• Engage and provide telephonic care coordination and management to identified patient populations • Collaborate with members of Clover clinical teams • Initiate referrals to specialty services and foster continuity of care • Create personalized care plans for each member • Document all member care activities and escalate findings • Coordinate with the interdisciplinary team and outpatient providers • Provide telephonic teaching and counseling in health promotion and disease management • Attend regular ongoing meetings • Demonstrate flexibility in assignments within Clover’s Clinical Programs • Advocate for members to ensure needs and choices are represented • Participate in ongoing professional development

• Opening insurance claims for No-Fault benefits and Bodily Injuries. • Communicating effectively with insurance companies on a daily basis via email and phone to obtain status updates on Liability and BI amounts. • Contacting hospitals, medical offices, and doctors to obtain status reports on client attendance and treatment. • Reviewing and organizing medical records, extracting relevant information, and storing documents chronologically and neatly within the electronic system. • Answering calls, taking information, and patching calls to the proper personnel in the US. • Staying on top of clients' weekly treatment attendance. • Maintaining strict confidentiality and security of all patient information. • Adhering to all company policies and procedures.

Title: Clinical Educator Location: Livonia, Michigan Job Description: Employment Type: Full time Shift: Description: CLINICAL EDUCATOR Location: Trinity Health PACE Corp Michigan Status: Full Time, REMOTE Shift: Monday - Friday, 8:00 AM – 5 PM Position Purpose: The primary purpose of this position is to provide oversight, monitoring and facilitation of standardized and/or customized educational programming; and to ensure compliance with and completion of mandatory education and skills validation. What you will do: - Demonstrates TH PACE values consistently and leads by example with all internal and external customers and works collaboratively across all TH PACE divisions - Acts as a leader by setting vision, aligning resources, and supporting organizational growth and change - Helps develop and maintain plans to achieve operational goals - Builds and maintains strong, collaborative relationships across teams, fosters teamwork, builds consensus, and resolves conflicts effectively - Manages department budget and orders necessary equipment and supplies and identifies financial risks and recommends cost-saving measures - Evaluates, mentors, coaches, and disciplines department staff, supports and coaches staff across departments to promote excellence - Ensures compliance with laws, regulations, and organizational policies - Supports orientation and annual education programs, tracks and reports compliance with required training and provides education based on identified learning needs - Serves as a resource for educational materials and opportunities and reviews competency checklists for assigned programs - Assists with EMR education coordination and helps plan internal conferences and symposiums - Provides education in collaboration with Quality Improvement and leadership teams - Facilitates educational sessions and activities and tracks training attendance as a HealthStream administrator - Serves as liaison for student programs and ensures regulatory compliance and assesses capacity for hosting students - Uses adult learning principles and interactive teaching methods and maintains accurate education and compliance records - Participates in system-wide workgroups for standardization - Coordinates CPR training as needed - Assists with TH PACE orientation sessions Minimum Qualifications: - Bachelor’s level degree in Nursing, or Master’s Degree in Social Work, Physical Therapy, or Occupational Therapy. - Minimum five (5) years of healthcare related experience. - Certified CPR/BCLS Instructor (or obtained within 12 months of hire). - A combination of education and experience may be acceptable. - Minimum one (1) year teaching or instructor experience, with planning and developing educational materials, preferred. - Routine travel between PACE locations, occasional travel to Michigan system office, and possible out-of-area travel with approval - Action-oriented, strong business acumen, manages conflict well, customer-focused, adaptable, and able to work independently - Strong interpersonal skills to collaborate effectively in cross-functional, virtual, and shared leadership environments - Excellent written, verbal, and presentation skills; able to communicate clearly with diverse audiences in any setting - Advanced Microsoft Office skills, familiarity with email/calendaring systems, accurate typing, and ability to learn new software - High accountability and independent decision-making; able to plan, organize, and implement programs aligned with organizational goals - Strong organizational and multitasking skills, maintains customer service under interruptions, flexible, and strong problem solver Position Highlights and Benefits: - Comprehensive benefit including 1st Day medical coverage, dental, vision, paid time off, 403B and educational assistance. - Access to daily pay and employee referral incentives. - Supportive environment with a patient-centered focus. - Opportunities for professional development. - Minimum one (1) year teaching or instructor experience, with planning and developing educational materials, preferred.

