1621 jobs found

US-NC-DenverCategory Assisted LivingType Regular Part-TimeFLSA Status Non-ExemptShift EveningsDepartment Personal CareCorporation Name DePaul Adult Care Communities (DACC) CarolinaOverviewUnder the general direction of the Supervisor-In-Charge the Medication Technician will administer prescribed medication and treatment to residents in a safe and timely manner within the guidelines set forth by DePaul Adult Care Communities and the state of North Carolina. The Medication Aide will also be responsible for resident's personal care as described in the Personal Care Assistant (PCA) position description while not administering medications.Wexford ResponsibilitiesAdministration of medication and treatment to residents timely, accurately and as prescribed by the physician.Documentation of those medications and treatments.Observation and documentation of response (therapeutic or adverse) to medications and treatments. Maintaining an organized, clean and secure medication cart and medication room.Timely ordering of medications and or supplies for availability to residentsFollowing facility and pharmacy guidelines and policies in ordering, returning and discontinuing of medication orders.Preparation of medications for residents leaving the facility for extended periods of time, or arranging for the delivery of those medications from the pharmacy.Accurately processing physician orders and transcribing orders to the Medication Administration Record. Directly accountable for the security of controlled substances and the accuracy of record keeping.Practices and maintains appropriate infection control techniques when preparing/administering medications and employs universal precautions at all times.Proficient in testing blood glucose levels of diabetic residents.Proficient in the preparation and administration of insulin injections.Performs personal care duties as described in the PCA position description in response to the needs of the resident or as assigned.Participates in the required six (6) hours of medication in-service education.Assists in providing a quiet, therapeutic and homelike environment.QualificationsMust be able to document CNA certification or completion of PCA 80 hour training.Must be a certified Medication Technician or Pass the Medication Technician Test issued by the state of North Carolina within 90 days of Medication Skills Checklist. *The Medication Skills Checklist must be completed before passing any medication.Must possess a working knowledge of resident care, particularly with the geriatric and adult special care needs population.Must be at least Eighteen (18) years of age.Must have the required references and criminal record check.Must be in good standing with the Healthcare Personnel Registry.Must have the required two-step Tuberculosis (TB) testing in accordance with HC Adult care Home Rules.Work EnvironmentWell lighted, air-conditioned/heated environment; may be exposed to residents with communicable diseases or confused residents who become combative. May be required to work outside on occasion when required by resident care needs (i.e., resident walks or other outdoor activities).Protective Equipment Used/Equipment NeededLatex gloves, goggles, for standard precautions.Office equipment (copier, computer, fax machine, telephone), fire extinguisher, wheel chairs.PM18PI104991289

Assignment Length: 13-week Shift Type: Nights Hours per shift: 12 Hour Hours per week: 36 Start Month: Dec 2018 Facility Type: Teaching Facility Compact License Facility: No Submit without Active Licence: 0 Number of Openings: 1 Job Certification and Licenses: BLS NOTE: THIS IS A 13-WEEK TRAVEL STAFFING ASSIGNMENT. INQUIRE TODAY FOR DETAILS. FlexCare is a nationwide leader in the staffing of travel nurses, therapists, and allied clinicians. With access to thousands of facilities around the country, our mission is to deliver premier travel staffing solutions with integrity and transparency. FlexCare's exceptional service and reputation make us one of the most awarded travel healthcare staffing companies each year by industry authorities like Highway Hypodermics, BluePipes, and Travel Nursing Central.FlexCare has also been recognized by numerous hospital MSPs with various awards, including, Partner of the Year, Largest Patient Impact, and the Most Engaged Travel Associate awards.FlexCare's robust benefits package for all travel assignments includes: MaxPay - our commitment to offer the maximum pay package for every position, every time, right from the start S1NGLEPOINT - a single point of contact who personally takes care of all your assignment details, questions, and everything in between Virtual Recruiter - 24-hour job monitoring based upon your preferences and delivered to your inbox every day when you wake up Award-Winning Service - Ranked as one of the top travel nursing companies in the nation to work for by Staffing Industry Analysts (SIA) and RightSourcing Medical, dental and vision insurance Flexible Spending Account (FSA) and Dependent Care Flexible Spending Account 401k with employer matching EEO PolicyFlexCare provides equal employment opportunity to all persons, regardless of race, color, religion, creed, sex, gender, pregnancy, childbirth or related medical condition, ancestry, citizenship, national origin, age, marital status, gender identity, gender expression, sexual orientation, physical or mental disability, medical condition, genetic characteristics, veteran or military status, or any other characteristic protected by federal, state, or local law. This policy applies to all employment practices, including recruitment, hiring, compensation, benefits, promotion, training, transfer, discipline, layoff, recall, and termination.Fair Chance PolicyFlexCare will consider for employment qualified applicants with criminal histories in a manner consistent with the law.PI104990045

