Coordinator, Individualized Care
5 days ago
Clinical Operations is responsible for providing clinical specialties support and expertise in the areas of advice and consulting, research and patient care to internal business units and external customers.
Individualized Care provides care that is planned to meet the particular needs of an individual patient.
WORK SCHEDULE: This position is full-time (40 hours/week) in a remote setting. Expectation of availability Monday-Friday, 8:00am- 5:00pm CST.
Responsibilities
- Maintains a current and in-depth understanding of patient therapy's, prior approval and reimbursement processes and details of health care plans.
- Manages a queue of technical or complex therapy and reimbursement questions from customers and applies judgment in resolving service and problems falling within established limits of authority and knowledge.
- Meets key performance indicators including service levels, call volumes, adherence and quality standards.
- Follows up with patients, pharmacies, physicians and other support organizations as needed regarding inquiries.
- Handles sensitive information and personal data with discretion including prescriptions, personal information, date of birth, financials and insurance information.
- Escalates highly complex and difficult issues as needed to senior team members and Individualize Care leadership.
- Understands Hipaa and PHI
- 1-3 years of experience preferred
- High School Diploma, GED or equivalent work experience, preferred
- Applies acquired job skills and company policies and procedures to complete standard tasks
- Works on routine assignments that require basic problem resolution
- Refers to policies and past practices for guidance
- Receives general direction on standard work; receives detailed instruction on new assignments
- Consults with supervisor or senior peers on complex and unusual problems
Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable.
- Download speed of 15Mbps (megabyte per second)
- Upload speed of 5Mbps (megabyte per second)
- Ping Rate Maximum of 30ms (milliseconds)
- Hardwired to the router
- Surge protector with Network Line Protection for CAH issued equipment
Bonus eligible: No
Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
- Medical, dental and vision coverage
- Paid time off plan
- Health savings account (HSA)
- 401k savings plan
- Access to wages before pay day with myFlexPay
- Flexible spending accounts (FSAs)
- Short- and long-term disability coverage
- Work-Life resources
- Paid parental leave
- Healthy lifestyle programs
Application window anticipated to close: 01/04/2025 *if interested in opportunity, please submit application as soon as possible.
The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply.
Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.
To read and review this privacy notice click here
-
Somerville, New Jersey, United States Mars Premier Care LLC Full timeJob DescriptionMars Premier Care LLC is seeking a compassionate and dedicated individual to join our team as a Direct Support Professional. In this role, you will provide direct care and support to individuals with autism and other developmental disabilities.Key Responsibilities:Provide direct care and support to individuals with autism and other...
-
Care Coordinator
4 months ago
Somerville, United States Bay Cove Human Services Full timeCare Coordinator - Highland Avenue Somerville, MA, USA Req #2855 Tuesday, August 13, 2024 Bay Cove Human Services' mission is to partner with people to overcome challenges and realize personal potential. Bay Cove pursues this mission by providing individualized and compassionate services to people facing the challenges associated...
-
Care Coordinator
2 months ago
Somerville, United States Bay Cove Human Services, Inc. Full timeBay Cove Human Services' mission is to partner with people to overcome challenges and realize personal potential. Bay Cove pursues this mission by providing individualized and compassionate services to people facing the challenges associated with developmental disabilities, mental illness, substance use disorders, and homelessness at more than 175 program...
-
RN Care Coordinator
4 weeks ago
Somerville, Massachusetts, United States Della Infotech Full timeCare Management RN Job DescriptionAt Della Infotech, we are seeking a skilled RN Care Manager to join our team. As a Care Manager RN, you will play a critical role in assisting with care coordination for our Medicaid population. This is a fully remote position, and we require candidates to have experience in care management and care coordination. Key...
-
Chronic Care Coordinator
4 weeks ago
Somerville, Massachusetts, United States Mass General Brigham (Enterprise Services) Full timeJob SummaryWe are seeking a skilled Chronic Care Assistant to join our Population Health Management team at Mass General Brigham. The successful candidate will provide operational support in clinical operations focused on chronic care management, coordinating care for patients with chronic conditions.Key ResponsibilitiesConduct initial intake and assessment...
-
RN Home Care Intake Coordinator
2 weeks ago
Somerville, United States Visiting Nurse Association Health Group Full timeJob DescriptionJoin the VNA Health Group as an RN Homecare Intake Coordinator!Are you a licensed RN seeking a meaningful career in home health care? VNA Health Group is hiring a compassionate Homecare Intake Coordinator to join our Somerset County team!Why VNA Health Group?• Professional Growth: Tuition reimbursement, continuing education, and online...
-
RN Home Care Intake Coordinator
3 weeks ago
Somerville, United States Visiting Nurse Association Health Group Full timeJob DescriptionJoin the VNA Health Group as an RN Homecare Intake Coordinator!Are you a licensed RN seeking a meaningful career in home health care? VNA Health Group is hiring a compassionate Homecare Intake Coordinator to join our Somerset County team!Why VNA Health Group?• Professional Growth: Tuition reimbursement, continuing education, and online...
