Role Description Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will receive endless support and appreciation and build a rewarding career with one of the most respected healthcare organizations in the world. As a Nightingale RN Care Coordinator, you will leverage your clinical expertise to support high- and rising-risk patients through comprehensive care coordination and chronic disease management. In this role, you will: - Collaborate with multidisciplinary teams across the continuum of care to improve patient outcomes. - Reduce preventable emergency department visits and readmissions. - Enhance patient satisfaction. - Conduct patient outreach and develop patient-centered care plans. - Advocate for patients and families. - Empower individuals to effectively manage their health and wellness goals. - Serve as a valuable resource and mentor within the Care Coordination team. - Foster knowledge sharing and best practices across the organization. A caregiver in this position works PRN (as needed) between 8:00AM – 4:30PM. A caregiver who excels in this role will: - Support Care Coordinator panel management using their knowledge and expertise to guide/mentor those new to the role. - Perform clerical functions of the Care Coordinator or Transitional Care Management Hub Care Coordinator. - Work as part of an interdisciplinary care team. - Ensure compliance with regulatory standards and patient safety initiatives. - Provide direct nursing care to patients undergoing gastroenterology procedures, such as endoscopies. - Provide coaching, teaching, and educational materials. - Provide assessments and audits of daily practice. - Assess educational needs of patients and families. - Other duties as assigned. Qualifications - Graduate from an accredited school of professional nursing. - Basic Life Support (BLS) through American Heart Association (AHA) or American Red Cross. - Current state licensure as Registered Nurse (RN). - Three years of experience in the Care Coordinator position at the Cleveland Clinic immediately prior to retirement. - Current demonstrated clinical competence. - Strong communication and interpersonal skills. Requirements - Bachelors of science in nursing (BSN) (preferred). - Specialty certification (preferred). - Requires full range of motion, manual and finger dexterity, and eye-hand coordination. - Requires corrected hearing and vision to normal range. - May require some exposure to communicable diseases or bodily fluids. - Light work – Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. Benefits - Follows Standard Precautions using personal protective equipment as required. - Compliance with the influenza prevention program, which includes obtaining an influenza vaccination on an annual basis or obtaining an approved exemption.

• Deliver virtual therapy services to individuals including children, couples, and/or families. • Guide prospective clients through initial consultations and establish ongoing therapeutic relationships. • Conduct initial consultations and support clients in transitioning into ongoing therapy. • Foster strong therapeutic relationships that encourage retention and progress. • Complete clinical documentation in a timely manner with dedicated time built directly into the session schedule. • Align with clinic processes and contribute to a cohesive client experience.

Role Description As Provider Enrollment Specialist - Nevada / Remote, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. - The Provider Enrollment Specialist will be responsible for supporting provider enrollment into the State of Nevada Medicaid Program. - Responsibilities include reviewing and processing Medicaid, provider enrollment, and revalidation applications according to Nevada Medicaid enrollment guidelines, and other state and federal requirements and procedures. - Use multiple websites to screen and make determinations about meeting state requirements. - Perform and document outreach to providers through phone calls and emails to ensure the provider includes all necessary and accurate documentation to complete enrollment. - Work directly with the client as needed to review and obtain necessary approvals on applications and updates. Qualifications - Minimum of two years working experience in a customer service role. - Strong organizational skills. - Ability to work with minimum supervision and resolve problems/issues promptly and effectively. - Strong verbal and written communication skills. - At least 2 years of provider enrollment experience is highly desired. Requirements - This is a 100% remote position. - Candidates must be available to work during Pacific Time Zone business hours. Benefits - The pay range for this position is $37,500.00 - $53,500.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. - Generous, flexible vacation policy. - 401(k) employer match. - Comprehensive health benefits. - Educational assistance. - A variety of leadership and technical development academies to help build your skills and capabilities.

Role Description Utilization and Care Management Nurse Work from home within Oregon, Washington, Idaho or Utah. As a member of the Clinical Services team, our Utilization and Care Management Nurses provide: - Utilization and care management (prospective, concurrent, retrospective review, post-discharge care coordination) - Support to meet the member’s specific healthcare needs - Promotion of quality and cost-effective outcomes - Appropriate payment for services Are you a Nurse who has a passion for healthcare? Are you ready to take your career to the next level and make a real difference in the lives of our members? Then this role may be the perfect fit. Qualifications - Associate or Bachelor’s Degree in Nursing or related field - 3 years of case management, utilization management, disease management, auditing or retrospective review experience - Equivalent combination of education and experience - Must have licensure or certification in a state or territory of the United States that allows the professional to conduct an assessment independently - At least 3 years (or full-time equivalent) of direct clinical care - May need to have licensure in all four states served by Cambia: Idaho, Oregon, Utah, Washington - Must have at least one of the following: - Bachelor’s degree (or higher) in a health or human services-related field (psychiatric RN or Masters’ degree in Behavioral Health preferred for behavioral health) - Registered nurse (RN) license (must have a current unrestricted RN license for medical care management) Requirements - Knowledge of health insurance industry trends, technology and contractual arrangements - General computer skills (including use of Microsoft Office, Outlook, internet search) - Familiarity with health care documentation systems - Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired - Strong verbal, written and interpersonal communication and customer service skills - Ability to interpret policies and procedures and communicate complex topics effectively - Strong organizational and time management skills with the ability to manage workload independently - Ability to think critically and make decisions within individual role and responsibility Benefits - Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits - Annual employer contribution to a health savings account - Generous paid time off varying by role and tenure in addition to 10 company-paid holidays - Market-leading retirement plan including a company match on employee 401(k) contributions - Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave) - Award-winning wellness programs that reward you for participation - Employee Assistance Fund for those in need - Commute and parking benefits