• How would you like to work in a place where your contributions and ide... Read More
    How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift Evening (United States of America) Ready to Take Your Emergency Nursing Skills on the Road? Join the W.E.S.T. Float Team! Be the difference. Be the movement. Be W.E.S.T.! As a member of the WellStar Enterprise Support Team (W.E.S.T.) Float Pool, you’ll bring your expertise to WellStar facilities, stepping in where you’re needed most. Every shift is a new adventure, your ability to provide expert, compassionate care in fast-paced ED settings will make all the difference. Why You’ll Love This Role: Be a Lifesaver – Deliver critical, patient-centered care across the WellStar network. Expand Your Expertise – Gain experience in diverse ED environments while sharpening your clinical skills. Stay on the Move – No two shifts are the same! Travel between facilities and embrace new challenges. Join an Elite Team – Collaborate with high-performing healthcare professionals driven by excellence in patient care. What You’ll Do: Provide comprehensive emergency nursing care—assessment, triage, intervention, and evaluation. Administer medications and treatments safely and accurately. Collaborate with physicians and multidisciplinary teams to develop and implement patient care plans. Respond swiftly and effectively to critical situations and codes. Educate patients and families on care, treatment, and discharge instructions. Ensure accurate, timely documentation in compliance with WellStar standards. What You’ll Bring: Experience : Minimum 2+ years of recent, direct ED RN experience. Education : Graduate of an accredited nursing program (BSN preferred). Licensure/Certifications : Active RN license (Georgia or Compact) BLS – Basic Life Support from AHA. ACLS – Advanced Cardiovascular Life Support PALS – Pediatric Advanced Life Support Skills : Critical thinking, adaptability, teamwork, and the ability to thrive under pressure. Join us and discover the support to do more meaningful work—and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more. Read Less
  • Hours of Work : 8am-4:30pm; potentially occasional weekends Days Of We... Read More
    Hours of Work : 8am-4:30pm; potentially occasional weekends Days Of Week : M-F Work Shift : Job Description : Your Job: The Physical Medicine department at Methodist Dallas Medical Center is looking for an outpatient neuro physical therapist to join our team. The ideal candidate has 2+ years of experience in evaluating and treating patients with various neurological conditions. In this highly technical, fast-paced, and rewarding position, you'll collaborate with multidisciplinary team members to provide the best care for patients. We offer a warm, friendly culture with low turnover and numerous learning opportunities. Responsibilities include evaluation, treatment planning and implementation, and ongoing re-assessment and discharge planning. Your Job Requirements: • Graduate of an accredited baccalaureate or post-baccalaureate program in Physical Therapy • Current Basic Life Support Certification • Required Valid Texas License or Temporary License • 1 year Licensed PT Your Job Responsibilities: • Communicate clearly and openly • Build relationships to promote a collaborative environment • Be accountable for your performance • Always look for ways to improve the patient experience • Take initiative for your professional growth • Be engaged and eager to build a winning team Methodist Dallas Medical Center is one of North Texas’ best places to work. And it keeps getting better. The flagship hospital of Methodist Health System, Methodist Dallas is a 595-bed acute care teaching and referral hospital. It is home to the only adult Level I Trauma Center in southern Dallas, the first and only Certified Comprehensive Stroke Center in southern Dallas, and the newly renovated Linda and Mitch Hart Breast Center. Celebrating more than 90 years of service, we strive to have a diverse workforce that reflects the communities we serve and welcomes the skills and talents of all groups. Our reputation as an award-winning employer shows in the distinctions we’ve earned: Magnet®-designated hospital 150 Top Places to Work in Healthcare by Becker’s Hospital Review , 2023 Top 10 Military Friendly® Employer, Gold Designation, 2023 Top 10 Military Spouse Friendly® Employer, 2023 Level III Neonatal Intensive Care Unit Liver, kidney, and pancreas transplantation programs Read Less
  • Physical Therapist - LTAC (Part-time)  

    - Meriwether County
    How would you like to work in a place where your contributions and ide... Read More
