Jobs in Firestone Colorado Remote

CMPS, part of the Optum family of businesses, is seeking a Licensed Clinical Therapist to join our team in Jacksonville, FL. As a member of the Optum Behavioral Care team, you'll be an integral part of our vision to make healthcare better for everyone.

As a Licensed Clinical Therapist, you will treat a wide variety of mental health conditions that reflect the needs of our diverse patient population. We offer a variety of solutions that meet the unique needs of our workforce and the patients they serve. From clinical operations such as credentialing to business operations such as contracting, we provide organizational support that allows our providers to focus on what matters - providing care.
Primary Responsibilities:

• Screen and assess patients for common mental health and substance abuse disorders
• Provide treatment for mental health conditions using various approaches including cognitive behavioral therapy, dialectical behavioral therapy, and other evidence-based methods
• Systematically track treatment response and monitor patients for changes in clinical symptoms and treatment side effects or complications
• Maintain accurate and up-to-date electronic medical records and clinical documentation, ensuring compliance with all regulatory requirements
• Participate in our patient growth strategy by providing a profile for online directories and other marketing efforts

We are committed to your well-being and growth, offering a comprehensive package of perks and benefits with varying eligibility based on role, including:

• Competitive hourly pay & uncapped productivity incentives
• Flexible work models & paid time off when you need it
• Health and well-being benefits like health insurance, 401k matching, and other family support and wellness resources
• Professional development with continuing education (CE) reimbursement and dedicated learning time to advance your career

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• Master's degree in psychology, social work, or a related counseling field
• Clear, active and unrestricted license (LCSW, LMFT, LMHC) in the state of Florida
• 2+ years of professional experience post master's degree providing behavioral health services

Preferred Qualifications:

• Experience providing direct psychotherapy services to individuals and families
• Experience working with computers for professional communication and medical documentation - Excel, Outlook, Athena RMS (or other EHRs)
• Ability to work both independently and collaboratively with equal effectiveness

Explore opportunities at Optum Behavioral Care. We're revolutionizing behavioral health care delivery for individuals, clinicians and the entire health care system. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be - helping patients access and navigate care anytime and anywhere. We're connecting care to create a seamless health journey for patients across care settings. Join our team, it's your chance to improve the lives of millions while Caring. Connecting. Growing together.

Pay Range: $69,100 - $103,800 annual total cash target pay
Annual total cash compensation for this role assumes full time employment and generally follows the range above, includes earnings from hourly pay ($25/hr) and incentive pay and is based on several factors including but not limited to local labor markets and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your pay, we offer benefits such as, a comprehensive benefits package, recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Remote working/work at home options are available for this role.

DivIHN (pronounced “divine”) is a CMMI ML3-certified Technology and Talent solutions firm.

Driven by a unique Purpose, Culture, and Value Delivery Model, we enable meaningful connections between talented professionals and forward-thinking organizations.

Since our formation in 2002, organizations across commercial and public sectors have been trusting us to help build their teams with exceptional temporary and permanent talent.

Visit us at to learn more and view our open positions.

Please apply or call one of us to learn more For further inquiries regarding the following opportunity, please contact our Talent Specialist, Lavanya at (224) 369-0873 Title: Salesforce Solution Architect (Remote) Duration: 6 Months Location: Remote Only W2 candidates are eligible for this position.

Third-party or C2C candidates will not be considered.

Job Description: We are looking for a Salesforce Architect with strong and deep experience in the Salesforce platform.

The ideal candidate should have hands-on expertise in designing and implementing Salesforce solutions and a strong technical background.

Key Requirements: Strong experience in Salesforce with deep platform knowledge.

Experience working with Sales Cloud, Service Cloud, B2B Commerce, and Experience Cloud.

A technical background is preferred (for example, someone who started as a Salesforce Developer and moved into an Architect role).

Exposure to AI capabilities within Salesforce is a plus, as the organization is currently in the early stages of AI adoption.

Salesforce certifications are helpful and considered an advantage.

Additional Information: This individual will work with three other solution architects and report to their Application Development Director About us: DivIHN, the 'IT Asset Performance Services' organization, provides Professional Consulting, Custom Projects, and Professional Resource Augmentation services to clients in the Mid-West and beyond.

The strategic characteristics of the organization are Standardization, Specialization, and Collaboration.

DivIHN is an equal opportunity employer.

DivIHN does not and shall not discriminate against any employee or qualified applicant on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status.

