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Explore opportunities with Mederi Caretenders, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. The Licensed Practical Nurse in Home Health is responsible for providing quality patient care and performing technical skilled care in the patient's home. Primary Responsibilities: • Provides high quality clinical services within the scope of practice, as defined by the state laws governing the practice of nursing, in accordance with the plan of care, and in coordination with other members of the health care team, following all applicable infection control procedures, • Documents patient visits thoroughly and completely per regulatory and payer requirements in the electronic medical record utilizing the agency's electronic visit verification program (as applicable) Actively participates in the agency's care coordination process including timely reporting patients' needs and changes in condition, attending patient case conference, communicating effectively to the patient, family, physician, other clinicians, agency management staff, and case coordinator, community case managers (as applicable) 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: • Current and unrestricted LPN licensure in state of practice, • Current CPR certification, • Current driver's license and vehicle insurance, access to a dependable vehicle, or public transportation, • Ability to work flexible hours as required to meet identified client needs, • Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client Preferred Qualifications: • Home care experience, • Ability to manage multiple tasks simultaneously, • Able to work independently #LHCJobs At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. 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.

Job Description Join LifeLink — Join a Life Saving Team! About LifeLink More than four decades ago, a visionary group of innovators, led by renowned nephrologist Dr. Dana Shires, made a life-changing commitment—to save lives through organ and tissue donation. From that bold beginning, LifeLink Foundation was established – founded with heart, purpose, and a mission that still guides us today. What started as a nonprofit with big dreams has grown into a vision-driven organization of more than 700 dedicated professionals across west-central Florida, Georgia, parts of South Carolina, Puerto Rico, and the US Virgin Islands. At LifeLink, we are united by our mission: To honor donors and save lives through organ and tissue donation. Our vision remains clear: To maximize the gift of life while giving hope to donor families and transplant patients. We are grounded in the values that shape our work and culture—Compassion. Excellence. Legacy. People. Quality. If you’re inspired by purpose, driven by impact, and ready to help save and heal lives, LifeLink is the place for you. What You’ll Do As a Quality Review Coordinator 1, you will directly contribute to LifeLink’s life-saving mission. The Quality Review Coordinator is responsible for assuring that standards for division specific activities related to organ recovery have been met thereby ensuring the safety and quality of organs recovered. Specific areas of responsibility include but are not limited to quality review of donor records, participating in audits to ensure compliance with regulatory standards, internal policies and procedures, assisting with training of OPO staff and assisting in the collection of data for reporting purposes. Key Responsibilities: • Responsible for complete and accurate review of the donor and non-donor records according to policy, protocol, and guidelines. This includes all phases of the review., • Supports Manager OPO Quality Systems in designated responsibilities including, but not limited to, OPTN reporting requirements, weekly and ad-hoc OPO data reports, OPO education of quality initiatives, policy review and updates, and audit preparation., • Assure accurate and consistent data is submitted as required by regulatory/accreditation agencies (OPTN, CMS, etc.) for the designated OPO., • Assists as directed with projects supporting organ activity and quality review., • Performs audits of division specific activities as they relate to organ recovery and documentation to ensure compliance with all regulatory and accreditation standards as well as LifeLink policies and procedures., • As a part of the Quality Team will handle and package donor serological specimens (blood/serum) for additional donor testing and/or archive in accordance with OPO protocols., • Assists with organ discards, shipping of post case specimens and research organs as prescribed by OPO protocol., • Coordinates with Recovery Services and quality personnel to ensure all required documentation is accurate and complete in accordance with LifeLink policies and procedures., • Assists with inspections from regulatory and accreditation organizations including, but not limited to OPTN, CMS, and AHCA., • Provides effective back-up to other quality personnel in accordance with established protocols and processes to ensure continuity within the quality team., • Remains informed of developments in quality and regulatory issues as they relate to organ recovery through literature, attending seminars and/or conferences and disseminating such information to OPO personnel., • Participates in departmental meetings and prepares data for review as requested by Manager., • Participates in ongoing OPO QAPI initiatives as directed by Manager., • Maintains full understanding of all related LifeLink Policies and Procedures., • Passionate about helping others and making a difference, • Aligned with LifeLink’s core values of Compassion, Excellence, Legacy, People, and Quality, • Bachelor’s degree preferred, degree in Allied Science (RN, LPN, ORT, EMT, CST) and/or at least 3 years of experience in a healthcare related background preferred., • Experience with Quality Assurance processes., • Ability to analyze documentation and identify breaches in policy., • Strong communication and writing skills., • Mental ability and visual acuity to prepare and audit records and identify breaches in policy., • Knowledge of the regulatory and quality standards established by OPTN, and CMS desirable., • Knowledge of all organ recovery procedures including sterile technique, donor evaluation, donor management, organ placement, procurement, organ packaging/labeling, transportation and all appropriate documentation desirable., • Must be able to lift up to 25 pounds. Position may require extended hours during peak recovery periods. Hazardous conditions include, but are not limited to, the possible exposure to microorganisms, viruses, potentially infectious body fluids and hazardous chemicals. OSHA Risk Classification: High Why LifeLink? • Be part of an organization with a legacy of saving lives and giving hope, • Join a passionate and supportive team across Florida, Georgia, and Puerto Rico, • COMPANY PAID Medical, Dental, Disability & Life Insurance, • Generous COMPANY PAID Pension Plan for your Retirement, • Paid Vacation, Sick Days & Holidays, • Growth opportunities in a mission-driven, high-impact nonprofit, • Work with purpose, knowing your efforts directly touch livesCompany DescriptionLifeLink Foundation, Inc. is a non-profit community service organization dedicated to the recovery of life-saving and life-enhancing organs and tissue for transplantation therapy.LifeLink Foundation, Inc. is a non-profit community service organization dedicated to the recovery of life-saving and life-enhancing organs and tissue for transplantation therapy.

