• The Account Coordinator is responsible for assisting the Vice President of Client Services, Account Manager and Client Service Representative with the plan implementation for new clients. • Assisting with the handling of the overall servicing of account issues for existing clients. • For new clients, the Account Coordinator will assist the Account Manager and Client Service Representative in the coordination of the plan implementation by producing and compiling educational materials. • The Account Coordinator works closely with internal staff to communicate service issues and resolve claim payment issues. • Serves as the in-house client contact when the Account Manager and Client Service Representative are unavailable. • Assist with the coordination of implementing new groups and overall servicing of account issues for existing clients and brokers. • Produce educational materials and help resolve claims/service issues. • Provide administrative support to the Client Services department. • Notify internal staff of any plan design changes, renewal changes, or other relevant information to ensure the plan runs smoothly for each client.

Title: RN Centralized Nursing Services Refill Location: Fully Remote Part time Job Description: Location Address: 2925 Chicago Ave Loading Dock Minneapolis, MN 55407-1321 Department: 62000617 RN Support Resources In basket Shift: Day/Evening (United States of America) Shift Length: 8 hour shift Hours Per Week: 28 Union Contract: Non-Union-NCT Weekend Rotation: Every 3rd Job Summary: Allina Health is a not-for-profit health system that cares for individuals, families and communities throughout Minnesota and western Wisconsin. If you value putting patients first, consider a career at Allina Health. Our mission is to provide exceptional care as we prevent illness, restore health and provide comfort to all who entrust us with their care. This includes you and your loved ones. We are committed to providing whole person care, investing in your well-being, and enriching your career. Key Position Details: - 0.7 FTE (56 hours per two-week pay period) - 8-hour day/evening shifts - Every 3rd weekend rotation and holiday rotation required - Employee is required to live within 60 minutes of Apple Valley, MN or Coon Rapids, MN - Fully remote position, including orientation. Occasional onsite requirements. - Cross trained to handle patient calls requiring triage - Non-contract, Benefit eligible position Job Description: Nursing is the diagnosis and treatment of human response to actual or potential health problems. This includes establishing an intentional therapeutic relationship between a registered nurse and a patient and family. As a leader and the integrator of care, the professional nurse has the responsibility, authority, and accountability for planning, coordinating and evaluating the patient’s care needs. Provides patient care support for centralized nursing program, outpatient and home care services. This includes Triage services, Anti-coagulation, and refill. Individuals in this role will work in an outpatient clinic setting. Principle Responsibilities - Assessment. - Collects, prioritizes and synthesizes comprehensive data pertinent to the patient's health or situation. - Collects and prioritizes data in a systematic and ongoing process that involves the patient, family, other health care providers and environment as appropriate. - Integrates data relevant to the situation to identify needs, patterns and variances. - Uses appropriate evidence based assessment techniques and instruments in data collection. - Diagnosis. - Analyzes assessment data to determine nursing diagnoses. - Interprets assessment information to identify each patient's needs relative to age, developmental stage and culture. - Formulates, revises and resolves nursing diagnoses that reflect the current patient status. - Validates and communicates nursing diagnoses with the patient, family and other health care team members. - Documents nursing diagnoses in compliance with the patient care guidelines. - Outcomes Identification. - Identifies expected outcomes individualized to the patient. - Establishes, in the collaboration with the family, patient, realistic and measurable patient expected outcomes based on nursing diagnoses, patients present and potential capabilities, goals, available resources and plan for continuity of care. - Planning. - Develops a plan that prescribes interventions to attain expected outcomes. - Develops an individualized plan considering patient characteristics or the situation as appropriate in conjunction with the patient, family and others. - Establishes a plan that provides for continuity of care. - Incorporates evidence based nursing practice takes into consideration current statutes, rules and regulations when developing the plan of care. - Implementation. - Implements the identified plan. - Implements interventions in a safe, timely, appropriate manner. - Utilizes evidence-based interventions and treatments specific to the diagnoses as appropriate. - Coordinates implementation of the plan of care if appropriate - Documents interventions according to documentation guidelines. - Evaluation. - Evaluates the patient’s progress towards attainment of the outcome. - Evaluates the patient’s/family’s understanding of and response to the plan of care. - Utilizes systematic and ongoing assessment data to revise diagnoses, outcomes and the plan of care. - Involves the patient, family, and health care team members in the evaluation process when appropriate. - Documents revisions in diagnoses, outcomes and the plan of care according to documentation guidelines. - Quality of Practice. - Systematically enhances the quality and effectiveness of nursing practice. - Participates in quality improvement activities related to nursing practice. - Incorporates available QI data to improve nursing practice and outcome. - Education. - Attains knowledge and competency that reflects current nursing practice. - Participates in educational activities related to nursing practice. - Acquires and applies the knowledge gained from educational