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Contract Jan 15, 2025 Healthcare Case Manager II works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care for members with high need potential. Qualified candidates MUST live in Central VIRGINIA. TRAVEL (30% or more) is required to conduct field visits in the surrounding areas supporting our Medicaid population. The work schedule is M-F, 8am-5pm EST - No weekends.
KNOWLEDGE/SKILLS/ABILITIES
• Completes clinical assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment.
• Develops and implements a case management plan in collaboration with the member, care team and member's support network to address the member needs and goals.
• Conducts telephonic, face-to-face or home visits as required.
• Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
• Maintains ongoing member case load for regular outreach and management.
• Promotes integration of services for members including behavioral health care and long term services.
• May implement specific wellness programs i.e. asthma and depression disease management.
• Facilitates interdisciplinary care team meetings and informal ICT collaboration.
• Assesses for barriers to care, provides care coordination and assistance to member to address concerns.
• Collaborates with RN case managers/supervisors as needed or required
• Case managers in Behavioral Health and Social Science fields may provide consultation, resources and recommendations to peers as needed
Required Years of Experience: 1-3 years in case management, disease management, managed care or medical or behavioral health settings.
Required Licensure / Education: Active, unrestricted RN State license in good standing. Graduate from an Accredited School of Nursing. Bachelor's Degree in Nursing preferred. Must have valid driver’s license with good driving record and be able to drive within applicable state or locality with reliable transportation.
Contract Jan 13, 2025 Healthcare Essential Duties/Responsibilities:
Administers medications and treatments in accordance with all accepted standards for administration;
Provides safe, efficient personal care of residents;
Uses recommended safety devices and follows infection control standards;
Answers call lights and residents' requests for assistance;
Adheres to resident's rights at all times;
Documents medications and treatments administered, and care provided;
Assists with orientation of new employees on the unit;
Participates in resident care planning, updating care plans and aide assignments;
Assesses residents, documents findings and reports to the physician;
Transcribes physicians orders;
Communicates resident change of condition to resident sponsors;
Destroys and documents same of discontinued medications;
Maintains correct controlled substance numbers during shift;
Completes required documentation of nursing notes, transfer forms and other records;
Assists with operation of the unit, including the monthly change over of records;
Completes and distributes nurse aide assignments;
Gives report to on-coming shift.
Schedule and assist with physician, optometrist, podiatrist, dentist appointments;
Administer and record employee health testing results
Job Requirements:
Must be licensed as and maintain licensure as a Licensed Practical Nurse in Indiana; must maintain first
aid, mantoux and CPR certification. Ability to understand and communicate with residents and
understand and complete nursing forms; ability to follow verbal instructions; ability to provide nursing care
practices; ability to use medical equipment within scope of licensure; ability to provide safe, efficient
resident care, following all applicable state and Veterans' Administration rules, IVH policies and
procedures and all HIPAA rules; must attend and complete all required in-service training; ability to
prioritize workload; ability to be flexible; ability to assess resident's and report to the physician; ability to
administer medications and treatments in a safe, efficient manner, recognizing medication side effects;
ability to know approved abbreviations and appropriate terminology; ability to document in a legible
manner. Contract Jan 10, 2025 Other Area(s) Job Title: Clinical Administrative Coordinator
Location: Indiana
Pay: $24hr (Paid Weekly)
Benefits: 8 paid holidays; 80hrs of PTO (after 60 days of employment); Optional Medical, Dental, Vision
Hours: Ability to work any of our 8-hour shift schedules during normal business hours of 8:00am – 8:00pm EST, Monday – Friday. It may be necessary, given the business need, to work occasional overtime
Primary Responsibilities:
Manage administrative intake of members
Manage large amounts of data
Good communication skills
Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers
Process incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles
Assist the clinical staff with setting up documents/triage cases for Clinical Coverage Review
Required Qualifications:
High School Diploma / GED
Must be 18 years of age or older
2+ years of customer service experience
Experience with Microsoft Word, Excel (create, edit, save documents and spreadsheets) and Outlook (email and calendar management)
Preferred Qualifications:
Experience working in a call center
Clerical or administrative support background
Bilingual fluency in English/Spanish
Experience working in a hospital, physician’s office or medical clinic setting
Experience working within the health care Industry and with health care insurance
Proficient with Excel and Word
Manage large amounts of data
Good communication skills
Self disciplined
Organization and attention to detail
Critical thinking skills
Quick learner
Experience with SharePoint a plus
Remote 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 high-speed internet connection or leverage an existing high-speed internet service.