    How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift Day (United States of America) **Significant Sign On Bonus being offered.** Job Summary: Evaluation and treatment of patients primarily in the Rehab hospital and LTAC hospital determined by business need; daily documentation and charging in the EMR; education of patients, families and staff as appropriate; communication of patient progress in clinical conference; communication with other team members daily; preparing equipment orders; contacting vendors for equipment; communication with outside physicians and other professionals. Responsibilities: Performs initial and discharge evaluations, sets goals and treatment plan and documents appropriately. Develops treatment plan and performs optimal treatment in a timely manner to meet functional goals. Determines therapy educational needs and provides PRN. Participates as a member of the interdisciplinary team. Serves as CI/mentor for interns as needed Participates in hospital and discipline specific skills check Required Minimum Education Bachelor's Degree in Physical Therapy Required Doctoral Degree in Physical Therapy Preferred Required Minimum Experience Minimum 1 year experience in Rehab, SNF, LTACH, Acute Preferred Required Minimum License(s) and Certification(s BLS • Licensure(s) GA PT license or eligible Required Minimum Skills Basic computer literacy Join us and discover the support to do more meaningful work—and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more. Read Less
  • About Us : Mountain City Care
    About Us : Mountain City Care Read Less
  • How would you like to work in a place where your contributions and ide... Read More
    How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift Night (United States of America) Job Summary: The Respiratory Therapist II is responsible for medication administration and implementing respiratory care based on expanded knowledge, experience, and the evaluate-and-treat process. The RT II is responsible for delivering patient care in complex, multiple problem-patient care situations. The majority of time is in critical care areas with protocol ventilator management, significant independent decision-making and self direction. In addition, to patient care delivery, the RT II is responsible for patient, family/support system education, coordination of activities, staff development, and professional and self-developmental activities. The RT II is responsible for providing patient care with an understanding and awareness of population specific needs. The RT II addresses the biological, emotional, and developmental, psychosocial, and patient/family education needs when providing care to the patient. Also participates in the education of new employees and others. Core Responsibilities and Essential Functions: Provides Customer Service * Completion of patient care, documentation and education * Team approach to service * Promotes a team spirit and positive work environment * Provides supportive environment for students and staff Administers Quality Patient Care * Performs patient assessment airway management (intubation, extubation, trach tube change and care) * Performs arterial blood gas sampling Read Less
  • How would you like to work in a place where your contributions and ide... Read More
    How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift Day (United States of America) Join the W.E.S.T. Float Team at Wellstar – Critical Care RN Be the difference. Be the movement. Be W.E.S.T.! Ready to take your nursing career to the next level? The Wellstar Enterprise Support Team (W.E.S.T.) Float Pool is looking for experienced Critical Care RNs to step into a dynamic, high-impact role. This is not your average nursing position—you’ll bring your expertise where it’s needed most, making a real difference across Wellstar facilities. Why Float With W.E.S.T.? Expand Your Impact – Be the RN who delivers expert care wherever it’s needed most. Your flexibility saves lives. Grow Your Skill Set – Work across critical care units and facilities, gaining a depth of experience you won’t find in a single-unit role. Be Part of Something Bigger – Join a supportive, elite team that values collaboration, adaptability, and excellence. You’ll never float alone. What You’ll Do: Provide evidence-based, individualized care using the full nursing process. Manage complex, high-acuity patients with confidence and clinical expertise. Safely and accurately administer medications, infusions, and treatments. Respond quickly to emergencies and critical changes in patient condition. Partner with patients and families to educate, advocate, and empower. Collaborate with physicians and multidisciplinary teams to ensure the highest standards of care. What You’ll Bring: Education: Graduate of an accredited nursing program (BSN preferred). Licensure Read Less
  • How would you like to work in a place where your contributions and ide... Read More
    How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift Day (United States of America) Join a team that’s passionate about making a difference. At Wellstar, we’re reimagining healthcare—bringing innovation, compassion, and excellence to every patient interaction. Key Responsibilities Treatment Read Less
  • Respiratory Therapist PT Nights Wknd  

    - Cobb County
    How would you like to work in a place where your contributions and ide... Read More