Assignment Length: 13-week Shift Type: Nights Hours per shift: 12 Hour Hours per week: 36 Start Month: Oct 2018 Facility Type: Teaching Facility Compact License Facility: No Submit without Active Licence: 1 Number of Openings: 1 Job Certification and Licenses: BLS NOTE: THIS IS A 13-WEEK TRAVEL STAFFING ASSIGNMENT. INQUIRE TODAY FOR DETAILS. FlexCare is a nationwide leader in the staffing of travel nurses, therapists, and allied clinicians. With access to thousands of facilities around the country, our mission is to deliver premier travel staffing solutions with integrity and transparency. FlexCare's exceptional service and reputation make us one of the most awarded travel healthcare staffing companies each year by industry authorities like Highway Hypodermics, BluePipes, and Travel Nursing Central.FlexCare has also been recognized by numerous hospital MSPs with various awards, including, Partner of the Year, Largest Patient Impact, and the Most Engaged Travel Associate awards.FlexCare's robust benefits package for all travel assignments includes: MaxPay - our commitment to offer the maximum pay package for every position, every time, right from the start S1NGLEPOINT - a single point of contact who personally takes care of all your assignment details, questions, and everything in between Virtual Recruiter - 24-hour job monitoring based upon your preferences and delivered to your inbox every day when you wake up Award-Winning Service - Ranked as one of the top travel nursing companies in the nation to work for by Staffing Industry Analysts (SIA) and RightSourcing Medical, dental and vision insurance Flexible Spending Account (FSA) and Dependent Care Flexible Spending Account 401k with employer matching EEO PolicyFlexCare provides equal employment opportunity to all persons, regardless of race, color, religion, creed, sex, gender, pregnancy, childbirth or related medical condition, ancestry, citizenship, national origin, age, marital status, gender identity, gender expression, sexual orientation, physical or mental disability, medical condition, genetic characteristics, veteran or military status, or any other characteristic protected by federal, state, or local law. This policy applies to all employment practices, including recruitment, hiring, compensation, benefits, promotion, training, transfer, discipline, layoff, recall, and termination.Fair Chance PolicyFlexCare will consider for employment qualified applicants with criminal histories in a manner consistent with the law.PI104990043

Assignment Length: 13-week Shift Type: Days Hours per shift: 12 Hours per week: 36 Start Month: Oct 2018 Facility Type: Level II Trauma & Teaching Facility Compact License Facility: No Submit without Active Licence: 0 Number of Openings: 3 Job Certification and Licenses: BLS NOTE: THIS IS A 13-WEEK TRAVEL STAFFING ASSIGNMENT. INQUIRE TODAY FOR DETAILS. FlexCare is a nationwide leader in the staffing of travel nurses, therapists, and allied clinicians. With access to thousands of facilities around the country, our mission is to deliver premier travel staffing solutions with integrity and transparency. FlexCare's exceptional service and reputation make us one of the most awarded travel healthcare staffing companies each year by industry authorities like Highway Hypodermics, BluePipes, and Travel Nursing Central.FlexCare has also been recognized by numerous hospital MSPs with various awards, including, Partner of the Year, Largest Patient Impact, and the Most Engaged Travel Associate awards.FlexCare's robust benefits package for all travel assignments includes: MaxPay - our commitment to offer the maximum pay package for every position, every time, right from the start S1NGLEPOINT - a single point of contact who personally takes care of all your assignment details, questions, and everything in between Virtual Recruiter - 24-hour job monitoring based upon your preferences and delivered to your inbox every day when you wake up Award-Winning Service - Ranked as one of the top travel nursing companies in the nation to work for by Staffing Industry Analysts (SIA) and RightSourcing Medical, dental and vision insurance Flexible Spending Account (FSA) and Dependent Care Flexible Spending Account 401k with employer matching EEO PolicyFlexCare provides equal employment opportunity to all persons, regardless of race, color, religion, creed, sex, gender, pregnancy, childbirth or related medical condition, ancestry, citizenship, national origin, age, marital status, gender identity, gender expression, sexual orientation, physical or mental disability, medical condition, genetic characteristics, veteran or military status, or any other characteristic protected by federal, state, or local law. This policy applies to all employment practices, including recruitment, hiring, compensation, benefits, promotion, training, transfer, discipline, layoff, recall, and termination.Fair Chance PolicyFlexCare will consider for employment qualified applicants with criminal histories in a manner consistent with the law.PI104990041

Assignment Length: 13-week Shift Type: Variable Hours per shift: 8.00 Hours per week: 32 Start Month: Nov 2018 Facility Type: Acute Care Facility Compact License Facility: No Submit without Active Licence: 0 Number of Openings: 2 Job Certification and Licenses: BLS NOTE: THIS IS A 13-WEEK TRAVEL STAFFING ASSIGNMENT. INQUIRE TODAY FOR DETAILS. FlexCare is a nationwide leader in the staffing of travel nurses, therapists, and allied clinicians. With access to thousands of facilities around the country, our mission is to deliver premier travel staffing solutions with integrity and transparency. FlexCare's exceptional service and reputation make us one of the most awarded travel healthcare staffing companies each year by industry authorities like Highway Hypodermics, BluePipes, and Travel Nursing Central.FlexCare has also been recognized by numerous hospital MSPs with various awards, including, Partner of the Year, Largest Patient Impact, and the Most Engaged Travel Associate awards.FlexCare's robust benefits package for all travel assignments includes: MaxPay - our commitment to offer the maximum pay package for every position, every time, right from the start S1NGLEPOINT - a single point of contact who personally takes care of all your assignment details, questions, and everything in between Virtual Recruiter - 24-hour job monitoring based upon your preferences and delivered to your inbox every day when you wake up Award-Winning Service - Ranked as one of the top travel nursing companies in the nation to work for by Staffing Industry Analysts (SIA) and RightSourcing Medical, dental and vision insurance Flexible Spending Account (FSA) and Dependent Care Flexible Spending Account 401k with employer matching EEO PolicyFlexCare provides equal employment opportunity to all persons, regardless of race, color, religion, creed, sex, gender, pregnancy, childbirth or related medical condition, ancestry, citizenship, national origin, age, marital status, gender identity, gender expression, sexual orientation, physical or mental disability, medical condition, genetic characteristics, veteran or military status, or any other characteristic protected by federal, state, or local law. This policy applies to all employment practices, including recruitment, hiring, compensation, benefits, promotion, training, transfer, discipline, layoff, recall, and termination.Fair Chance PolicyFlexCare will consider for employment qualified applicants with criminal histories in a manner consistent with the law.PI104990039

