Kpg Provider Services Jobs in Usa
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Job Description
The team leader is responsible for managing the team involved in auditing end to end mortgage life cycle comprising active & default servicing activities (Eg. Foreclosure, Bankruptcy, Cashiering, Escrow, Loss Mitigation, Claims, Property preservation, HELOC etc.)
Responsibilities:
- Maintain monthly performance measurements: Timeliness, production goals, compliance/regulatory, and customer satisfaction
- Manages the day-to-day operations of the mortgage servicing associates. Ensures compliance with state and federal lending laws and investor guidelines
- Develops, analyzes, and completes monthly reports in order to track and monitor production, efficiency, compliance with investor guidelines against stated objectives and associate quality against established standards
- Disseminates policies, procedures, and announcements to staff in a timely manner and conducts regular and recurring meetings with staff in order to build an effective communication flow.
- Maintain quality and production standards as defined by business. Perform other job-related duties and special projects as required.
- Develops performance standards and measurements for staff in order to accurately assess actual performance against established goals.
Additional responsibilities of the TL includes:
- Maintaining service level standards
- Perform internal Quality check, providing floor support and feedback to other staff.
- Responding to all emails efficiently
Person Specification
Knowledge/Experience:
- Minimum 1-3 years of Team Handling experience
- Minimum 5-8 years of US Mortgage active as well as default servicing experience
Competencies/Skills:
- Strong communication skills, verbal and written.
- Strong analytical skills
- Demonstrated ability to resolve complicated issues as they arise.
- Proven organizational skills and demonstrated ability to prioritize and multi-task.
Skills:
- Flexible (Willingness to work in night shift),
- Knowledge of MS Office
- Positive and flexible attitude
- Attention to detail.
- Customer focused.
- Good Team Player/Strong Interpersonal skills
Join Healthcare Services Group (HCSG) as a Dining Services Manager in Training to learn to manage your own account! This structured and paid 16-week program will develop you to manage and oversee dining services in a healthcare setting with hands-on and computer based training. This structured and paid program will develop you to manage and oversee dining services in a healthcare setting. At HCSG, we are passionate about positively impacting the communities we serve. If you share our commitment to excellence and enhancing customer and resident experiences, join us and begin your journey to make a difference!
Available Benefits for All Employees:- Comprehensive Benefits Package - Medical, Dental, and Vision
- Free Telemedicine Services on Day 1*
- Free Prescription Discount Program
- Get paid when you need it with PNC EarnedIt
- Financial Wellness Support from PNC Workplace Banking
- Employee Assistance Programs
- Training & Development Opportunities
- Employee Recognition Programs
- Employee Stock Purchase Plan
- Nationwide Transfer Opportunities and Career Development
Click here for more benefits information
or copy this link: *Not available in AR.
Responsibilities:- Assist in managing dining services operations, including meal preparation, service, and quality control.
- Learn to ensure compliance with health, safety, and sanitation standards.
- Participate in staff training, development, and scheduling.
- Assist with inventory management and ordering of supplies.
- Interact positively with residents, staff, and guests, providing excellent customer service.
- All other duties as assigned.
- High school diploma or equivalent preferred.
- Previous experience in dining services or hospitality preferred.
- Strong organizational and communication skills.
- Must obtain Food Protection Manager (FPM), Food Service Manager (FSM), Long-Term Care Food Service (LTC-FSM), and CDM,CFPP (where required by state regulations) certifications during the development program.
- Valid driver's license.
- Strong written and verbal communication skills.
- Maintain a positive attitude and effectively communicate with building occupants, administration, and HCSG leadership to perform daily tasks.
- Compliance with COVID-19 vaccination policies.
- Ability to lift up to 50 pounds and perform tasks for extended periods.
- Residency within the service area required.
Ready to Join Us?
If you're looking for an opportunity to grow your career in dining services management and be part of a supportive and dedicated team, apply now and start making a difference at HCSG!
EEO Statement:HCSG is proud to be an equal opportunity employer committed to diversity and inclusion in the workplace. We encourage employees to bring their authentic, original, and best selves to work for a culturally inclusive team. We offer equal employment opportunities (EEO) to all employees and applicants regardless of race, color, religion, sex, national origin, age, disability, genetics, ethnicity, pregnancy status, gender identity, sexual orientation, marital status, political opinions or affiliations, veteran status, or other legally protected classes. HCSG also complies with applicable state and local laws and federal law requirements that govern nondiscrimination in every location where we operate.
