Role Description The Patient Access Coordinator plays an important role in delivering a positive and supportive first experience for patients engaging with Carrum Health. PAC’s focuses on learning core workflows, building strong patient communication skills, and consistently meeting established service standards while supporting patients through foundational access and intake needs. The hourly rate for this role is $20 and eligible for full benefits and overtime. This is a flex role, typically working between 32-40 hours/week with opt-in overtime. You’re excited about this opportunity because you will: - Provide high-quality patient support through phone and digital channels by following established scripts, workflows, and service standards. - Guide patients through basic registration, eligibility questions, FAQs, and next steps with empathy and clarity. - Learn and apply foundational knowledge of medical terminology, insurance basics, and HIPAA compliance. - Accurately document patient interactions and complete required follow-up tasks within defined SLAs. - Build confidence handling routine patient questions and requests while knowing when to escalate appropriately. - Develop your skills through coaching, feedback, and hands-on experience in a fast-paced care environment. Qualifications - High School Diploma or General Education Degree (GED) required; college education preferred. - Spanish Speaking preferred. Requirements - Handle inbound and outbound patient communications (approximately 100-125 calls per week) across a broader range of access and intake scenarios. - Follow standard scripts, workflows, and escalation paths to ensure accurate and consistent patient support. - Meet performance expectations related to call handling, responsiveness, documentation, and quality. - Accurately document all patient interactions in the Care App and supporting systems. - Escalate complex or sensitive issues to senior team members or leadership as appropriate. - Participate fully in onboarding, training, and ongoing learning opportunities. Benefits - Stock option plan - Flexible schedules and remote work - Chicago and San Francisco offices available - Self-managed vacation days, within reason - Paid parental leave - Health, vision, and dental insurance - 401K retirement plan

Role Description Fully remote opportunity requiring an active Illinois nursing license. The role operates Monday through Friday from 6:30 AM to 3:00 PM CST and requires prior experience in Utilization Management (UM) and the application of MCG guidelines. Candidates should be comfortable performing utilization reviews and making clinical determinations based on established criteria. Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties - Assesses services for members to ensure optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines. - Analyzes clinical service requests from members or providers against evidence based clinical guidelines. - Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures. - Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. - Processes requests within required timelines. - Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner. - Requests additional information from members or providers as needed. - Makes appropriate referrals to other clinical programs. - Collaborates with multidisciplinary teams to promote the Molina care model. - Adheres to utilization management (UM) policies and procedures. Qualifications - At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience. - Registered Nurse (RN). License must be active and unrestricted in state of practice. - Ability to prioritize and manage multiple deadlines. - Excellent organizational, problem-solving and critical-thinking skills. - Strong written and verbal communication skills. - Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications - Certified Professional in Healthcare Management (CPHM). - Recent hospital experience in an intensive care unit (ICU) or emergency room. Benefits Molina Healthcare offers a competitive benefits and compensation package. Company Description Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

• Provide evidence-based individual and group clinical care to patients and families • Use measurement-based care to inform treatment planning • Lead and collaborate with other care team members (e.g., coach and psychiatrist) • Provide feedback on program curricula and training protocols • Provide feedback regarding the various applications of technology in treatment • Maintain awareness of risk management issues • Complete documentation in a timely and thorough manner • Participate in initial and ongoing trainings on the application of evidence-based and tech-enhanced care delivery • Facilitate skills or skills practice groups, as assigned. These CBT-based groups are for parents/caregivers and focus on skills development and implementation based on the InStride Health curriculum, integrating aspects of ACT and PMT.

• Manage the day-to-day operations of multiple USA client accounts in the ABA Therapy Industry. • Lead, coach and support remote agents to achieve performance, productivity and quality targets. • Monitor attendance, adherence, productivity and KPIs, addressing performance concerns proactively. • Conduct regular one-on-one coaching sessions and performance reviews with assigned agents. • Build strong working relationships with assigned clients and serve as their primary operational contact. • Respond to client enquiries, concerns and operational escalations promptly and professionally. • Work closely with the Client Success Manager to ensure a consistent client experience. • Analyse operational data and identify trends, risks and opportunities for improvement. • Prepare and present weekly and monthly operational performance reports. • Coordinate staffing, scheduling and resource planning to meet client requirements and service level agreements. • Collaborate with Recruitment, HR, IT and Operations teams to ensure smooth onboarding and ongoing support for client accounts. • Drive continuous improvement initiatives that enhance both client satisfaction and operational efficiency.