• Sell health and personal protection insurance products remotely to individual customers. • Contact qualified leads (lists provided). • Identify their needs and propose a tailored solution. • Meet (or exceed) your weekly and monthly targets. • Ensure contracts are properly set up. • Ensure customer satisfaction.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Our team is seeking Case Managers to work with us in Tennessee. Case Managers are one of Mindoula’s key front-line roles in delivering our Population Health Program. Our Case Manager works closely with Mindoula’s members in the community to understand their behavioral and medical health conditions, as well as their social determinants of health needs, and help our members achieve better health outcomes. - This position requires up to 50% travel (locally) and, therefore, requires the employee has reliable transportation. - The compensation range is between $20.67 to $23.08 hourly ($43,000 to $48,000 a year) based on education and experience. How you’ll contribute: - Conduct meaningful outreach, provide education, and drive member enrollment. - In partnership with the member, create a Service Plan to guide engagement based on member diagnoses, results of screenings, as well as care gaps. - Build measurable goals for members to develop skills and/or strategies for managing challenges and triggers to reduce hospital admissions/readmissions and use of the ER, and record outcomes. - Coordinate community resources for each member to support them in achieving their goals as outlined in their Service Plans, created with an emphasis on meeting behavioral health and medical needs, and closing gaps identified in the social determinants of health. - Act as an advocate and liaison between the care team (family, physician, facilities, and/or agencies) and member. - Schedule appointments, build accountability, and follow-up services for members. - Elevate critical incidents and information regarding any quality-of-care concerns. - Report hospital diversions, productivity, and other outcomes weekly. - Prepare and maintain all required records, reports, consents, and members’ diagnostic records. Qualifications - Bachelor’s Degree required in nursing, social work, or other health and human services discipline. - Completion of supervised fieldwork and experience in case management, health, or behavioral health preferred. - Experience as a Certified Case Manager (CCM), Community Health Worker (CHW) or Peer Support Specialist (PSS), or Accredited Case Manager (ACM) preferred. - Knowledge of local resources, social determinants of health, mental health, substance abuse disorders, violence, and social issues is required. Benefits - Insurance: Medical, dental, and vision insurance for you and dependents, 401K. - Time Off: 11 Holidays and 15 Vacation days, 4 Wellness days. - Wellbeing: Employee Assistance Program and Wellness programs are available to you and dependents. - Freedom: Design your own workday - we’ve been remote-first from our founding. - Responsibility: You get what you need to excel (MacBook, iPhone, remote technologies).

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Work in conjunction with diverse clinical teams and utilize community resources to meet the needs of individuals receiving care management services. Provide services in accordance with care management service requirements set by the state and company. Responsible for developing and monitoring Tailored Care Management care plans and Individual Support Plans (ISPs) built from comprehensive assessments to an assigned caseload. Responsibilities - Develops positive relationships among and between members, family/guardians, Extenders, clinical and care team members and other community stakeholders to create an environment of compassion and professionalism, driving toward positive health and quality of life outcomes. - Responds proactively to alerts from Extenders concerning unmet health-related needs and identified barriers and gaps to reduce adverse health and quality of life indicators. - Develops positive relationships with all funding sources that exhibits the willingness to obtain common objectives related to care management. - Engages the member/family/guardian to establish rapport and provide required and as needed contact, ensuring service provision is up to date and follow through is completed. - In conjunction with the member, selects members for the care team (adjusting as needed). - Conducts the Comprehensive Health Assessment on the member, with stakeholder input, to obtain baseline information needed to formulate a care plan. - Coordinates, schedules, sets the agenda for and assists the member in chairing care team meetings (times, dates, locations, etc.) and informs all team members. - Develops, implements, reassesses, oversees the implementation of and evaluates the Care Plan/ISP for the member to ensure that the members health needs are addressed in a comprehensive, holistic, and preventive manner, with quality as a goal. - Manages care transitions and transition plans. - Ensures medication monitoring and reconciliation occur. - Monitors/implements/supervises delivery of service plans and personal futures plan and training of staff. - Documents all information gathered/received electronically in a timely manner. - Provides documentation of billable events that align with minimum contact expectations to the Care Management Supervisor. - Maintains an accurate, up-to-date electronic information data stream on all interactions, encounters, activities, care team meetings, and communications with the member/family/guardian. - Promotes and coordinates comprehensive care among medical, pharmaceutical, psychosocial, social, mental, physical, home health, ancillary providers, and other community agencies, supporting individuals with referrals as needed. - Connects members with medical, mental, developmental, psychosocial, housing, transportation, home health, and community support services/systems to achieve a comprehensive, holistic, preventive approach. - Empowers the member/family/guardian and other team members with knowledge that aids in implementing the care plan, treatment plan, medication regimen, and appointment keeping. - Identifies barriers, gaps, and unmet health-related needs are addressed them proactively, expanding relationships and linkages to aid in meeting member’s needs. - Supervises up to two FTEs of care management extenders. - Provides services that meet national, state, and local healthcare standards at the highest level. - Reports issues of concern, general departmental activities and staffing needs to the Care Management Supervisor. - Completes all required training and participates in educational sessions to improve overall skills. - Attends industry meetings, training, and functions to promote positive relationships with stakeholders. - Participates in quality improvement and measurement activities to achieve identified targets and outcomes. - Completes other duties as assigned. Qualifications - Two years of experience as a Care Manager, Case Manager, or Care Coordinator preferred. - Ability to perform work with a high degree of quality and autonomy. - Must meet all agency requirements for pre-employment and those required by the state of NC. - A license, provisional license, certificate, registration, or permit issued by the governing board regulating a human service profession, except a registered nurse who is licensed to practice in the State of North Carolina by the North Carolina Board of Nursing who also has four years of full-time accumulated experience with the IDD population; or - A Master’s degree in a human service field and one year of full-time, post-graduate degree accumulated experience with the IDD population; or - A bachelor's degree in a human service field and two years of full-time, post-bachelor's degree accumulated experience with the IDD population; or - A bachelor's degree in a field other than human services and four years of full-time, post-bachelor's degree accumulated experience with the IDD population; and - For care managers serving members with LTSS needs: two years of prior LTSS and/or HCBS coordination, care delivery monitoring, and care management experience, in addition to the requirements cited above. Benefits - Salary Range: USD $25.00 / Hour

Role Description Assist with Medicaid and charity care application procedures, educating patients about their financial liabilities, and developing patient payment arrangements for said liabilities. The Financial Counselor is a facility-based position and reports to the PAS Supervisor. REMOTE/WORK FROM HOME Qualifications - High School graduate or GED. - Three (3) years of previous related healthcare Revenue Cycle experience, preferably with a focus in Financial Counseling. - At least four (4) years of previous related healthcare Revenue Cycle experience, preferably with a focus in Financial Counseling. - An Associate’s or Bachelor’s degree from a recognized college or university preferred. - Certification with Healthcare Financial Management Association, or Certified Revenue Cycle Representative. - Understanding of Medical Terminology. - Call center experience. - Previous Epic experience. Requirements - N/A Benefits - N/A Company Description - Business Unit: Company Name - Piedmont Healthcare Corporate