Private Duty Clinical Team Manager Job at Elara Caring (Mishawaka)

Public Works Coordinator

The Public Works Coordinator is responsible for the end-to-end public revenue st...

Location

Ireland , Dublin

Salary:

Not provided

Blackrock Health Hermitage Clinic

Expiration Date

Until further notice

Requirements

Educated to Degree level
Minimum of 5 years in finance processes and systems as well as project management skills
Have displayed strong commercial acumen within a healthcare setting
Must have cross functional work experience in a hospital environment
Ideally has similar experience of building and managing a team
Can demonstrate success in managing complex efficiency projects in a hospital environment that yielded efficiency and monetary benefits
Must have a deep knowledge of the private hospital sector, policies and pricing
Demonstrable strong people management experience, with proven ability to lead and motivate large teams through periods of change and continuous improvement
Excellent communication skills with proven ability to effectively analyse data to make decisions and effectively communicate recommended courses of action
Strong systems knowledge and advanced MS Office skills

Job Responsibility

Assist in maintaining communication with public hospital contacts, clinical leads, and referral coordinators
Help manage administrative processes for service agreements or funded patient pathways (e.g., NTPF, HSE cases)
Maintain accurate records of referrals, agreements, and outcomes in coordination with clinical and finance teams
Prepare regular reports on referral activity, performance metrics, and business development updates
Assist with the preparation of presentations, proposals, and meeting materials for public sector engagement
Monitor relevant public sector tenders, policy changes, or funding opportunities and flag to senior staff
Coordinate internal scheduling, resource availability, and service delivery logistics for referred patients
Represent the hospital in a professional capacity in meetings, calls, and public sector engagement forums
Perform process mapping of various departments to look at options to consolidate or change processes to enhance the revenue cycle at all point from sourcing of work to cash collection
Work with Project groups where necessary to implement new IT systems

Fulltime

Manager, Audiologists

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

Location

United States of America , Rochester

Salary:

96860.00 - 145290.00 USD / Year

University of Rochester

Expiration Date

Until further notice

Requirements

Master's degree in Audiology and 5 years of clinical experience in Audiology required
Certificate of Clinical Competence in Audiology upon hire required
New York State License in Audiology upon hire required

Job Responsibility

Provides audiologic services to patients through consultation, treatment, teaching and direct patient care
Oversees daily clinical services at multiple ambulatory locations, including development of clinical schedules, management of time requests and cross-coverage, handling of patient complaints/concerns, incident reporting, and direct supervision of junior audiologist staff members
Performs and interprets special audiological evaluations and tests for patients with complex diagnostic and/or habilitative/rehabilitative problems
Performs highly specialized hearing aid evaluations, fittings, and counseling
Serves as a departmental resource and consultant with regard to highly complex patient evaluations and treatment in regard to Cochlear Implant and BAHA patient populations
Leads audiologist for the Tinnitus/Hyperacusis/Misophonia Management Program
Carries extensive patient caseload of infant through geriatric populations for a wide variety of diagnostic and rehabilitative audiologic needs
Manages clinical audiology daily services at primary ambulatory location as assigned and additional sites as needed
Makes daily decisions regarding staff coverage for multiple clinical audiologists (including time-off requests, disability leaves, and sick calls)
Directs administrative support staff regarding major changes to clinical coverage schedules/templates

Fulltime

Program Relations Manager

In support of Health Care Professional and their patients, the Program Relations...

Location

Canada , Remote

Salary:

67600.00 - 103950.00 CAD / Year

Cencora

Expiration Date

Until further notice

Requirements

A Bachelor’s degree in health care or a related discipline
Requires a minimum five (5) years, in the healthcare, pharmaceutical or industry or related experience
PSP and case management experience preferred
Asset to have Health Care professional registered within their province (e.g. RN, RPN, Pharmacist, …)
Minimum three (3) years in a clinical setting an asset
Available to travel within an assigned territory, some overnight travel may be required
Valid Driver’s License, current auto insurance policy and access to reliable transportation, for regional travel
Normally requires a minimum of five (5) years in public or private third-party reimbursement arena or pharmaceutical industry in sales, managed care, or clinical support
Knowledge of private and public reimbursement structure, systems, and process
Experience with reimbursement navigation, special authorization, appeals process and conducting field-based reimbursement support and consultation

Job Responsibility

Serves as the primary point of contact for HCP to support navigation of PSP requirements
Acts as a liaison between PSPs, healthcare providers to relay important updates, requirements, and any changes in the patient support process
Facilitates the flow of information between all parties involved to streamline the patient support journey
Develops strong working relationships with physicians and their office staff to ensure smooth maintenance of patients enrolled in the PSPs
Provides triage support of information on PSPs and facilitates the access to PSP services needed
Collects necessary patient information and clinical data
Coordinates private and public reimbursement activity directly with PSPs or with insurers if no PSPs exist
Assists patient with pharmacy services, when needed
Monitor’s patient journey and addresses barriers or delays
Provides proactive assistance to resolve issues and escalates accordingly