Ready to quit your day job and jump into the restaurant industry with us? We're not your average restaurant, and we don't want your average Service Assistant, better known as a Vibe Setter. Are you ready to have fun while building your career? We don't believe in the dull and mundane... in fact, we adamantly reject it!
As a part of our badass team (yep we said it), you'll help deliver our mission by joining a team of GOATS that, together will continue to grow the legacy of our brand and be brand stewards. The Vibe Setter is the face of our restaurant, and we take great pride in who we have representing us. Service Assistants work in the dining room maintaining and enhancing the quality of our customer service. The primary focus is assisting the Servers with food running, table clearing, and guest service. You will ensure everyone who comes through our doors as a guest will leave as a friend by being your authentic self.
Requirements:
Minimum Qualifications (with or without accommodation)
Must possess or be able to obtain a valid food safety certification or any other food/alcohol certification, as required by state law
Able to stand for 10 hours and lift at least 50 pounds
Good hearing for safety and accurate communication
Must be able to read, write and speak in English
Must have reliable transportation
Additional Info:
Our Service Assistants are Responsible for:
Supporting our service team to ensure they are set up for success to deliver great experiences
Providing our guests with the highest level of service standards to create new and repeat business and avoid guest complaints
Promoting our products to guests by communicating with extensive product knowledge on food, beverage and promotional menus.
Assisting to ensure the dining room is set up perfectly for our guests while maintaining safety and sanitation standards
Being aware of and abiding by all liquor service laws, including not overserving guests or serving underage Guests.
Completing and passing all training courses require and continuing their education through additional training modules
Unique Benefits:
Work alongside, learn and grow from fellow GOATs. Whatever your goals are in life, our goal is to make you more prepared to get there.
Become a part of a culture that creates connections between iconic brands and guests. Join the fun and ONE TEAM culture that makes us great!
We have a bunch of fun brands, and this role will give you discounts to eat at all of them. You also get a discount on our retail!
We use innovative technology for easy scheduling.
Daily pay? We got you. Have your money in your pocket as soon as the next day.
We have an open door policy because your voice always matters.
Refer a friend...get paid for bringing on another GOAT.
Need medical insurance? Offered to all full-time team members.
Get rewarded for working with us! Exclusive partnership discounts for theme parks, concerts, hotels and online shopping.
Role: Dining Services - Assistant Manager
Join Healthcare Services Group (HCSG) as a Dining Services Assistant Manager, supporting the dining department at a long-term care facility. At HCSG, we are passionate about positively impacting the communities we serve. If you share our commitment to excellence and enhancing customer and resident experiences, join us and make a difference!
Available Benefits for All Employees:- Free Telemedicine*
- Free Prescription Discount Program
- Free Employee Assistance Programs
- Get paid when you need it with PNC EarnedIt
- Financial Wellness Support from PNC Workplace Banking
- Hands-on-Training & Support
- Career Development
Click here for more benefits information
or copy this link: *Not available in AR.
Responsibilities:The Dining Services Assistant Manager is responsible for assisting the Dining Services Manager in overseeing the dining operations and ensuring high standards of food quality, safety, and customer service.
- Support the Dining Services Manager in managing daily dining operations, including staff supervision and training.
- Ensure compliance with dietary guidelines, food safety standards, and HCSG policies.
- Assist in maintaining accurate records of food inventory, costs, and employee schedules.
- Lead staff training sessions on food preparation, service techniques, and safety protocols.
- Communicate effectively with residents, families, and staff to enhance the dining experience.
- Conduct regular inspections of food service areas to ensure cleanliness and organization.
- Represent HCSG positively through courteous and cooperative interactions with team members, residents, and guests.
- Perform all other duties as assigned.
- High school diploma or equivalent is required
- Previous experience in food service management or a similar role is desired.
- Strong leadership and interpersonal skills with the ability to motivate and develop a team.
- Knowledge of food safety regulations and best practices in dining services.
- Basic computer skills for record-keeping and report generation.
- Must comply with COVID-19 vaccination policies.
- Ability to lift/carry a maximum of 50 pounds, push/pull a maximum of 50 pounds, and stand, bend, and walk for extended periods.
- Residency within the service area is required.
Ready to Join Us?
If you're looking for a role where you can lead with passion, drive positive change, and be part of a supportive and dedicated team, apply now and start making a difference at HCSG!
