Enterprise Care Transitions Clinical Program Coordinator Job at Advocate Health Care (Elm Grove)

Enterprise Care Transitions Clinical Program Coordinator

Coordinates the clinical care of patients being evaluated for and/or patients al...

Location

United States , Elm Grove

Salary:

38.20 - 57.30 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

BSN required
applicable state RN license required
2 years nursing experience required
5 years experience preferred
BLS required per policy guidelines
valid applicable state driver's license and reliable transportation may be required
Registered Nurse license issued by the state in which the team member practices
Bachelor's Degree in Nursing
Requires 5 years of experience in quality improvement experience in a healthcare environment
Must have strong Quality Experience

Job Responsibility

Coordinates the clinical care of patients being evaluated for and/or patients already participating in the clinical program, including research activities, and education
Demonstrates the knowledge and skills necessary to provide care, or arrange for the provision of appropriate care for an adolescent, adult, or geriatric population of patients
Demonstrates knowledge of the principles of growth and development over the life span and possesses the ability to assess data reflective of the patient's status
Coordinates clinical care throughout the program utilizing pathways and developing tools to ensure high quality, cost effective continuity of care is provided to all patients
Collaborates with other clinical team members in assessing and supporting psychosocial needs of the patient/family
Supervises and coordinates the program interdisciplinary care conferences as applicable
Collaborates with entire clinical team to evaluate and implement appropriate educational materials
90% work is focused on nursing practice/documentation

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance

Fulltime

Clinical Specialist, Quality Management I

Who We Are: Because health is personal. That's why Personify Health created the ...

Location

United States

Salary:

60600.00 - 91000.00 USD / Year

Personify Health

Expiration Date

Until further notice

Requirements

Active, unrestricted Registered Nurse (RN) license required
Basic computer literacy
The ability to work on multiple screens, and proficient typing skills
Proficiency in software applications including, but not limited to, Microsoft Word, Microsoft Excel, and Outlook
Ability to speak clearly and convey complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others
Ability to work independently and utilize written resources to problem solve
After training with our training department and 1.5 months ramp (3 months total), must have and be able to work in: Teams on and off camera, SharePoint, Drives as needed, VPN, UM Web or Health Notes, El Dorado, Quick Links, GIAS, ADP, Confluence, Phone system with headset, Smartsheet
Knowledge of medical claims and ICD-10, CPT, HCPCS coding
Excellent verbal and written communication skills for upward and downward conversations
Level I: In-depth knowledge of applicable regulations and accreditation standards (HIPAA, CMS requirements as applicable, NCQA, URAC)

Job Responsibility

Ensure compliance with state, federal, and accreditation requirements (e.g., HIPAA, CMS, NCQA, URAC, ERISA, as applicable)
Conduct internal and external audits of UM/CM/CDM processes and documentation
prepare audit files, findings, and corrective action recommendations
Identify quality and compliance risks and collaborate with cross-functional partners on mitigation and resolution
Review and support SOPs and workflows to ensure regulatory alignment and operational clarity
Support external audit readiness activities, including NCQA and URAC evidence preparation and maintenance
Develop, maintain, and deliver role-based training curriculum aligned to compliance standards, quality goals, and operational workflows
Conduct onboarding and orientation to prepare staff for assigned UM/CM/CDM functions
Deliver training using multiple modalities (virtual, self-paced, and one-on-one coaching) tailored to adult learners
Ensure training covers applicable processes such as case initiation and closure, documentation standards, high-dollar case monitoring, stop-loss notification, administrative support, customer service, and productivity expectations

What we offer

Competitive base salary and benefits effective day one
Comprehensive medical and dental through our own health solutions (yes, we use what we build)
Unlimited PTO—rest and recharge time is non-negotiable
Mental health support, retirement planning, and financial protection
Professional development with clear career progression and learning budgets
Mission-driven culture where diverse perspectives drive real impact on people's health

Fulltime

Manager, Utilization Review

Manager, Utilization Review for Care Management, remote in the United States. Pe...