PME is an equal opportunity employer. We prohibit discrimination and harassment against any applicant or employee based on any legally recognized basis, including, but not limited to: veteran status, uniformed servicemember status, race, color, religion, sex, sexual orientation, gender identity, age (40 and over), pregnancy, national origin or ancestry, citizenship status, physical or mental disability, genetic information (including testing and characteristics) or any other category protected by federal, state or local law. Administrative Coordinator
Location: Indiana (Remote)
Pay: $24hr (Paid Weekly)
Benefits: 8 paid holidays; 80hrs of PTO (after 60 days of employment); Optional Medical, Dental, Vision
Hours: Ability to work any of our 8-hour shift schedules during normal business hours of 8:00am – 8:00pm EST, Monday – Friday. It may be necessary, given the business need, to work occasional overtime
Contract Jan 10, 2025 Other Area(s) Outreach Resources: Provide resources who are trusted members of the communities served and/or have an unusually close understanding of the communities to facilitate access to health care services, improve the quality and cultural competency of those services, and improve member health outcomes. Outreach Coordinator Resources work to increase health literacy, reduce costs of services, and improve care.
Job Description
The overall approach for outreach workers is fluid and flexible based on identified quality and member outcome needs. The primary focus of the Outreach resources will be as follows:
Understand Member history and the physical, behavioral, and social factors that may be leading to less-than-ideal health outcomes or persistent gaps in care.
Utilize a whole health approach when interacting with Members and caregivers.
Working with Case Management to place outreach resources at point of care facilities to better facilitate member engagement and action.
Facilitate real time gap closure initiatives including but not limited to immunizations, telehealth visits, A1c tests, lead tests, and blood pressure readings.
Pivot priorities as necessary month to month based on HEDIS performance.
Engage member in care coordination and case management as necessary.
Educate member on health care benefits and services and monitor for over and/or underutilization.
Requirements:
Community Outreach Experience preferred
CHW Certification and/or CNA/HHA preferred
Driver’s License required
High School Diploma/GED required
Contract Jan 10, 2025 Other Area(s) Outreach Resources: Provide resources who are trusted members of the communities served and/or have an unusually close understanding of the communities to facilitate access to health care services, improve the quality and cultural competency of those services, and improve member health outcomes. Outreach Coordinator Resources work to increase health literacy, reduce costs of services, and improve care.
Job Description
The overall approach for outreach workers is fluid and flexible based on identified quality and member outcome needs. The primary focus of the Outreach resources will be as follows:
Understand Member history and the physical, behavioral, and social factors that may be leading to less-than-ideal health outcomes or persistent gaps in care.
Utilize a whole health approach when interacting with Members and caregivers.
Working with Case Management to place outreach resources at point of care facilities to better facilitate member engagement and action.
Facilitate real time gap closure initiatives including but not limited to immunizations, telehealth visits, A1c tests, lead tests, and blood pressure readings.
Pivot priorities as necessary month to month based on HEDIS performance.
Engage member in care coordination and case management as necessary.
Educate member on health care benefits and services and monitor for over and/or underutilization.
Requirements:
Community Outreach Experience preferred
CHW Certification and/or CNA/HHA preferred
Driver’s License required
High School Diploma/GED required
Contract Jan 10, 2025 Other Area(s) Outreach Resources: Provide resources who are trusted members of the communities served and/or have an unusually close understanding of the communities to facilitate access to health care services, improve the quality and cultural competency of those services, and improve member health outcomes. Outreach Coordinator Resources work to increase health literacy, reduce costs of services, and improve care.
Job Description
The overall approach for outreach workers is fluid and flexible based on identified quality and member outcome needs. The primary focus of the Outreach resources will be as follows:
Understand Member history and the physical, behavioral, and social factors that may be leading to less-than-ideal health outcomes or persistent gaps in care.
Utilize a whole health approach when interacting with Members and caregivers.
Working with Case Management to place outreach resources at point of care facilities to better facilitate member engagement and action.
Facilitate real time gap closure initiatives including but not limited to immunizations, telehealth visits, A1c tests, lead tests, and blood pressure readings.
Pivot priorities as necessary month to month based on HEDIS performance.
Engage member in care coordination and case management as necessary.