    How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift Night (United States of America) Job Summary: The Respiratory Therapist II is responsible for medication administration and implementing respiratory care based on expanded knowledge, experience, and the evaluate-and-treat process. The RT II is responsible for delivering patient care in complex, multiple problem-patient care situations. The majority of time is in critical care areas with protocol ventilator management, significant independent decision-making and self direction. In addition, to patient care delivery, the RT II is responsible for patient, family/support system education, coordination of activities, staff development, and professional and self-developmental activities. The RT II is responsible for providing patient care with an understanding and awareness of population specific needs. The RT II addresses the biological, emotional, and developmental, psychosocial, and patient/family education needs when providing care to the patient. Also participates in the education of new employees and others. Core Responsibilities and Essential Functions: Provides Customer Service * Completion of patient care, documentation and education * Team approach to service * Promotes a team spirit and positive work environment * Provides supportive environment for students and staff Administers Quality Patient Care * Performs patient assessment airway management (intubation, extubation, trach tube change and care) * Performs arterial blood gas sampling Read Less
  • Speech Language Pathologist (SLP)  

    - Northampton County
    About Us : Signature HealthCARE of Roanoke Rapids is a 108-bed facilit... Read More
    About Us : Signature HealthCARE of Roanoke Rapids is a 108-bed facility that offers a wide array of services from short-term rehabilitation to traditional long-term care. It is our mission as a family-based organization to revolutionize the healthcare industry through a culture of resident centered healthcare services, personalized spirituality, and real quality of life initiatives. About Signature : Signature HealthCARE is a family-based healthcare company offering integrated services across multiple states. Our continuum of care includes skilled nursing, rehabilitation, assisted and memory care, and home-based services supported by innovative technologies like telehealth and Care.ai-enabled solutions. We are committed to advancing person-directed care and quality outcomes. Many of our facilities continue to receive high performance ratings and accreditations. As an award-winning organization recognized over the years by national outlets such as U.S. News Read Less
  • About Us : Mountain City Care
    About Us : Mountain City Care Read Less
  • About Us : Signature HealthCARE of Clarksville is a 120-bed skilled nu... Read More
    About Us : Signature HealthCARE of Clarksville is a 120-bed skilled nursing facility. It is our mission as a family-based organization to revolutionize the healthcare industry through a culture of resident centered healthcare services, personalized spirituality, and real quality of life initiatives. About Signature : Signature HealthCARE is a family-based healthcare company offering integrated services across multiple states. Our continuum of care includes skilled nursing, rehabilitation, assisted and memory care, and home-based services supported by innovative technologies like telehealth and Care.ai-enabled solutions. We are committed to advancing person-directed care and quality outcomes. Many of our facilities continue to receive high performance ratings and accreditations. As an award-winning organization recognized over the years by national outlets such as U.S. News Read Less
  • About Us : Signature HealthCARE of Clarksville is a 120-bed skilled nu... Read More
    About Us : Signature HealthCARE of Clarksville is a 120-bed skilled nursing facility. It is our mission as a family-based organization to revolutionize the healthcare industry through a culture of resident centered healthcare services, personalized spirituality, and real quality of life initiatives. About Signature : Signature HealthCARE is a family-based healthcare company offering integrated services across multiple states. Our continuum of care includes skilled nursing, rehabilitation, assisted and memory care, and home-based services supported by innovative technologies like telehealth and Care.ai-enabled solutions. We are committed to advancing person-directed care and quality outcomes. Many of our facilities continue to receive high performance ratings and accreditations. As an award-winning organization recognized over the years by national outlets such as U.S. News Read Less
  • Consultant, IRIS (Ashland County, WI & Bayfield County, WI)  

    - Ashland County
    IRIS Consultant JOB DESCRIPTION Job Summary Do you want a career where... Read More