-
Somerville, Massachusetts, United States Inova Health System Full timeInova Health System is seeking a highly skilled Registered Nurse (RN) to join our team as a Renal PCU - Progressive Care Unit Coordinator.Job Summary:As a Renal PCU - Progressive Care Unit Coordinator, you will be responsible for providing exceptional care to patients undergoing renal and pancreas transplants. You will work closely with the multidisciplinary...
-
Lung Transplant Nurse Coordinator
1 month ago
Somerville, Massachusetts, United States Mass General Brigham Full timeJob SummaryMass General Brigham is seeking a highly skilled Lung Transplant Nurse Coordinator to join our team. As a key member of our transplant program, you will be responsible for coordinating the post-transplant care of patients, ensuring seamless transitions between hospital and home care. Your expertise in pulmonary and thoracic surgery will be...
-
RN Clinical Coordinator
4 weeks ago
Somerville, Massachusetts, United States RWJBarnabas Health Full timeJob Overview:RWJBarnabas Health is seeking a skilled RN Clinical Coordinator to join our team in Somerville, NJ. As a Clinical Coordinator, you will provide nursing care in the acute care setting, adhering to the Nursing Practice Act and regulatory standards. Your responsibilities will include directing and supervising patient care functions, supervising and...
-
Pediatric Nurse
2 months ago
Somerville, United States Care Options For Kids Full timeAbout the Role We provide 1:1 pediatric care in the home, offering autonomy and an opportunity to make a real difference in your clients' lives. We value your clinical knowledge and the deep bond you establish with the families you care for. 24/7 support and on-demand clinical resources are available. A Day in the Life of a Care Options for Kids Nurse Start...
-
Nurse Care Specialist
1 month ago
Somerville, Massachusetts, United States BAYADA Home Health Care Full timeBAYADA Home Health Care is seeking a skilled Nurse Care Specialist for a nursing job in a designated geographic territory.Job Description & RequirementsSpecialty: Home Health Discipline: RN Duration: Ongoing Employment Type: Staff $10,000.00 SIGN-ON BONUSNurse Care Specialist - Home Health VisitsFull-Time with Comprehensive Benefits Package ANDWork/Life...
-
Payroll Coordinator
6 days ago
Somerville, United States Triumvirate Environmental Full timePayroll CoordinatorTriumvirate Environmental, one of the largest environmental services firms in North America, is seeking a Payroll Coordinator for our Finance team. You will be responsible for ensuring accurate and timely processing of payroll for employees, ensures compliance with federal, state, and local regulations, as well as company policies, and...
-
Maternal Child Health Nurse
4 weeks ago
Somerville, Massachusetts, United States Riverside Community Care Full timeMake a Difference in Maternal and Child HealthRiverside Community Care is seeking a skilled Maternal Child Health Nurse to join our team. As a Maternal Child Health Nurse, you will work with our Early Childhood Services team in Cambridge and Somerville, providing support to families with young children.Key Responsibilities: Provide home visiting services to...
-
Accounts Payable Coordinator
2 weeks ago
Somerville, United States Triumvirate Environmental Full timeAccount Payable CoordinatorTriumvirate Environmental, one of the largest environmental services firms in North America, is seeking an Accounts Payable Coordinator for our Finance team.This highly motivated, data-driven individual will be responsible for processing account payable transactions, maintaining vendor relationships and ensuring timely and accurate...
-
Accounts Payable Coordinator
6 days ago
Somerville, United States Triumvirate Environmental Full timeAccount Payable CoordinatorTriumvirate Environmental, one of the largest environmental services firms in North America, is seeking an Accounts Payable Coordinator for our Finance team.This highly motivated, data-driven individual will be responsible for processing account payable transactions, maintaining vendor relationships and ensuring timely and accurate...
-
Clinical Nurse Coordinator
2 months ago
Somerville, United States Incredible Health Full timeHospitals on Incredible Health are actively hiring and accepting applications in the Somerville, NJ area for the following position: Clinical Nurse Coordinator. Nurses with experience in any of the following areas are strongly encouraged to apply: Assistant Nurse Manager, CNO, Charge, Clinical Nurse Coordinator, Director, Manager, Supervisor, or VP. ...
-
Clinical Nurse Coordinator
1 month ago
Somerville, Massachusetts, United States Incredible Health Full timeIncredible Health is actively hiring for a Clinical Nurse Coordinator in the Somerville, NJ area. We're seeking experienced nurses with a strong background in leadership and patient care. If you have a passion for delivering exceptional patient outcomes and leading a team, we want to hear from you.Key Responsibilities:Coordinate patient care services by...
-
Homelessness Contracts Coordinator
1 month ago
Somerville, Massachusetts, United States City of Somerville Full timeJob SummaryThe City of Somerville is seeking a highly skilled Contracts Coordinator to join our Prevention Services Division. This role will serve as the liaison and contract coordinator for service providers in the City of Somerville and other related contracts, providing services to persons experiencing homelessness.Key ResponsibilitiesMonitor contracted...
-
Ambulatory Care Nurse
4 weeks ago
Somerville, Massachusetts, United States Atlantic Health System Full timeAs a key member of the Atlantic Health System team, the Ambulatory Care Nurse will play a vital role in providing high-quality patient care in an outpatient setting. The ideal candidate will have a strong background in nursing, with a focus on promoting patient independence and self-care.Key Responsibilities:Collaborate with multidisciplinary teams to...