EEO Statement:HCSG is proud to be an equal opportunity employer committed to diversity and inclusion in the workplace. We encourage employees to bring their authentic, original, and best selves to work for a culturally inclusive team. We offer equal employment opportunities (EEO) to all employees and applicants regardless of race, color, religion, sex, national origin, age, disability, genetics, ethnicity, pregnancy status, gender identity, sexual orientation, marital status, political opinions or affiliations, veteran status, or other legally protected classes. HCSG also complies with applicable state and local laws and federal law requirements that govern nondiscrimination in every location where we operate.
Job Summary:
Position will primarily support the program administrators by preparing, facilitating, recording, and compiling meeting minutes for the HUD Capacity Building Grant Coalition.
Additional duties may include assisting with scheduling, follow-up communications, and organizing related documentation.
Ability to work independently and manage time effectively, prior experience supporting public health or government programs is a plus.
We are looking for someone with strong Project Management skills.
Essential Functions
- Essential functions are fundamental, core functions common to all positions in the class series and are not intended to be an exhaustive list of all job duties for any one position in the class. Since class specifications are descriptive and not restrictive, incumbents can complete job duties of similar kind not specifically listed here.
- Monitors, evaluates, collects and analyzes program data. Provides technical assistance and recommends course of action.
- Prepares interpretative reports of program goals and objectives, provision of services and programs/services ability to meet standards and regulations.
- Participates in developing policies, regulations, forms, proposal requests, implementing new procedures, monitors, develops, reviews, updates, negotiates contracts, and/or prepares grant applications.
- Analyzes problems, applies policy to problem situations, responds to requests for information and questions regarding services.
- Assists as consultant, coordinator/liaison for special programs and/or projects.
- Assesses impact of proposed rules on current operations financially and programmatically.
- May supervise professional staff engaged in monitoring functions, special projects and/or clerical staff performing record keeping functions.
JOB REQUIREMENTS
Applicants must have education, training and/or experience demonstrating competence in each of the following areas:
1 . Three years' experience in health or human services work such as applying theories, principles, laws and practices of health or human services programs and services that assist with and improve life for individuals, families, or communities such as financial support, employment, unemployment, housing, health care, disease preventlon, substance abuse, child protective services.
2. Six months experience in health or human services program administration such as overseeing and directing the development, implementation and evaluation of health or human services programs and services; planning and establishing short- and long-range program goals and objectives. Providing advice to other agency organizational units through consultation.
3. Six months experience in developing policies or procedures.
4. Six months experience in interpreting laws, rules, regulations, standards, policies, and procedures.
5. Six months experience in narrative report writing.
Client Service Representative
Location: Novato, CA (Onsite)
Employment Type: Direct Hire
Industry: Financial Services
About the Company
Our client is a well‐established financial services firm dedicated to providing personalized financial planning and investment strategies built on trust, integrity, and long‐term relationships. Their team supports high‐net‐worth individuals and families with a comprehensive, fiduciary approach to wealth management and client service. The firm prides itself on professionalism, confidentiality, and delivering an exceptional client experience.
Position Overview
The Client Service Representative is a key member of the client experience team and serves as the primary point of contact for clients. This role supports advisors and operations by managing client communications, account administration, and service requests while maintaining the highest standards of accuracy, confidentiality, and professionalism.
The ideal candidate is detail‐oriented, service‐driven, and thrives in a fast‐paced, highly regulated financial services environment.
Key Responsibilities
- Serve as the first point of contact for clients via phone, email, and in person, delivering professional and responsive service
- Manage and maintain client accounts using Redtail CRM and LPL ClientWorks, ensuring accuracy and completeness of records
- Assist with client onboarding, account updates, and service requests
- Coordinate electronic document processing, including e‐signatures and compliance documentation
- Support advisors and operations with scheduling, Zoom meetings, and client follow‐ups
- Collaborate with internal team members to update and process client account changes
- Handle client inquiries and concerns with professionalism, initiative, and discretion
- Maintain strict confidentiality and adhere to compliance requirements, including fingerprinting, attestations, and training participation
Qualifications & Skills
- Previous experience in client service, administrative support, or account management
- Experience in wealth management, financial services, or private client environments strongly preferred
- Proficiency with CRM systems; Redtail CRM experience highly desirable
- Strong organizational and time‐management skills with the ability to prioritize effectively
- Excellent verbal and written communication skills with a strong customer‐service mindset
- High level of professionalism, discretion, and attention to detail
- Ability to work independently while collaborating in a team‐oriented office environment
- Familiarity with financial industry compliance standards is a plus
DCI Donor Services
DCI Donor Services (DCIDS) is looking for a dynamic and enthusiastic team member to join us to save lives!! Our mission at DCIDS is to save lives through organ donation and we want professionals on our team that will embrace this important work!! We are currently seeking a Customer Service and Distribution Manager. The Customer Service and Distribution Manager will serve as a member of the Tissue Bank’s management team with responsibility for managing customer relationships and delivering exceptional service. This role contributes to the Tissue Bank’s strategic objectives of revenue growth through the effective management of inventory, coordination of returns/transfers, production planning, order fulfillment, and contract management. It ensures DCI Donor Services remains in compliance with all regulatory guidelines with respect to management of tissue, and recruits, develops and retains talent to create a best-in-class Distribution organization
COMPANY OVERVIEW AND MISSION
For over four decades, DCI Donor Services has been a leader in working to end the transplant waiting list. Our unique approach to service allows for nationwide donation, transplantation, and distribution of organs and tissues while maintaining close ties to our local communities.