experiences to current nursing practice. - Professional Practice Evaluation. - Evaluates one’s own nursing practice in relation to professional practice standards and regulatory guidelines. - Engages in self-evaluation of practice on a regular basis, identifying strengths and goals for professional development. - Obtains informal feedback regarding one’s own practice from patients, peers, professional colleagues, and others. - Collegiality. - Contributes to the professional development of peers, colleagues, and others. - Shares knowledge and skills in practice settings. - Provides immediate and ongoing positive and constructive feedback to colleagues regarding their performance. - Contributes to a supportive and healthy work environment. - Collaboration. - Collaborates with patient, family, and others in the conduct of nursing practice. - Partners with others to effect change and generate positive outcomes through knowledge of the patient or situation. - Ethics. - Acts in an ethical manner. - Maintains a therapeutic and professional patient-nurse relationship with appropriate professional role boundaries. - Serves as a patient advocate assisting patients in developing skills for self-advocacy - Uses available resources to help formulate ethical decisions. - Research. - Integrates research findings in practice. - Utilizes the best evidence, including research findings, to guide practice decisions. - Resource Utilization. - Incorporates factors related to safety, effectiveness, cost, and impact on practice in planning and delivering patient care. - Utilizes resources related to standards of care in a safe, effective and ethical manner. - Manages resources to assure they will be accessible to other in the future. - Leadership. - Provides leadership in the professional practice setting and the profession. - Functions as a professional role model. - Promotes a positive work environment. - Participates in shared decision-making. - Environmental Health. - Practices in an environmentally safe and healthy manner. - Attains knowledge of environmental health concepts, such as implementation of environmental health strategies. - Promotes a practice environment that reduces environmental health risks for workers and healthcare consumers. - Communicates environmental health risks and exposure reduction strategies to healthcare consumers, families, colleagues and communities. - Charge Nurse (only when acting in this role). - Demonstrates ability to coordinate and direct unit operation so the patient and family needs are met and resources are efficiently utilized in a safe manner. - Promotes an environment that encourages individual growth, nurtures professional practice and fosters teamwork. - Collaborates effectively with unit staff, leadership and other disciplines. - Preceptor (only when acting in this role). - Demonstrates ability to identify the orientee's learning needs and plans appropriate learning experiences. - Demonstrates ability to implement an individualized orientation plan for the orientee. - Demonstrates ability to validate clinical competence of orientee. - Facilitates development of organizational and prioritization skills of orientee. - Demonstrates ability to evaluate interpersonal sills of orientee. - Serves as a professional role model. - Facilitated socialization of orientee into the organization and work group. - Other duties as assigned. Required Qualifications - Associate's or Vocational degree in nursing - Minimum 3 years RN experience - Proficiency in set up and usage of computer technology including the following software programs: Microsoft Teams, Word, Excel and SharePoint Preferred Qualifications - Experience in triage, anticoagulation, or remote nursing support Licenses/Certifications - Licensed Registered Nurse-MN Board of Nursing required - Licensed Registered Nurse-WI Dept of Safety & Professional Services required by completion of orientation Physical Demands - Sedentary: - Lifting weight up to 10 lbs. occasionally, negligible weight frequently Pay Range Pay Range: $40.08 to $54.93 per hour The pay described reflects the base hiring pay range. Your starting rate would depend on a variety of factors including, but not limited to, your experience, education, and the union agreement (if applicable). Shift, weekend and/or other differentials may be available to increase your pay rate for certain shifts or work. Benefit Summary Allina Health believes the best way to provide safe and compassionate care for our patients is by nurturing the passion of those who care for them. That’s why we devote extraordinary resources to help you grow and thrive — not only as a professional but also as a whole person. When you join our team, you have access to a wealth of valuable employee benefits that support the total well-being — mind, body, spirit and community — of you and your family members. Allina Health is all in on your well-being. Because well-being means something different to everyone, our award-winning program provides you with the resources you need to help you navigate your personal journey. This includes well-being dollars, dedicated well-being navigators, and many programs, activities, articles, videos, personal coaching and tools to support you on your journey. In addition, Allina Health offers employee resources groups (ERGs) -- voluntary, employee-led groups that serve as a resource for members and organizations by fostering a diverse, inclusive workplace aligned with the organization's mission, values, goals, business practices, and objectives. Allina Health also engages employees in various community involvement and volunteering events. Benefits include: - Medical/Dental - PTO/Time Away - Retirement Savings Plans - Life Insurance - Short-term/Long-term Disability - Voluntary Benefits (vision, legal, critical illness) - Tuition Reimbursement or Continuing Medical Education as applicable - Student Loan Support Benefits to navigate the Federal Public Service Loan Forgiveness Program - Allina Health is a 501(c)(3) eligible employer *Benefit eligibility/offerings are determined by FTE and if you are represented by a union.