ElderwoodElderwood at RiversideRequisition ID 2018-5261# of Openings 1Posted Date 2018-10-20Area of Interest TherapyCompany ElderwoodLocation US-RI-RiversidePosition Type Regular Full-TimeOverviewThe Director of Rehabilitation Services team member assists with ensuring the health and well-being of our residents by supervising rehab department staff in the provision, documentation, and billing of therapy services in compliance with Federal and State Laws, Regulations, and Practice Acts; assists in the hiring, orientation, and training of staff therapists, therapy assistants, and rehabilitation aides; participates in required meetings, in-services, programs, and general orientation; maintains a clinical caseload at a minimum of 35% productivity; attends to clinical, fiscal, and customer service outcomes and action plan underperformance as indicated.ResponsibilitiesScreen and provide (as necessary and as ordered by a physician) an in-depth evaluation of each resident's rehabilitation potential (unless contradicted); makes written recommendations for inter-disciplinary care planning and treatment.Inform resident or qualified representative about care and treatment plan and possible outcomes of treatment, or lack of treatment if resident refuses participation in a therapy program.Develop a treatment plan and administer treatments in accordance with the physician's orders and the rehabilitation goals; maintain required contact with physician.Oversee written evaluations, progress notes, care plans and discharge summaries of residents receiving physical therapy according to state, federal and facility policies. Review each resident's status at least quarterly to determine need for revising rehabilitation aspects of care plan.Collaborate with other members of the inter-disciplinary health care team to integrate rehabilitation goals into the comprehensive care plan. QualificationsLicensed Occupational Therapist/Physical Therapist/Speech Language Pathologist professionally educated in an accredited curriculum with a baccalaureate degree required. State specific license to practice required. Management experience preferred. Experience in the geriatric field of Occupational/Physical Therapy or Speech Language Pathology preferable. Experience with computer hardware and software including Microsoft Office preferred. Possession of ability to teach, inspire and motivate others; leadership qualities; ability to organize workload, delegate assignments and promote teamwork required. Must have interest in working with the elderly, and respect the rights of residents during care and treatment services. Equal Employment Opportunity/M/F/disability/protected veteran status.PI104992296

ElderwoodRequisition ID 2018-5303# of Openings 1Posted Date 2018-10-20Area of Interest TherapyCompany ElderwoodLocation US-NY-LiverpoolPosition Type Per DiemOverviewCertified Occupational Therapy Assistants assist with ensuring the health and well-being of residents by providing occupational therapy treatments developed and recommended by a registered Occupational Therapist. New York State certification required.Responsibilities1. Assists the Director Occupational Therapy in planning, developing and carrying out treatment programs and procedures for residents.2. Helps create group therapy programs which are mentally and physically stimulating to residents; prepares and presents individual and group projects appropriate for the confused, blind, deaf and physically handicapped resident.3. Writes observations of resident's behavior and progress in Progress Notes.4. Maintains attendance records and other departmental reports; enters treatment record in Medical Record Chart.5. Assists Director Occupational Therapy in the training and supervision of Occupational Therapy Aides and students assigned to the facility for clinical experience.6. Attends Resident Care Planning and Family/Resident Care Plan review meetings.7. Assists with departmental in-service programs upon request.8. Completes MDS+ assessment form as required.9. Inventories supplies; assists with keeping area in good order and daily sanitation of equipment.10. Attends in-service training programs, and departmental meetings as required.11. Generate and develop ideas, which improve the quality of care for residents or increase job productivity and satisfaction.12. Performs other duties as assigned by Director Occupational Therapy.13. Performs all job duties according to safety rules and practices required for this job position, and as required to ensure the general safety of staff, residents and visitors of this facility.14. Performs assigned duties according to the service excellence standards and goals established for this job position, and for all staff members of this facility.QualificationsNew York State Department of Education Certification and license to practice as a Certified Occupational Therapy Assistant in New York State required. Ability to relate well to residents and enjoy working with the elderly people necessary. Tact and diplomacy; ability to develop good relationships with residents, staff and students required. Ability to inspire and motivate others and create a warm and accepting climate for residents necessary. Qualities of maturity, diplomacy, ability to work well with others required.Ability to communicate well verbally and in writing required. Ability to supervise departmental staff effectively and ensure that high standards of care are maintained. Ability to perform tasks to established standards of excellence required. Demonstrated willingness to uphold the vision and mission of the company by following the core values of Integrity, Teamwork, and Passion for Excellence and Reverence for the Individual Equal Employment Opportunity/M/F/disability/protected veteran status.PI104992280