DCI Donor Services operates three organ procurement/tissue recovery organizations: New Mexico Donor Services, Sierra Donor Services, and Tennessee Donor Services. We also maximize the gift of life through the DCI Donor Services Tissue Bank and Sierra Donor Services Eye Bank.
Our performance is measured by the way we serve donor families and recipients. To be successful in this endeavor is our ultimate mission. By mobili
With the help of our employee-led strategy team, we will ensure that all communities feel welcome and safe with us because we are a model for fairness, belonging, and forward thinking.
Key responsibilities this position will perform include:
- Ensures sales goals and budget objectives are met through fulfillment of customer orders and unsurpassed customer service. Creates and distributes inventory report to ensure customers in DCIDS’s donor service areas have first choice to available grafts. Communicates tissue availability to Distributors and Contract Partners as appropriate.
- Determines appropriate “par” levels for tissue inventory to ensure DCIDS can provide appropriate service levels to its customers. Represents Distribution at Production Planning meetings, providing demand requirements based on sales forecasts and processing leads times.
- Maintains a month-on-hand report to monitor and address low demand inventory. Acts as part of team to create programs/pricing or identify alternative outlets to ensure tissue is utilized. Communicates these programs to customers as appropriate.
- Ensures that Distribution department is compliant with all regulatory requirements related to storing, shipping, returning or transferring human donated tissue. Has clear understanding of the Center for Biologics Evaluation and Research (CBER) regulations for HCT/Ps established in 21 CFR Parts 1270 and 1271. Supports Account Managers and Inside Sales Specialists with directions on handling tissue requirements in the field.
- Manages sales agreements with client hospitals, group purchasing organizations (GPOs), distributors and others. Works with Director of Sales to discover requirements to win the contract. Leads negotiation of contract terms. Manages contracts to track renewal dates, alerting management team to any required action. Renegotiates terms as appropriate.
- Supports Distributor relationships by monitoring distribution revenue, calculating commissions, and securing authorization for timely payment.
- Monitors, reports and presents revenue results and tissue utilization to senior management, medical management and medical directors. Supports Sales team with Quarterly Territory Reviews reports.
- Recruits, retains, and develops results driven Distribution team. Advises and counsels, assists, and directs activities to ensure ongoing high performance. Implements timely corrective action when necessary. Identifies training needs to ensure Customer Service Coordinators are proficient in inventory management, regulatory requirements, and interacting with clinical customers.
- Recommends capital equipment and expense budgets. Reviews and approves expense reports and takes necessary steps to keep expenses within approved budgets and policies.
- Performs other duties as assigned.
The ideal candidate will have:
- Associate’s Degree required/Bachelor’s Degree preferred in related field
- Minimum 5+ years of medical device, banked human tissue, or biotechnology sales/marketing experience
- CTBS required within first year of employment
- Working knowledge of computers and Microsoft Office applications to include Word, PowerPoint and Excel are required.
- Observes, listens to and talks with employees and others. Stands, sits, and walks. Reads and writes a variety of reports and documents. Travels to OPO and hospital facilities. Lifts up to 50 pounds.
We offer a competitive compensation package including:
- Up to 184 hours of PTO your first year
- Up to 72 hours of Sick Time your first year
- Two Medical Plans (your choice of a PPO or HDHP), Dental, and Vision Coverage
- 403(b) plan with matching contribution
- Company provided term life, AD&D, and long-term disability insurance
- Wellness Program
- Supplemental insurance benefits such as accident coverage and short-term disability
- Discounts on home/auto/renter/pet insurance
- Cell phone discounts through Verizon
- Monthly phone stipend
**New employees must have their first dose of the COVID-19 vaccine by their potential start date or be able to supply proof of vaccination.**
You will receive a confirmation e-mail upon successful submission of your application. The next step of the selection process will be to complete a video screening. Instructions to complete the video screening will be contained in the confirmation e-mail. Please note - you must complete the video screening within 5 days from submission of your application to be considered for the position.
