compliance with all applicable laws and regulations - Other duties as assigned Requirements: - Must be bilingual in Spanish and English with full professional proficiency in reading, writing, and speaking. - 1+ years of experience in a high-volume or customer-focused setting. - 6+ months of healthcare experience - High school diploma or GED Bonus points: - Strong quantitative or analytical skills focused on identifying or solving problems - Experience manipulating and entering accurate data - Advanced Google Suite or Microsoft Office capabilities This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here. At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Privacy Policy.