ElderwoodRequisition ID 2018-5305# of Openings 1Posted Date 2018-10-20Area of Interest TherapyCompany ElderwoodLocation US-NY-WheatfieldPosition Type Per DiemOverviewPhysical therapy staff members assist with ensuring the health and well-being of residents by providing comprehensive and quality therapy services. State specific Physical Therapy license is required.ResponsibilitiesInitiates skilled physical therapy treatments in accordance with physician's orders; maintains required contact with physician.Maintains written evaluations, progress notes and discharge summaries for residents in physical therapy program.Confers with other health care staff regarding special needs of residents to enhance rehabilitation or maintenance of function.Provides input for the Resident Care Planning meetings and attends during absences of the Director Physical Therapy.Maintains statistical records of residents' treatments.Assists with in-service training programs upon request.Records and updates resident's plan of care in the Inter-disciplinary Kardex.Submits requisition for supplies needed in the treatment of residents to Director Physical Therapy.Assumes all duties of the Director Physical Therapy during absences including supervision of Physical Therapy Aides and responsibility for all necessary documentation. QualificationsGraduation from an approved school of physical therapy required.State license to practice physical therapy required.Two years' experience in physical therapy preferred.Interest in physical therapy treatment programs for the geriatric and subacute populations necessary.Ability to direct others necessary. Equal Employment Opportunity/M/F/disability/protected veteran status.PI104992250

ElderwoodRequisition ID 2018-5304# of Openings 1Posted Date 2018-10-20Area of Interest TherapyCompany ElderwoodLocation US-NY-LiverpoolPosition Type Per DiemShift weekendsOverviewPhysical Therapy Assistant team members assist with ensuring the health and well-being of our residents by providing comprehensive and quality therapy services. This position is responsible for administering skilled physical therapy treatments as developed and recommended by a Registered Physical Therapist, ensuring that the highest degree of quality resident care is maintained at all times. Responsibilities Assist the Physical Therapist in planning, developing and carrying out treatment programs and procedures for residents.Writes observations of resident's behavior and progress in Progress Notes.Maintains statistical records and other departmental reports as requested by Physical Therapist.Assist with in-service training programs upon request.Assist with keeping supplies in good order and daily sanitation of equipment.Arrives to work on time, regularly, and working as scheduled; responsible for own transportation.Utilizes electronic timekeeping system.Observes and practices confidentiality of resident information and privacy when performing job duties.Recognizes and follows the dress code of the facility including wearing name tag at all times.Performs assigned duties according to the service excellence standards and goals established for this position, and for all staff members of this facility. QualificationsGraduation from a physical therapy assistant approved program required.New York State license to practice required.Interest in physical therapy treatments for the geriatric and sub acute population utilizing a team approach.Equal Employment Opportunity/M/F/disability/protected veteran status.PI104992265

LocationNY: BuffaloJob FamilyClinical, LicensedJob BriefWe are currently seeking a dynamic Utilization Management Care Manager to join our team at our office in Buffalo, NY!ExemptAbout the Position:We are currently seeking a dynamic Utilization Management Care Manager to join our team at our office in Buffalo, NY! The UM Care Manager authorizes and reviews utilization of mental health and substance use services provided in inpatient and intermediate care settings; assists with discharge planning and ambulatory follow up activity provides member assistance with mental health and substance use issues, and participates in special utilization projects. Position Responsibilities: Demonstrated experience establishing relationships and effectively engaging with members and providers through telephonic communication to obtain necessary information and facilitate care in multiple settings. Demonstrated work experience to influence and negotiate to effectively manage patient care and health care outcomes. Demonstrated work experience meeting strict deadlines and established cycle times through effective prioritization and follow-up skills. Clinicians are required to be educated in current principles, procedures of behavior health care. Managed care and state specific expertise and knowledge of community resources experience preferred. Performs telephonic care review and authorization determinations for prospective, concurrent and discharge review with psychiatric and substance use treatment facilities as assigned Determines appropriate level of care related to mental health and substance use treatment for members based on Beacon medical necessity level of care criteria Consults with Beacon Physician Advisors (PA) when requests for services do not meet medical necessity criteria Interacts with Physician Advisors to discuss clinical/authorization questions, alternative treatment options and concerns regarding specific cases Provides information to members and providers regarding mental health and substance use benefits and community treatment resources Provides telephone triage and crisis intervention to callers and, when necessary, assists with ensuring members have access to local services and resources Identifies and refers high risk members to care management. Recognizes quality of care issues and reports them appropriately through internal and external processes. Interacts with providers and facilities in a professional, respectful manner Complies with all Beacon policy guidelines, external regulatory requirements and URAC/NCQA accreditation standards. Demonstrates thorough understanding of product lines and benefit structure for all contracts assigned Participates in clinical rounds Assists with NCQA, URAC and other QI initiatives Other duties as assigned Position Requirements: Education: Master's degree or higher in a health related field and licensure as a behavioral health professional or RN. Licensure: Current, valid, unrestricted clinical license required (RN, LCSW, MFT, LPCC, PhD or PsyD) or BNS and must practice within the scope of license Relevant Work Experience: 3 years behavioral health clinical practice required and 5 years case management experience required To Apply:Click below on "Apply for this Position" to create a profile and apply for the positionBeacon Health Options Company, is proud to be an Equal Opportunity Employer as well as a Drug Free Work Environment. EOE/M/F/Veterans/Disabled#CBPM16#GDAAP Reporting Location:NY - LathamID (Req #):55950FTE Status:Full TimeSchedule:40 hours per weekPI104986177