Service Cloud, Sales Cloud, salesforce developer
Remote working/work at home options are available for this role.

Title: Business Objects Security Programmer Analyst Location: Lansing, MI (2-days onsite, 3-days remote Hybrid Schedule) Note: This is a W2 contract role – this role is NOT open to C2C, 1099, or 3 rd party candidates The Business Objects Security Programmer Analyst is responsible for administering user security, maintaining Business Objects environments, supporting reporting operations, and providing technical automation and data processing support.

The role combines security administration, BO universe maintenance, SQL/batch scripting, DevOps support, HR load validation, and PowerPlatform solution maintenance.

Secondary duties include providing backup support for .NET development and PowerPlatform applications.

Position Duties: Process security requests including new access, changes, and deletions Monitor and manage security-related mailboxes Process, track, archive, and audit all security forms Maintain and enhance security form automation for users, supervisors, and ASAs Provide primary customer support for Business Objects report issues and general user assistance Maintain and update IDT universes, including structure changes, troubleshooting, and optimization Perform BO health checks and produce BO Health Reports Conduct report inventory cleanup, including HR reporting cleanup and all-folder cleanup activities Validate, confirm, and balance HR data loads and associated reporting Support DevOps activities related to deployment, version control, configuration, and process automation Develop and maintain SQL and batch scripts used for data movement, auditing, and operational tasks Document system procedures, processes, and policies Maintain and track tasks on the Master Calendar (annual, quarterly, and monthly activities) Maintain and enhance PowerPlatform solutions, including Power BI dashboards, Forms, and Power Automate workflows Support automation efforts that increase efficiency, routing, and data integration Provide .NET development backup support for miscellaneous projects Provide backup support for PowerPlatform applications and workflows, as needed Position Qualifications: Working knowledge of Business Objects security, universe design, and report deployment Strong SQL and batch scripting skills Ability to perform access management, security audits, and form processing Experience with DevOps principles and deployment workflows Experience maintaining Microsoft PowerPlatform solutions (Power BI, PowerApps, Power Automate) Ability to document processes clearly and accurately Strong analytical, troubleshooting, and customer support skills Experience with MIDB (Oracle), CMOD, and HR data environments preferred Experience supporting government or regulatory environments preferred Familiarity with .NET development and basic code maintenance preferred A minimum of a Bachelor's Degree in Computer Science, Information Systems, or other relevant field required Note: This is a W2 contract role – this role is NOT open to C2C, 1099, or 3 rd party candidates .
Remote working/work at home options are available for this role.

We are seeking a Remote Chat Support Agent to assist customers through online chat.

You will provide prompt, professional support while ensuring a positive customer experience.

Key Responsibilities Respond to customer inquiries via live chat Resolve issues quickly and accurately Provide product/service information Maintain clear and professional communication Record and update customer interactions Requirements Strong written communication skills Customer service experience preferred Basic computer skills and typing ability Ability to multitask and work independently
Remote working/work at home options are available for this role.

Job Title: Nurse Case Manager II (Telephonic)-{167908} Location: Michigan (Must reside in Macomb or Wayne County) Pay: $44.14 per hour Schedule: Monday – Friday | 8:00 AM – 5:00 PM EST Work Setting: Remote (Telephonic – No field work required) Overview We are seeking a Nurse Case Manager II to support care coordination for members with complex and chronic health conditions.

This is a fully remote, telephonic role requiring candidates to work from a quiet, dedicated home office environment.

In this role, the RN Case Manager will conduct comprehensive member assessments, develop individualized care plans, and collaborate with providers and care teams to promote optimal, cost-effective health outcomes.

The position focuses on managing member needs through clinical review, care coordination, and patient engagement.

Key Responsibilities Conduct comprehensive telephonic assessments of member health needs and eligibility using clinical tools and data review.

Develop, implement, and monitor individualized care plans in collaboration with members and interdisciplinary care teams.

Coordinate care and services based on member benefit plans and available internal/external resources.

Apply clinical guidelines, policies, and regulatory standards to ensure appropriate care and benefit utilization.

Provide coaching, education, and support to promote member engagement and healthy lifestyle choices.

Perform crisis intervention and follow-up for members experiencing medical or behavioral health concerns.

Required Qualifications Active, unrestricted Registered Nurse (RN) license in the state of Michigan required.

Minimum 3+ years of clinical practice experience (hospital, home health, or ambulatory care).

Experience in healthcare and/or managed care industry required.

Strong computer skills with the ability to navigate multiple system.