Job Description FT/PT/PRN positions available at our Addictions Receiving Facility. (Shift Differential available.) Summary/Characteristics of Position: The Licensed Practical Nurse (LPN) is a professional nursing position that provides medical care and treatment to individuals coping with or recovering from substance abuse addiction and/or co-occurring mental health disorders. Essential Functions: • Completes medical screenings of clients to determine admission and/or continued service eligibility., • Applies practical nursing principles and protocols for the treatment of persons served including, but not limited to, screenings, assessments and integrated planning, • Routinely completes vitals, PPD administering/reading and applicable documentation., • Communicates empathically with clients regarding addiction, mental illness, medications and recovery, • Assists physicians with medical examinations and carries out physician orders., • Administers and documents medication/narcotics/treatments as prescribed by protocol or physician's order., • Maintains inventory of medical supplies and drug formularies, • Ensures all billable/non-billable services are accurately recorded in the Electronic Medical Record (EMR)., • Prepares internal reports related to service delivery, billing, medication errors, on-the-job-injuries and other reportable incidents., • Implementation of seclusion/restraint -Ensures nursing support personnel carry out assigned duties correctly to agency model as directed., • Makes referrals or linkage to care for recommended medical services., • Participates in client case staffings and treatment team meetings., • Develops and facilitates health education groups for patients on health and social topics., • Adheres to regulatory bodies and licensing rules, guidelines, and all established protocol to carry out all duties required by contract, licensure, accreditation, and certification relative to program or service assignment., • Active licensure as a Licensed Practical Nurse in accordance with Florida Law., • Must possess valid Florida Driver License, • Ability to make critical decisions in high stress situations, • Ability to maintain confidentiality., • Excellent knowledge, education, and training in the field of addiction and mental health, • Ability to relate to clients from all social-economic class, race, sexual orientation and/or substance abuse/mental health problems, • Excellent verbal and written communication skills., • Excellent organizational skills and attention to detail., • Proficient with Microsoft Office Suite or related software. Travel: No travel required. The omission of specific statements does not preclude management from assigning specific duties not listed herein if such duties are a logical assignment to position. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status. ACTS is a DFWP. Company DescriptionAt Agency for Community Treatment Services (ACTS), we’re more than just a team—we’re a community dedicated to changing lives. For over 45 years, ACTS has provided vital services to individuals facing mental illness, substance use disorders, and homelessness. We’re passionate about what we do, and we’re looking for compassionate, driven individuals to join us in making a lasting impact. At ACTS, you’ll be part of a team that’s helping to changing lives every day. If you’re ready to work in an environment where you’re valued and your contributions are impactful, we’d love to hear from you.At Agency for Community Treatment Services (ACTS), we’re more than just a team—we’re a community dedicated to changing lives. For over 45 years, ACTS has provided vital services to individuals facing mental illness, substance use disorders, and homelessness. We’re passionate about what we do, and we’re looking for compassionate, driven individuals to join us in making a lasting impact.\r\n\r\nAt ACTS, you’ll be part of a team that’s helping to changing lives every day. If you’re ready to work in an environment where you’re valued and your contributions are impactful, we’d love to hear from you.

