• Manage a rapid flow of incoming telephone calls from Medcor customers in a call center environment • Document each call efficiently and accurately • Monitor and track individual as well as call center goals, productivity metrics, and statistics • Provide superior customer service to Medcor's clients and employees • Complete accurate assessment of symptoms and/or concerns utilizing Medcor's Triage Algorithms • Follow HIPAA Compliance Policies

Title: Transitional Liaison Registered Nurse Location: Topeka - KS Job Description: At Elara Caring, we have a unique opportunity to play a huge role in the growth of an entire home care industry. Here, each employee has the chance to make a real difference by carrying out our mission every day. Join our elite team of healthcare professionals, providing the Right Care, at the Right Time, in the Right Place. Job Description: *Hybrid position* At Elara Caring, we care where you are and believe the best place for your care is where you live. We know there’s no place like home, and that’s why our teams continue to provide high-quality care to more than 60,000 patients each day in their preferred home setting. Wherever our patients call home and wherever they are on their health journey, we care. Each team member has a part to play in this mission. This means you have countless ways to make a difference as a Transitional Liaison Registered Nurse. Being a part of something these great, starts by carrying out our mission every day through your true calling: developing an amazing team of compassionate and dedicated healthcare providers. To continue to be an industry pioneer delivering unparalleled care, we need a Transitional Liaison Registered Nurse with commitment and compassion. Are you one of them? If so, apply today! Why Join the Elara Caring mission? - Work autonomy and flexible schedules - 1:1 patient care - Supportive and collaborative environment - Competitive compensation package - Tuition reimbursement for full-time staff and continuing education opportunities for all employees - Comprehensive insurance plans for medical, dental, and vision benefits - 401(K) with employer match - Paid time off, paid holidays, family and pet bereavement - Pet insurance As a Transitional Liaison Registered Nurse, you’ll contribute to our success in the following ways: - Utilizes accepted internal practices to identify patients who may be eligible for and who benefit from Hospice services. - Adheres to the requirements of internal processes, procedures, and workflows including those related to transition, establishment of hospice eligibility, hospice admission visits, and documentation. - Assesses patient needs and obtains data on physical, psychological, social, and spiritual factors that demonstrate adherence to eligibility requirements and may influence patient/family/caregiver health status. - Collaborates with internal resources to ensure effective patient outreach, documentation of service eligibility and appropriateness, and coordination of care. - Provides direct interaction with patients and caregivers to assess goals of care, preference for service delivery, and initial physical evaluation and assessment. - Ensures that patients and caregivers have information needed regarding available services, including hospice, to make informed decisions about care - Teaches hospice philosophy, general eligibility requirements, and transition process to skilled home health staff, and other internal teams as appropriate, to facilitate coordination of care for transitioning patients; provides support to educate referral sources about transition program scope and guidelines What is Required? - Graduate of an accredited RN Program - 3+ years’ experience in a clinical care setting - Current state license as RN - Must have reliable transportation, a valid driver’s license, and current auto insurance in accordance with the laws of the state. - Experience within Home Health or Hospice is preferred You will report to the Transitional Care Team Lead. This is not a comprehensive list of all job responsibilities; a full job description will be provided. Equal Employment Opportunity: We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. EVerify: Elara Caring participates in E-Verify after a job offer is accepted and Form I-9 completed.