Ability to work independently in a remote environment and adapt to a fast-paced, metrics-driven setting.

Preferred Qualifications Case management experience preferred.

Experience managing chronic conditions (e.g., diabetes, hypertension, asthma).

Experience working with Children’s Special Health Care Services (CSHCS) population preferred.

Experience with motivational interviewing and patient engagement strategies.

Keywords: RN case manager, telephonic case manager, nurse case manager, managed care, care coordination, chronic disease management, utilization management, population health, remote RN, healthcare coordination, patient advocacy, case management, Michigan RN
Remote working/work at home options are available for this role.

Full-time and part-time W-2 employmentTotal annual on-target earnings of $300k
- $350k +, consisting of:- Georgia Gaveras, a triple board-certified psychiatrist in adult, child and adolescent psychiatry, and Robert Krayn, a patient who experienced firsthand the challenges of accessing care.

Together, they set out to reimagine outpatient psychiatry by building a model that supports both patients and clinicians, while expanding access to mental healthcare.Our clinical community includes 700+ psychiatrists and PMHNPs and 200+ therapists practicing across 32 to connect with a recruiter or check out our LinkedIn Life@ pages to hear directly from clinicians who practice with Talkiatry:EVerify Participation & IER Right to Work ( English & Spanish ).We provide equal opportunity in employment and do not discriminate based on an applicant's background, including but not limited to race, color, ancestry, religion, national origin, sexual orientation, age, citizenship, marital or family status, disability, gender, gender identity or expression, pregnancy or caregiver status, veteran status, or any other applicable characteristic protected by law.Talkiatry is committed to providing reasonable accommodations for qualified individuals with disabilities.

If you need a reasonable accommodation to complete the application or interview process, please contact us at is a clinician-led, virtual psychiatry practice built to combine the stability of a hospital practice with the clinical autonomy of private practice.This role is designed for psychiatrists who want:Flexible scheduling, control over their schedule, session structure, and patient populationMinimal administrative burden in a fully remote, outpatient model100% remote, outpatient psychiatry~ Patient population across the lifespan: children & adolescents (treated by board-certified Child & Adolescent Psychiatrists only), adults, and geriatric patients~ In-house referral network to therapists~ Full operational support including scheduling, billing, intake coordination, and licensing

Employer-paid health, dental, vision insurance (up to 100% of premiums)~ Paid time off (PTO), paid sick time and 11 paid holidays~ CME reimbursement and dedicated CME days~ Board-certified or board-eligible psychiatrists (MD/DO)Active, unrestricted medical license (multi-state licensing support available)Interest in outpatient, 100% telepsychiatry-based care

Remote working/work at home options are available for this role.

Overview

Being good neighbors – helping people, investing in our communities, and making the world a better place – is who we are at State Farm. It is at the core of how we operate and the reason for our success. Come join a #1 team and do some good!

Grow Your Skills, Grow Your Potential

Responsibilities

Our Claim Specialists are committed to helping our customers through the claims process while providing Remarkable® service. This includes:

• Investigating, evaluating, negotiating, and settling claims
• Applying knowledge of policies and insurance regulations when determining coverage, liability, & damages
• Handling high-volume inbound and outbound calls, tailoring each conversation to the specific merits  and details of the claims being handled, written correspondence and/or various electronic media
• Effectively managing work through task driven queues while multi-tasking in a fast-paced call center environment
• Supporting our customers through personalized, caring, and simple interactions

Where You'll Work:  This is a hybrid position which allows you to spend some of your time working from home as well as some time working collaboratively in-office. During the job training period you may have a higher percentage of time spent in-office to support your learning experience.

Hours of operation are continually evaluated and may change based on business need. Successful candidates are able and willing to work flexible work shifts and may be asked to work overtime and/or irregular hours.

Several of our Claims teams are hiring, and you may be considered for multiple opportunities where your skills and qualifications align. 