Title: RN Centralized Nursing Services Refill Location: Minnesota USD Part time Job Description: Location Address: 2925 Chicago Ave Loading Dock Minneapolis, MN 55407-1321 Department: 62000617 RN Support Resources In basket Shift: Day/Evening (United States of America) Shift Length: 8 hour shift Hours Per Week: 32 Union Contract: Non-Union-NCT Weekend Rotation: Every 3rd Job Summary: Allina Health is a not-for-profit health system that cares for individuals, families and communities throughout Minnesota and western Wisconsin. If you value putting patients first, consider a career at Allina Health. Our mission is to provide exceptional care as we prevent illness, restore health and provide comfort to all who entrust us with their care. This includes you and your loved ones. We are committed to providing whole person care, investing in your well-being, and enriching your career. Key Position Details: - 0.8 FTE (64 hours per two-week pay period) - 8-hour day/evening shifts - Every 3rd weekend rotation and holiday rotation required - Employee is required to live within 60 minutes of Apple Valley, MN or Coon Rapids, MN - Fully remote position, including orientation. Occasional onsite requirements. - Cross trained to handle patient calls requiring triage - Non-contract, Benefit eligible position Job Description: Nursing is the diagnosis and treatment of human response to actual or potential health problems. This includes establishing an intentional therapeutic relationship between a registered nurse and a patient and family. As a leader and the integrator of care, the professional nurse has the responsibility, authority, and accountability for planning, coordinating and evaluating the patient’s care needs. Provides patient care support for centralized nursing program, outpatient and home care services. This includes Triage services, Anti-coagulation, and refill. Individuals in this role will work in an outpatient clinic setting. Principle Responsibilities - Assessment. - Collects, prioritizes and synthesizes comprehensive data pertinent to the patient's health or situation. - Collects and prioritizes data in a systematic and ongoing process that involves the patient, family, other health care providers and environment as appropriate. - Integrates data relevant to the situation to identify needs, patterns and variances. - Uses appropriate evidence based assessment techniques and instruments in data collection. - Diagnosis. - Analyzes assessment data to determine nursing diagnoses. - Interprets assessment information to identify each patient's needs relative to age, developmental stage and culture. - Formulates, revises and resolves nursing diagnoses that reflect the current patient status. - Validates and communicates nursing diagnoses with the patient, family and other health care team members. - Documents nursing diagnoses in compliance with the patient care guidelines. - Outcomes Identification. - Identifies expected outcomes individualized to the patient. - Establishes, in the collaboration with the family, patient, realistic and measurable patient expected outcomes based on nursing diagnoses, patients present and potential capabilities, goals, available resources and plan for continuity of care. - Planning. - Develops a plan that prescribes interventions to attain expected outcomes. - Develops an individualized plan considering patient characteristics or the situation as appropriate in conjunction with the patient, family and others. - Establishes a plan that provides for continuity of care. - Incorporates evidence based nursing practice takes into consideration current statutes, rules and regulations when developing the plan of care. - Implementation. - Implements the identified plan. - Implements interventions in a safe, timely, appropriate manner. - Utilizes evidence-based interventions and treatments specific to the diagnoses as appropriate. - Coordinates implementation of the plan of care if appropriate - Documents interventions according to documentation guidelines. - Evaluation. - Evaluates the patient’s progress towards attainment of the outcome. - Evaluates the patient’s/family’s understanding of and response to the plan of care. - Utilizes systematic and ongoing assessment data to revise diagnoses, outcomes and the plan of care. - Involves the patient, family, and health care team members in the evaluation process when appropriate. - Documents revisions in diagnoses, outcomes and the plan of care according to documentation guidelines. - Quality of Practice. - Systematically enhances the quality and effectiveness of nursing practice. - Participates in quality improvement activities related to nursing practice. - Incorporates available QI data to improve nursing practice and outcome. - Education. - Attains knowledge and competency that reflects current nursing practice. - Participates in educational activities related to nursing practice. - Acquires and applies the knowledge gained from educational experiences to current nursing practice. - Professional Practice Evaluation. - Evaluates one’s own nursing practice in relation to professional practice standards and regulatory guidelines. - Engages in self-evaluation of practice on a regular basis, identifying strengths and goals for professional development. - Obtains informal feedback regarding one’s own practice from patients, peers, professional colleagues, and others. - Collegiality. - Contributes to the professional development of peers, colleagues, and others. - Shares knowledge and skills in practice settings. - Provides