Educate member on health care benefits and services and monitor for over and/or underutilization.
Requirements:
Community Outreach Experience preferred
CHW Certification and/or CNA/HHA preferred
Driver’s License required
High School Diploma/GED required
Contract Jan 9, 2025 Healthcare Job Title: Medical Management Clinician Associate
Location: Remote
Hours: 8am - 5pm Monday - Friday
Pay: $23hr **Weekly Pay**
Description: Responsible for ensuring appropriate, consistent administration of plan benefits by reviewing clinical information and assessing medical necessity under relevant guidelines and/or medical policies. Focuses on less complex and potentially higher volume benefit plans and/or contracts, following standard procedures that do not require the training or skill of a registered nurse.
Primary duties may include but are not limited to: Confirms medical services are appropriate based on assigned benefit plan, medical policies, clinical guidelines, plan benefits, and/or scripted algorithms within scope of licensure. Work may be facilitated, in part, by algorithmic or automated processes. Handles less complex benefit plans and/or contracts. Conducts and may approve precertification, concurrent, retrospective, out-of-network, and/or appropriateness of treatment setting reviews by assessing clinical information against appropriate medical policies, clinical guidelines, and the relevant benefit plan/contract. May process a medical necessity denial determination made by a Medical Director. Refers complex or non-routine reviews to more senior nurses and/or Medical Directors. Does not issue medical necessity non-certifications.
Requirements:
Requires a minimum of 2 years of clinical experience and/or utilization review experience. Current active, valid and unrestricted LPN/LVN or RN license and/or certification to practice as a health professional within the scope of licensure in applicable state(s) or territory of the United States required. Multi-state licensure is required if this individual is providing services in multiple states.
PME is an equal opportunity employer. We prohibit discrimination and harassment against any applicant or employee based on any legally recognized basis, including, but not limited to: veteran status, uniformed servicemember status, race, color, religion, sex, sexual orientation, gender identity, age (40 and over), pregnancy, national origin or ancestry, citizenship status, physical or mental disability, genetic information (including testing and characteristics) or any other category protected by federal, state or local law. Contract Jan 6, 2025 Administrative Job Summary
Data Capture Specialist is responsible for the accurate keying of information and scanning various documents.
Pay: 14.85/hour
Onsite Position - Marion, IN
Duties and Responsibilities
The responsibilities of the Data Capture Operator are outlined as follows and no intended to be all inclusive:
Accurately entering alphabetic and numeric data from electronic images with speed and accuracy utilizing software application to capture the appropriate data.
Reading, analyzing, and classifying documents based on certain assigned criteria.
Operating and maintaining scanning equipment, including processing documents through scanner and making appropriate adjustments to improve image capture.
Reviewing completed work and administering the company’s quality control procedures to ensure work is at or above required accuracy rates.
Assisting entire team in meeting daily and monthly KPIs and SLAs.
Following proper procedures, rules, and processes for data capture and quality assurance of data.
Utilizing appropriate and compliant safeguards to reasonably prevent the improper use or disclosure of confidential and protected information which may include Protected Health Information (PHI) and/or Personally Identifiable Information (PII) and reporting any concerns to manager.
Knowledge, Skills, and Abilities
High School Diploma or equivalent required.
Proficiency is MS Office (Word, Outlook, Teams, SharePoint).
Excellent typing skills—touch, 10 key, 45 wpm
Ability to pass reference checks, drug screen, and background checks.
Work Schedule
Monday: 9:00 a.m. - 6:00 p.m.
Tuesday: 9:30 a.m. - 5:30 p.m.
Wednesday through Friday: 9:00 a.m. - 5:30 p.m.
Contract Jan 2, 2025 Healthcare Job Title: Care Coordinator | Care Manager
Location: **Must be an Indiana Resident
Hours: Monday - Friday 8am-5pm
Job Summary:
The Care Coordinator (RN Case Manager) must oversee the care coordination, complex case management functions for PathWays to Aging members who live in the community and who are not receiving Home and Community Based Services (HCBS) or designated as Nursing Facility Level of Care (NFLOC). This position is remote, but field visits may be required.