What we offer

medical
dental
vision care
comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness
support for working families
backup dependent care
adoption assistance
infertility coverage
family building support
behavioral health solutions

Parttime

Virtual Clinician Home Evaluations Nurse Practitioner or Physician Assistant

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

Location

United States , Work at Home

Salary:

78331.00 - 168714.00 USD / Year

CVS Health

Expiration Date

December 31, 2026

Requirements

Board-certified nurse practitioner or physician assistant
Provide 40 hours of availability weekly
Consistently provide 320+ capacity units per month
Execute a strong visit completion rate, consistently pacing 220+ completed visits per month
Maintain training, affiliation, and compliance with Video Visit requirements
Be trained and credentialed for all health plan clients and lines of business in primary coverage state(s)
Maintain active state licenses in coverage areas (FNP, AGNP certification preferred for NPs)
Maintain board certification
Able to obtain and maintain multi-state licenses in coverage area, as required
Must meet minimum requirements for remote visit delivery, including broadband connectivity with video and audio enabled, a quiet setting with a neutral background from which to conduct visits, and the ability to uphold health plan member privacy per CVS Health guidelines

Job Responsibility

Conduct online “Video Visits” with health plan members, working in a private space with adequate internet connection
Be part of our efforts to visit millions of people nationwide with the goal of providing connections to the right care for people’s unique needs
Conduct an approximately 30-minute visit, including a medication and medical history review, allowing time to educate members about their health and answer their questions
Consistently engage with regular manager, team and clinical meetings
Be accountable to Signify Health operational, clinical, and member experience key performance indicators and metrics

What we offer

Comprehensive benefits package
The security of a base salary plus incentive structure (based on the number of in-home visits completed)
Malpractice insurance coverage (during Signify Health-related activities)
Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
Paid time off
Flexible work schedules
Family leave

Fulltime

Senior Field Reimbursement Specialist

Under general supervision of a Senior Manager, the Sr Field Reimbursement Specia...

Location

United States , Remote

Salary:

100700.00 - 155100.00 USD / Year

Cencora

Expiration Date

Until further notice

Requirements

Experience related and progressively responsible in a medical practice, private or third-party reimbursement arena, or pharmaceutical industry in sales, managed care, or clinical support
Experience within healthcare provider support such as a physician practice, patient assistance program or similar pharmaceutical/biological support program experience preferred
Bachelor’s degree preferred
Minimum of 7 years of experience
Candidates must possess a Prior Authorization Certification Specialist (PACS) credentials from an industry approved licensing body, or obtain certification within the first six months of employment
Ability to effectively manage multiple client relationships and customer
Ability to manage and support external meetings, presentations, and client interactions
Ability to lead and work in a matrix environment
Proven teamwork and collaboration skills with a demonstrated record of accomplishment of working in highly matrixed and cross-functional organizations
Ability to manage multiple tasks, timelines, expenses, and other activities necessary to fulfill the roles and responsibilities of a Field Reimbursement Specialists

Job Responsibility

Plan and engage with customers, leveraging client approved resources, to educate on access and reimbursement topics relevant to assigned client’s product
Track progress and evaluate results of assigned activities
Recommends changes in procedures
Lead or direct more complex projects or certain aspects of projects
Operates with reasonable latitude for un-reviewed action or decision
Work within a matrix environment to collaborate with internal and external stakeholders to secure optimized patient access and provide appropriate education through a focused effort on healthcare providers in community, institutional, and academic medical settings
Manage daily activities that support appropriate patient access to our client’s products in the provider offices and healthcare institutions, working as a liaison to other patient assistance and reimbursement support services offered by our clients
Review patient insurance benefit options with appropriate authorizations
Validate prior authorization requirements
Understanding of Specialty Pharmacy processes

What we offer

medical
dental
vision care
comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness
support for working families
backup dependent care
adoption assistance
infertility coverage
family building support
behavioral health solutions

Fulltime

Field Case Manager

Our team members are at the heart of everything we do. At Cencora, we are united...