Some of the areas we hire Claim Specialists for could include any of the following:

• Auto Injury: Handles bodily injury and uninsured/underinsured claims along with property damage claims involving injuries
• Personal Injury/Medical Payments (PIP/MPC): Handles first-party medical coverage for customers injured in an automobile accident
• Special Investigative Unit (SIU): Handles high-volume, complex auto and property claims involving NICB indicators of fraud to determine if specialized investigation is needed
• Auto Property Complex: Handles high-volume, mid-to-high complexity property damage claims, not involving personal injury
• Auto Total Loss: Settles auto claims where a vehicle is deemed a total loss
• Auto Weather Catastrophe: Handles weather-related auto claims
• Property Team: Handles low-severity Home and Renters claims in a team environment. Claims are primarily theft-related as well as minor weather and other types of property losses
• Boat, Commercial, Farm/Ranch Unit (BCFR): Handles commercial and boat claims
• Fire Property Stewardship: Handles property claims involving both weather-related events and non-weather-related incidents

Qualifications

Preferred:

• Bachelor's degree in a related field is preferred or equivalent work experience
• Experience as a Claim Specialist in the insurance industry, specifically in auto and/or property claims, including the following:
  
  • Proficiency in using CCC, Xactimate, XactContents, and other estimating/evaluation software tools
  • Strong knowledge of auto and/or property insurance policies, coverage and claim handling practices
  • Familiarity with state or local regulations and compliance requirements
  • Proven ability to assess damages, estimate repair costs, and negotiate settlements

Competitive candidates also demonstrate the following:

• Excellent communication and interpersonal skills to effectively interact with clients, agents, and other stakeholders
• Proven effective empathy and de-escalation skills to handle difficult/emotional conversations with a customer-minded focus
• Detail-oriented with strong organizational and analytical skills
• Strong critical thinking and decision-making skills
• Ability to multi-task across technical platforms
• Accountability
• Resourcefulness

Additional Details:

• Employees must successfully complete all required training, including applicable proficiency and licensing exam(s) and background checks required of various state(s).
• State Farm recently implemented new pre-employment assessments. Candidates that have previously taken an assessment may be asked to participate in additional testing.

Our Benefits

Because work-life balance is a priority at State Farm, compensation is based on our standard 38:45-hour work week!

 

• Potential starting salary ranges $59,059 - $81,988 annually 
  • Starting salary will be based on skills, background, and experience
  • High end of the range limited to applicants with significant relevant experience
• Potential yearly incentive pay up to 15% of base salary

At State Farm, we offer more than just a paycheck. Check out our suite of benefits designed to give you the flexibility you need to take care of you and your family!

 

• Get Paid! On top of our competitive pay, you are eligible for an annual raise and bonus.
• Stay Well! Focus on you and your family’s health with our robust health and wellbeing programs. State Farm pays most of your healthcare premium, and we offer multiple healthcare plan options, including a high deductible plan. All medical plans provide 100% coverage for in-network preventative care, AND you and your family have access to vision, dental, telemedicine, 24/7 mental health professionals, and much more!
• Develop and Grow! Take advantage of educational benefits like industry leading training programs, top-notch tuition assistance programs, employee resource groups, and mentoring.
• Plan Ahead! Plan for those big moments in life with benefits like fertility/IVF/adoption assistance, college coaching, national discount programs, interactive monthly financial workshops, free financial coaching, and more. You can also start a savings account or consider financing through our State Farm Federal Credit Union!
• Take a Little “You” Time! You will have access to our generous time off policies designed so you can plan around holidays, family events, volunteering, or just to take a relaxing day off. With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you!
• Give Back! We offer several ways to give back through our Matching Gift Program, Good Neighbor Grant Program, and the Employee Assistance Fund.
• Finish Strong! Plan for retirement using free financial advisors and a 401(k) plan with company contributions of up to 7% of your salary.

 

Visit our State Farm Careers page for more information on our benefits, locations, and the hiring process of joining the State Farm team!

PandoLogic. Keywords: Insurance Examiner, Location: Tempe, AZ - 85282
Remote working/work at home options are available for this role.

DivIHN (pronounced “divine”) is a CMMI ML3-certified Technology and Talent solutions firm.

Driven by a unique Purpose, Culture, and Value Delivery Model, we enable meaningful connections between talented professionals and forward-thinking organizations.

Since our formation in 2002, organizations across commercial and public sectors have been trusting us to help build their teams with exceptional temporary and permanent talent.

Visit us at to learn more and view our open positions.

Please apply or call one of us to learn more For further inquiries regarding the following opportunity, please contact our Talent Specialist, Vijay at (63 Title: Financial Analyst
- Hybrid Duration: 2 Months Location: Hybrid at Northbrook, IL Schedule: 8:00 AM
- 5:00 PM Note: The position reports to the Manager of Corporate Accounting, based at our Northbrook Headquarters, with flexibility to work from our Chicago office.

This is a hybrid role, requiring on-site presence three days per week.

Only W2 candidates are eligible for this position.