Primary Responsibilities:
• Identify, select, structure, and prioritize process improvement projects, ultimately implementing changes to meet program requirements
• Ensures standardized execution of workflow processes, including conducting performance audits, quality reviews, and compliance adherence
• Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, least restrictive level of care
• Identify and initiate referrals for social service programs; including financial, psychosocial, community and state supportive services
• Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members
• Advocate for patients and families as needed to ensure the patient’s needs and choices are fully represented and supported by the health care team
• Collaborates across Optum and UHG and interacted with Medical Directors, Site Directors, Senior Leaders, Network, Marketing, Account Management, Quality, Product, and other stakeholders
Required Qualifications:
• Resident of Indiana
• BSN with equivalent experience
• Registered Nurse with an unrestricted License in Indiana
• Experience working within the community health setting in a health care role
• Experience or knowledge of Indiana Medicaid, Medicare, Long term care
• Intermediate level of experience with Microsoft Word, with the ability to navigate a Windows environment
Preferred Qualifications:
• 3+ year of case management leadership experience within a healthcare industry
• Background in managed care
• Case Management experience
• Certified Case Manager (CCM)
• Experience / exposure with members receiving long term social supports
• Experience in utilization review, concurrent review and/or risk management
Contract Dec 19, 2024 Call Center Job Description:
Intermediate knowledge of training processes, such as adult learning theories and instructional design principles.
Effective facilitation skills, such as ability to facilitate open discussion in a less structured environment.
Effective class preparation skills.
Ability to coordinate cross state tasks and to interact with employees in all areas of the project.
Ability to analyze effectiveness of training and to independently implement, with guidance from the training supervisor, appropriate solutions without compromising instructional design and adult learning theory.
Ability to coach others and provide performance feedback (e.g. trainees, agents, etc.)
Travel within the State of Indiana
REQUIREMENTS:
Education: Some college with 1 plus years experience in facilitation/trainer role or HS diploma or GED and 2 plus years experience with Indiana Eligibility Public Assistance Programs.
Must be able to travel 20% - 40% within the State of Indiana
Extensive knowledge of Policy and Guidelines in relation to Indiana Eligibility Public Assistance Programs (TANF, Medicaid, SNAP)
Preferred
Experience working in IEDSS
Bachelor’s Degree
Coaching or training experience
Training Certification
Excellent communication & presentation skills
PME is an equal opportunity employer. We prohibit discrimination and harassment against any applicant or employee based on any legally recognized basis, including, but not limited to: veteran status, uniformed servicemember status, race, color, religion, sex, sexual orientation, gender identity, age (40 and over), pregnancy, national origin or ancestry, citizenship status, physical or mental disability, genetic information (including testing and characteristics) or any other category protected by federal, state or local law.Job Description:
Intermediate knowledge of training processes, such as adult learning theories and instructional design principles.
Effective facilitation skills, such as ability to facilitate open discussion in a less structured environment.
Effective class preparation skills.
Ability to coordinate cross state tasks and to interact with employees in all areas of the project.
Ability to analyze effectiveness of training and to independently implement, with guidance from the training supervisor, appropriate solutions without compromising instructional design and adult learning theory.
Ability to coach others and provide performance feedback (e.g. trainees, agents, etc.)
Travel within the State of Indiana
REQUIREMENTS:
Education: Some college with 1 plus years experience in facilitation/trainer role or HS diploma or GED and 2 plus years experience with Indiana Eligibility Public Assistance Programs.
Must be able to travel 20% - 40% within the State of Indiana
Extensive knowledge of Policy and Guidelines in relation to Indiana Eligibility Public Assistance Programs (TANF, Medicaid, SNAP)
Preferred
Experience working in IEDSS
Bachelor’s Degree
Coaching or training experience
Training Certification
Excellent communication & presentation skills
PME is an equal opportunity employer. We prohibit discrimination and harassment against any applicant or employee based on any legally recognized basis, including, but not limited to: veteran status, uniformed servicemember status, race, color, religion, sex, sexual orientation, gender identity, age (40 and over), pregnancy, national origin or ancestry, citizenship status, physical or mental disability, genetic information (including testing and characteristics) or any other category protected by federal, state or local law. Contract Dec 11, 2024 Call Center Job Description:
Intermediate knowledge of training processes, such as adult learning theories and instructional design principles.
Effective facilitation skills, such as ability to facilitate open discussion in a less structured environment.
Effective class preparation skills.
Ability to coordinate cross state tasks and to interact with employees in all areas of the project.
Ability to analyze effectiveness of training and to independently implement, with guidance from the training supervisor, appropriate solutions without compromising instructional design and adult learning theory.