    IRIS Consultant JOB DESCRIPTION Job Summary Do you want a career where you build lasting relationships with the people you partner with? Do you want to make a difference in the lives of people with long-term health care needs? Then TMG wants to hear from you! We’re currently looking for someone with a social services or human services background to join our team. This is a remote position, where you will partner with people in your community who are enrolled in the Wisconsin IRIS Program and the TMG IRIS Consultant Agency. While your office will be home-based, you will have regularly scheduled visits with IRIS participants in their home and community. As an IRIS Consultant (IC), you will build relationships with the people you partner with and help them navigate and get the most out of the Wisconsin IRIS program – a Medicaid long-term care option for older adults and people with disabilities. You can learn more about the IRIS program on the Wisconsin Department of Health Services website here . Together, you will identify the long-term care goals of the people enrolled in IRIS, and find creative ways to achieve those goals. ICs play an important role in helping people of various backgrounds and abilities live the lives that they choose. In fact, people constantly tell us how supportive our ICs are and what a positive impact our ICs have had on their lives! Successful candidates for this position will be compassionate, genuine, resourceful partners with an eye for high quality work, and who are excited to work side-by side with people enrolled in IRIS. As an IC, you will connect people to the resources available in their community. You will also help them develop customized IRIS plans for achieving their goals related to employment, housing, health, safety, community membership, transportation, and lasting relationships. While you will have a routine for the work that you do, no two days are alike! TMG wants to find the best possible candidates, so we created this Realistic Job Preview to provide you with an inside look at the position and our organization. Find out more about the IRIS Consultant position by clicking on the link and then reviewing the job posting below. TMG is committed to maintaining a diverse and inclusive workforce and prioritizes helping staff have a good work/life balance. Even though the position is remote, you’ll have lots of support from your TMG team and coworkers across the organization. If this sounds like the job for you, apply today! KNOWLEDGE/SKILLS/ABILITIES Required to meet in person with the IRIS participant a minimum of four times per year, with one required annual visit in the home of the participant. Because IRIS is a self-directed program, it is important for ICs to be available upon the request of the participant. Responsible for providing program orientation to new participants. During this time, participants will learn their rights and responsibilities as someone enrolled in the IRIS program, including verifying legal documents, completing employee paperwork and the responsible use of public dollars. Explore a broad view of the participant's life, including goals, important relationships, connections with the local community, interest in employment, awareness of the Self-Directed Personal Care option, and back-up support plans. Assist participants in identifying personal outcomes and ensure those outcomes are being met on an ongoing basis, all while staying within the participant's IRIS budget and within the requirements of the IRIS program determined by the Department of Health Services (DHS). Responsible for documenting all orientation and planning activities within the IRIS data system (WISITs) within 48 business hours of the visit with the participant. Research community resources and natural supports that will fit the individual outcomes for each participant and share that information with them as it becomes available. Responsible for documenting progress and changes as needed within the plan and the data system anytime a modification is requested by a participant. Budget Amendment or One-Time Expense paperwork may be required depending upon factors associated with the participant and their individual IRIS budget. Educate participants on how to read and interpret their monthly budget reports to ensure that participants operate within their budget. Being a liaison between the Fiscal Employer Agency and the IRIS Consultant Agency is also a large part of the position, which includes assisting participants with provider billing, seeking support brokers, tracking receipts, ensuring their workers are paid and mitigating areas of potential risk or conflicts of interest. Responsible to develop engaged and trusting relationships with participants and communicate program changes and compliance effectively. Responsible to maintain confidentiality and HIPPA compliance. Work collaboratively with other IRIS Consultant Agency staff in order to ensure a successful implementation of participants' plans. Attend in-person monthly team meetings with other ICs and their supervisor. In addition, weekly IC and IRIS Consultant Supervisor phone check-ins may occur, along with other duties as assigned. Required Qualifications • At least 2 years experience in health care, preferably in care coordination, and at least 1 year of experience serving target groups of the IRIS program (adults with intellectual/physical disabilities or older adults), or equivalent combination of relevant education and experience. • Bachelor’s degree in a social