Location

Canada , Saskatoon; Spruce Lake; Allan; Abbey; Spiritwood West

Salary:

Not provided

Cencora

Expiration Date

Until further notice

Requirements

Registered nurse (RN)
Related degree may be considered (pharmacists, science degrees) or equivalent transferable skills
Experience in public or private third party reimbursement arena or pharmaceutical sales experience, managed care, or clinical support, or related experience an asset
Bilingualism is an asset (requirement for province of Quebec)
Previous Case Manager experience an asset
Basic CCPE an asset
Exceptional customer service and interpersonal skills
Ability to manage multiple tasks and priorities at once
Comprehension of medical terminology
Strong analytical and organizational skills

Job Responsibility

Single point of contact for the program with physicians
Educate physicians and/or their staff on various program services
Provide therapy guidelines to manage physician expectations with respect to reimbursement
Consult patient charts in order to effectively complete necessary paperwork to obtain coverage
Assist MDs in completing Special Authorization (SA) forms, enrolment forms, prescription renewals, and other documentation
Provide ongoing updates to physicians on their patients
Customize current program elements to meet the needs of assigned physicians: adjust based on in-clinic and remote MD needs
Identify areas for risk and foster proactive, continued quality improvement
Work collaboratively with other team members in various roles to coordinate the patient journey
Participate in scheduled physician meetings with sales representatives

What we offer

Medical
dental
vision care
comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness
support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave
variety of training programs
professional development resources
opportunities to participate in mentorship programs, employee resource groups, volunteer activities

Fulltime

Social Worker – Field

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

Location

United States , Clark County, NV

Salary:

46597.00 - 101228.00 USD / Year

CVS Health

Expiration Date

March 31, 2026

Requirements

Candidate must reside in Clark County, Nevada
2+ years of experience in medical social work or case management
Candidate licensure must comply with requirements in the state where job duties are performed
Ability to travel within a designated geographic area for in-person case management activities
Proficient in Microsoft Office Suite, including Word, Excel, Outlook, OneNote, and Teams
Confidence working at home / independent thinker, using tools to collaborate and connect with teams virtually
Access to a private, dedicated space to conduct work effectively
Dependents must have separate care arrangements during work hours
Bachelor of Social Work Degree (REQUIRED)

Job Responsibility

Conducting field visits to the member’s home, community locations, medical facilities, and other locations
Completing care management focused assessments
Setting member-centered goals
Identifying barriers and strategies to address them
Establishing, monitoring, and adapting interventions to achieve member goals
Focus on enhancing quality of care, ensuring compliance, improving outcomes, and reducing costs
Develop and implement strategies to coordinate and integrate post-acute and long-term care services
Perform initial and ongoing assessments for members enrolled in the Long-Term Care Program and other care initiatives
Utilize social work principles and strategies to address the social determinants of health
Collaborate and facilitate ongoing communication with providers, primary care physicians, Medical Directors, pharmacists, and care management staff

What we offer

Travel expenses are reimbursed
Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
Paid time off
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs

Fulltime

Field Case Manager

This is a 12-Month Contract role. Our team members are at the heart of everythin...

Location

Canada , Edmonton

Salary:

Not provided

Cencora

Expiration Date

Until further notice

Requirements

A Bachelor’s degree in health care or a related discipline
Requires a minimum five (5) years, in the healthcare, pharmaceutical or insurance industry or related experience
Case management experience preferred
Available to travel within an assigned territory, some overnight travel may be required
Valid Driver’s License, current auto insurance policy and access to reliable transportation, for regional travel
Experience and background in various therapeutic areas is an asset
Background in business administration (pharmaceutical) sales and marketing an asset
Knowledge of private and public reimbursement structure, systems, and process
Experience with reimbursement navigation, special authorization, appeals process and conducting field-based reimbursement support and consultation
Strong analytical skills including interpretation of regulation and legislation

Job Responsibility

Customize program elements to meet the needs of assigned prescribing physicians
Review patient status and assist the prescribing physician to complete patient enrolment, prepare payer forms to access public or private coverage by reviewing patient charts, documenting previous therapies and tests in order to complete the payer forms
Identify obstacles to obtaining coverage and channel this information to the Program Manager
Develop strong working relationships with physicians and physician office staff, providing additional office support to ensure smooth maintenance of patients enrolled in the program as needed
Proactively provide assistance to resolve issues with regards to assigned physicians
Provide training to physicians and clinics on program and new initiatives approved by the manufacturer
Acts as a liaison and provide ongoing feedback to the Program Manager based on observations in the field and feedback from physicians as it pertains to quality of services, training, and other areas of importance
Complete all relevant reports (program specific reports, expenses, etc.) as per specified timelines and as per required standards
Welcome each patient to the program and capture required patient information
Provide reimbursement payer guidelines to patients and physicians

What we offer

We provide compensation, benefits, and resources that enable a highly inclusive culture and support our team members’ ability to live with purpose every day. In addition to traditional offerings like medical, dental, and vision care, we also provide a comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness. This encompasses support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave. To encourage your personal growth, we also offer a variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities, and much more.

Fulltime

Private Duty Clinical Team Manager

Elara Caring

Location:
United States , Mishawaka

Category:
Nursing

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:
January 25, 2026

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