Ability to coach others and provide performance feedback (e.g. trainees, agents, etc.)
Travel within the State of Indiana
REQUIREMENTS:
Education: Some college with 1 plus years experience in facilitation/trainer role or HS diploma or GED and 2 plus years experience with Indiana Eligibility Public Assistance Programs.
Must be able to travel 20% - 40% within the State of Indiana
Extensive knowledge of Policy and Guidelines in relation to Indiana Eligibility Public Assistance Programs (TANF, Medicaid, SNAP)
Preferred
Experience working in IEDSS
Bachelor’s Degree
Coaching or training experience
Training Certification
Excellent communication & presentation skills
PME is an equal opportunity employer. We prohibit discrimination and harassment against any applicant or employee based on any legally recognized basis, including, but not limited to: veteran status, uniformed servicemember status, race, color, religion, sex, sexual orientation, gender identity, age (40 and over), pregnancy, national origin or ancestry, citizenship status, physical or mental disability, genetic information (including testing and characteristics) or any other category protected by federal, state or local law. Contract Dec 10, 2024 Administrative Title: Quality Analyst
Location: Indiana
Hours: Monday-Friday 8am-5pm
Pay: $19.50hr **weekly pay**
Job Description
• Responsible for activities involving quality assurance and compliance with all applicable company and regulatory requirements.
• Adheres to the QMMP (Quality Metric Management Plan).
• Conducts quality performance audits by evaluating trainee output.
• Reviews/analyzes data and documentation.
• Provides analytical reports and makes process improvement recommendations.
• Implements key process improvement efforts and influences cross-functional efforts.
• Assists in the development of systematic approaches for assuring high quality services.
• Provides feedback based on approved process documentation to improve key activities of the organization.
• Some travel may be required.
• All other duties as assigned.
• Completing SPR’s for the Indiana Eligibility Project trainees.
Requirements
• Extensive knowledge of the Indiana Public Assistance Programs (Supplemental Nutrition Assistance Program (SNAP), Medicaid, and Temporary Assistance for Needy Families (TANF) policy and guidelines including IEDSS online help.
• Experience using IEDSS.
Education and Experience (Preferred)
• Associate degree.
• Typically requires a minimum of 1 year of Indiana Eligibility Case Processing.
• Ability to synthesize and analyze complex information.
• Strong ability to read and interpret written information.
• Strong oral communication and group presentation skills.
• Clear and professional written communication.
• Proficiency in Microsoft Applications (Word, Excel, Outlook).
PME is an equal opportunity employer. We prohibit discrimination and harassment against any applicant or employee based on any legally recognized basis, including, but not limited to: veteran status, uniformed servicemember status, race, color, religion, sex, sexual orientation, gender identity, age (40 and over), pregnancy, national origin or ancestry, citizenship status, physical or mental disability, genetic information (including testing and characteristics) or any other category protected by federal, state or local law. Contract Nov 18, 2024 Healthcare The Community Well Care Coordinator must oversee the care coordination, complex case management functions for PathWays to Aging members who live in the community and who are not receiving Home and Community Based Services (HCBS) or designated as Nursing Facility Level of Care (NFLOC). The Care Coordinator must, at a minimum, be a registered nurse or similar medical professional with extensive experience in providing care coordination to members 60 years and older. This individual will work directly under the Health Services Directors to maintain the care coordination program. The individual will be responsible for overseeing care coordination teams, care plan development and care plan implementation. The Care Coordinator will be responsible for directing the activities of the care coordinators. These responsibilities extend to physical and behavioral health care services. This individual will work with the Heath Services Director, Service Coordinator Administrator, Medical Director, Provider and Member Services Managers, and with State staff as necessary, to communicate to providers and members. The Care Coordinator will provide input, as requested by the State, at State-level meetings.