Location

United States

Salary:

95000.00 - 105000.00 USD / Year

Personify Health

Expiration Date

Until further notice

Requirements

Current, unrestricted RN license in the United States or U.S. territory (compact license acceptable where applicable)
Graduate of an accredited nursing program (ADN or diploma required
BSN preferred)
Knowledgeable of the Federal, State, DMHC, CMS and ERISA regulations
1-2 years in care management, utilization management, discharge planning, or related clinical coordination
Minimum 1 year of compliance related experience preferred
Certification in Case Management or Utilization Review preferred but not required
1+ year of informal leadership (preceptor/mentor/lead) or some direct people leadership
Working understanding of HIPAA, member rights, scope of practice, and documentation requirements
Comfort following policies and escalating risk/safety concerns appropriately

Job Responsibility

Supervise day-to-day operations of assigned Utilization Management staff, including scheduling, workload distribution, and adherence to established workflows
Provide full people management for assigned Utilization Management teams, including hiring, performance management, and staff development
Provide routine coaching, feedback, auditing, support and disciplinary action to ensure productivity, quality, and timeliness standards are met
Participate in hiring, onboarding, and training of Utilization Management staff
Monitor documentation for completeness, accuracy, timeliness and compliance with company policies and regulatory requirements
Escalate clinical, operational, and performance issues appropriately to leadership
Reinforce policies, procedures, and clinical guidelines through regular communication and staff education
Support audit readiness by ensuring staff compliance with documentation and timeliness standards
Maintain HIPAA compliance, confidentiality, and minimum necessary access at all times
Solid knowledge and understanding of medical necessity criteria across inpatient, outpatient, concurrent, and retrospective reviews, with the ability to coach staff on clinical rationale, documentation quality and timeliness

What we offer

Competitive base salary and benefits effective day one
Comprehensive medical and dental through our own health solutions
Unlimited PTO
Mental health support, retirement planning, and financial protection
Professional development with clear career progression and learning budgets

Fulltime

New

Management Analyst

The town of Wellesley’s Department of Public Works has an opportunity for a deta...

Location

United States , Wellesley

Salary:

73000.00 - 86000.00 USD / Year

Massachusetts Municipal Association

Expiration Date

Until further notice

Requirements

A bachelor's degree in management, business administration, finance, accounting, or a closely related field, combined with at least 18 months of relevant professional experience — including work in budget/accounting, municipal government, or equivalent combination of education and experience.

Job Responsibility

Evaluate, recommend, implement, and continuously improve departmental systems and technology applications
Develop, prepare, and monitor budgets, goals, and key performance measures
Preparing reports, analyzing data, and maintaining accurate documentation and records
Lead and support special projects

Fulltime

New

Ar Analyst

As a successful family-owned company on a path to global growth, the Brose Group...

Location

Mexico , Querétaro

Salary:

Not provided

Brose Fahrzeugteile

Expiration Date

Until further notice

Requirements

Knowledge of invoicing processes
Including compliance with the mexican taxes law regarding Factura 4.0
Analytical profile in portfolio reporting
Focused on monitoring overdue accounts and performing reconciliation of discrepancies
SAP Accounts receivable module

Job Responsibility

Execution and reconciliation of payment applications, ensuring accuracy and timely processing
Analysis of price variances, quantity discrepancies and follow up with Costumer service areas
Management and oversight of OEM´s supplier portals, including compliance, documentation, and operational follow‑through
Monitoring of warranty, quality‑logistic charges, working closely with internal teams
Account Receivable monitoring, aging analysis, and risk mitigation
Invoicing process knowledge
SAP Accounts receivable module

What we offer

competitive performance-based compensation
health insurance
comprehensive medical insurance
educational assistance
community outreach, family, and sporting events
Flexible working hours
collaborative work environment
development programs with great opportunity for individual growth through training, international or regional assignments and tailored career paths

Fulltime

New

Senior Developer - IT

We’re Looking for a Senior Developer to Lead the Charge! Are you a C# Developer ...

Location

United Kingdom , Newcastle

Salary:

60000.00 GBP / Year

Parking Network B.V.