immediate and ongoing positive and constructive feedback to colleagues regarding their performance. - Contributes to a supportive and healthy work environment. - Collaboration. - Collaborates with patient, family, and others in the conduct of nursing practice. - Partners with others to effect change and generate positive outcomes through knowledge of the patient or situation. - Ethics. - Acts in an ethical manner. - Maintains a therapeutic and professional patient-nurse relationship with appropriate professional role boundaries. - Serves as a patient advocate assisting patients in developing skills for self-advocacy - Uses available resources to help formulate ethical decisions. - Research. - Integrates research findings in practice. - Utilizes the best evidence, including research findings, to guide practice decisions. - Resource Utilization. - Incorporates factors related to safety, effectiveness, cost, and impact on practice in planning and delivering patient care. - Utilizes resources related to standards of care in a safe, effective and ethical manner. - Manages resources to assure they will be accessible to other in the future. - Leadership. - Provides leadership in the professional practice setting and the profession. - Functions as a professional role model. - Promotes a positive work environment. - Participates in shared decision-making. - Environmental Health. - Practices in an environmentally safe and healthy manner. - Attains knowledge of environmental health concepts, such as implementation of environmental health strategies. - Promotes a practice environment that reduces environmental health risks for workers and healthcare consumers. - Communicates environmental health risks and exposure reduction strategies to healthcare consumers, families, colleagues and communities. - Charge Nurse (only when acting in this role). - Demonstrates ability to coordinate and direct unit operation so the patient and family needs are met and resources are efficiently utilized in a safe manner. - Promotes an environment that encourages individual growth, nurtures professional practice and fosters teamwork. - Collaborates effectively with unit staff, leadership and other disciplines. - Preceptor (only when acting in this role). - Demonstrates ability to identify the orientee's learning needs and plans appropriate learning experiences. - Demonstrates ability to implement an individualized orientation plan for the orientee. - Demonstrates ability to validate clinical competence of orientee. - Facilitates development of organizational and prioritization skills of orientee. - Demonstrates ability to evaluate interpersonal sills of orientee. - Serves as a professional role model. - Facilitated socialization of orientee into the organization and work group. - Other duties as assigned. Required Qualifications - Associate's or Vocational degree in nursing - Minimum 3 years RN experience - Proficiency in set up and usage of computer technology including the following software programs: Microsoft Teams, Word, Excel and SharePoint Preferred Qualifications - Experience in triage, anticoagulation, or remote nursing support Licenses/Certifications - Licensed Registered Nurse-MN Board of Nursing required - Licensed Registered Nurse-WI Dept of Safety & Professional Services required by completion of orientation Physical Demands - Sedentary: - Lifting weight up to 10 lbs. occasionally, negligible weight frequently Pay Range Pay Range: $40.08 to $54.93 per hour The pay described reflects the base hiring pay range. Your starting rate would depend on a variety of factors including, but not limited to, your experience, education, and the union agreement (if applicable). Shift, weekend and/or other differentials may be available to increase your pay rate for certain shifts or work. Benefit Summary Allina Health believes the best way to provide safe and compassionate care for our patients is by nurturing the passion of those who care for them. That’s why we devote extraordinary resources to help you grow and thrive — not only as a professional but also as a whole person. When you join our team, you have access to a wealth of valuable employee benefits that support the total well-being — mind, body, spirit and community — of you and your family members. Allina Health is all in on your well-being. Because well-being means something different to everyone, our award-winning program provides you with the resources you need to help you navigate your personal journey. This includes well-being dollars, dedicated well-being navigators, and many programs, activities, articles, videos, personal coaching and tools to support you on your journey. In addition, Allina Health offers employee resources groups (ERGs) -- voluntary, employee-led groups that serve as a resource for members and organizations by fostering a diverse, inclusive workplace aligned with the organization's mission, values, goals, business practices, and objectives. Allina Health also engages employees in various community involvement and volunteering events. Benefits include: - Medical/Dental - PTO/Time Away - Retirement Savings Plans - Life Insurance - Short-term/Long-term Disability - Voluntary Benefits (vision, legal, critical illness) - Tuition Reimbursement or Continuing Medical Education as applicable - Student Loan Support Benefits to navigate the Federal Public Service Loan Forgiveness Program - Allina Health is a 501(c)(3) eligible employer *Benefit eligibility/offerings are determined by FTE and if you are represented by a union.

