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JOB DESCRIPTION Job Summary The Delegation Oversight Nurse provides support for delegation oversight quality improvement activities. Responsible for overseeing delegated activities to ensure compliance with the National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity requirements and all other standards and requirements pertaining to delegation agreements. Contributes to overarching strategy to provide quality and cost-effective member care. This position will support our Corporate Compliance business. The candidate must have an unrestricted LVN licensure. Candidates must be technologically proficient, self-directed, autonomous and experience working from home. Care Management & Waiver Service Auditing experience is highly preferred. Work hours: Monday - Friday 8:00am – 4:00pm Remote position Essential Job Duties • Coordinates, conducts and documents pre-delegation and annual assessments as necessary to comply with state, federal and National Committee for Quality Assurance (NCQA) guidelines, and other applicable requirements., • Distributes audit results letters, follow-up letters, audit tools and annual reporting requirement as needed., • Works with delegation oversight analytics representatives on monitoring performance reports from delegated entities., • Works with delegation oversight leadership to develop and maintain delegation assessment tools, policies and reporting templates., • Assists with preparation of delegation summary reports submitted to the Eastern US Quality Improvement Collaborative (EQIC) and/or utilization management committees., • Participates as needed in joint operation committees (JOCs) for delegated groups., • Assists in preparation of documents for Centers for Medicare and Medicaid Services (CMS), state Medicaid, National Committee for Quality Assurance (NCQA) and/or other regulatory audits as needed. Required Qualifications • At least 3 years’ experience in health care, including 2 years’ experience in a managed care environment facilitating utilization reviews, or equivalent combination of relevant education and experience., • Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN). The license must be active and unrestricted in state of practice., • Knowledge of audit processes and applicable state and federal regulations., • Ability to work effectively in a fast-paced, high-volume environment, maintain accuracy and meet established deadlines., • Ability to collaborate effectively with team members and internal departments., • Strong attention to detail with a focus on maintaining quality in all tasks., • Strong verbal and written communication skills., • Registered Nurse (RN). The license must be active and unrestricted in state of practice., • Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or Certified Professional in Healthcare Quality (CPHQ). 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 Pay Range: $77,969 - $128,519 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Description 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. 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) Pay: • $22/hr-$28/hr, • Opportunities to pick up OT to increase earnings

Job Description LPN: Licensed Practical Nurse Up to $34/hr 12 hour shifts * Full and Part Time * Days * Nights St. Margaret's Center, an affiliate of Center for Disability Services, is a pediatric and young adult 94-bed skilled nursing facility, located in Albany, NY. Founded in 1883, St. Margaret's Center is a skilled nursing facility serving medically fragile infants, children, and young adults on a single dedicated campus. We specialize in providing cutting-edge, long-term, 24-hour intensive medical care in a nurturing and home-like setting. St. Margaret's Center is a place where infants, children and young adults can learn and grow despite any obstacle. We're focused on creating a full childhood experience for every resident, which includes activities, school, family, and friends in a warm atmosphere that feels like home. We see our patients as kids, not conditions. What Makes St. Margaret's a Great Place to Work? • Specialty Pediatric Facility: The only nursing facility in Albany serving babies, teenagers, and young adults., • Smaller units - an average size unit is 16 residents., • Higher staffing ratios, • Atmosphere focused on learning & growing., • Playful environment, • All school aged children receive school services., • Inclusion of all residents into the community for outings and schooling, • Competitive pay rate Requirements for a LPN: Licensed Practical Nurse: • Current and valid NYS LPN License, • Minimum of one year acute or long-term care experience required, • Must be 18 years old, • Provide direct care and treatment to individuals in assigned program(s) through a variety of nursing procedures and medication administration., • Respond and assist in medical emergencies and take appropriate action with guidance from RN., • Observe and monitor individuals with specific health problems and those at risk and report pertinent findings to RN., • Document all current health related information in nurses' notes and/or medical record., • Check nursing equipment as indicated., • Assist RN in annual assessment of consumers in day programs., • Keep medical files current and complete., • Attends nursing/program meetings as scheduled. As an affiliate of the Center for Disability Services, working at St. Margaret's Center provides the opportunity to become a part of our Mission. A career with us offers opportunities for those seeking meaningful, impactful, mission-driven work in addition to a rewarding work environment, and competitive benefits to include: • Low-Cost Medical, Vision, and Dental Plans, • Paid Holidays, Bereavement Leave, and Jury Duty, • 401K Retirement Program, • Tuition Assistance, • Referral Bonus Program, • Employee Assistance Program, • Free Life Insurance, • Free Long Term Disability Insurance, • Career Development Program, • Staff Recognition Programs, • Wellness Program

