Customer Care Coordinator

CareHarmony's Care Coordinators (LPN) (NLC) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients CareHarmony is seeking an experienced Licensed Practical Nurse - LPN Nurse (LPN) (NLC) (LVN) with at least 3 years of direct patient-facing work experience; that thrives in a fast-paced environment, is self-motivated, has impeccable attention to detail, and values the impact they can have on a patient's healthcare journey. You will have experience identifying resources and coordinating needs for chronic care management patients. What's in it for you? • Fully remote position - Work from the comfort of your own home in cozy clothes without a commute. Score! • Consistent schedule - Full-Time Monday - Friday, no weekends, rotational on-call-once per year on average. • Career growth - Many of our team members move up in the company at a faster-than-average rate. We love to see our people succeed! Requirements Responsibilities: • Manage patient census with a resolution-driven approach to close gaps in clinical and non-clinical patient care. • Identify and coordinate community resources with patients that would benefit their care. • Provide patient education and health literacy on the management of chronic conditions. • Perform medication management, including identifying potential medication concerns, reconciliation, adherence, and coordinating refills. • Assist in ensuring timely delivery of services to your patients; Home Health, DME, Home Infusion, and other critical needs. • Resolve patients' questions and create an open dialogue to understand needs. • Assist/Manage referrals and appointment scheduling. Additional Requirements: • Active Massachusetts License (LPN) • Technical aptitude - Microsoft Office Suite • Excellent written and verbal communication skills Plusses: • Epic Experience • Bilingual • Additional state licensures (LPN) Remote Requirements: • Must have active high-speed Wi-Fi • Must have a home office or HIPAA-compliant workspace Physical Requirements • This position is sedentary and will require sitting for long periods of time • This position will require the ability to speak clearly and listen attentively, often by telephone, for an extended period of time • The position will require the ability to understand, process, and take thorough notes in real-time on telephone conversations Benefits • Health Benefits (core medical, dental, vision) • Paid Holidays • Paid Time Off (PTO) • Sick Time Off (STO) • 401k with company match • Company laptop provided Pay: • The position starts at $23/hr ($21/hr + $2/hr MA license bump) with the ability to earn up to $28/hr based on production • Quarterly bonus program • Opportunities to pick up OT to increase earnings

Nurse Practitioner - Emergency Medicine physician job in Washington : Are you a dedicated emergency medicine nurse practitioner or physician assistant seeking an opportunity to provide exceptional patient care while advancing your career? TeamHealth needs someone like you! Enjoy excellent and long-term relationships with hospital and nursing, and physician leadership at Providence Centralia in Centralia, Washington; located along Interstate 5 corridor and within two hours from Seattle and the banks of Puget Sound. Endless outdoor activities and national parks are in your backyard. If you are a board-certified NP or PA with EM experience seeking a full-time opportunity, you will make a great addition to join our team at Providence Centralia Hospital. This is an excellent opportunity for those looking to maintain a healthy work-life balance, while practicing in a supportive, collegial environment. Providence Centralia Hospital is a Level IV, not-for-profit community hospital that consists of 127 total beds, and 22 ED beds. We are averaging 38 hours pf physician coverage and 24 hours of APC coverage daily that oversees an annual volume of 40,000 visits per year with a 12% admit rate. Our dedicated team deals with a medium acuity level, while APCs see an average of 2.24 patients per hour. During all shifts our team responds to code blues and rose, but we are not part of the rapids team. Our APCs will cover the fast track that consists of vertical chairs and a triage bay. Providence Centralia uses EPIC EMR with EPIC AI Scribe; most specialties are available onsite. Position Overview • Join a collaborative and dynamic team focused on high-quality patient care and strong communication • Work in a respected, physician-led company with more than four decades of experience • Competitive compensation with an estimated base salary of $80/hour to $85/hour and the opportunity to earn additional compensation via holidays and length of service at Providence Centralia as a W-2 clinician • New grads will go through a 60-day orientation at ? regular rate before moving to standard rate • Will be cross-credentialed with Harbor Regional Health • Flexible scheduling and supportive clinical leadership • Full-time clinicians are eligible for an excellent and comprehensive benefits package to include: 401(k) plan, health, dental and vision insurance, LTD, STD, FSA, and group term life insurance Take the next step in your career by applying for this exciting opportunity! California Applicant Privacy Act: Position Highlights: • Paid professional liability insurance with tail coverage provided • Free and unlimited CMEs via the TeamHealth Network; contains over 300K to choose from • Reimbursement of WA license and DEA renewals once you have started • Access to TeamHealth's clinician wellness programs • Support and knowledge from an industry leader Board Certified or Board Eligible Medical Doctor with or w/o US residency with current US work visa.