DCIDS is an EOE/AA employer – M/F/Vet/Disability.
PI7c69c8eaebf5-3631
Hybrid: Applicants must be a California resident as of their first day of employment.
PRINCIPAL RESPONSIBILITIES:
Member Services Representatives (MSR) are the first point of contact for our members' primary contact with the Alliance for both routine and complex member issues with the goal of delivering excellent customer service to our customers. The position is responsible for answering a high volume of inbound and outbound calls in a timely manner. Respond to all communications coming into Member Services in the form of email, fax, letters, chat and phone calls. Timely responses to all member communication are essential. Must effectively prioritize and flex the workload as new communication and tasks are submitted. Identify the caller's needs, clarify information, research issues, and provide solutions and/or alternatives whenever possible. Accurately and consistently document all conversations in the electronic database. This position is a liaison between the plan, the provider network, and other community agencies. The MSR positions are flexibly staffed classification and work is expected to be performed minimally at the MRS II level. However, the initial selection will be made at the entry level MSR I. Our more advanced level position of the series is the MSR III who will be required to perform a variety of complex matters.
Member Services Representatives are under the direction of a Member Services Supervisor, Manager and Director, and service our members through our call center as well assisting other departments with responses to member issues by initiating communication between departments to ensure action, cooperation, and compliance of managed care operations.
Member Services Representative I
This position which requires the ability to work as a team player within the Alliance and with external contacts, make sound judgments based on analysis of information, be an effective communicator, active listener and balance advocacy for the member with the policy provisions such as plan policies, EOC, regulatory guidelines, and DMHC/DHCS rules and regulations. The MSR provides courteous, professional, and accurate responses to incoming inquiries regarding network, plan benefits, eligibility, authorizations, plan services and guidelines, as well make decisions with the goal of ensuring member satisfaction and retention. The MSR performs a variety of complex functions and is also responsible for maintaining accurate and complete inquiry/grievance records in the electronic database. Maintains compliance with DMHC regulatory requirements and DHCS contractual obligations. MSR I staff who demonstrate proficiency in meeting, maintaining and exceeding principal performance objectives and metrics may be eligible to be promoted to a Member Services II or III role. Member Services Representative I staff may be eligible for promotion to Member Services Representative II or III positions once they have worked as a MSR I for a minimum of 12 months to be proficient with program and system knowledge in addition to meeting performance matrix requirements.
Principle duties and responsibilities
* Serve as the primary contact for members, providers and others for questions related to claims, benefits, authorizations, pharmacy, member eligibility and other questions related to Alameda Alliance and provide accurate, satisfactory answers to their inquiries or concerns.
* Respond to and resolve member service inquiries and issues by identifying the topic and type of assistance the caller needs such as benefits, eligibility, claims, behavioral health, and care coordination.
* Answer incoming calls, emails, chats, and other requests for assistance in a timely manner in accordance with departmental performance targets and provide excellent customer service while doing so. May include assisting members in person.
* Recognize and understand the difference between calls that require quick resolutions and calls which will require follow-up and handle each appropriately.
* De-escalate situations involving dissatisfied customers, offering patient assistance and support.
* Accurately document all contacts per department standards/guidelines in the Customer Relationship Management (CRM) system.
* Accurately and consistently document (electronic database) and resolve Exempt Grievances (any expression of dissatisfaction that are not coverage disputes, disputed health care services involving medical necessity, or experimental or investigational treatment and that are resolved by the next business day following receipt).
* Interface with Grievance and Appeals, Claims, Enrollment, IT, Network Management, Pharmacy, Authorizations, and other internal departments to provide Service Excellence to our members.
* Help guide and educate members about the fundamentals and benefits of managed health care topics, to include managing their health and well-being by selecting the best benefit plan service options, maximizing the value of their health plan benefits, and choosing a quality care provider.
* Intercede with care providers (doctor's offices) on behalf of the member, assisting with appointment scheduling; connect members with internal Case Management Department for assistance as needed.
* Assist members in navigating , the Member Portal, and other health care partner online resources and websites to encourage/reassure them to use self- service tools that are available.
* Manage any issues through to resolution on behalf of the member, either on a single call or through comprehensive and timely follow-up.