LocationNJ: NewarkJob FamilyNetwork Contracting/Provider RelationsJob BriefWe are currently seeking a dynamic Provider Contract Manager to join our team at our office in Newark, NJ!ExemptABOUT THE POSITIONWe are currently seeking a dynamic Provider Contract Manager to join our team at our office in Newark, NJ! The Provider Contract Manager will manage the development of Provider Contracts, Contract Amendments, Laboratory Contracts, Pharmacy Contracts and Rebate Agreements; Housing Contracts and Acquisitions, Single Case Agreements, Letters of Agreement, and Requests for Letters of Intent. Participates in the negotiations of contracts, providing analysis and recommendations. Review/approval of the development of fee schedules, problem resolution, and development of provider network and re-contracting efforts with existing practitioners and providers.Position Responsibilities:*Strategize, develop, and implement the development of the provider network, to include independent practitioners, providers, and other specialized services for targeted markets. *Planning, directing, organizing and evaluating the implementation of strategic plans that will ensure consistency across regional operations and effective collaboration with national and regional departments as it relates to each of the above areas.*Oversee network contracting function in assigned territory, including provider network management and development, and maintenance of network composition to ensure access and availability.*Management and development of provider contract language to address the contractual requirements set forth by the provider.*Provide assistance with individual practitioners requiring special fee arrangements or special consideration.*Use utilization, claims and market data to develop strategies for re-contracting to obtain favorable contractual arrangements for Beacon Health Options.*Coordinate contracting efforts with Clinical, Quality Management, Network, Finance and Claim Departments, and other departments for improved interrelations concerning all contracting endeavors.*Maintain company and department policies and procedures.*Monitor Provider contract Claim activity in coordination with the Finance Department and prepare periodic reporting to other Departments on contract capacities.Position Requirements:Education : Bachelor's degree minimumRelevant Work Experience: Two to four years of progressive responsibility and complex management experience in provider relations, provider contracting and/or a combination or managed care, behavioral healthcare or practice management.TO APPLYClick below on "Apply for this Position" to create a profile and apply for the positionBeacon Health Strategies, LLC. a Beacon Health Options company, is proud to be an Equal Opportunity Employer as well as a Drug Free Work Environment. EOE/M/F/Veterans/Disabled$REM #CB PM16AAP Reporting Location:NJ - RoselandID (Req #):55933FTE Status:Full TimeSchedule:Mon - Fri 8-5pmPI104986175

LocationNY: LathamJob FamilyClaimsJob BriefWe are currently seeking a dynamic EDI Business Systems Analyst Lead to join our team in Latham, NY or remote!ExemptAbout the Position:We are currently seeking a dynamic EDI Business Systems Analyst Lead to join our team in Latham, NY or remote! The EDI Team Lead is integral in the execution of flawless implementations and on-going maintenance of data exchanges. This individual acts as a technical expert for the team and can assist on technical issues related to all daily functions performed by the Beacon EDI Operations department in support of all lines of business for EDI exchanges assigned to this team. This includes ensuring all files are processed timely and accurately as measured by adherence to project delivery life cycle and quality standards. Ensure best practices are understood and adhered to with a focus on improving business processes and operational efficiencies as well as the development and implementation of best in class systems that result in delivery of excellent service to internal and external customers. *This position is a potential remote / work at home opportunity*Position Responsibilities: Provide on-going technical assistance for all daily functions of EDI Operations. Work with team members to promptly resolve technical issues to ensure timely file processing and adherence to quality standards. Develop and maintain cohesive working relationships with internal and external customers to establish effective problem resolution and process improvement toward the achievement of exceptional service. Develop and maintain an environment that encourages personal involvement in planning, communications, development of employees, sharing responsibilities, and accountabilities to ensure effective contribution to corporate goals and objectives. Connect with team members to understand workload and identify where additional help is needed. Communicate deliverable progress, training needs, and team capacity to Managers. In partnership with IT, perform research and analysis on new technology opportunities, systematic enhancements and other efficiency/effectiveness related possibilities toward the goal of delivering ever improving service. Position Requirements: Education: High School diploma or GED equivalent required, Bachelor's Degree in business preferred Relevant Work Experience: 3 - 5 five years of experience in managed care EDI Exchanges required Travel: up to 10% local and/or overnight travel required To Apply:Click below on "Apply for this Position" to create a profile and apply for the positionBeacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/DisabledPM16#CB#GDAAP Reporting Location:NY - LathamID (Req #):55948FTE Status:Full TimeSchedule:40 hours per weekPI104986171

