Associate Medical Risk Consultant Job at Berkshire Hathaway Specialty Insurance (Indianapolis)

New

Client Services Lead

Radfield Home Care is an award-winning, family-owned home care provider dedicate...

Location

United Kingdom , Wakefield; Huddersfield

Salary:

30225.00 GBP / Year

Radfield Home Care

Expiration Date

Until further notice

Requirements

Previous experience within a senior role in domiciliary care (Field Care Supervisor, Senior Field Care Supervisor, Client Lead or similar)
Level 3 Diploma in Adult Care (or equivalent)
Good working knowledge of CQC regulations, safeguarding responsibilities and care sector legislation
Excellent understanding of care planning, risk assessment and person-centred care
Experience completing care consultations and client reviews
Excellent communication and relationship-building skills
Strong organisational skills with excellent attention to detail
Good IT skills and confidence using electronic care management systems
Full UK driving licence and access to your own vehicle
Enhanced DBS disclosure

Job Responsibility

Create and maintain comprehensive person-centred care plans that accurately reflect each client's individual needs, preferences and desired outcomes
Complete and review client risk assessments in line with regulatory requirements, safeguarding responsibilities and organisational policies
Complete Mental Capacity Assessments and Best Interest Decisions where required, ensuring appropriate documentation and review
Create, review and oversee Medication Administration Records (MAR) and medication documentation to ensure accuracy and safe delivery of care
Review care documentation, body maps, incident reports and associated records to ensure concerns are identified, documented appropriately and escalated where required
Ensure all client documentation remains accurate, up to date, audit-ready and compliant with regulatory and organisational requirements
Conduct care consultations with prospective clients and their families, ensuring a professional, person-centred assessment process
Complete and oversee scheduled client reviews, ensuring services remain responsive to changing needs and client outcomes
Lead the development and review of care plans following consultations, reviews, incidents or significant changes in client needs
Oversee all aspects of Live-in Care packages, ensuring they remain safe, effective and appropriate to client needs

What we offer

Salary of £30,225 per annum (£15.50 per hour)
Pension scheme
Company Sick Pay Scheme
Opportunity to participate in future discretionary performance-related bonus schemes (subject to business performance and role requirements)
Annual Awards & Recognition Programme
Blue Light Card membership
Vehicle maintenance support scheme
Paid training and ongoing professional development
Clear progression opportunities within the business
Supportive, well-managed and award-winning team environment

Fulltime

New

Locum Consultant Child & Adolescent Psychiatrist

We are recruiting a Locum Consultant Child & Adolescent Psychiatrist to join a s...

Location

Ireland

Salary:

109725.00 - 145478.00 GBP / Year

Remedium Partners

Expiration Date

Until further notice

Requirements

Medical degree recognised by the Medical Council of Ireland
Registration as a Specialist in the Specialist Division of the Register of Medical Practitioners maintained by the Medical Council of Ireland in Child & Adolescent Psychiatry
Eligibility to practise as a Consultant Psychiatrist in Ireland
Significant experience in Child & Adolescent Psychiatry
Strong experience managing complex child and adolescent mental health presentations
Experience working within multidisciplinary mental health teams
Experience in assessment and management of psychiatric emergencies
Strong clinical leadership and decision-making skills
Excellent communication and interpersonal skills
Commitment to evidence-based clinical practice

Job Responsibility

Provide consultant leadership within a specialist Child & Adolescent Eating Disorder Service
Deliver specialist assessment, diagnosis and treatment for children and adolescents presenting with moderate to severe eating disorders
Lead multidisciplinary assessments and develop comprehensive, evidence-based treatment plans
Undertake psychiatric assessments, mental state examinations and risk assessments
Diagnose eating disorders using DSM-5 and ICD-11 criteria
Manage complex psychiatric presentations and associated comorbidities
Deliver evidence-based treatments including Family-Based Therapy (FBT), CBT-E and other recognised therapeutic approaches
Provide consultation and advice to Community CAMHS teams, primary care and inpatient services
Support rapid assessment pathways to minimise delays in treatment
Participate in outpatient clinics, intensive treatment programmes and inpatient consultation

Fulltime

New

Director, Benefits and LOA

Allied Universal® is hiring a Director of Health and Welfare Benefits and Leave ...