* Research complex issues across multiple databases and work with support resources to resolve member issues and/or partner with others to resolve escalated issues.
* Provide education and status on previously submitted pre-authorizations or pre- determination requests for both medical and pharmaceutical benefits.
* Meet the performance goals established for the position in the areas of compliance, efficiency, call quality, member satisfaction, first call resolution, punctuality, and attendance.
* Always maintain a professional level of service to members.
* Always maintain confidentiality of information.
* Consistently support the Alliance's approach to Service Excellence by adhering to established department and company standards for all work-related functions.
* Interact positively with all Alliance Departments.
* Accurately and consistently document (electronic database) and resolve Exempt Grievances (any expression of dissatisfaction that are not coverage disputes, disputed health care services involving medical necessity, or experimental or investigational treatment and that are resolved by the next business day following receipt).
* Process MS Dept projects
* Serve as a back-up to manage the escalated calls.
* Perform other duties as assigned.
ESSENTIAL FUNCTIONS OF THE JOB
* Contacts: Receive, manage, and document telephone calls, emails, and other sources of contacts from members, potential members, and providers, and explain health plan benefits and plan rules. Describe the types of services the Alliance offers to the Member within the managed care system. Provide clarification about issues regarding patient and physician rights and how the plan operates.
* Conflict resolution: Resolve member problems/conflicts by convening with other departmental staff as needed.
* Member communications: Create and/or mail appropriate member materials and communications as needed.
* Computer: Perform ongoing data entry which assists in the maintenance of the Member Services department database to ensure data integrity.
* Comply with the organization's Code of Conduct, all regulatory and contractual requirements, organizational policies, procedures, and internal controls.
PHYSICAL REQUIREMENTS
* Constant and close visual work at desk or computer.
* Constant sitting and working at desk.
* Constant data entry using keyboard and/or mouse.
* Constant use of multi-monitor setup
* Frequent use of telephone and headset.
* Frequent verbal and written communication with staff and other business associates by telephone, correspondence, or in person.
* Frequent lifting of folders, files, binders, and other objects weighing between 0 and 30 lbs.
* Frequent walking and Standing
Number of Employees Supervised: 0
MINIMUM QUALIFICATIONS:
* Bachelor's degree or equivalent experience preferred.
* High school diploma, GED required.
* The ability to speak and understand-bilingual: Spanish/English, Cantonese/English, Vietnamese/English, Tagalog/English are required as designated.
* A bilingual proficiency exam will be administered to ensure the candidate possesses the appropriate skill level to meet requirements. The successful candidate must score 90% or higher.
MINIMUM YEARS OF ADDITIONAL RELATED EXPERIENCE:
* Minimum one year of direct customer service experience. Call center experience and managed care experience a plus
* Experience determining eligibility for financial assistance, insurance benefits, unemployment and/or other social services programs.
* Demonstrated knowledge expert of AAH Member Services policies and procedures
* Consistent record of meeting, maintaining, or exceeding monthly Departmental performance metrics.
* Consistent track record of documenting Service Requests accurately and clearly and monitoring open Service Requests to ensure responses and closure.
* Consistent record of high quality of work as demonstrated through call and documentation auditing, appropriate Call Disposition coding, as well as an overall acceptable monthly Member Satisfaction Survey result as assessed by Member Services Quality Specialist, MS Trainer and Member Services Supervisor.
* Demonstrated proficiency in current Customer Relationship Management (CRM) tool, phone system software Quality Management Solution, Pharmacy Benefits Management applications (PBM), Interpreter vendor scheduling software, delegate portal solutions and the Alliance's Member portal.
* Demonstrated ability to effectively handle the department's key special projects: Member Portal Request Processing, Kaiser PTE Requests, PCP retroactive and same month requests.
* Demonstrated ability to help members face-to-face in the field and/or at the Alliance offices (walk-ins). Also highly skilled at handling issues related to member bills, transportation set-up and benefit coordination with providers and pharmacy needs.
SPECIAL QUALIFICATIONS (SKILLS, ABILITIES, LICENSE):
* Ability to prioritize and adapt to changing situations in a calm and professional manner.
* Ability to maintain composure in stressful situations.
* Excellent problem-solving skills
* Ability to exhibit cooperation, flexibility, and provide assistance when talking to members, providers, and staff.
* Skill in basic data entry
* Ability to type 40 net words per minute: multi-task
* Manual dexterity to operate telephone, computer keyboard equipment.
* Speak English proficiently, clearly, and audibly.