work, psychology, human services, counseling, nursing, special education, or a closely related field (or four years of commensurate experience if no degree). • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements unless otherwise required by law. • Ability to develop positive and effective work relationships with coworkers, clients, participants, providers, regulatory agencies and vendors. • Ability to work independently with minimal supervision and demonstrate self-motivation. • Demonstrated knowledge of long-term care programs. • Familiarity with principles of self-determination. • Problem-solving and critical-thinking skills. • Excellent time-management and prioritization skills. • Ability to focus on multiple projects simultaneously and adapt to change. • Ability to develop and maintain professional relationships and work through challenging situations. • Comfortable working within a variety of settings with ability to adjust style as needed to work with diverse populations, various personalities, and personal situations. • Demonstrated knowledge of community resources. • Proactive and detail-oriented. • Excellent verbal and written communication skills. • Microsoft Office suite/applicable software program(s) proficiency. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V #PJHS #HTF Pay Range: $19.84 - $38.69 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Read Less
  • JOB DESCRIPTION Job Summary The Provider Engagement Specialist, role i... Read More
    JOB DESCRIPTION Job Summary The Provider Engagement Specialist, role implements Health Plan provider engagement strategy to achieve positive quality and risk adjustment outcomes through effective provider engagement activities. Ensures the smaller, less advanced Tier 2 and Tier 3 providers have engagement plans to meet annual quality and risk adjustment goals. Drives coaching and collaboration with providers to improve performance through regular meetings and action plans. Addresses practice environment challenges to achieve program goals and improve health outcomes. Tracks engagement activities using standard tools, facilitates data exchanges, and supports training and problem resolution for the Provider Engagement team. Communicates effectively with healthcare professionals and maintains compliance with policies. Job Duties • Ensures assigned Tier 2 works collaboratively within the Health Plan and with shared service partners to ensure alignment to business goals. • Accountable for use of standard Molina Provider Engagement reports and training materials. • Facilitates connectivity to internal partners to support appropriate data exchanges, documentation education and patient engagement activities. • Develops, organizes, analyzes, documents and implements processes and procedures as prescribed by Plan and Corporate policies. • Communicates comfortably and effectively with Physician Leaders, Providers, Practice Managers, Medical Assistants within assigned provider practices. • Maintains the highest level of compliance. • This position may require same day out of office travel approximately 0 - 80% of the time, depending upon location. JOB QUALIFICATIONS REQUIRED QUALIFICATIONS: • Associate’s degree or equivalent combination of education and work experience. • 1-3 years experience in healthcare with minimum 1 year experience improving provider Quality performance through provider engagement, practice transformation, managed care quality improvement, or equivalent experience. • Working knowledge of Quality metrics and risk adjustment practices across all business lines • Demonstrates data analytic skills • Operational knowledge and experience with PowerPoint, Excel, Visio • Effective communication skills • Strong leadership skills" To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. #PJCore #LI-AC1 #HTF Pay Range: $43,121 - $88,511.46 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Read Less
  • Care Manager, LTSS - Field travel in Jefferson County, WI  

    - Jefferson County
    Family Care with My Choice Wisconsin JOB DESCRIPTION Job Summary Provi... Read More
    Family Care with My Choice Wisconsin JOB DESCRIPTION Job Summary Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Completes comprehensive member assessments within regulated timelines, including in-person home visits as required. • Facilitates comprehensive waiver enrollment and disenrollment processes. • Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate health care professionals and member support network to address the member needs and goals. • Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. • Promotes integration of services for members including behavioral health care and long-term services and supports (LTSS) and home and community resources to enhance continuity of care. • Assesses for medical necessity and authorizes all appropriate waiver services. • Evaluates covered benefits and advises appropriately regarding funding sources. • Facilitates interdisciplinary care team (ICT) meetings for approval or denial of services and informal ICT collaboration. • Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts. • Assesses