Location

United States , Irvine

Salary:

125000.00 - 145000.00 USD / Year

Allied Universal®

Expiration Date

Until further notice

Requirements

Must possess one of the following: Bachelor’s degree in Business, Human Resources, or a related field
Associate’s degree in Business, Human Resources, or a related field with a minimum of seven (7) years of leadership experience managing benefits teams and enterprise programs
High school diploma or equivalent with a minimum of ten (10) years of leadership experience managing benefits teams and enterprise programs
Minimum of ten (10) years of progressive experience in health and welfare benefits administration and leave management
Minimum of five (5) years of leadership experience managing benefits teams and enterprise programs
Experience managing self-funded and fully insured healthcare plans
Exceptional communication, presentation, and stakeholder management abilities
Experience with vendor and broker management
Experience communicating effectively with the Department of Labor and Internal Revenue Service
Deep expertise in benefits compliance regulations and leave laws

Job Responsibility

Oversee medical, dental, vision, life insurance, disability, voluntary benefits, wellness, EAP, and wellbeing programs
Evaluate market trends, benchmarking data, and emerging healthcare solutions to maintain competitive offerings
Lead annual benefits planning, renewals, and open enrollment processes
Design and implement employee communication and engagement strategies to improve benefits understanding and utilization
Drive innovation in benefits delivery, digital tools, and employee experience
Provide strategic oversight for all leave programs, including Family Medical Leave Act (FMLA), Americans With Disabilities Act (ADA), state leave laws, paid family leave, military leave, workers’ compensation coordination, and company-sponsored leave programs
Ensure consistent administration of leave policies across jurisdictions and employee populations
Partner with Legal and HR leadership on complex accommodations, return-to-work cases, and escalated employee matters
Monitor leave trends, operational effectiveness, and compliance risks
Ensure compliance with all applicable federal, state, and local regulations, including ERISA, ACA, COBRA, HIPAA, FMLA, ADA, Section 125, and related laws

What we offer

Annual Salary: $125,000 - $145,000
Medical, dental, vision, basic life, AD&D, and disability insurance
Enrollment in our company’s 401 (k) or Supplemental Income Plan, subject to eligibility requirements
Eight paid holidays annually, five sick days, and four personal days
Vacation time offered at an accrual rate of 3.08 hours biweekly. Unused vacation is only paid out where required by law

Fulltime

Assistant Portfolio Director

The Assistant Portfolio Director – Training and Compliance is designated as a se...

Location

United States , Sacramento

Salary:

110000.00 - 139350.27 USD / Year

Allied Universal®

Expiration Date

Until further notice

Requirements

Bachelor’s degree in criminal justice, business, or a related field with three (3) years of management experience in a high-volume workforce environment or service industry, including one (1) year managing training, compliance, or safety functions
Associate’s degree in criminal justice, business, or a related field with five (5) years of management experience in a high-volume workforce environment or service industry, including two (2) years managing training, compliance, or safety functions
High School diploma or equivalent with seven (7) years of management experience in a high-volume workforce environment or service industry, including three (3) years managing training, compliance, or safety functions
Obtain and maintain local and/or state security-related license
Valid driver’s license if driving an AUS company vehicle, or personal vehicle while conducting business
Must be able to attend and complete a client facility and security department orientation upon hire
Must be able to successfully complete the training requirements listed within the portfolio security training program
Must be able to successfully participate in and pass less than lethal weapon and tools training and qualification courses, to include corresponding Instructor certifications, upon hire
Must be able to successfully complete International Association for Healthcare Security and Safety, Inc. (IAHSS) Supervisor Level Certification (CHSS) within six (6) months of hire
Must be able to successfully complete International Association for Healthcare Security and Safety, Inc. (IAHSS) Workplace Violence Prevention Certificate Program within six (6) months of hire