Primary Responsibilities:
• Selects,develops, mentors and supports staff in designated department or region
• Develops clear goals and objectives for performance management and effectively communicates expectations, and holds the team accountable for results
• In order to meet the unique needs of our members, have an intimate understanding of the contractual requirements
• Identify, select, structure, and prioritize process improvement projects, ultimately implementing changes to meet program requirements
• Ensures standardized execution of workflow processes, including conducting performance audits, quality reviews, and compliance adherence
• Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, least restrictive level of care
• Identify and initiate referrals for social service programs; including financial, psychosocial, community and state supportive services
• Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members
• Advocate for patients and families as needed to ensure the patient’s needs and choices are fully represented and supported by the health care team
• Participates in training and coaching of direct reports as needed
• Conducts bi-annual field visits with direct reports to observe, provide areas of teaching, address issues and concerns and foster a good working relationship
• Collaborates across Optum and UHG and interacted with Medical Directors, Site Directors, Senior Leaders, Network, Marketing, Account Management, Quality, Product, and other stakeholders
Required Qualifications:
• Resident of Indiana
• BSN with equivalent experience
• Registered Nurse with an unrestricted License in Indiana
• Experience working within the community health setting in a health care role
• Experience or knowledge of Indiana Medicaid, Medicare, Long term care
• Experience coaching or mentoring staff
• Intermediate level of experience with Microsoft Word, with the ability to navigate a Windows environment
Preferred Qualifications:
• 3+ year of case management leadership experience within a healthcare industry
• Background in managed care
• Case Management experience
• Certified Case Manager (CCM)
• Experience / exposure with members receiving long term social supports
• Experience in utilization review, concurrent review and/or risk management
PME is an equal opportunity employer. We prohibit discrimination and harassment against any applicant or employee based on any legally recognized basis, including, but not limited to: veteran status, uniformed servicemember status, race, color, religion, sex, sexual orientation, gender identity, age (40 and over), pregnancy, national origin or ancestry, citizenship status, physical or mental disability, genetic information (including testing and characteristics) or any other category protected by federal, state or local law. Contract Nov 18, 2024 Healthcare The Community Well Care Coordinator must oversee the care coordination, complex case management functions for PathWays to Aging members who live in the community and who are not receiving Home and Community Based Services (HCBS) or designated as Nursing Facility Level of Care (NFLOC). The Care Coordinator must, at a minimum, be a registered nurse or similar medical professional with extensive experience in providing care coordination to members 60 years and older. This individual will work directly under the Health Services Directors to maintain the care coordination program. The individual will be responsible for overseeing care coordination teams, care plan development and care plan implementation. The Care Coordinator will be responsible for directing the activities of the care coordinators. These responsibilities extend to physical and behavioral health care services. This individual will work with the Heath Services Director, Service Coordinator Administrator, Medical Director, Provider and Member Services Managers, and with State staff as necessary, to communicate to providers and members. The Care Coordinator will provide input, as requested by the State, at State-level meetings.
Primary Responsibilities:
• Selects,develops, mentors and supports staff in designated department or region
• Develops clear goals and objectives for performance management and effectively communicates expectations, and holds the team accountable for results
• In order to meet the unique needs of our members, have an intimate understanding of the contractual requirements
• Identify, select, structure, and prioritize process improvement projects, ultimately implementing changes to meet program requirements
• Ensures standardized execution of workflow processes, including conducting performance audits, quality reviews, and compliance adherence
• Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, least restrictive level of care
• Identify and initiate referrals for social service programs; including financial, psychosocial, community and state supportive services
• Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members
• Advocate for patients and families as needed to ensure the patient’s needs and choices are fully represented and supported by the health care team
• Participates in training and coaching of direct reports as needed
• Conducts bi-annual field visits with direct reports to observe, provide areas of teaching, address issues and concerns and foster a good working relationship
• Collaborates across Optum and UHG and interacted with Medical Directors, Site Directors, Senior Leaders, Network, Marketing, Account Management, Quality, Product, and other stakeholders
Required Qualifications:
• Resident of Indiana
• BSN with equivalent experience
• Registered Nurse with an unrestricted License in Indiana
• Experience working within the community health setting in a health care role
• Experience or knowledge of Indiana Medicaid, Medicare, Long term care
• Experience coaching or mentoring staff
• Intermediate level of experience with Microsoft Word, with the ability to navigate a Windows environment
Preferred Qualifications:
• 3+ year of case management leadership experience within a healthcare industry
• Background in managed care
• Case Management experience
• Certified Case Manager (CCM)
• Experience / exposure with members receiving long term social supports
• Experience in utilization review, concurrent review and/or risk management
PME is an equal opportunity employer. We prohibit discrimination and harassment against any applicant or employee based on any legally recognized basis, including, but not limited to: veteran status, uniformed servicemember status, race, color, religion, sex, sexual orientation, gender identity, age (40 and over), pregnancy, national origin or ancestry, citizenship status, physical or mental disability, genetic information (including testing and characteristics) or any other category protected by federal, state or local law. Direct Hire Nov 12, 2024 Administrative
POSITION TITLE:
Registrar
DIVISION:
Strategy, Innovation & Outreach
DEPARTMENT:
Registrar’s Office
CLASSIFICATION:
Full-time; Exempt
POSITION DESCRIPTION
OCCUPATIONAL SUMMARY
Reporting to the Associate Vice President of Enrollment Services, the Registrar provides leadership and oversight to all aspects of the Office of the Registrar. The Registrar plays a critical role in the University and Academic operations by effectively managing the maintenance and integrity of all students’ academic records, the approved curriculum, the creation and maintenance of course schedules, all areas of student registration. The registrar functions to achieve a strategic, student-centered approach to registrar activities and student records in support of the University’s mission and to integrate student registrar activities with the academic programs of the University.