* Memorize and retain information quickly; meet physical requirements
* Spell correctly
* Learn the policies, regulations, and rules applicable to business operations.
* Follow instructions, reason clearly, analyze solutions accurately, act quickly and effectively in emergency situations; operate office equipment including computers and supporting word processing, spreadsheet, and database applications.
* Excellent phone etiquette and ability to communicate clearly and concisely, both orally and in writing.
* Excellent interpersonal skills with the ability to interact with diverse individuals and flexibility to customize approach to meet all types of member communication styles and personalities.
* Strong verbal and written communication skills.
* Demonstrated ability to quickly build rapport and respond to members in a compassionate manner by identifying and exceeding member expectations (responding in respectful, timely manner, consistently meeting commitments).
* Demonstrated ability to listen skillfully, collect relevant information, determine immediate requests, and identify the current and future needs of the member.
* Must be self-motivated and able to work with minimal supervision
* Must be team-oriented and focused on achieving organizational goals.
* Proficient problem-solving approach to quickly assess current state and formulate recommendations.
* Proficient in translating healthcare-related jargon and complex processes into simple, step-by-step instructions which members can understand and act upon.
* Proficient conflict management skills to include ability to resolve issues during stressful situations and demonstrating personal resilience.
* Ability to work regularly scheduled shifts within the Alliance's hours of operation including the training period, with scheduled lunches and breaks, flexibility to adjust daily schedules; and to work over-time and/or weekends as needed.
* Medical terminology knowledge preferred
* Ability to work within a broad systems perspective
* Experience in use of various computer systems software as well as Microsoft Windows, and Microsoft Suite, especially Outlook, Word, Excel.
* Must have reliable and stable internet connection for remote work (50-100 Mbps download speeds).
Employees who interact with members of the public may be required to be tested for Tuberculosis and fully vaccinated against COVID-19 and influenza. Successful candidates for those positions/ classifications may be required to submit proof of vaccination against influenza and/or COVID-19, a negative Tuberculosis test, or request an exemption for qualifying medical or religious reasons during the onboarding process. Candidates should not present proof of vaccination until instructed to do so by the Human Resources department.
SALARY RANGE $22.88-$34.33 HOURLY
The Alliance is an equal opportunity employer and makes all employment decisions on the basis of merit and business necessity. We strive to have the best-qualified person in every job. The Alliance prohibits unlawful discrimination against any employee or applicant for employment based on race, color, religious creed, sex, gender, transgender status, age, sexual orientation, national origin, ethnicity, citizenship, ancestry, religion, marital status, familial status, status as a victim of domestic violence, assault or stalking, military service/veteran status, physical or mental disability, genetic information, medical condition, employees requesting accommodation of a disability or religious belief, political affiliation or activities, or any other status protected by federal, state, or local laws.
Location: Moraine, OH
Target Salary: $130,000 +(depending on experience) + comprehensive benefits
A mission-driven PACE organization in Columbus is seeking a Primary Care Provider - Nurse Practitioner to join its interdisciplinary team serving frail and elderly adults. This is a highly collaborative, patient-centered role focused on comprehensive primary care, care coordination, and improving outcomes for older adults in a community-based model.
Why This Role Stands Out
Collaborative interdisciplinary team (IDT) model with strong clinical support
Focus on relationship-based primary care—not volume-driven medicine
Opportunity to make a meaningful impact on aging adults and reduce hospitalizations
Competitive compensation and strong benefits package
Key Responsibilities
Deliver comprehensive primary care, including history, physical exams, and ongoing assessments
Develop individualized care plans and collaborate closely with the IDT and Medical Director
Manage medications, reconciliation, and interactions with pharmacist collaboration
Coordinate specialist referrals and follow up on consults, labs, and imaging
Monitor participant status during hospitalizations and transitions of care
Participate in daily IDT meetings and contribute clinical insights
Educate participants and caregivers on self-care, medications, and wellness
Provide on-call coverage as part of a shared rotation
Support quality improvement initiatives, staff training, and clinical policy development
Ensure accurate documentation, coding, and compliance with regulatory standards
Qualifications
Nurse Practitioner (NP) license
Active state license (Ohio) and DEA/CDS
BLS required
Minimum 2 years of direct patient care experience (geriatric or frail population preferred)
Experience in managed care, primary care, or geriatrics strongly preferred
Pre-Employment Requirements
Valid driver’s license, reliable transportation, and required auto insurance
Medical clearance and immunizations
Background check, license verification, references, and drug screening
Interested?
If you’re a clinician passionate about geriatric care and value team-based, patient-centered medicine, please apply for more details.