Title: Treatment Nurse Navigator - Survivorship Location: Houston United States Job Description: The Treatment Nurse Navigator role supports a patient-centered oncology navigation program focused on guiding individuals and families through the complexities of cancer care. The Treatment Nurse Navigator acts as a consistent point of contact, coordinating care, reducing barriers, and ensuring patients receive timely, evidence-based services across the continuum. The University of Texas MD Anderson Cancer Center is a leading institution focused on cancer care, research, education, and prevention. At UT MD Anderson, the Treatment Nurse Navigator plays a vital role in enhancing the patient experience by collaborating with multidisciplinary teams, improving access to care, and promoting informed decision-making from diagnosis through survivorship. The ideal candidate will have a strong clinical nursing background with experience in oncology or patient navigation, a commitment to patient-centered care, and the ability to collaborate effectively across multidisciplinary teams. Schedule: Shift: Monday - Friday, 8:00am - 5:00pm. This position does not currently include weekends or holidays. Orientation: Orientation may be 1 - 2 months onsite. After successfully completing the training period, this position may transition to a hybrid work arrangement. Onsite expectations may vary based on business needs. Hourly breakdown of salary range: Minimum $48.55 - Midpoint $60.81 - Maximum $73.07 Why Us? Joining UT MD Anderson as a Treatment Nurse Navigator offers the opportunity to directly impact the patient journey by removing barriers to care and ensuring continuity across complex treatment pathways. This role supports professional growth through multidisciplinary collaboration, evidence-based practice, and involvement in performance improvement initiatives while contributing to a mission-driven organization dedicated to eliminating cancer and supporting work-life balance. MD Anderson offers our nurses: - Paid employee medical benefits (zero premium) starting on first day for employees who work 30 or more hours per week - Group Dental, Vision, Life, AD&D and Disability coverage - Paid time off (PTO) and Extended Illness Bank (EIB) paid leave accruals - Paid institutional holidays, wellness leave, childcare leave, and other paid leave programs - Tuition Assistance Program after six months of service - Teachers Retirement System defined-benefit pension plan and two voluntary retirement plans - Employer paid life, AD&D and an illness-related reduced salary pay program - Health Savings Account and Dependent Care Reimbursement flexible spending accounts - Fertility benefits - State of Texas longevity pay - Extensive wellness, recognition, fitness, employee health programs and employee resource groups. Clinical Nurses relocating from 100+ miles from MD Anderson will also qualify for up to $10,000 in relocation assistance! MD Anderson is among 25 of hospitals in the world who have earned six consecutive Magnet Recognition Program designations from the American Nurses Credentialing Center. Our nursing community transforms nursing care through clinical practice, education, and research. Each day, more than 4,400 registered nurses deliver compassionate, evidence-based cancer care to patients and their families. Responsibilities Care Coordination and Communication - Develop relationships with patients after the first appointment to establish a consistent navigation point of contact throughout the treatment phase - Assess patient, family, and caregiver needs post-first visit and throughout the continuum of care, including psychosocial, financial, and emotional changes - Perform distress screenings, document findings, and refer patients to appropriate disciplines - Track patient transitions between ambulatory and inpatient care settings and collaborate with care management teams - Coordinate consult appointments with support services such as social work, nutrition, genetics, and therapy within established service standards - Assist with treatment goals discussions, advance directives, palliative care, and end-of-life planning using an ethical framework - Apply knowledge of payer requirements and insurance processes to facilitate appropriate referrals and care decisions - Promote collaboration across care teams and external organizations to protect and advance patient interests - Perform other duties as assigned Education - Provide education on oncology diagnoses, treatment plans, support services, and local or national resources - Educate patients and caregivers on clinical trial opportunities in coordination with clinical and research teams Communication - Communicate concerns and provide follow-up to ensure timely coordination of appointments, tests, and procedures - Conduct outreach across UT MD Anderson to build and maintain relationships with physicians, advanced practice providers, nursing, case management, and social services teams Documentation - Develop concise patient summaries for care teams and document navigation recommendations using standardized care protocols - Utilize evidence-based navigation tools to assess patient needs including pain, fatigue, and performance status Professional Development and Performance - Participate in multidisciplinary tumor conferences and evaluate recommendations against NCCN or national guidelines - Engage in performance improvement activities to enhance patient, family, and caregiver experience - Complete required training, education, and annual core competency programs - Maintain knowledge of local and national patient resources - Adhere to productivity benchmarks, caseload expectations, and documentation standards supporting program performance Other duties as assigned. EDUCATION - Required: Bachelor's Degree Nursing. - Preferred: Master's Degree Nursing. WORK EXPERIENCE - Required: Five years Professional oncology nursing or oncology nurse navigation experience. - Required: May substitute required degree with an Associate's degree in Nursing and seven years of professional oncology nursing or oncology nurse navigation experience. LICENSES AND CERTIFICATIONS - Required: RN - Registered Nurse - State Licensure State of Texas Professional Nursing License (RN). Upon Hire and - Required: BLS - Basic Life Support Upon Hire or - Required: CPR - Cardiac Pulmonary Resuscitation Upon Hire - Preferred: OCN - Oncology Nurse Certification National certification in Oncology and specialty practice area. Upon Hire - Preferred: ACLS - Advanced Cardiac Life Support Certification as required by patient care area. Upon Hire - Preferred: PALS - Pediatric Advanced Life Support Certification as required by patient care area. Upon Hire The University of Texas MD Anderson Cancer Center offers excellent benefits, including medical, dental, paid time off, retirement, tuition benefits, educational opportunities, and individual and team recognition. This position may be responsible for maintaining the security and integrity of critical infrastructure, as defined in Section 113.001(2) of the Texas Business and Commerce Code and therefore may require routine reviews and screening. The ability to satisfy and maintain all requirements necessary to ensure the continued security and integrity of such infrastructure is a condition of hire and continued employment. It is the policy of The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state, or local laws unless such distinction is required by law.http://www.mdanderson.org/about-us/legal-and-policy/legal-statements/eeo-affirmative-action.html Additional Information - Requisition ID: 181210 - Employment Status: Full-Time - Employee Status: Regular - Work Week: Days - Minimum Salary: US Dollar (USD) 101,000 - Midpoint Salary: US Dollar (USD) 126,500 - Maximum Salary : US Dollar (USD) 152,000 - FLSA: exempt and eligible for overtime, paid at a time and a half rate - Fund Type: Hard - Work Location: Hybrid Onsite/Remote - Pivotal Position: Yes - Referral Bonus Available?: No - Relocation Assistance Available?: No #LI-Hybrid