Job Description LPN Charge Nurse - Full Time Days - No Weekends Pay rate $29-33/hour! (based on experience and shift differentials) St. Margaret's Center, an affiliate of Center for Disability Services, is a pediatric and young adult 94-bed skilled nursing facility, located in Albany, NY. Founded in 1883, St. Margaret's Center is a skilled nursing facility serving medically fragile infants, children, and young adults on a single dedicated campus. We specialize in providing cutting-edge, long-term, 24-hour intensive medical care in a nurturing and home-like setting. St. Margaret's Center is a place where infants, children and young adults can learn and grow despite any obstacle. We're focused on creating a full childhood experience for every resident, which includes activities, school, family, and friends in a warm atmosphere that feels like home. We see our patients as kids, not conditions. What Makes St. Margaret's a Great Place to Work? • Specialty Pediatric Facility: The only nursing facility in Albany serving babies, teenagers, and young adults., • Smaller units - an average size unit is 16 residents., • Higher staffing ratios, • Atmosphere focused on learning & growing., • Playful environment, • All school aged children receive school services., • Inclusion of all residents into the community for outings and schooling, • Competitive pay rate Requirements for an LPN Charge Nurse: • Current and valid NYS LPN License, • CPR for the Professional Rescuer Certification, • At least 1 year of job-related experience, specifically in field of nursing, • Completes daily review of 24-hour report and follow up as needed., • Assists RN Unit Manager in preparing for medical provider rounds and communication to staff on who will be seen by medical provider on that day. May assist Unit Manager in preparing scripts that need to be signed by medical provider., • After medical provider rounds, assists Unit Manager ensuring all orders are completed and started as ordered. Communications to all necessary clinical team member for any follow up. Communication to all staff via 24-hour nursing report. If Stat orders, receive order from Pyxis cart. Ensure that Clinical Care Coordinator is aware of any appointments that need to be made and work with Staffing Coordinator to staff the appointment and attend appointments, as necessary., • Ensures daily that all labs and/or diagnostic reports have been received. Communicates any abnormal flagged lab results to RN Unit Manager / RN Supervisor and contact provider with abnormal findings as soon as possible., • Updates Electronic Infection Log in eMar as needed with all pertinent information. Notify Infection Control Preventionist of any new infections., • Participates in Wound Rounds as needed.. Notifies Unit Manager / RN who will assess the information for further treatment needs., • Collects incident reports; notifies appropriate persons as indicated on incident report. Attaches pertinent information, i.e., nursing progress notes, care plans, Kardexes, statement from employees if necessary. Logs Incident Report into logbook and files in book., • Makes unit rounds throughout the shift. Completes pertinent assigned audits. If problems noted at time of rounds, notifies appropriate Unit Manager or Department Head as needed. If training needed, notifies Educator/Infection Control RN., • Provides daily oversight of CNAs on unit., • Initiates and maintains unit assignments., • Provides medication coverage on med cart / treatment cart when needed., • Makes rounds and oversees mealtimes during meals., • Prepares individual resident clinical case conference sheets - ensures up to date prior to scheduled case conference - attend meetings in the absence of Unit Manager., • Attends daily morning report as needed or to cover in the absence of and at direction of Unit Manager., • Ensures supplies in back packs daily for residents that require them., • Works with Clinical Care Coordinators to manage supplies of the unit., • Ensures documentation for external MD appointments and consulting MD visits are complete prior to visit., • Checks dashboard on PCC - ensure C.N.A documentation is 100% complete before end of shift. If not, report to C.N.A prior to leaving facility / shift. Report to Unit Manager any supervision issues. As an affiliate of the Center for Disability Services, working at St. Margaret's Center provides the opportunity to become a part of our Mission. A career with us offers opportunities for those seeking meaningful, impactful, mission-driven work in addition to a rewarding work environment, and competitive benefits to include: • Low-Cost Medical, Vision, and Dental Plans, • Paid Holidays, Bereavement Leave, and Jury Duty, • 401K Retirement Program, • Tuition Assistance, • Referral Bonus Program, • Employee Assistance Program, • Free Life Insurance, • Free Long Term Disability Insurance, • Career Development Program, • Staff Recognition Programs, • Wellness Program

