Responsible for collaborating with healthcare providers and members to promote quality member outcomes, to optimize member benefits, and to promote effective use of resources. JOB DUTIES AND RESPONSIBILITIES Primary duties may include, but are not limited to Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatie

Job Title (RN) Well Care Coordinator Location Remote (Indiana) Must be an Indiana Resident Hours Monday Friday 8am 5pm Pay $48hr weekly pay Travel Requirement 25% 50% Job Summary The Community Well Care Coordinator must oversee the care coordination, complex case management functions for PathWays to Aging members who live in the community and who are not receiving Home and

Educate individuals on the importance of nutrition, safety, and overall good health. Provide knowledge and advice through our triage line. Engage callers to assess and de escalate uneasy situations in the least restrictive manner to ensure caller safety over the phone. Report to assigned supervisor and actively seek consultation whenever necessary or requested by supervis

Job Title (RN) Well Care Coordinator Location Remote (Indiana) Must be an Indiana Resident Hours Monday Friday 8am 5pm Pay $48hr weekly pay Travel Requirement 25% 50% Job Summary The Community Well Care Coordinator must oversee the care coordination, complex case management functions for PathWays to Aging members who live in the community and who are not receiving Home and

Job Title (Social Worker) Well Care Coordinator Location Remote (Indiana) Must be an Indiana Resident Hours Monday Friday 8am 5pm Pay $38hr weekly pay Travel Requirement 25% 50% Job Summary The Community Well Care Coordinator must oversee the care coordination, complex case management functions for PathWays to Aging members who live in the community and who are not receivi

Assist with the development of Community Engagement reports and informational materials . Provides guidance and oversight of the Volunteer Time Off (VTO) program and assist with the recruitment and training of event volunteers . Assists in planning and organizing project activities. Collaborates with internal and external parties to assist with organizing the various comp

Data entry Auditing new hire and terminated employees (cross checking tax and direct deposit information and any other payroll related item to ensure timely payment) Contacting employees with timesheet discrepancies via email and telephone Assisting with missing local code discrepancies Updating direct deposit and tax information and verification process Pulling approved

Work strategically, under the guidance of the Print Production manager, to understand prospect and member mailing initiatives and build mail plans to support . Build work back timelines to ensure all stakeholders and vendors are aware of deliverables and due dates . Manage the work amongst internal and external teams from creative development to mail drop date . Assist in

Seeking a RN to function as a Medical Affairs Coordinator . This position if fully remote. The schedule is M F, 9am 5pm. DUTIES Ensures that the Local Coverage Determination (LCD) process adheres to contract instructions. Creates, implements, and maintains educational tools to help providers reduce the submission of claims for non covered services and reduce the claims pay

DUTIES Analyzes current operational functions and offers and implements improvements. Maintains databases and extracts data for analysis from multiple systems and departments using various data manipulation and extraction techniques. Runs and reviews reports, analyzing results in support of operational functions. Summarizes findings and communicates results to management.

The Community Well Care Coordination Manager must oversee the care coordination, complex case management functions for PathWays to Aging members who live in the community and who are not receiving Home and Community Based Services (HCBS) or designated as Nursing Facility Level of Care (NFLOC). The Care Coordination Manager must, at a minimum, be a registered nurse or simil

Provide resources who are trusted members of the communities served and/or have an unusually close understanding of the communities to facilitate access to health care services, improve the quality and cultural competency of those services, and improve member health outcomes. Outreach Coordinator Resources work to increase health literacy, reduce costs of services, and im

Bilingual candidates are encouraged to apply! Involved in the development, presentation and delivery of community outreach initiatives, activities and market strategies to support the Medicaid business and drive membership retention and growth. Must be an Indiana resident who resides in or near County, Indiana, willing to travel throughout southern Indiana Conduct outreac

Responsibility Provide a wide range of administrative assistance to two programs within the Food Protection Division. Act as a liaison between program or department administration, state agencies, and other stakeholders. Provide routine policy interpretation and related decisions to stakeholders. Research and prepare various reports for manager. Prepare and processes corr

Conduct screening and risk assessment interventions per program guidelines. Assist with non medical aspects of the member's care, including referrals to community resources. Job Responsibilities Identify special needs members through the completion of health screens and other resources Work with community outreach/member advocates to coordinate member care Educate provide