LocationMI: Wixom (48561 Alpha Drive, Suite #150)Job FamilyClinical, LicensedJob BriefWe are currently seeking a part time Care Manager to join our Central Night Services (CNS) team in the Wixom, MI area!ExemptAbout the Position:We are currently seeking a part time Clinical Care Manager to join our Central Night Services (CNS) team in the Wixom, MI area!Triage Assessment and Referral Responsibilities: Complete telephone assessments and referral; gathers demographic and clinical information to connect patient with appropriate provider, including outpatient treatment as necessary; and for emergency, urgent, routine and EAP referrals Provide appropriate referrals for treatment based in assessment of information gathered during telephone contacts and or on-site with providers. Refer cases that do not meet criteria and need non-cert., to Peer Advisors Manage release of MHSA benefit provided by carrier for designated group. Ask questions and listen to member in order to assess case and determine need Give referral and/or make referral appointment as circumstances warrant Collaborates with providers to determine alternate levels of care and to facilitate transfers to network facilities and providers whenever possible Facilitates coordination of care with other managers to assure continuity of care Clinical Review Responsibilities: Review for medical appropriateness psychiatric/substance abuse cases utilizing professional knowledge to apply Beacon Health Options criteria Render certification decisions that are within the scope of practice that is relevant to the clinical area under review Provide reviews for predetermination of medical necessity Review proposed courses of treatment for medical necessity Utilize rounds and case consultations to Clinical Supervisor and Peer Advisor for cases outside criteria or not progressing Customer Service / Administrative Responsibilities: Interface with internal and external customers to maintain optimal efficiency of service Maintain telephone superior service standards Contribute to monthly staff meetings and clinical conferences Attend appropriate meetings, trainings and conference calls as scheduled Perform all other aspects of customer service as required Conduct business in a professional manner Troubleshoot Clinical issues Investigate and research to resolve customer complaint problems and issues Will facilitate all tracking necessary quality indicators to meet the necessary accrediting bodies (NCQA, URAC) Perform special projects and all other duties as assigned Professional Standard Responsibilities: Apply Beacon Health Options policies and procedures consistently Maintain confidentiality of Clients, Business Records and Reports Maintain ethical and professional standards Maintain individual productivity and performance standards Meet Departmental expectations, accuracy, productivity and performance standards Support Beacon Health Options in achieving Mission Statement Complete tasks accurately and within required timeframes Adhere to the components of the Compliance Program Ensure that job tasks are performed in a legal and ethical manner Actively assess work area for non-compliance issues and notify supervisor or call Ethics Hotline Adhere to compliance training requirements and understand that training is required condition of employment Position Minimum Requirements: Education: Masters' degree in social work or psychology required or a Bachelor's level RN required Licensures: Current, valid and unrestricted license in a State or territory of the United States in a mental health field (RN, Ph.D., LCSW/LMSW, LLP, MHC, LPC, etc.) required May be required to obtain additional state licensures dependent on client contractual requirements Relevant Work Experience: 3 years' experience in psychiatric or substance use treatment required Experience as a CEAP or EAP internal/external consultant to a work site area required (for the integrated unit) Experience in settings that include inpatient, partial, and/or outpatient care preferred Knowledge, Skills, & Abilities: Must possess the ability to function in an interdisciplinary setting Must have knowledge and experience using management information systems Strong customer service orientation and excellent written and verbal communication skills required Must be knowledgeable about care resources and levels of care availability To Apply:Click below on "Apply for this Position" to create a profile and apply for the positionBeacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled#CB#GDPM16AAP Reporting Location:MI- WixomID (Req #):55796FTE Status:Part TimeSchedule:Tues, Wed, Fri 5p-1:30a easternPI104986167

LocationCO: Colorado SpringsJob FamilyInformation TechnologyJob Briefformulate and define system requirements and design, code, test, debug and document moderately complex applications and reporting systemsExemptABOUT THE POSITIONWe are currently seeking a dynamic Database Analyst/Programmer II to join our team at our office in Colorado Springs, CO. The Database Analyst/Programmer II will be responsible to formulate and define system requirements and design, code, test, debug and document moderately complex applications and reporting systems at Beacon Health Options, CO.Position Responsibilities: Will adhere to solid SDLC principles and practices for software delivery and support Subscribe to a methodology that includes, requirements gathering, analysis and design, coding and testing, documentation, implementation and support Data ETL (Extraction, Transformation and Loading) tasks, Perl and T-SQL scripting and maintenance of multiple SQL Server and MS Access databases that support multiple contracts within a HIPAA compliant environment Position Requirements:Education: Bachelor's degree in Information Technology or related field or equivalent professional work experienceLicensure: N/ARelevant Work Experience: Five to eight years database programming experience using two or more of the following databases; MS SQL Server Oracle DB2. Five years using two or more of the following programming languages, including associated IDE's and development tools; Perl ColdFusion Java C# Visual Basic, Team Foundation Server and ASP. Five+ years in the following web technologies; ColdFusion ASP Apache IIS html TCP/IP ODBC Java Script and XML. Demonstrated experience designing and implementing ETL projects with diverse datasets. Knowledge, Skills & Abilities: Application reengineering to include database upgrades and conversion, troubleshooting Developed and supported n-tier architectures EDI and health care a plus, especially knowledge of ANSI X12 v5010 standards (837s, 834s, 820s, 999s, 277s, etc.) Experience interacting with non-technical stakeholders and managing their expectations Experience working with public sector health care agencies TO APPLYClick below on "Apply for this Position" to create a profile and apply for the positionBeacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled PM16 #REF$CBAAP Reporting Location:CO - Colorado SpringsID (Req #):55918FTE Status:Full TimeSchedule:M-F;8-5PI104986169