Job Description If you are a licensed LPN with clinical experience, we have immediate weekend opportunities for you supervising PCAs throughout Albany, Rensselaer, Saratoga and Schenectady Counties as well as surrounding areas. Since 2001, Belvedere has provided quality in-home health care throughout the greater Capital Region. We are locally owned and operated. Our caregivers come from the same neighborhoods as the people they serve and are committed to helping people and improving the quality of life in their communities. We are looking for compassionate, dedicated caregivers who believe in our mission: Caring for and about people…no matter what. That includes caring for both our clients and employees, and providing a safe work environment even amidst pandemic challenges. Love Your Work – Get started today! COVID-19 Interview Precaution(s): • Remote interview process, • Personal protective equipment provided or required, • Temperature screenings, • Social distancing guidelines in place, • Virtual meetings AxRp6WabAj

If you are a customer service representative agent or someone just looking for a flexible part time remote work from home job, this is a great way to supplement your income. Work part-time from home and earn up to $750 per week. Remote Work From Home Customer Service Representative Agent - Part Time

Call Center / Remote] - Anywhere in U.Up to $24 per hour / Medical, dental & vision / 401k / PTO - As a Customer Service Rep at Equip, you will: Answer inquiry calls, emails, web forms, etc.Respond to inquiries quickly and efficiently while routing inquiries to appropriate departments; Collect patie

K per year / Medical, dental & vision / 401k / PTO / Remote worker stipend - As a Customer Advocate at Sana, you will: Provide accurate and easy-to-understand guidance in the complex world of health insurance and employer benefits across multiple channels (phone, text, chat, and email); Assist membe

Customer Support / Remote] - Anywhere in U.Up to $20 per hour - As a Customer Service Rep at Promenade, you will: Provide friendly, efficient, and accurate Tier 1 support to our customers and floral partners via phone and email; Listen to customer inquiries, diagnose issues, and provide helpful solu

Competitive pay - As a Client Support Specialist at Baylor Genetics, you will: Communicate effectively with clients via phone, email, and chat to provide exceptional customer service; Collect and document client information accurately and efficiently to ensure prompt resolution of inquiries; Utilize

Customer Service / Remote] - Anywhere in U.Up to $78K per year - As a Customer Experience Rep at Alt, you will: Engage with collectors through chat, email, and phone support, providing knowledgeable assistance regarding the auction process, card valuations, and other platform functionalities; Handle

Customer Service / Remote] - Anywhere in U.Up to $42K per year + bonuses / Medical, dental & vision / 401k / PTO - As a Member Service Coordinator, you will: Conduct member outreach (telephonic, text and email) to schedule and confirm appointments; Effectively leverage practice management systems, E

Customer Service / Remote] - Anywhere in U.K per year / Medical, dental & vision / 401K / PTO - As a Customer Support Specialist at Second Nature, you will: Respond to customer service emails, calls and chats with a customer centric attitude; Resolve issues with urgency, notifying the customer if it

Customer Service / Fully Remote] - Anywhere in U.Health, dental, and vision / 401k / PTO - As a Member Support Specialist you'll: Be on the front lines of the Member experience; Support Members in the Wellth program with any questions/issues that may arise regarding their program and address any tec

Customer Support / Remote] - Anywhere in U.Medical, dental & vision / 401k match / PTO - As a Customer Service Coordinator at One Call, you will: Answer incoming calls and respond to customer inquiries in a timely and professional manner; Provide exceptional customer service by actively listening an

Customer Service / Remote] - Anywhere in U.K per year / Medical, dental & vision / 401k match / PTO / Employee discount - As a Customer Care Associate at Levi Strauss, you will: Resolve customer inquiries and complaints in a timely and professional manner; Provide exceptional customer service throug