Expiration Date

July 21, 2026

Requirements

Proven experience in developing with C# and MS SQL Server
Hands-on experience building cloud-based applications, including Azure Functions, Azure Storage, and Service Bus
Bonus points if you’ve worked with Azure DevOps or Kubernetes
You understand the importance of good design – from UX/UI to optimising front-end GUI development
Designing and optimising MS SQL Server database objects and queries
You have real-world experience working with N-tier architectures, and you're comfortable balancing both the big picture and the intricate details
You’ve worked with version control (git), and you know your way around Azure DevOps
You get how source control and CI/CD pipelines work in a modern development environment

Job Responsibility

Creating and maintaining both internal and external-facing applications that push the envelope in terms of quality and performance
Enhance and develop new functionalities in existing software products, making them even more robust, reliable, and scalable
Take on a leadership role by mentoring fellow developers, running knowledge-sharing sessions, and guiding the team towards continuous improvement
Join a small, high-energy team working on a rapid development schedule
From creating technical specifications to ensuring projects stay on track, you will be involved in every aspect of the development lifecycle
Track, identify, and fix bugs and issues while also maintaining a comprehensive software test strategy

What we offer

Discretionary bonus
33 days annual leave per annum (25+8 BH)
Ongoing training opportunities
Comprehensive pension scheme
Employee discount scheme

Fulltime

New

Design Engineer-Drives

As a successful family-owned company on a path to global growth, the Brose Group...

Location

India , Pune

Salary:

Not provided

Brose Fahrzeugteile

Expiration Date

Until further notice

Requirements

3-7 Years experience in Design and development of Drives/Actuator systems
Experience in Automotive Industry preferred
Proficient in CATIA-V5, EV6
Proficient in GD&T, Stack-up calculation
Experience in Designing Thermal & Powertrain systems (Climate Compressor, Turbocharger, Oil/Coolant Pumps, HVAC)
Experience in designing Scroll compressor, Impeller, Gerotor is highly advantageous
Proficient in DFMEA, Problem solving techniques
Knowledge concerning standards in automotive development processes

Job Responsibility

Assuring of Robust, Cost-effective and quality designs in time for the Drives product area
Assuring compliance to the specifications according to internal and external guidelines
Liaise with Product groups in Headquarters to understand specific Design requests
Independently think and create Design concepts (3D & 2D layouts) to meet customer/internal product demands in line with Brose Design guidelines
Independent execution of basic technical calculations (e.g. GD &T, Stack-up) and simulations (e.g. deformation, loading, kinematics)
Initiation of more complex calculations together with specialists (e.g. FEA, Mold flow) and interpretation of results together with specialists
Ability to interact independently with suppliers to create prototypes to verify generated new design concepts
Ability to define/dictate Test and Measurement methods to verify the prototypes from the supplier
Collaboration at creation and enhancement of Design FMEAs
Possess Good understanding of manufacturing processes and construction methods about Automotive Drives & Actuator systems

What we offer

competitive performance-based compensation
health insurance
attractive social and family-oriented programs
comprehensive medical and insurance
educational assistance
community outreach, family, and sporting events
flexible working hours
collaborative work environment
development programs
training

Fulltime

New

Gastroenterology Physician Assistant

Locum Gastroenterology Physician Assistant Job in Bellingham, WA. Aya Locums has...

Location

United States , Bellingham

Salary:

85.00 - 95.00 USD / Hour

Aya Locums

Expiration Date

Until further notice

Requirements

Certifications: BLS
Active and unencumbered PA license in Washington
National certification from the National Commission on Certification of Physician Assistants (NCCPA)
Master of Science in Physician Assistant Studies (MPAS) degree from an accredited program
At least one year of clinical experience in their area of specialty

Job Responsibility

Provide comprehensive medical care to patients under the supervision of a licensed physician
Conduct patient histories and physical examinations
Order and interpret diagnostic tests
Develop and implement treatment plans
Prescribe medications
Perform procedures as authorized by state regulations and the supervising physician
Educate and counsel patients on preventative care and health management
Collaborate effectively with physicians, nurses and other healthcare professionals to ensure coordinated patient care
Document medical records accurately and thoroughly
Stay current on advancements in medicine through continuing education

What we offer

Access to top hospitals and healthcare systems in diverse care settings
Highly competitive, transparent locum tenens pay
Dedicated application and assignment support
In-house credentialing and licensing teams
Travel and lodging coverage
Easy timekeeping and streamlined management of documents
Malpractice coverage and risk management support

Fulltime

Select Country

Enterprise Care Transitions Clinical Program Coordinator

Job Description

Job Responsibility

Requirements

Nice to have

What we offer

Looking for more opportunities?

Enterprise Care Transitions Clinical Program Coordinator

Enterprise Care Transitions Clinical Program Coordinator

Clinical Specialist, Quality Management I

Manager, Utilization Review

Management Analyst

Ar Analyst

Senior Developer - IT

Design Engineer-Drives

Gastroenterology Physician Assistant

Our AI answers in your language