#AC1
#ACP
MercyOne North Iowa is the largest provider of health care services in our region, and we are proudly the largest employer in Cerro Gordo County. Our hospital is a private, not-for-profit health care center, licensed for 346 beds, which serves more than 400,000 inpatients and outpatients each year. In addition, MercyOne North Iowa is a teaching institution. We conduct a Family Medicine Residency, Internal Medicine Residency, Cardiology Fellowship, Hospice and Palliative Medicine Fellowship, PGY1 Pharmacy Residency and a School of Radiologic Technology. MercyOne North Iowa is a clinical training site for approximately 500 students from 127 different colleges enrolled in programs for medical laboratory, nursing, paramedic, rehabilitation, medical assistants, pastoral services, physicians and many other medical fields.
Want to learn more about MercyOne Rockford Family Medicine? Click here: MercyOne Rockford Family Medicine | MercyOne
Join the MercyOne Family! We are looking to hire a Clinic Nurse Supervisor
As a Clinic Nurse Supervisor at MercyOne, you will accept the responsibility and accountability for the delivery of patient care with the multidisciplinary team while using the nursing process and maintaining professional nursing standards.
The Clinic Registered Nurse Lead is responsible for overseeing the day-to-day operations within the clinic, including staff coordination, process improvement, training, and troubleshooting. The role assists in managing workload assignments while ensuring smooth clinic operations and patient flow. The position also involves administrative duties such as scheduling timekeeping, handling patient inquiries, and managing special projects. The lead serves as a resource for staff and liaison with clinic management to maintain high standards of care and service. The lead functions as clinical support staff up to 90% as required to meet business needs.
Schedule:
- Full time 36 hours a week
- M-F 7a-4:30p
- No holidays or Weekends
General Requirements:
- Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions.
- Greet and prepare patients for the health care provider. Obtain and record vital signs including but not limited to, blood pressure, temperature, pulse, respiration, height, weight, drug allergies, and current medications and presenting problem
- Performs all the functions of a clinic RN as needed. Demonstrates comprehensive knowledge and competency in all essential functions of various clerical roles within the clinic.
- Optimizes clinic operations, assisting with patient care, patient flow and facilitating communication amongst team members.
- Oversees staff scheduling, onboarding, and education. Assists with payroll, timekeeping, and performance management. Assists in training, orienting, and supporting staff within the referral management team.
- Recognizes and addresses issues, improving clinic flow and ensuring quality patient care. Responds to patient inquiries.
- Actively participates in meetings, leads huddles, ensuring adherence to safety, infection control, and departmental policies.
- Maintains supply inventory and order supplies as assigned.
- Provides leadership, ensuring appropriate staffing, training, and support for the clinical team.
- Collaborates with a variety of staff, leaders and providers to ensure delivery of quality patient care.
- Resolve complex patient concerns, inquiries, and escalate to management as appropriate.
- Monitors department operations, manages supplies, maintains confidentiality, and ensures compliance with laws, regulations, and organizational integrity.
- Leads or assists with quality assurance, staff development, and process improvement initiatives. Demonstrates proficiency in department-specific software and tools.
- Escalate non-routine issues, questions and/or concerns to the practice manager or healthcare provider(s).
- Other duties as needed and assigned by the manager.
- Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
Education:
- Must be comfortable operating in a collaborative, shared leadership environment.
- A minimum of 2 years of RN experience in a clinic setting is required.
- Supervisory or lead-level experience in a clinical setting preferred.
- Must be comfortable operating in a collaborative, shared leadership environment.
- Active RN License in the state of Iowa; Licensure from other states may be required based on location.
- Basic Life Support (BLS) certification required within 3 months of hire.
- Proof of completion of Mandatory Reporter abuse training specific to the population served within 3 months of hire.
- Proficient in basic computer skills (Windows environment, web-based navigation, email, MS Office).
- Ability to work with diverse groups of people and in a collaborative, shared leadership environment.
- Requires the ability to read, write and understand the English language, and communicate effectively with patient, visitors, and colleagues while performing their job duties.
- Must have a minimum of 2 years of prior related experience in a medical office or healthcare setting.
- Is able to perform a variety of duties characterized by frequent change.
- Must have good communication and diplomacy skills.
- Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health.
- Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health.
Colleagues of MercyOne Health System enjoy competitive compensation with a full benefits package and opportunity for growth throughout the system!
Visit MercyOne Careers to learn more about the benefits, culture, and career development opportunities available to you at MercyOne Health System circle of care.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.