Customer Service / Remote] - Anywhere in U.Up to $22 per hour + bonuses / Health, dental & vision / 401k / PTO - As a Customer Experience Associate at Bold, you will: Manage a high volume of customer inquiries through various channels such as phone, email, and chat.Monitor and respond to customer re

Customer Service / Fully Remote] - Anywhere in U.Competitive compensation / Company provided laptop, monitor & accessories - As a Customer Care Rep you'll: Be the first responder of customer inquiries via phone, email, and chat; Listen, identify, and assess each customer's need to offer a solution t

Customer Service / Remote] - Anywhere in U.Flexible hours / Competitive pay / Medical, dental & vision / 401k match / PTO / Equipment provided - As an E-Commerce Customer Experience Specialist at Shoe Sensation, you will: Manage and respond to customer inquiries and concerns via email, phone, and li

Customer Service / Remote] - Anywhere in U.Up to $20 per hour / Health, dental & vision / 401k / PTO - As a Customer Experience Specialist at CAVA Group, you will: Manage and respond to customer inquiries through various communication channels; Provide exceptional customer service by actively listen

Customer Service / Remote] - Anywhere in U.Up to $45K per year / Healthcare benefits / PTO / Equipment provided - As a Customer Support Specialist at Alt Legal, you will: Provide exceptional customer service to clients through various channels such as phone, email, and chat; Be knowledgeable about o

Customer Service / Remote] - Anywhere in U.Competitive pay / Flexible schedule - As a Customer Service Coordinator at Honeydew, you will: Serve as the primary point of contact for patients, providing guidance, support, and information about their care plans; Answer patient inquiries related to appoi

Up to $24 per hour / Medical, dental & vision / 401k match / PTO - As a Customer Service Rep at Copart, you will: Manage incoming calls and emails from customers, responding promptly and professionally; Provide accurate and timely information to customers regarding their inquiries and concerns; Reso

Medical, dental & vision / 401k / PTO - As a Customer Support Specialist at Vori Health, you will: Respond to and resolve incoming messages, calls, and tickets from patients and team members, using discretion and responding in a timely and hospitable manner to meet our world-class service levels; Pr

Customer Service / Remote] - Anywhere in U.As a Customer Experience Specialist at Quince, you will: Use your critical thinking and empathy to troubleshoot and resolve customer concerns, turning potential negative experiences into positive ones; Build lasting customer loyalty by providing personalize

Customer Service / Remote] - Anywhere in U.K+ per year / Medical, dental & vision / 401k / PTO / Internet stipend - As a Customer Experience Specialist at Atticus, you will: Communicate with customers via phone, email, and chat to provide exceptional customer service; Resolve customer inquiries and

Customer Service / Remote] - Anywhere in U.Flexible hours / Competitive pay / Medical, dental & vision / 401k match / PTO / Equipment provided - As an E-Commerce Customer Experience Specialist at Shoe Sensation, you will: Manage and respond to customer inquiries and concerns via email, phone, and li

Customer Service / Remote] - Anywhere in U.Up to $45K per year / Healthcare benefits / PTO / Equipment provided - As a Customer Support Specialist at Alt Legal, you will: Provide exceptional customer service to clients through various channels such as phone, email, and chat; Be knowledgeable about o

Customer Service / Fully Remote] - Anywhere in U.Competitive salary / Flexible hours - As a Customer Support Agent you'll: Manage day-to-day therapist questions and requests through a shared mailbox and member support across multiple channels (SMS, phone, emails); Provide support to therapists to en

Customer Service / Remote] - Anywhere in U.Up to $70K per year / Health, dental & vision / 401k / PTO - As a Customer Support Rep at GreenSpark, you will: Educate customers on our products and services; Troubleshoot and resolve customer issues; Maintain accurate and detailed records of customer inte

Customer Service / Fully Remote] - Anywhere in U.Up to $52K per year / Competitive benefits - As a Customer Support Rep you'll: Provide email, chat and SMS support to Customers, Luggers & Retailers; Achieve world-class customer satisfaction ratings; Perform real-time analysis and problem-solving of

Customer Support / Remote] Anywhere in U.Up to $65K per year / Extremely flexible hours - As a Customer Service Agent you'll: Book air and ground transportation for clients; Research and locate the best pricing and options for clients based on their needs; Book hotel reservations for clients in thei