LocationNY: Latham (10 British American Boulevard)Job FamilyAccount ManagementJob BriefWe are currently seeking a dynamic Client Relationship Manager to join our team at our office in Latham, NY!ExemptABOUT THE POSITION:We are currently seeking a dynamic Client Relationship Manager to join our team at our office in Latham, NY! The Client Relationship Manager will develop a strategic approach to the management of corporate accounts obtaining input from senior leadership as needed. Functioning in a leadership role within the Account Services Department, the Account Executive will assume administrative responsibilities that include leadership of or participation in corporate initiatives, coordination of activities in response to executive management requests or to enhance provision of services, and providing subject matter expertise to facilitate interdepartmental cooperation. Primary areas of accountability include business retention, new business development and demonstrated excellence in customer satisfaction.POSITION RESPONSIBILITIES:-Effective implementation and relationship in development with the inception of a new accounts and business expansion. -Effectively maintains relationships with key decision-makers (internally and externally). -Ensures that customer's contractual requirements and expectations are met or exceeded. -Achieves client retention goals. -Identifies and executes business expansion and product growth opportunities. -Ability to understand financial concepts (underwriting, EBITDA, cost-benefit analysis) in order to determine the most effective strategy for maintaining and expanding business relationship. -Analyze impact of product options and utilization on pricing with appropriate personnel. -Ability to understand and negotiate renewal pricing. -Suppo1t organizational and departmental budget goals. -Ability to function as project lead and/or participate on selected initiatives. -Facilitate and/or participate in ongoing trainings. -Commitment to enhancing knowledge of healthcare industry environment including awareness of business, economic and legislative/regulatory issues. -Thorough knowledge of operational requirements necessary for meeting and/or exceeding customer's expectations. -Monitoring of operational effectiveness, interceding where necessary to achieve contractual obligations. -Provides the lead role in addressing and resolving customer issues and complaints. Identifies oppo1tunities, develops and implements programs and solutions effectively utilizing organizational resources. Skilled in project management. -Retention of current clients, revenue and margins. -Identification of business opportunities and expansion of business relationships (new business, upsells, increasing membership, etc.). -Meet or exceed Account Management, Client, and Member Satisfaction Survey targets. -Meet or exceed client contractual performance standards/guarantees.POSITION REQUIREMENTS:Education: Minimum of a Bachelor's Degree in a related field - health care administration, social work, behavioral science, etc. requiredRelevant Work Experience: At least three (3) years of experience in a client relationship management preferred. Thorough understanding of managed care and business management, including knowledge of statistical analysis and computer applications. A working knowledge of behavioral health clinical services will be beneficialKnowledge, Skills & Abilities:-MS Office -Analysis and problem solving -Interpersonal CommunicationTO APPLY:Click below on "Apply for this Position" to create a profile and apply for the positionBeacon Health Strategies, LLC., a Beacon Health Options company, is proud to be an Equal Opportunity Employer as well as a Drug Free Work Environment. EOE/M/F/Veterans/Disabled#CB #GD PM16AAP Reporting Location:NY - LathamID (Req #):55790FTE Status:Full TimeSchedule:M-F 8:30-5PI104986164

LocationNJ: Mt. LaurelJob FamilyClinical, LicensedJob BriefWe are currently seeking a dynamic CLINICAL CARE MANAGER to join our Utilization Management team at our office in Mt. Laurel or Newark, NJ.ExemptABOUT THE POSITIONWe are currently seeking a dynamic CLINICAL CARE MANAGER to join our Utilization Management team at our office in Mt. Laurel or Newark, NJ. The CLINICAL CARE MANAGER performs utilization review and initial authorization determination of mental health and substance use services provided in inpatient, diversionary and outpatient care settings. S/he applies Beacon's medical necessity level of care criteria and ensures that all Beacon policy and procedure guidelines, external regulatory requirements and URAC/NCQA accreditation standards are met. Position Responsibilities: Performs telephonic case review and authorization determinations for prospective, concurrent and discharge review with psychiatric and substance treatment facilities as assigned Determines appropriate level of care related to mental health and substance use treatment for members based on Beacon medical necessity level of care criteria Consults with Beacon Physician Advisors (PA) when requests for services do not meet medical necessity criteria Interacts with Physician Advisors to discuss clinical/authorization questions, alternative treatment options and concerns regarding specific cases Provides information to members and providers regarding mental health and substance abuse benefits and community treatment resources Identifies and refers high-risk members to case management. Recognizes quality of care issues and reports them appropriately through internal and external processes. Interacts with providers and facilities in a professional, respectful manner Complies with all Beacon policy guidelines, external regulatory requirements and URAC/NCQA accreditation standards. Demonstrates thorough understanding of product lines and benefit structure for all contracts assigned Assists with NCQA, URAC and other QI initiatives Other duties as assigned. Position Requirements:Educaion: A minimum of a Masters in mental health field or BSN in Nursing with related psychiatric nursing experience.Licensure: Current valid and unrestricted license in a state or territory of the United States in a mental health field (RN, Ph.D, LMSW/LCSW, MHC, LLP, LPC, etc.) License in NJRelevant Work Experience: 3 years experience post-licensure required.3 - 5 years of direct practice experience in settings that include inpatient, partial, and/or outpatient preferred.Knowledge, Skills & Abilities: Strong organizational skills Knowledge of Word and Excel Excellent communication skills (verbal and in writing) are required Ability to manage multiple priorities and work collaboratively within a team environment required. Potential work from home opportunity following in office training.TO APPLYClick below on "Apply for this Position" to create a profile and apply for the positionBeacon Health Options company is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled#CB #GD PM16AAP Reporting Location:NJ - RoselandID (Req #):55774FTE Status:Full TimeSchedule:8:30 - 5 pmPI104986162