This position does not supervise others.
ESSENTIAL JOB FUNCTIONS
Supervises the registration of continuing and incoming undergraduate students, transfer of credits, and degree evaluations;
The Registrar ensures the integrity, accuracy, and security of all academic records of current and former students, and facilitates an effective student registration process.
Partner with Admissions and Academic Advising to facilitate an efficient and timely process to move newly accepted students to register.
Manages an efficient transcript evaluation and processing.
Developing and maintaining degree audit system and certification of students for graduation/graduation clearance.
Maintains up-to-date course schedules, catalogs, final examination schedules.
Manages efficient use of classrooms.
Interprets and enforces academic policies and regulations of the University.
Must keep abreast of operational and reporting trends, regulations, and technology solutions for improving the efficiency and effectiveness of the Registrar's office.
Serves as of the officials responsible for FERPA compliance for the University.
Develop and maintain accurate curriculum management systems and published in the University Catalog.
Interprets and applies college policies and regulations related to Registrar services, including but not limited to explaining, implementing, interpreting, and enforcing academic policies of the University’s undergraduate and graduate faculties.
Maintains all official academic records of the University, and disseminates academic regulations and information to the University community.
Directs plans and coordinates registration procedures and graduation ceremonies, oversees the scheduling of courses, and provides data and reports.
Establishes and enforces registration policies and procedures for all University courses.
Works cooperatively with the Associate Vice President of Enrollment Services to ensure accurate student enrollment reporting to government agencies.
ESSENTIAL JOB FUNCTIONS continued:
Prepares required reports; analyzes date to determine student registration status, and to draw conclusions and/or make recommendations for process improvement.
Develops relationships and maintains effective communications with diverse groups, internal and external, in support of the institution’s mission.
Operates effectively within established budgetary guidelines.
Serves on administrative committees as assigned.
Performs other duties as assigned.
MINIMUM REQUIREMENTS
Master’s degree in student services, educational administration, educational leadership or a related degree, from an accredited college or university preferred.
Must have experience working with Student Information Systems, development of reports and regulations.
Minimum of two years of work experience at the assistant registrar level or higher preferred.
Proficiency in the use of research, statistical analysis and information technologies.
Impeccable judgment and integrity.
Ability to manage confidential information.
Ability to relate effectively with multiple constituencies.
Exceptional interpersonal, teambuilding and problem-solving skills.
Working knowledge of Microsoft Office and other standard computer software programs.
Excellent written and oral communication
The intent of this position description is to provide a representative level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform job-related tasks other than those specifically presented in this description.
Contract Sep 26, 2024 Healthcare PME is actively seeking a CNA FT/PRN to assists with nursing programs as assigned. Performs a variety of tasks associated with the daily care and treatment of patients.
Job Responsibilities:
Administers and documents authorized medications and treatments per hospital policies and procedures.
Carries out or assists with physical care of patients including bathing, feeding, taking vital signs, heights, weights, and other activities of daily living as indicated.
Maintains current CPR and Bridge Building certifications.
Escorts patients to and from therapies, and other areas of the hospital for treatment and programming.
Escorts and/or drives patients to off-ground appointments and activities.
Observes patients’ physical condition and reports changes to the RN.
Appropriately and accurately reports pertinent information, both verbal and written.
Appropriately applies skills in psychosocial care of patients: Encourages patients and interacts with them to socialize and participate in activities and programming.
Job Requirements:
High school diploma or GED Equivalent
Successful completion of a Certified Nursing Assistant program
Basic computer skills are required.
Maintain current CPR.
Bridge Building certification.