Customer Service / Fully Remote] - Anywhere in U.Competitive compensation / 100% employer paid medical & dental / PTO / 401K / Company provided laptop, monitor & accessories - As a Customer Care Rep you'll: Be the first responder of customer inquiries via phone, email, and chat; Listen, identify, an

Competitive pay - As a Client Support Specialist at Baylor Genetics, you will: Communicate effectively with clients via phone, email, and chat to provide exceptional customer service; Collect and document client information accurately and efficiently to ensure prompt resolution of inquiries; Utilize

Customer Service / Remote] - Anywhere in U.Medical, Dental, and Vision / PTO / 401k Match - As a Device Support Specialist at Modivcare, you will: Troubleshoot and resolve technical issues for customers using Modivcare devices; Provide excellent customer service by assisting with inquiries and conce

Customer Service / Remote] - Anywhere in U.As a Customer Support Rep at ECP, you will: Provide exceptional customer service to clients via phone, email, and chat; Answer incoming inquiries and troubleshoot issues efficiently and accurately; Maintain a high level of professionalism and empathy while

Customer Service / Remote] - Anywhere in U.Up to $55K per year / Comprehensive benefits - As a Care Experience Specialist at Charlie Health in the Customer Service sector, you'll: Communicate effectively and compassionately with clients and their families; Provide timely and accurate information to

Customer Service / Remote] - Anywhere in U.Competitive pay / Flexible schedule - As a Customer Service Coordinator at Honeydew, you will: Serve as the primary point of contact for patients, providing guidance, support, and information about their care plans; Answer patient inquiries related to appoi

Customer Service / Remote] - Anywhere in U.Up to $64,250 per year / Health, dental & vision / 401k match / PTO - As a Customer Support Rep at Manulife John Hancock, you will: Assist customers with inquiries and provide solutions to their concerns; Maintain a high level of professionalism and custome

Customer Support / Remote] - Anywhere in U.Competitive pay / Health insurance / 401k / PTO - As a Customer Service Coordinator at Cennox, you will: Manage customer inquiries via phone, email, and chat; Provide excellent customer service by resolving issues and answering questions promptly and accura

Customer Support / Remote] - Anywhere in U.Up to $60K per year / Health, dental & vision / 401k match / PTO / Mac computers + WFH stipend / Monthly internet & phone reimbursement - As a Customer Service Associate, you will: Act as a professional brand ambassador by promptly responding to client inqu

Up to $60K per year - As a Customer Support Specialist at January, you will: Manage inbound calls, emails, and texts from callers with the objective of addressing their account needs; Use ZenDesk to document communications, analyze user problems, resolve basic issues, and facilitate payments on beha

Customer Service / Remote] - Anywhere in U.Competitive salary / Health, dental & vision / PTO - As a Customer Experience Specialist, you will: Communicate with customers via phone, email, and text to provide exceptional customer service; Troubleshoot and resolve customer inquiries and issues in a ti

Customer Service / Remote] - Anywhere in U.Up to $42K per year + bonuses / Medical, dental & vision / 401k / PTO - As a Member Service Coordinator, you will: Conduct member outreach (telephonic, text and email) to schedule and confirm appointments; Effectively leverage practice management systems, E

Up to $27 per hour + bonus / Full benefits - As a Customer Support Rep you'll: Provide concierge-style service to the CrossFit community, cultivating lifetime loyalty to the brand by fielding inquiry emails; Resolve (or escalate) customer inquiries, complaints, and feedback quickly and efficiently;

Customer Service / Remote] - Anywhere in U.Up to $20 per hour - As a Customer Support Rep you'll: Answer inbound calls, emails, and chats, and take required actions to assist the customers; Anticipate customers' potential needs, and determine appropriate response; Provide comprehensive and accurate

Up to $21 per hour - As a Scheduling Operations Associate you'll: Interact directly with clients, caregivers and patients to handle client-related matters including: staffing scenarios and attendance issues (no shows, lateness), schedule changes to ensure patient/caregiver coverage, and customer ser

Up to $60K per year - As a Customer Support Specialist at January, you will: Manage inbound calls, emails, and texts from callers with the objective of addressing their account needs; Use ZenDesk to document communications, analyze user problems, resolve basic issues, and facilitate payments on beha