LocationNC: Morrisville (3800 Paramount Pkwy Suite 300)Job FamilyClinical, LicensedJob BriefWe are currently seeking a dynamic Care Manager to join our Central Referral Line team at our office in Morrisville, NC.ExemptABOUT THE POSITIONWe are currently seeking a dynamic Care Manager to join our Central Referral Line team at our office in Morrisville, NC. The Care Manager - CRL will provide telephonic assessments, referrals and brief clinical interventions to make appropriate referral and certification decisions for routine and emergent/urgent referrals requiring for all levels of care.Position Responsibilities: Works in a high-volume, clinical call center environment, answering inbound calls to assist members access mental health, substance use and employee assistance programs Conducts brief telephonic, clinical assessments to determine appropriate level of care Coordinates with other Clinical Care Managers to assure that patient comprehensive treatment needs are met Utilizes case consultations with Clinical Management Team and Medical Director for complicated or clinically urgent cases Maintains confidentiality and ethical and professional standards Applies Beacon Health Options/VOC policies and procedures consistently Interfaces with external and internal customers to ensure optimal efficiency of service Contributes to staff meetings and clinical conferences. Position Requirements:Education: Minimum of a master's degree in mental health related discipline or a minimum of an associate's degree in nursing with related psychiatric nursing experience.Licensure: Current, valid and unrestricted license in a State or territory of the United States in a mental health field (RN, Ph.D., LCSW/ACSW/LMSW, LLP, MHC, LPC, etc.). Relevant Work Experience: Three to five years experience in psychiatric and/or substance abuse treatment preferred. Experience in settings that include inpatient, partial, and/or outpatient treatment and care management services in a behavioral care management organization preferred.TO APPLYClick below on "Apply for this Position" to create a profile and apply for the positionBeacon Health Options, is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled#CB#GDPM16AAP Reporting Location:NC - MorrisvilleID (Req #):55934FTE Status:Full TimeSchedule:M-F 11:30 - 8 pmPI104986158

LocationNC: Morrisville (3800 Paramount Pkwy Suite 300)Job FamilyClinical, LicensedJob BriefWe are currently seeking a dynamic Care Manager to join our Central Referral Line team at our office in Morrisville, NC.ExemptABOUT THE POSITIONWe are currently seeking a dynamic Care Manager to join our Central Referral Line team at our office in Morrisville, NC. The Care Manager - CRL will provide telephonic assessments, referrals and brief clinical interventions to make appropriate referral and certification decisions for routine and emergent/urgent referrals requiring for all levels of carePosition Responsibilities: Works in a high-volume, clinical call center environment, answering inbound calls to assist members access mental health, substance use and employee assistance programs Conducts brief telephonic, clinical assessments to determine appropriate level of care Coordinates with other Clinical Care Managers to assure that patient comprehensive treatment needs are met Utilizes case consultations with Clinical Management Team and Medical Director for complicated or clinically urgent cases Maintains confidentiality and ethical and professional standards Applies Beacon Health Options/VOC policies and procedures consistently Interfaces with external and internal customers to ensure optimal efficiency of service Contributes to staff meetings and clinical conferences. Position Requirements:Education: Minimum of a master's degree in mental health related discipline or a minimum of an associate's degree in nursing with related psychiatric nursing experience.Licensure: Current, valid and unrestricted license in a State or territory of the United States in a mental health field (RN, Ph.D., LCSW/ACSW/LMSW, LLP, MHC, LPC, etc.). Relevant Work Experience: Three to five years experience in psychiatric and/or substance abuse treatment preferred. Experience in settings that include inpatient, partial, and/or outpatient treatment and care management services in a behavioral care management organization preferred.TO APPLYClick below on "Apply for this Position" to create a profile and apply for the positionBeacon Health Options, is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled#CB#GDPM16AAP Reporting Location:NC - MorrisvilleID (Req #):55945FTE Status:Full TimeSchedule:Monday -Friday 1130-8pmPI104986160

LocationMI: Wixom (48561 Alpha Drive, Suite #150)Job FamilyClinical, LicensedJob BriefWe are currently seeking a dynamic part-time Care Manager to join our Central Night Services team at our office in Wixom, MI!ExemptAbout the Position:We are currently seeking a dynamic part-time Care Manager to join our Central Night Services team at our office in Wixom, MI! The Clinical Care Manager will provide telephonic assessments, referrals and counseling. Position requires working on weekends as well as 1-2 days during week.Position Responsibilities: Telephonic assessments, collecting sufficient clinical information to make appropriate referral and certification decision for emergency/urgent referrals that require alternate levels of care. Collaborates with providers to determine alternate levels of care and to facilitate transfers to network facilities and providers whenever possible.Screen incoming subscriber and provider calls/inquiries and take data to initiate cases. Evaluates clinical appropriateness of treatment using professional knowledge within ValueOptions clinical and work site guidelines and renders certification decisions or seeks consultations for non-certification decisions. Will facilitate all tracking necessary quality indicators to meet these necessary accrediting bodies (NCQA, URAC). Directs members to an appropriate therapist or EAP provider and reviews care on a regular basis to determine whether treatment meets ValueOptions criteria for medical necessity. Facilitates coordination of care with other managers to assure continuity of care. Establish and deliver knowledge about care resources and levels of care availability. Special projects and all other duties as assigned. Position Requirements: Education: Master's degree in social work, psychology, counseling or a Bachelor's level RN requird Licensure: Current, valid and unrestricted license in a State or territory of the United States in a mental health field (RN, Ph.D., LCSW/ACSW, LLP, MHC, LPC, etc.). Relevant Work Experience: 3 years' experience in psychiatric or substance abuse treatment. Experience in settings that include inpatient, partial, and/or outpatient care preferred. Experience as a CEAP or EAP internal/external consultant to a work site area required (for the integrated unit only). Knowledge, Skills & Abilities: Must possess the ability to function in an interdisciplinary setting. Must have knowledge and experience using management information systems. Strong customer service orientation and excellent written and verbal communication skills required. Must be knowledgeable about care resources and levels of care availability. To Apply:Click below on "Apply for this Position" to create a profile and apply for the positionBeacon Health Options company is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled#GD#CBPM16AAP Reporting Location:MI- WixomID (Req #):55953FTE Status:Part TimeSchedule:Monday 5p - 1:30a, Saturday 1:30a - 9 and Sunday 12:30a - 8aPI104986156