Utilization Review Nurse (Ur Nurse) Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Utilization Review Nurse (UR Nurse), you'll play an important role in helping us offer customized, self-funded insurance options to our clientsand members. The UR Nurse is responsible for reviewing clinical information to determine the medical necessity, appropriateness, and efficiency of healthcare services, procedures, and levels of care in accordance with established criteria, payer guidelines, and organizational policies. This role involves evaluating healthcare services and facilities under the provisions of applicable health benefit plans to ensure quality and cost-effective patient care. The UR Nurse collaborates closely with intake staff, physicians, specialists, case managers, and other members of the care team to facilitate timely and effective care authorizations, transitions, and utilization determinations. Strong communication, clinical judgment, and attention to detail are essential to ensure services meet both clinical standards and benefit requirements. Responsibilities • Perform utilization and concurrent reviews of inpatient cases using Milliman, Aetna, and BCBS criteria. • Conduct medical necessity reviews for services requiring prior authorization, applying utilization-specific criteria. • Request and evaluate clinical information needed to review requested services. • Discuss cases and determinations with healthcare professionals and physician reviewers. • Identify cases requiring intervention and collaborate with Case Managers as needed. • Maintain appropriate and accurate documentation, ensuring compliance with audit standards. • Participate in team meetings, educational sessions, and related activities. • Review medical claims and pre-determinations for medical necessity and appropriateness. • Identify opportunities for process improvement and enhance communication among departments. • Consult with Physician Reviewers for complex or challenging cases. Requirements • Current, unrestricted RN license (State license required). • Minimum 3 years of clinical nursing experience. • Minimum 1 year of Utilization Management (UM) or Utilization Review (UR) experience. • Strong analytical, critical thinking, and problem-solving skills. • Proficiency in Microsoft Office Suite (Excel, Word, Outlook) and familiarity with utilization management systems. • Excellent verbal and written communication skills, with the ability to interact effectively with internal and external stakeholders. • Strong organizational and time management skills, with the ability to handle multiple priorities independently. Preferred Qualifications • Experience with Milliman or Aetna criteria. • Background in healthcare administration, medical necessity determination, or benefits management. • Experience in data interpretation and medical trend analysis. Work Environment & Physical Demands • Prolonged periods of sitting may be required. • Regular use of a computer, keyboard, and mouse is necessary; reasonable accommodations will be provided upon request. • Employees should ensure an ergonomically appropriate desk and chair setup. • Comfort with being on camera for virtual meetings (e.g., Microsoft Teams) Benefits After successfully completing a waiting period, eligible full-time employees have access to our comprehensive benefits package, including: • Fantastic medical, dental, and vision insurance* • Twice annual employer HSA contributions, covering 50% of the HDHP plan's annual deductible! • Company-provided Basic Life and AD&D • Company-paid Short-Term and Long-Term Disability** • Flexible Spending Accounts* • 401(k) Retirement Plan with up to a 6% employer match** (100% fully vested after 3 years) • 10+ paid holidays • Half-day Summer Fridays • Generous paid vacation and sick time • Annual paid Volunteer Day • Annual Tuition reimbursement • Annual Health and Wellness reimbursement • Lots of fun company events Benefit Waiting Period Notes: *60-day waiting period, **90-day waiting period Who We Are As a trusted Third-Party Administrator (TPA) specializing in self-funded benefit plans, Cobalt Benefits Group (CBG) is committed to helping employers find high-quality coverage at a cost they can afford. We administer self-funded insurance benefits through our four companies: EBPA, Blue Benefit Administrators of Massachusetts, CBA Blue, and Great Bay Administrators. With over 30 years of experience and a dedicated team of nearly 300 employees, we work collaboratively to build customized self-funded health plans, manage claim payments and disputes, and administer other specialized programs such as FSAs, HSAs, COBRA, and retiree billing. Cobalt Benefits Group is one of the fastest growing TPA's in the country and the fastest growing in New England. Join us as we match employers across our region with the right solutions for their employee benefit needs.

Job Summary/Company: We are seeking a friendly, motivated, and customer-focused individual to join our clients team as a Customer Service Representative in a fast-paced call center environment. As a key member of the support team, you will assist customers with inquiries, resolve issues, and provide information on a variety of products and services. This is an excellent opportunity for someone who enjoys helping others and thrives in a dynamic, high-energy setting. Responsibilities: • Provide Personalized Assistance: Engage with customers via voice, email, and chat channels to offer tailored support for purchasing prescription medications, food, supplements, and vitamins. Exceed customer expectations by delivering a compassionate and personalized experience. • Drive Sales and Loyalty: Recommend products based on individual customer needs, clearly communicating their benefits, and asking insightful questions to understand their requirements. Highlight services to build long-term customer loyalty. • Relationship Building: Develop lasting relationships with new and existing customers by maintaining consistent, personalized communication. Keep customers informed about recent purchases, upcoming sales events, and new products and services. • Become a Product Expert: Stay informed about the products that are being sold. Use this knowledge to educate customers, inspire purchases, and help them choose the best options. • Enhance Skills & Professional Growth: Embrace a growth mindset by actively seeking feedback and continuously improving sales techniques and customer service skills. Foster your professional development to stay at the forefront of the industry. • Problem-Solving & Issue Resolution: Apply your problem-solving abilities to thoroughly research and resolve any concerns or issues customers may have regarding products, orders, or services. • Provide Exceptional Customer Support: Demonstrate professionalism, empathy, and patience in every interaction. Show a genuine commitment to providing the best care and support for customers, ensuring a positive experience. Qualifications/Background Profile: • Passion for pets and their health and wellness • Excellent communication skills, with the ability to engage with customers through voice, email, and chat channels • Strong problem-solving abilities with a customer-first mindset • Ability to build long-lasting relationships with customers • Knowledge or willingness to learn about pet health, wellness products, and services • Previous experience in customer service or retail (preferred, but not required) ----------------------------------------------------------------- This job is Hybrid Remote. We offer several comprehensive benefits package including health and life insurance, paid and unpaid time off, and retirement and savings plans to qualifying employees. Download the Sparks Group mobile app from Apple App Store or Google Play . ----------------------------------------------------------------- Sparks Group is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, pregnancy, citizenship, family status, genetic information, disability, or protect veteran status. This Position Requires U.S. Citizenship This Position May Either Require COVID-19 Vaccination or Regular Testing