Title: Provider Relations Representative Location: Houston Job Description: Flex time type Full time job requisition id R0051042 At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job Summary BASIC FUNCTION HCSC is looking for a dynamic individual to join its Provider Relations team in HOUSTON TX! This position is responsible for providing support, as well as developing and maintaining cooperative working relationships with contracted providers. Will also be responsible for facilitating and enhancing provider ease of doing business with HCSC which includes issue tracking and resolution, educating, training, identifying trends and evaluating providers to ensure that all contractual and financial requirements are adhered to and performed. Incumbent also provides training and education to all Blue Cross contracted providers including, but not limited to: hospitals, physicians, free-standing surgery centers, free standing substance abuse facilities, free standing psych facilities, VA hospitals, and all other allied professional providers. This role is HYBRID/FLEX and requires in-office visibility three days per week, working from home the other two days. NOTE: relocation is not available, sponsorship will not be extended either now or in the future. JOB REQUIREMENTS/QUALIFICATIONS - Bachelor’s Degree and three (3) years of work experience in managed care OR a minimum of five (5) years work experience in a managed care environment. - Two (2) years of healthcare administration experience in clinical and financial settings, with direct provider communication experience. - Effective interpersonal, analytical, presentation and communication skills. - Knowledge of the healthcare industry, healthcare systems and payer/provider dynamics. - Ability and willingness to travel within assigned areas for responsibility, including overnight stays. - Strong comprehension of contracts, applications, and products. - Understanding of provider reimbursement methodologies and claims. - Working knowledge of claims processing systems. - Effective organizational and planning skills with the ability to take initiative and work independently. - Demonstrated ability to meet deadlines and work well under pressure. - Clear and concise interpersonal, verbal and written communication skills. - Collaboration skills resulting in business/process improvements/changes. - PC proficiency and skills to include Word, Excel, PowerPoint, etc. - Strong facilitation, presentation and analytical skills. PREFERRED REQUIREMENTS/QUALIFICATIONS - Advanced level of Excel fluency (i.e. pivot tables, data validation, handling large data sets) - Strong familiarity with claims, billing, and coding basics (CPT, ICD-10 helpful). - CRM or provider management systems knowledge. ~ KEY FUNCTIONALITY ~ - Establishes and maintains relationships between Blue Cross and contracted providers to promote and ensure that BCBS networks are performing per the contracted agreement (e.g. compliance, PEAQ, etc.). - Act as point of escalation for providers regarding aspects of their relationship with HCSC with possible topics to include operations, claims, financial reimbursement, policies, procedures, and contractual issues. - Maintains a thorough level of knowledge for all lines of business to ensure provider contract compliance and performs investigative research upon the request of providers regarding the intricate and detailed information for all lines of business. - Maintains a thorough level of knowledge regarding all Provider Relations systems (e.g.: GUI, PPW, Salesforce, etc.) - Assists in conducting internal and external seminars and presentations as needed for the improvement of HCSC / provider relationships. - Lead internal and external meetings to assure and enhance provider success (e.g.: PowerPoint decks, Excel, analytics, presentation skills). - Provides training and education to all Blue Cross contracted providers including, but not limited to: hospitals, physicians, free-standing surgery centers, free standing substance abuse facilities, free standing psych facilities, VA hospitals, and all other allied professional providers. - Represent Provider Relations in cross-department workflows and projects and ensure appropriate provider services, including working across departments to resolve issues. - Ensure assigned providers are informed when changes occur and respond to provider inquiries in an effective and timely manner and coordinate claims resolution to payment problems. - Communicate and interact effectively and professionally with co-workers, management, customers, etc. - Comply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies. - Maintain complete confidentiality of company business. - Ensure all expenditures comply with corporate and divisional expense guidelines. - Maintain communication with management regarding development within areas of assigned responsibilities and perform special projects as required or requested. - Maintain accurate and timely documentation within Salesforce, ensuring all provider interactions, outreach activities, issue resolution, and key relationship management details are consistently recorded and updated to support business operations, reporting, and performance tracking. - Provide project support as needed, including tracking milestones, managing timelines, coordinating cross-functional activities, and contributing to project documentation and status updates. - Responsible for maintaining an up-to-date tracker of provider concerns and pain points and participate in discussions around resolutions. - Other duties as assigned by leadership. #LI-TP1 #LI-HYBRID Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! Pay Transparency Statement: At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards. The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. HCSC Employment Statement: We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. Base Pay Range $55,900.00 - $123,500.00 Exact compensation may vary based on skills, experience, and location.

Role Description Be a part of a team who "cares for the least of these," and building fulfilling futures for you and others. Rock House is a family-owned business that has been a leader in residential, foster, and in-home support and care for persons with special needs. If you are an RN who wants a fun job working daytime hours, physically non-demanding work, and a place where you can build long-term relationships with patients, Rock House is the place for you! - Monitoring ongoing medical needs of residents in group home settings. - Performing nursing assessments. - Developing and implementing nursing care plans and other clinical documentation. - Delegation of medication and training regarding medication needs. Benefits - Medical/Dental/Vision Insurance - Life Insurance - Vacation - Paid Holidays - 401k Retirement Plan - Referral Program