Third-party or C2C candidates will not be considered.

Description: Position Purpose: We are seeking a highly motivated and detail-oriented Senior Accountant to support global accounting operations, strengthen internal controls, and drive process improvements.

This role will play a key part in month-end close, cross-functional initiatives, and special projects.

The ideal candidate is analytical, proactive, and capable of operating independently in a fast-paced, collaborative environment.

Duties and Responsibilities: Lead and execute month end, quarter end, and year end close activities, including journal entries and account reconciliations Perform variance analysis and investigate discrepancies Support internal and external audit requests Support maintenance of Oracle Account reconciliation portal Maintain supporting documentation and schedules in compliance with SOX requirements Support both internal and external audits by providing requested materials and actively participating in walkthroughs and testing with auditors and internal stakeholders Contribute to various accounting and finance initiatives, including system implementations, process improvements, and other special projects as assigned Education and Experience: Bachelor's degree in accounting required Minimum 5 years of total accounting experience Knowledge of ERP: Oracle preferred, Oracle ARCS and Kyriba Experience with improvement initiatives and enhancements Ability to have a collaborative style and work with cross-functional and international teams Strong GAAP knowledge, analytical, and problem-solving skills Excellent verbal and written communication skills CPA certification preferred About us: DivIHN, the 'IT Asset Performance Services' organization, provides Professional Consulting, Custom Projects, and Professional Resource Augmentation services to clients in the Mid-West and beyond.

The strategic characteristics of the organization are Standardization, Specialization, and Collaboration.

DivIHN is an equal opportunity employer.

DivIHN does not and shall not discriminate against any employee or qualified applicant on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status.

CPA, Oracle, GAAP, Oracle ARCS, Kyriba
Remote working/work at home options are available for this role.

A-Line Staffing is Hiring: Remote Prior Authorization Pharmacist A-Line Staffing is now hiring a Remote Prior Authorization Pharmacist ! This role offers an opportunity to work for a Fortune 500 company with career growth potential in a fully remote capacity.

Highlights Pay: $53.00 per hour Hours: 7:00 AM – 8:00 PM EST Monday – Friday, 7:00 AM – 4:30 PM EST Saturday and Sunday (set rotation) Location: Remote / Work from Home (must have dedicated, quiet workspace) Type: Full-time, contract Training: First 8 weeks M-F, 9:00 AM – 5:30 PM EST (attendance mandatory) Responsibilities Support Medicare Part D members and providers with pharmacy benefit and prior authorization requests.

Ensure accurate case setup and complete clinical review of prior authorization and Medicare appeals in compliance with CMS guidelines.

Review clinical information and make appropriate determinations based on drug compendia and clinical judgment.

Conduct provider outreach for additional clinical clarification when necessary.

Accurately document all prior authorization and Medicare Part D requests and maintain compliance with CMS-mandated timelines.

Meet or exceed departmental productivity and quality standards.

Requirements Bachelor’s Degree in Pharmacy or Doctor of Pharmacy (PharmD) required.

Active pharmacist license in the state of residence (must provide proof).

Strong attention to detail and ability to work independently in a remote environment.

Proven ability to apply clinical judgment and interpret drug compendia resources.

Prior experience in Medicare Part D, prior authorizations, or pharmacy benefit management preferred.

Computer literate with knowledge of Excel, Word, and preferably Access, PowerPoint, and Visio.

Must provide internet speed test (minimum 25 Mbps download / 5 Mbps upload) and have a dedicated, quiet workspace.

Benefits Benefits available to full-time employees after 90 days.

401(k) with company match available after 1 year of service on eligibility dates.

Contact: Austin Faris – 586-710-7941 | If you want, I can also make a concise, job-board ready version for quick online posting that keeps all the essentials but is easier to read.

Do you want me to do that next? .
Remote working/work at home options are available for this role.

The Care Management Program Supervisor is responsible for the day-to-day oversight, coaching, and performance management of Care Management Care Coordinators delivering person-centered Care Management services to eligible Medi-Cal members with complex medical, behavioral health, and social needs.

This role ensures that Care Management services are delivered in alignment with DHCS requirements, managed care plan contracts, and organizational standards.

The Supervisor provides clinical-adjacent and operational guidance, supports staff in managing complex cases, monitors quality and compliance, and promotes best practices in engagement, care coordination, documentation, and outcomes.

Key Responsibilities Staff Supervision & Development Supervise, coach, and support Care Managers to ensure high-quality, person-centered service delivery.