for barriers to care and provides care coordination and assistance to members to address psycho/social, financial, and medical obstacles concerns. • Identifies critical incidents and develops prevention plans to assure member health and welfare. • Collaborates with licensed care managers/leadership as needed or required. • 25-40% estimated local travel may be required (based upon state/contractual requirements). Required Qualifications • At least 2 years health care experience, including at least 1 year of experience working with persons with disabilities/chronic conditions long-term services and supports (LTSS), and 1 year of experience in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience. •Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN). Clinical licensure and/or certification required ONLY if required by state contract, regulation or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice. • In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements). • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law. • Demonstrated knowledge of community resources. • Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations. • Ability to operate proactively and demonstrate detail-oriented work. • Ability to work independently, with minimal supervision and self-motivation. • Ability to demonstrate responsiveness in all forms of communication, and remain calm in high-pressure situations. • Ability to develop and maintain professional relationships. • Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change. • Excellent problem-solving, and critical-thinking skills. • Strong verbal and written communication skills. • Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases. • In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements). Preferred Qualifications • Certified Case Manager (CCM), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN). License must be active and unrestricted in state of practice. • Experience working with populations that receive waiver services. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V #PJHS #HTF Pay Range: $24 - $46.81 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Read Less
  • JOB DESCRIPTION Job Summary The Provider Engagement Specialist, role i... Read More
    JOB DESCRIPTION Job Summary The Provider Engagement Specialist, role implements Health Plan provider engagement strategy to achieve positive quality and risk adjustment outcomes through effective provider engagement activities. Ensures the smaller, less advanced Tier 2 and Tier 3 providers have engagement plans to meet annual quality and risk adjustment goals. Drives coaching and collaboration with providers to improve performance through regular meetings and action plans. Addresses practice environment challenges to achieve program goals and improve health outcomes. Tracks engagement activities using standard tools, facilitates data exchanges, and supports training and problem resolution for the Provider Engagement team. Communicates effectively with healthcare professionals and maintains compliance with policies. Job Duties • Ensures assigned Tier 2 works collaboratively within the Health Plan and with shared service partners to ensure alignment to business goals. • Accountable for use of standard Molina Provider Engagement reports and training materials. • Facilitates connectivity to internal partners to support appropriate data exchanges, documentation education and patient engagement activities. • Develops, organizes, analyzes, documents and implements processes and procedures as prescribed by Plan and Corporate policies. • Communicates comfortably and effectively with Physician Leaders, Providers, Practice Managers, Medical Assistants within assigned provider practices. • Maintains the highest level of compliance. • This position may require same day out of office travel approximately 0 - 80% of the time, depending upon location. JOB QUALIFICATIONS REQUIRED QUALIFICATIONS: • Associate’s degree or equivalent combination of education and work experience. • 1-3 years experience in healthcare with minimum 1 year experience improving provider Quality performance through provider engagement, practice transformation, managed care quality improvement, or equivalent experience. • Working knowledge of Quality metrics and risk adjustment practices across all business lines • Demonstrates data analytic skills • Operational knowledge and experience with PowerPoint, Excel, Visio • Effective communication skills • Strong leadership skills" To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. #PJCore #LI-AC1 #HTF Pay Range: $43,121 - $88,511.46 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Read Less
  • JOB DESCRIPTION Job Summary The Provider Engagement Specialist, role i... Read More