Job Responsibility

Take the lead in liaising with local AUS branch office stakeholders to coordinate new employee orientations (NEO), certification training, or other training support needs for the portfolio
Liaise with the AUS Healthcare Vertical to share industry best practices for healthcare security training programs
Audit and drive security training practices across the portfolio to optimize effectiveness, efficiency, and compliance with regulatory standards
Develop and maintain the portfolio security training and training folder program
Establish contract-required training and screening elements for security personnel and ensure they have been met and maintained across all client sites
Establish and maintain the portfolio Post Order standards, providing guidance to the Account Manager and/or Assistant Account Manager when conducting annual, or as needed updates
Conduct validation audits of employee specific training folders to ensure they are maintained and available for review by client, AUS, or regulatory and accreditation agencies
Execute all training aspects (technical and managerial) of the security contract across portfolio locations, assigning tasks to the Portfolio Manager, Account Manager, and/or Assistant Account Manager
Facilitate workplace violence and de-escalation training, either in partnership with other instructors, or independently, for both client and AUS personnel
Maintain subject matter expertise in applicable security related topics

What we offer

Employee Assistance Program
Employee Discount Program
Tuition Discount Program
Training & Career Development Programs

Fulltime

Senior Critical Environment Technician (CET) - Controls SME

As a Senior Critical Environment Technician (CET) - Controls SME in Microsoft’s ...

Location

United States , Phoenix

Salary:

34.13 - 56.54 USD / Hour

Microsoft Corporation

Expiration Date

Until further notice

Requirements

High School Diploma, GED, or equivalent
3+ years mission critical services work/applied learning experience (e.g., high availability assembly/manufacturing/critical infrastructure environments such as data centers, oil and gas refineries, hospitals, pharmaceutical, manufacturing, or related fields) OR equivalent experience
1+ year(s) experience in a specialized area (e.g., mechanical field, electrical field, controls field) or related field
Ability to meet Microsoft, customer and/or government security screening requirements are required for this role. These requirements include, but are not limited to the following specialized security screenings: Microsoft Cloud Background Check: This position will be required to pass the Microsoft Cloud background check upon hire/transfer and every two years thereafter

Job Responsibility

Understands, follows, and ensures safety and security requirements (e.g., job hazard assessments [JHAs], toolbox talks), and business processes and procedures are met, to properly perform work in a safe, quality, and reliable manner in accordance to applicable Authority Having Jurisdiction (AHJ) regulations, and Microsoft requirements
Recognizes safe versus unsafe working conditions and responds accordingly (e.g., stop/pause tasks, stand down vendors where necessary)
Escalates immediately when unsafe working conditions are observed and promotes a safe working culture to empower less experienced team members
Participates in required meetings, trainings, and necessary handoffs
Proactively assesses and shares current and emerging security threats in safety discussions and shares best practices to address or mitigate risk
Assesses and identifies appropriate resources and equipment necessary to fully support environmental health and safety (EHS) objectives
Actively maintains safe working conditions at all times
Proactively ensures safety and security requirements are followed and met for the work of themselves and others
Processes method statement of work (MSOW) documents
Coordinates activities and associated schedules with contractors

Fulltime

Care Management Specialist II (RN or LCSW)

The Care Management Specialist II utilizes clinical skills and training to perfo...

Location

United States , Los Angeles

Salary:

88854.00 - 142166.00 USD / Year

L.A. Care Health Plan

Expiration Date

Until further notice

Requirements

Minimum of 3 years of recent care management experience with responsibilities of managing complex acute or chronic conditions in collaboration with members and interdisciplinary care professionals in a hospital, medical group or managed care setting, such as a health insurance environment and/or experience as care manager in home health or hospice environments
Experience providing care management with complex/catastrophic conditions
Current knowledge of clinical standards of care and disease processes
Critical thinking skill
Excellent customer service skills
Ability to clinically analyze the most complex cases involving highly acute physical health, behavioral health, complex/catastrophic and/or psychosocial issues to determine and implement the most effective member-centered interventions
Ability to triage immediate member health and safety risks
Ability to sensitively manage member or family responses associated with high acuity cases and support effective coping
Strong verbal and written communications skills to consult effectively with interdisciplinary teams, coordinate care with members and their families, and other internal and external stakeholders
Ability to use a personal computer, and knowledge of medical information systems