Provide onboarding, training, and ongoing professional development related to Care Management program requirements, workflows, documentation standards, and engagement strategies.

Conduct regular individual supervision, team meetings, and case conferences to review member progress, address barriers, and support complex case management.

Complete 90-day, annual, and corrective performance evaluations; address performance concerns through coaching and performance improvement plans as needed.

Review and approve staff timecards, paid time off requests, and schedules in alignment with program needs.

Promote staff safety, and retention in a field-based, high-acuity work environment.

Program Oversight & Quality Assurance Ensure Care Managers are meeting DHCS and managed care plan requirements related to outreach, engagement, assessments, care planning, service coordination, and follow-up.

Monitor caseloads, acuity levels, and workload distribution to ensure timely and appropriate service delivery.

Review documentation for accuracy, timeliness, and compliance, including assessments, care plans, case notes, and service logs.

Track and support compliance with required engagement, visit, and contact frequency benchmarks.

Identify trends, gaps, or barriers in service delivery and collaborate with leadership to implement quality improvement strategies.

Care Coordination & Member Support (Escalated / Complex Cases) Provide guidance and consultation on high-acuity, complex, or high-risk member cases, including those involving homelessness, behavioral health needs, medical complexity, or system fragmentation.

Support Care Managers in crisis response, safety planning, hospital discharge coordination, and transitions of care.

Assist with problem-solving related to member engagement challenges, missed appointments, or difficulty accessing services.

Model best practices in motivational interviewing, trauma-informed care, and culturally responsive service delivery.

Collaboration & Stakeholder Engagement Serve as a liaison between Care Managers, internal departments, managed care plans, healthcare providers, behavioral health partners, housing providers, and community-based organizations.

Participate in interdisciplinary meetings, case reviews, and partner coordination meetings as needed.

Support communication and coordination with health plans to address member needs, referrals, and program expectations.

Data, Reporting & Compliance Support accurate data tracking and reporting related to caseloads, engagement, outcomes, and service delivery.

Ensure staff adherence to confidentiality, HIPAA, and organizational policies and procedures.

Assist with audits, chart reviews, and monitoring activities conducted by internal teams or external entities.

Qualifications Required Bachelor’s degree in Social Work, Psychology, Public Health, Human Services, Sociology, Gerontology, or a related field.

Minimum of two (2) years of experience working with underserved populations, including individuals with complex medical, behavioral health, housing instability, or social needs.

At least two (2) years of supervisory or lead experience in care coordination, case management, social services, or a related field.

Experience working in community-based, field-oriented programs and collaborating with multidisciplinary teams.

Knowledge of Medi-Cal, safety-net healthcare systems, and social service navigation.

Preferred Master’s degree in a related field.

Experience supervising care management or similar Medicare/DSNP or Medi-Cal managed care programs.

Bilingual and bicultural skills reflective of the communities served.

Skills & Competencies Strong leadership, coaching, and team development skills.

Ability to support staff working with high-acuity and complex member needs.

Knowledge of community resources, housing systems, behavioral health services, and care coordination best practices.

Excellent written and verbal communication skills.

Strong organizational skills and ability to manage competing priorities.

Proficiency with electronic health records, data systems, and mobile work tools.

Work Environment Hybrid role with a combination of remote work, field-based activities, and in-person meetings.

May include occasional joint field visits or community-based meetings to support staff and program needs.

Reliable transportation required including proof of required California auto liability insurance meeting state minimum limits.

Must be able to perform essential job functions such as lifting 5-10 pounds.

Partners in Care Foundation is an equal opportunity employer.

We are committed to complying with all federal, state, and local laws providing equal employment opportunities, and all other employment laws and regulations.

It is our intent to maintain a work environment which is free of harassment, discrimination, or retaliation because of age, race (including hair texture and protective hairstyles, such as braids, locks, and twists), color, national origin, ancestry, religion, sex, sexual orientation, pregnancy (including childbirth, lactation/breastfeeding, and related medical conditions), physical or mental disability, genetic information (including testing and characteristics, as well as those of family members), veteran status, uniformed service member status, gender, gender identity, gender expression, transgender status, arrest or conviction record, domestic violence victim status, credit history, unemployment status, caregiver status, sexual and reproductive health decisions, salary history or any other status protected by federal, state, or local laws.

All qualified applicants will receive consideration for employment and reasonable accommodations may be made to enable qualified individuals to perform the essential functions of the position.
Remote working/work at home options are available for this role.