Title: Medicare Member Services Representative – PEAK Location: Home Work - Monongalia County WV (Local) locations Remote time type Full time Job Description: Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you’ll find other important information about this position. Come join our Peak Health team at WVU Medicine as a Member Services Representative, contributing to the foundation for an innovative, Peak Advantage Medicare plan. The Medicare Membership Services Representative will take inbound calls from Peak Health Medicare Advantage members, and providers answering questions ranging from general information to complex inquires on a wide range of issues. This role will work with management and peers on the Peak team to research and resolve member issues and questions. In addition to taking inbound calls, will make outbound calls to members and providers with issue resolution or to gather further information. Candidates should expect to work an 8-hour shift, between the hours of 7:30 am – 8:00 pm Monday – Friday. MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. High School diploma or equivalent EXPERIENCE: 1. One (1) year of experience with handling Medicare claims or related experience PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Associate Degree, or greater, in related healthcare field. EXPERIENCE: 1. Three plus years’ experience in a fast-paced call environment with processing and/or customer service experience. 2. Two years’ experience in Medicare benefits 3. Two years’ experience in knowledge of CMS guidelines CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned. 1. Verify member information while addressing general questions. 2. Responds to and resolves all issues/inquires to assure an efficient and seamless member experience. 3. Maintains open channels of member communications doing outreach as required. 4. Understanding of Medicare claims processing, and related inquiries. 5. Meets all production and quality standards, maintaining work queues according to department standards. 6. Effectively communicates with internal and external staff. 7. Elevates issues to next level of supervision, as appropriate. 8. Ensures accuracy of information gathered and shared on a member’s behalf. 9. Attends all required training classes, demonstrating proficiency and ability to learn. 10. Other duties as deemed appropriate by the Management Team. 11. Maintain accurate documents, including timekeeping records PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Ability to sit for extended periods of time. 2. Ability to answer phone calls for extended periods of time. 3. Lifting 10-25 lbs. 4. Travel Requirement: 0%-25% WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Standard office environment with electrical equipment (i.e., telephone, personal computer, copier, fax machines, etc.) 2. Computer Software/Systems include but not limited to Microsoft Office Professional Suite (Outlook, Word, Excel, Access) Internet Explorer and EPIC SKILLS AND ABILITIES: 1. Working Knowledge of administrative and clerical procedures and systems such as word processing and managing files and records. 2. Ability to take direction and to navigate through multiple systems simultaneously. 3. Excellent written and oral communication, customer service, interpersonal skills, and telephone etiquette. 4. Ability to solve problems with predefined methods and guidelines to drive improved efficiencies and customer satisfaction. 5. Familiarity with Medical insurance services process. 6. Requires exceptional attention to detail, the ability to be organized and to be able to perform multiple tasks simultaneously. 7. Ability to work remotely – this includes reliability, self-motivation, focus & time management skills. Additional Job Description: Candidates should expect to work an 8-hour shift, between the hours of 7:30 am – 8:00 pm Monday – Friday. - will have weekend rotations Scheduled Weekly Hours: 40 Shift: Exempt/Non-Exempt: United States of America (Non-Exempt) Company: PHH Peak Health Holdings Cost Center: 2501 PHH Risk Admin