Job Description We are seeking a Care Coordinator IDD to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. About the Role: The Care Coordinator for the IDD Pilot Program plays a pivotal role in managing and facilitating comprehensive care plans for individuals with intellectual and developmental disabilities. This position ensures that participants receive coordinated, person-centered services that promote their health, well-being, and independence. The Care Coordinator acts as a liaison between healthcare providers, community resources, families, and the individuals themselves to streamline access to necessary supports and services. By monitoring progress and adjusting care plans as needed, the role contributes to improved health outcomes and quality of life for program members. Ultimately, the Care Coordinator’s core functions include assessing individual needs, developing a person-centered support plan, coordinating services and care, and serving as the enrollee’s advocate. Minimum Qualifications: • With the following qualifications, have a minimum of two (2) years of relevant experience working with individuals with intellectual developmental disabilities:, • Bachelor’s degree in social work, sociology, psychology, gerontology, or related social services field., • Bachelor's degree in field other than social science, • Registered Nurse (RN) licensed to practice in the state of Florida., • Licensed Practical Nurse (LPN) with a minimum of four (4) years of relevant experience working with individuals with intellectual developmental disabilities., • Master’s degree in social work, public health, or a related discipline., • Certification in care coordination or case management (e.g., CCM, CCRC)., • Experience with Medicaid waiver programs or other disability support services., • Serve as the primary point of contact for the enrollee and their authorized representatives., • Assess needs, identify care gaps, and develop a person-centered support plan., • Coordinate services and care across the continuum and facilitate communication with providers and community resources., • Provide education and support on available resources and self-advocacy., • Maintain accurate documentation and ensure compliance with policies, regulations, and quality standards.

Job Description COMPANY OVERVIEW: Our client is a prominent provider of core administrative processing system (CAPS) technology, business process as a service (BPaaS), and business process outsourcing (BPO) capabilities to healthcare payers, risk-bearing providers, and third-party administrators. They will transform the way healthcare is administered in the United States by providing innovative technology and services that uniquely solve critical healthcare payer challenges negatively impacting member and provider experiences. PURPOSE AND SCOPE: The Senior Manager, Utilization Management (UM), is responsible for leading the day-to-day operations of the Utilization Management Department, including Prior Authorizations, Inpatient, and Skilled Nursing Facility Concurrent Review. This role drives operational excellence, compliance, and innovation by leveraging AI-enabled tools and data analytics to enhance clinical decision-making, streamline review processes, and optimize member outcomes. The Senior Manager partners closely with the BPO Operations leadership to ensure the UM function aligns with regulatory standards, payer expectations, and organizational performance goals. PRINCIPAL RESPONSIBILITIES AND DUTIES Leadership & Operations • Lead and oversee all activities related to Prior Authorization and Concurrent Review operations., • Supervise, mentor, and develop a team of nurses, coordinators, and support staff to achieve department goals and service-level standards., • Establish measurable team and individual performance goals; provide ongoing coaching, feedback, and performance evaluations., • Manage staffing, scheduling, and productivity to meet CMS timeliness and compliance requirements., • Champion the adoption and optimization of AI and automation tools that improve utilization review accuracy, turnaround time, and efficiency., • Partner with internal technology teams to pilot and implement AI-driven solutions for case triage, predictive analytics, and workflow automation., • Use data insights from AI dashboards and reporting tools to identify trends, forecast utilization, and recommend process improvements., • Train staff on AI-supported workflows, ensuring ethical and compliant use of technology to enhancenot replaceclinical judgment., • Ensure adherence to federal, state, and accreditation requirements (CMS, NCQA, URAC, etc.)., • Maintain departmental policies, procedures, and documentation consistent with Plan requirements and audit readiness., • Monitor quality metrics, perform audits, and implement corrective actions as needed., • Oversee all departmental reports and performance metrics, ensuring accuracy and timely delivery to leadership., • Provide clear communication and updates across teams and to leadership regarding departmental progress and challenges., • Model and promote the company values and customer service standards., • Build strong, collaborative relationships with internal and external stakeholders., • Proactively address and resolve service issues, ensuring an exceptional experience for members, providers, and partners.EDUCATION, EXPERIENCE AND REQUIRED SKILLS:, • Florida licensed (or compact) RN or LPN required (RN preferred), • Baccalaureate degree from an accredited institution of higher learning preferred, • Three to five years related Medicare/Medicaid HMO experience at the managerial level required, • An equivalent combination of education, training and experience., • Ability to navigate and master proprietary software programs., • Prior experience implementing or managing technology-enabled UM tools (AI-assisted review, workflow automation, or predictive analytics) preferred., • Excellent oral and written communication skills including good grammar, voice and diction., • Able to read and interpret documents., • Proficient in MS Office with basic computer and keyboarding skills., • Strong skills in investigation and resolution of issues pertaining to internal and external clients., • Experience in discharge planning from Inpatient Acute Care Facilities to other levels of post inpatient care., • Strong understanding and implementation of Medicare criteria as it relates to Skilled Nursing Facility care., • Strong knowledge base of Medicare and Medicaid coverage criteria and compliance requirements.