Customer Care Representative I

Pharmacy Technician $3,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Opportunities with Genoa Healthcare. A career with Genoa Healthcare means you're part of a collaborative effort to serve behavioral health and addiction treatment communities. We do more than just provide medicine: we change lives for the better. People with serious mental or chronic illness - and those who care for them - have moving stories, and at Genoa we become their voice, their partner. Working as part of a coordinated care team, we partner with community-based providers and others to ensure that people with complex health conditions get the right medications and are able to follow their treatment plans. Our personalized services - in-clinic pharmacies, medication management and more - are leading the way to a new level of care. Genoa is a pharmacy care services company that is part of Optum and UnitedHealth Group's family of businesses. We are part of a leading information and technology-enabled health services business dedicated to making the health system work better for everyone. Join us to start Caring. Connecting. Growing together. We seek a Pharmacy Technician to support all functions of the Genoa mental health and specialty pharmacy primarily through dispensing medical prescriptions and performing necessary clerical duties while under the direct supervision of a Registered Pharmacist. Hours: Monday-Friday 8:00am to 5:00pm PST with lunch from 12:00pm to 1:00 pm PST Location: 921 14th Avenue, Suite 201, Longview, WA 98632 (Castel Rock, WA, Vancouver, WA, Battle Ground, WA, and Centralia, WA). Primary Responsibilities: • Provides exceptional customer service to all consumers and members of the clinic staff • Fills prescription orders and makes them available for verification under direct supervision of the Registered Pharmacist • Orders, receives and stores incoming pharmacy supplies • Receives and processes wholesaler medication orders • Verifies medication stock and enters data in computer to maintain inventory records • Works with the Pharmacist to assist in the pharmacy functions and keeping the pharmacy in compliance with all federal and state requirements • Performs various clerical duties relating to the department • Communicates with strong professional verbal and written communication skills • Other duties as assigned What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include: • Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays • Medical Plan options along with participation in a Health Spending Account or a Health Saving account • Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage • 401(k) Savings Plan, Employee Stock Purchase Plan • Education Reimbursement • Employee Discounts • Employee Assistance Program • Employee Referral Bonus Program • Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: • Active and unrestricted Pharmacy Technician license in the state of Washington • Access to reliable transportation Preferred Qualifications: • National Pharmacy Technician Certification • Pharmacy and prescription data entry experience **PLEASE NOTE** The sign-on bonus is only available to external candidates. Candidates who are currently working for UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time or per diem basis ('Internal Candidates') are not eligible to receive a sign on bonus. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.15 to $28.80 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Case Manager RN - Field

CVS Health · Centralia, WA

Case Manager RN We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. This is a full-time field teleworker position that requires West Virginia residency. Travel is required 50% of the time or more, in the Central region of WV. Field based travel locations may include member homes, residential treatment facilities, group homes, shelters, and detention facilities. Qualified candidates must reside in the region, in one of the following counties: Roane, Calhoun, Gilmer, Kanawha, Clay, Braxton, Fayette, Nicholas, or Webster. The Case Manager RN (CM RN) is responsible for telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness. Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member's overall wellness through integration. Services strategies policies and programs are comprised of network management and clinical coverage policies. This position is heavy community-based with some onsite presence at Department of Health and Human Resources (DHHR) offices. Schedule is Monday – Friday, 8am-5pm, standard business hours. No nights, weekends, or holidays. A flexible work schedule may be available after 6 months of service and with demonstrated performance and attendance. Fundamental Components: • Conducts face to face member visits • Using clinical tools and information/data review, conducts an evaluation of member's needs and benefit plan eligibility and facilitates integrative functions as well as smooth transition to Aetna programs and plans. • Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues. • Assesses information from various sources to address all conditions including co-morbid and multiple diagnoses that impact functionality. • Reviews prior claims to address potential impact on current case management and eligibility. • Using a holistic approach assess the need for a referral to clinical resources for assistance in determining functionality. • Consults with supervisor and others in overcoming barriers in meeting goals and objectives, presents cases at case conferences for multidisciplinary focus to benefit overall claim management. • Utilizes case management processes in compliance with regulatory and company policies and procedures. • Utilizes interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation. • Effective communication skills, both verbal and written. • Ability to multitask, prioritize and effectively adapt to a fast-paced changing environment. Required Qualifications • Registered Nurse with current unrestricted West Virginia (WV) license or Registered Nurse with current unrestricted WV or "multi-state privilege" license • 5+ years' clinical practice experience • 2+ years' experience with personal computer, keyboard, mouse, multi-system navigation; and MS Office Suite applications (Outlook, Word, Excel, SharePoint, Teams) • Must possess reliable transportation and be willing and able to travel in the assigned region 50% or more, of the time. Mileage is reimbursed per our company expense reimbursement policy Preferred Qualifications • Medicaid experience. • Waiver experience • Foster care experience • Crisis intervention skills • Managed care/utilization review experience • Certified Case Manager (CCM) certification • Case management experience in an integrated model • Case management and discharge planning experience • Familiarity with QuickBase • BSN degree preferred Education Associate's degree in nursing or nursing diploma required Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $54,095.00 - $116,760.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments.

