Benefits & Eligibility Specialist II Job at Wyoming Department of Transportation (Cheyenne)

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

Care Management Specialist II

Established in 1997, L.A. Care Health Plan is an independent public agency creat...

Location

United States , Los Angeles

Salary:

88854.00 - 142166.00 USD / Year

L.A. Care Health Plan

Expiration Date

Until further notice

Requirements

Associate's Degree in Nursing for Registered Nurses
Master's Degree in Social Work for Licensed Clinical Social Workers
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

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
Employs engagement techniques to build relationships with members and their authorized representatives. Encourages participants to participate in their health care decisions and assists member with researching treatment options in order to communicate effectively with providers and to make informed decisions
Notifies Care Coordinators and CHWs of members needs including the need for special educational mailings, reminder calls, satisfaction surveys, incentives or any additional service needs according to specific program guidelines
Performs field assessment and care coordination functions in community settings with members, such as at the L.A. Care Community Resource Centers, medical clinics, and member homes

What we offer

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

Fulltime

Medicaid Enrollment and Outreach Specialist I

As a community, the University of Rochester is defined by a deep commitment to M...

Location

United States of America , Rochester

Salary:

23.51 - 30.16 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

Bachelor's degree (preferred)
Limited experience with Medicaid programs
1-2 years of experience in case management or related field or equivalent combination of education and experience
Foundational knowledge of public benefit rules and regulations (preferred)
Demonstrates professionalism, motivation, and strong communication (written and verbal)
Possesses customer service skills and the ability to work independently and solve problems in an interdisciplinary team
NY State of Health Certified Application Counselor (preferred)
Must provide and maintain a valid NYS Class 5 driver’s License

Job Responsibility

Counsels, guides, advises and provides outreach services to patients requiring public benefits including Medicaid, Child Health Plus, NYS Marketplace Exchange or other public entitlements
Accountable for coordinating all activities and necessary documentation needed to secure appropriate benefits
Resolves complex problems related to this process
Shares expert public benefits knowledge by providing consultation to physicians, social workers and other Health System staff whose patients require benefit assistance for payment and discharge planning
Benefit Management: apply for benefits via computer systems and/or paper application and may accompany or represent the patient at eligibility interviews, case conferences or fair hearings
Provides application assistance to patients referred by University of Rochester Health System staff through face-to-face interaction, telephone contact and home visitation for patients requiring assistance
Referral Coordination: Responsible for assessing referrals to determine eligibility for potential benefits and develops a plan of action to secure each
Communicates, coordinates and develops professional relationships with internal departments and external agencies
Monitoring Caseload, Documentation, and Reports: monitor caseload and is responsible for accurate and timely documentation in requisite systems
Reviews productivity reports and prepares status updates as required by management

Fulltime

Hgv Class 1 - Artic

JRL Plant & Logistics are looking for an experienced HGV Class 1 driver for a pe...

Location

United Kingdom , Biggleswade

Salary:

17.00 - 18.50 GBP / Hour

JRL Group

Expiration Date

Until further notice

Requirements

HGV Class 1 licence
Experience of driving in the UK
Full CPC and Digi-tacho card
Good understanding of driver's hours and working time
Ability to complete paperwork
Experience of delivering construction equipment / materials preferred

Job Responsibility

Driving HGV artic
Some nights out / tramping will be required
Must be able to follow current legislation EU drivers hours rules, Working time directive for mobile workers, Road Transport directive
Must be able to communicate in a courteous and helpful manner at all times
Must understand the various types of ticket and aggregate types

What we offer

performance related bonus after 3 months
£22.50 Nights Out
10 hour shifts
Full Uniform Provided
28 days holiday (Pro Rata)

Fulltime

Pharmacy Technician

At CVS Health, we are focused on transforming health care for our customers and ...

Location

United States , Hinckley

Salary:

17.00 USD / Hour

CVS Health

Expiration Date

August 10, 2026

Requirements

Must comply with any state board of pharmacy requirements or laws governing the practice of pharmacy, which includes but is not limited to, age, education, and licensure/certification
If the state board of pharmacy does not address or mandate a minimum age requirement, must be at least 16 years of age
If the state board of pharmacy does not address or mandate a minimum educational requirement, must have a high school diploma or equivalent, or be actively enrolled in high school or high school equivalency program
State-level licensure and national certification requirements vary by state
Regular and predictable attendance, including nights and weekends
Ability to complete required training within designated timeframe
Attention and Focus: Ability to concentrate on a task over a period of time
Ability to pivot quickly from one task to another
Ability to confirm prescription information and label accuracy
Customer Service and Team Orientation