    JOB DESCRIPTION Job Summary The Provider Engagement Specialist, role implements Health Plan provider engagement strategy to achieve positive quality and risk adjustment outcomes through effective provider engagement activities. Ensures the smaller, less advanced Tier 2 and Tier 3 providers have engagement plans to meet annual quality and risk adjustment goals. Drives coaching and collaboration with providers to improve performance through regular meetings and action plans. Addresses practice environment challenges to achieve program goals and improve health outcomes. Tracks engagement activities using standard tools, facilitates data exchanges, and supports training and problem resolution for the Provider Engagement team. Communicates effectively with healthcare professionals and maintains compliance with policies. Job Duties • Ensures assigned Tier 2 works collaboratively within the Health Plan and with shared service partners to ensure alignment to business goals. • Accountable for use of standard Molina Provider Engagement reports and training materials. • Facilitates connectivity to internal partners to support appropriate data exchanges, documentation education and patient engagement activities. • Develops, organizes, analyzes, documents and implements processes and procedures as prescribed by Plan and Corporate policies. • Communicates comfortably and effectively with Physician Leaders, Providers, Practice Managers, Medical Assistants within assigned provider practices. • Maintains the highest level of compliance. • This position may require same day out of office travel approximately 0 - 80% of the time, depending upon location. JOB QUALIFICATIONS REQUIRED QUALIFICATIONS: • Associate’s degree or equivalent combination of education and work experience. • 1-3 years experience in healthcare with minimum 1 year experience improving provider Quality performance through provider engagement, practice transformation, managed care quality improvement, or equivalent experience. • Working knowledge of Quality metrics and risk adjustment practices across all business lines • Demonstrates data analytic skills • Operational knowledge and experience with PowerPoint, Excel, Visio • Effective communication skills • Strong leadership skills" To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. #PJCore #LI-AC1 #HTF Pay Range: $43,121 - $88,511.46 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Read Less
  • Care Manager (must reside in Wisconsin)  

    - Racine County
    JOB DESCRIPTION Job Summary Provides support for care management/care... Read More
    JOB DESCRIPTION Job Summary Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Completes assessments of members per regulated timelines and determines who may qualify for care coordination/care management based on triggers identified in assessments. • Develops and implements care plan in collaboration with member, caregiver, physician and/or other appropriate health care professionals and member support network to address member needs and goals. • Conducts telephonic, face-to-face or home visits as required. • Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. • Maintains ongoing member caseload for regular outreach and management. • Promotes integration of services for members including behavioral health, long-term services and supports (LTSS), and home and community resources to enhance continuity of care. • Facilitates interdisciplinary care team (ICT) meetings and informal ICT collaboration. • Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts. • Assesses for barriers to care, provides care coordination and assistance to member to address concerns. • Collaborates with licensed care managers/leadership as needed or required. • 25- 40% estimated local travel may be required (based upon state/contractual requirements). Required Qualifications • At least 2 years experience in health care, preferably in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience. • Clinical licensure and/or certification required ONLY if required by state contract, regulation or state board licensing mandates. • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law. • Demonstrated knowledge of community resources. • Ability to operate proactively and demonstrate detail-oriented work. • Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations. • Ability to work independently, with minimal supervision and self-motivation. • Ability to demonstrate responsiveness in all forms of communication, and remain calm in high-pressure situations. • Ability to develop and maintain professional relationships. • Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change. • Excellent problem-solving and critical-thinking skills. • Strong verbal and written communication skills. • Microsoft Office suite/applicable software program(s) proficiency. • In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements). To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V #PJHS #HTF Pay Range: $24 - $46.81 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Read Less
  • JOB DESCRIPTION **Candidate must reside in Wisconsin. Remote with fiel... Read More