Job Responsibility

Applies clinical knowledge and experience to evaluate information regarding prospective care management members referred by health risk assessment (HRA), risk stratification, predictive modeling, provider’s utilization review vendors, members, Call Center, claims staff, Health Homes Program (HHP) eligibility or other data sources to determine whether care management intervention is necessary to meet the member's needs
Conducts Care Management services for the most complex and vulnerable members including: engaging in member centric communication which includes the interdisciplinary team, providers and family or authorized representatives
reviewing member claims histories and identifies intervention opportunities through the professional standards of practice
contacting and interviewing members to conduct a baseline assessment, assess self-care ability, assess knowledge and adherence deficits
conducting comprehensive clinical assessments as indicated
developing a member centric plan of care
Maintains assigned care management caseload for with a focus on the most complex, highest-risk members particularly those with advanced chronic conditions, co-occurring mental and/or substance abuse and complex social issues (e.g. homelessness, domestic violence)
Collaborates with primary care physician and other treating professionals as appropriate
Authorizes initiation of care management services and specialized program services for members and specific populations, and develops interventions designed to meet member or population desired outcomes
Provides comprehensive education and resources to members about accessing services, in-network use, national guidelines for care, community resources, and self-management skills and strategies

What we offer

Paid Time Off (PTO)
Tuition Reimbursement
Retirement Plans
Medical, Dental and Vision
Wellness Program
Volunteer Time Off (VTO)

Fulltime

Clinical Nurse Manager 2 - Oncology Day Unit/ Infusions Suite

Purpose of the Role: The CNM2 is responsible for the operational management, cli...

Location

Ireland , Dublin

Salary:

Not provided

Blackrock Health Hermitage Clinic

Expiration Date

Until further notice

Requirements

Registered General Nurse with active registration on the Nursing and Midwifery Board of Ireland (NMBI)
Minimum of 5 years post-registration experience
Minimum of 2 years oncology nursing experience
Level 8 Oncology /Management essential
Evidence of personal professional development
Significant experience in oncology nursing and systemic anti-cancer therapy delivery
Experience in staff management and leadership
Experience in quality improvement and clinical governance
Experience managing complex clinical environments and patient pathways

Job Responsibility

Provide visible clinical leadership and support to nursing and multidisciplinary teams
Ensure the delivery of safe, high quality, evidence-based oncology care
Maintain oversight of chemotherapy, immunotherapy, blood product administration, and other oncology treatments delivered within the unit
Promote excellence in patient experience and person-centred care
Ensure compliance with national and hospital oncology standards, policies, and guidelines
Act as a clinical resource and expert practitioner for oncology nursing staff
Manage the day-to-day operations of the Oncology Day Unit and Infusion Suite
Ensure effective patient flow and optimal utilisation of treatment capacity
Coordinate staffing resources to meet patient and service requirements
Monitor activity levels, capacity, waiting lists, and service demands

What we offer

Competitive salary
Pension
Discounted café
Sports and Social club
Employee Assistance Programme
Discounted onsite pharmacy

Fulltime

Director of Government Affairs

Influence policy, build partnerships, and advance better healthcare for patients...

Location

Germany , Berlin

Salary:

Not provided

Proclinical

Expiration Date

Until further notice

Requirements

Strong understanding of healthcare policy developments, local regulatory and HTA processes, and an established network of government and policy stakeholders
University degree required
Fluency in German and English
Strategic thinking, problem-solving, and analytical skills
Ability to collaborate effectively across organizational structures and with external partners
Excellent writing and editing skills for policy and business documents
Strong project management and organizational abilities to handle multiple priorities
Confident presentation skills for internal and external audiences
Willingness to travel regularly, including approximately 50% travel activity, with frequent visits to Munich

Job Responsibility

Develop and implement a comprehensive government affairs strategy aligned with business objectives
Act as a strategic partner to the country leadership team and contribute to the extended German Leadership Team
Lead engagement efforts with government officials on legislation, regulation, pricing, reimbursement, and policy initiatives
Create and execute flagship initiatives to support a favorable healthcare environment and improve patient access
Monitor healthcare developments impacting innovative medicines and devise risk mitigation strategies
Manage local political consultants and coordinate related projects
Collaborate with internal teams, including market access, regulatory, legal, compliance, patient advocacy, commercial, and medical functions, to align plans and activities
Engage with policymakers, payers, trade associations, and other stakeholders to shape healthcare policies
Conduct briefings, meetings, and forums to provide updates on healthcare policy issues
Respond to public consultations and develop compelling policy arguments and materials

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Associate Medical Risk Consultant

Job Description

Job Responsibility

Requirements

What we offer

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