Job Responsibility

Support the pharmacy team in delivering operational and service excellence
Assist patients and customers to deliver an exceptional experience
Ensure that pharmacy operations run smoothly, prescriptions are filled promptly, safely, and accurately
Provide caring service that exceeds patient expectations
Operate as part of the pharmacy team through consistent application of SOPs, best practices, and effective communication
Complete a rigorous company training program
Satisfy all registration, licensing, and certification requirements
Follow pharmacy workflow procedures at each workstation
Contribute to positive patient experiences by showing empathy and genuine care
Complete basic inventory activities

What we offer

Dental
Vision
Wellness resources
Employee discounts
Access to certain voluntary benefits
Other programs

Parttime

Automotive Detailer - Car Washer

Enterprise Mobility is seeking a responsible, dedicated person to join our team ...

Location

United States , Wake Forest

Salary:

14.50 USD / Hour

Enterprise Holdings

Expiration Date

Until further notice

Requirements

Must have a valid driver's license with no more than 2 moving violations and/or at-fault accidents on driving record in the past 3 years
No drug or alcohol related conviction on driving record in the past 5 years
Must be authorized to work in the United States and not require work authorization sponsorship by our company for this position now or in the future.
Must be at least 18 years old

Job Responsibility

Clean, sanitize, vacuum, and prepare vehicle interior according to industry-standard protocols
Wash, clean and dry the vehicle's exterior - this might include cars of different sizes, as well as vans and trucks.
Check fuel level and warning lights: inspect windshield for damage
factory reset/restore vehicle setting to clear prior customer data
check for customer items and place anything of value in Lost & Found
verify that registration is present, current and matches the license plate.
Check fluid levels and add as needed
check tire condition, pressure and tread depth
inspect vehicle exterior for damage
Fuel and stage vehicle

What we offer

Paid time off
Employee discount
401k retirement plan
Training and development

Parttime

Night Social Care Worker

We have set cookies to enhance your experience, but you have the option to disab...

Location

United Kingdom , Salisbury

Salary:

12.80 - 12.90 GBP / Hour

Choice Care Group

Expiration Date

July 16, 2026

Requirements

Being patient, reliable, flexible, a team player and a good communicator

Job Responsibility

Providing personal care including bathing, toileting, dressing and help with feeding
Medication administration
Assisting and getting involved in residents' daily activities, hobbies or outings
Following care plan guidance alongside Company policies and procedures
Developing an open, honest, and considerate working relationship with residents
Maintaining written daily records
Attending and completing training as required

What we offer

Learning Academy
Holiday entitlement starting from 28 days inclusive of Bank Holidays
Sick pay entitlement
Employee Assistance Programme
Refer a friend scheme
Choiceversary
Christmas bonus
Life insurance
Annual staff awards
Complex in-house training

Parttime

District Support Pharmacist

We're building a world of health around every individual — shaping a more connec...

Location

United States , Leland

Salary:

60.00 - 76.00 USD / Hour

CVS Health

Expiration Date

August 11, 2026

Requirements

Active Pharmacist License in the state where the Store is located
Active National Provider Identifier (NPI)
Not on the DEA Excluded Parties list

Job Responsibility

Living our purpose by helping to manage and improve patient health through safe and appropriate dispensing, counseling, and immunizing practices
Traveling the district to fill pharmacist shifts as scheduled by the District Performance Coordinator (DPC)
overseeing the pharmacy and serving as the Pharmacy Manager's proxy during bench shifts without overlap
Supporting safe and accurate prescription fulfillment by following—and directing the pharmacy team to follow—pharmacy workflow procedures and utilizing the safety guardrails at every workstation
Assumes Pharmacy Manager's day-to-day duties when serving as the only or the primary pharmacist-on-duty
Contributing to positive patient experiences by showing empathy and genuine care and coaching the pharmacy team to do the same: demonstrating compassionate care, collaborating with the patient's total healthcare team, and proactively resolving insurance and/or medication issues
Proactively offering and delivering immunizations to keep patients healthy
engaging and supporting Pharmacy Technicians to learn to immunize
Supporting the effective management of pharmacy inventory in all pharmacies worked by following—and guiding the pharmacy team to follow—all inventory best practices, with a special focus on protecting cold chain products for our patients and our business
Remaining flexible for both scheduling and business needs, while contributing to a safe, inclusive, and engaging team dynamic

What we offer

medical, dental, and vision coverage
paid time off
retirement savings options
wellness programs
bonus, commission or short-term incentive program

Fulltime

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Benefits & Eligibility Specialist II

Job Description

Job Responsibility

Requirements

Nice to have

What we offer

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