    JOB DESCRIPTION **Candidate must reside in Wisconsin. Remote with field travel required in assigned territory. ** Job Summary Responsible for increasing membership through direct sales and marketing of Molina Medicare products to dual eligible, Medicare-Medicaid recipients within approved market areas to achieve stated revenue, profitability, and retention goals, while following ethical sales practices and adhering to established policies and procedures. Works collaboratively with key departments across the enterprise to improve product and brand awareness. Utilizes market research and analysis as well as current products and services to increase customer and community engagement. KNOWLEDGE/SKILLS/ABILITIES Demonstrate ability in business-to-business (B2B) sales and relationship building Develop sales strategies to procure referrals and other self-generated leads to meet sales and event targets through active participation in community events and targeted community outreach to group associations, community centers, senior centers, senior residences, and other potential marketing sites. Generate leads from referrals and local-tactical research and prospecting. Schedule individual meetings and group presentations from assigned/self-generated leads. Achieve/Exceed monthly enrollment or presentation/event targets. Conduct presentations/events with potential customers, caregivers and/or decision makers on behalf of the beneficiary. Customize sales presentations and develop sales skills to increase effectiveness in establishing rapport, assessing individual needs, and communicating product features and differences. Enroll eligible individuals in Molina Medicare products accurately and thoroughly complete and submit required enrollment documentation, consistent with Medicare requirements and enrollment guidelines. Assist the prospect in completion of the enrollment application. Forward completed applications to appropriate administrative contact within 48 hours of sale. Ensure Medicare beneficiaries accurately understand the product choices available to them, the enrollment process (eligibility requirements, Medicare review/approval of their enrollment application, timing of ID card receipt, etc.) and the service contacts and process. Track all marketing and sales activities, as well as update and maintain sales prospects, leads, and events daily, weekly, and monthly results in SalesForce.com or other tracking systems. Work closely with local health plan leadership and department, as well as Regional Sales Directors to identify and educate potential members, participate in provider promotional activities, and cultivate community partnerships Bachelor’s Degree or equivalent work experience High School Diploma/GED/AA Degree REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS Read Less
  • JOB DESCRIPTION Job Summary The Provider Engagement Specialist, role i... Read More
    JOB DESCRIPTION Job Summary The Provider Engagement Specialist, role implements Health Plan provider engagement strategy to achieve positive quality and risk adjustment outcomes through effective provider engagement activities. Ensures the smaller, less advanced Tier 2 and Tier 3 providers have engagement plans to meet annual quality and risk adjustment goals. Drives coaching and collaboration with providers to improve performance through regular meetings and action plans. Addresses practice environment challenges to achieve program goals and improve health outcomes. Tracks engagement activities using standard tools, facilitates data exchanges, and supports training and problem resolution for the Provider Engagement team. Communicates effectively with healthcare professionals and maintains compliance with policies. Job Duties • Ensures assigned Tier 2 works collaboratively within the Health Plan and with shared service partners to ensure alignment to business goals. • Accountable for use of standard Molina Provider Engagement reports and training materials. • Facilitates connectivity to internal partners to support appropriate data exchanges, documentation education and patient engagement activities. • Develops, organizes, analyzes, documents and implements processes and procedures as prescribed by Plan and Corporate policies. • Communicates comfortably and effectively with Physician Leaders, Providers, Practice Managers, Medical Assistants within assigned provider practices. • Maintains the highest level of compliance. • This position may require same day out of office travel approximately 0 - 80% of the time, depending upon location. JOB QUALIFICATIONS REQUIRED QUALIFICATIONS: • Associate’s degree or equivalent combination of education and work experience. • 1-3 years experience in healthcare with minimum 1 year experience improving provider Quality performance through provider engagement, practice transformation, managed care quality improvement, or equivalent experience. • Working knowledge of Quality metrics and risk adjustment practices across all business lines • Demonstrates data analytic skills • Operational knowledge and experience with PowerPoint, Excel, Visio • Effective communication skills • Strong leadership skills" To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. #PJCore #LI-AC1 #HTF Pay Range: $43,121 - $88,511.46 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Read Less

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