Telecommuting Position This position is national remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Optum Insight is improving the flow of health data and information to create a more connected system. We removefriction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together. We are continually searching for people like you to help us provide the most innovative health care services. Join a team that will make you feel valued and discover the meaning behind: Caring. Connecting. Growing together. Positions in this function are responsible for providing expertise and customer service support to callers. Direct phone-based customer interaction to answer and resolve a wide variety of inquiries. This job requires working independently and most tasks are not continuously reviewed by others. Supervision/guidance is required for higher level tasks. This position is full-time. Employees are required to have flexibility to work any 8-hour work shifts between the hours of 8:00 AM - 5:30 PM PST, Monday through Friday. This may not necessarily be within your time zone in which you reside as it is based upon client need and the time zone in which the client operates. This will be on the job training and the hours during training will be during normal business hours. Primary Responsibilities: • Answers inbound phone calls while providing a high-quality patient/caller experience. • Reviewing patient liability questions and concerns. • Schedules, reschedules and cancels appointments. • Performs referral coordination including completing Open Referrals and/or referral tracking queue. • Works all assigned work timely according to department standards and documents all actions in the system. • Registers new patients, verifies patient demographics and health insurance, updates patient information in designated databases. • Responds to general information requests and/or inquiries from patients, physicians, medical offices and other callers. • Communicates effectively and in a professional manner. • Processes all work-related responsibilities in an efficient, timely and accurate manner. • Other duties as assigned. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: • High School Diploma / GED • Must be 18 years of age OR older • 1+ years of experience in a call center or high volume call environment, handling customer service inquiries related to healthcare • Familiarity with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications • Flexibility to work any 8-hour shifts between the hours of 8:00 AM - 5:30 PM PST. This may not necessarily be within your time zone in which you reside as it is based upon client need and the time zone in which the client operates. Preferred Qualifications: • Experience using EPIC Telecommuting Requirements: • Ability to keep all company sensitive documents secure (if applicable) • Required to have a dedicated work area established that is separated from other living areas and provides information privacy. • Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service. Soft Skills: • Time Management • Attention to Detail • Empathy *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16 - $29 per hour based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Description Telephonic Nurse Case Manager (1099 Remote - NJ RN License Required) We are currently seeking an experienced Telephonic Nurse Case Manager (RN) to support workers' compensation cases through remote care coordination and telephonic case management services. This is a flexible 1099 opportunity ideal for nurses with strong clinical judgment and prior case management experience. Compensation: $35/hour Location: Remote -Candidates located in New Jersey or New York are encouraged to apply. Responsibilities: • Provide telephonic nurse case management for injured workers • Coordinate treatment plans with providers, employers, and claims adjusters • Monitor patient progress and facilitate appropriate medical care • Maintain timely and accurate documentation • Communicate effectively with clients, patients, and healthcare teams Qualifications: • Active New Jersey RN license required • ASN required; BSN preferred • Prior workers' compensation case management experience required • Strong clinical background preferred (ICU, ER, Trauma, Orthopedics, Neurology, or Occupational Health) • Ability to work independently in a remote setting • Spanish speaking is a plus This is a contract/1099 role best suited for experienced nurses who are comfortable managing cases independently in a fast-paced environment. The IMA Group is an Affirmative Action/Equal Opportunity Employer. Our Government Services Division supports local, state, and federal agencies and delivers professional and objective medical and psychological examinations as well as ancillary services. Our Payer Services Division meets the evaluation and screening needs of Carriers, TPAs, Public Entities and Employers and includes behavioral health and physical medicine specialty services, working with a wide range of organizations within the workers' compensation, disability, liability, and auto markets. Our Clinical Research Division performs all types of Phase II-IV clinical trials in multiple therapeutic areas through a flexible nationwide network of site locations and virtual capabilities. #LI-BC1 #LI-REMOTE #LI-CONTRACT