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JOB DESCRIPTION Job Summary
Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
• Completes comprehensive member assessments within regulated timelines, including in-person home visits as required.
• Facilitates comprehensive waiver enrollment and disenrollment processes.
• Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate health care professionals and member support network to address the member needs and goals.
• Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
• Promotes integration of services for members including behavioral health care and long-term services and supports (LTSS) and home and community resources to enhance continuity of care.
• Assesses for medical necessity and authorizes all appropriate waiver services.
• Evaluates covered benefits and advises appropriately regarding funding sources.
• Facilitates interdisciplinary care team (ICT) meetings for approval or denial of services and informal ICT collaboration.
• Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.
• Assesses for barriers to care and provides care coordination and assistance to members to address psycho/social, financial, and medical obstacles concerns.
• Identifies critical incidents and develops prevention plans to assure member health and welfare.
• Collaborates with licensed care managers/leadership as needed or required.
• 25-40% estimated local travel may be required (based upon state/contractual requirements).
Required Qualifications
• At least 2 years health care experience, including at least 1 year of experience working with persons with disabilities/chronic conditions long-term services and supports (LTSS), and 1 year of experience in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience.
•Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN). Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
• In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).
• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.
• Demonstrated knowledge of community resources.
• Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.
• Ability to operate proactively and demonstrate detail-oriented work.
• Ability to work independently, with minimal supervision and self-motivation.
• Ability to demonstrate responsiveness in all forms of communication, and remain calm in high-pressure situations.
• Ability to develop and maintain professional relationships.
• Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.
• Excellent problem-solving, and critical-thinking skills.
• Strong verbal and written communication skills.
• Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases.
• In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).
Preferred Qualifications
• Certified Case Manager (CCM), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN). License must be active and unrestricted in state of practice.
• Experience working with populations that receive waiver services.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
#PJHS
#HTF
Pay Range: $24 - $46.81 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
JOB DESCRIPTION Job Summary
Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
• Completes comprehensive member assessments within regulated timelines, including in-person home visits as required.
• Facilitates comprehensive waiver enrollment and disenrollment processes.
• Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate health care professionals and member support network to address the member needs and goals.
• Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
• Promotes integration of services for members including behavioral health care and long-term services and supports (LTSS) and home and community resources to enhance continuity of care.
• Assesses for medical necessity and authorizes all appropriate waiver services.
• Evaluates covered benefits and advises appropriately regarding funding sources.
• Facilitates interdisciplinary care team (ICT) meetings for approval or denial of services and informal ICT collaboration.
• Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.
• Assesses for barriers to care and provides care coordination and assistance to members to address psycho/social, financial, and medical obstacles concerns.
• Identifies critical incidents and develops prevention plans to assure member health and welfare.
• Collaborates with licensed care managers/leadership as needed or required.
• 25-40% estimated local travel may be required (based upon state/contractual requirements).
Required Qualifications
• At least 2 years health care experience, including at least 1 year of experience working with persons with disabilities/chronic conditions long-term services and supports (LTSS), and 1 year of experience in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience.
•Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN). Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
• In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).
• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.
• Demonstrated knowledge of community resources.
• Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.
• Ability to operate proactively and demonstrate detail-oriented work.
• Ability to work independently, with minimal supervision and self-motivation.
• Ability to demonstrate responsiveness in all forms of communication, and remain calm in high-pressure situations.
• Ability to develop and maintain professional relationships.
• Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.
• Excellent problem-solving, and critical-thinking skills.
• Strong verbal and written communication skills.
• Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases.
• In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).
Preferred Qualifications
• Certified Case Manager (CCM), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN). License must be active and unrestricted in state of practice.
• Experience working with populations that receive waiver services.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
#PJHS
#HTF
Pay Range: $24 - $46.81 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
JOB DESCRIPTION Job Summary
Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
• Completes comprehensive member assessments within regulated timelines, including in-person home visits as required.
• Facilitates comprehensive waiver enrollment and disenrollment processes.
• Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate health care professionals and member support network to address the member needs and goals.
• Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
• Promotes integration of services for members including behavioral health care and long-term services and supports (LTSS) and home and community resources to enhance continuity of care.
• Assesses for medical necessity and authorizes all appropriate waiver services.
• Evaluates covered benefits and advises appropriately regarding funding sources.
• Facilitates interdisciplinary care team (ICT) meetings for approval or denial of services and informal ICT collaboration.
• Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.
• Assesses for barriers to care and provides care coordination and assistance to members to address psycho/social, financial, and medical obstacles concerns.
• Identifies critical incidents and develops prevention plans to assure member health and welfare.
• Collaborates with licensed care managers/leadership as needed or required.
• 25-40% estimated local travel may be required (based upon state/contractual requirements).
Required Qualifications
• At least 2 years health care experience, including at least 1 year of experience working with persons with disabilities/chronic conditions long-term services and supports (LTSS), and 1 year of experience in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience.
•Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN). Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
• In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).
• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.
• Demonstrated knowledge of community resources.
• Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.
• Ability to operate proactively and demonstrate detail-oriented work.
• Ability to work independently, with minimal supervision and self-motivation.
• Ability to demonstrate responsiveness in all forms of communication, and remain calm in high-pressure situations.
• Ability to develop and maintain professional relationships.
• Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.
• Excellent problem-solving, and critical-thinking skills.
• Strong verbal and written communication skills.
• Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases.
• In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).
Preferred Qualifications
• Certified Case Manager (CCM), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN). License must be active and unrestricted in state of practice.
• Experience working with populations that receive waiver services.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
#PJHS
#HTF
Pay Range: $24 - $46.81 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
MSI Express is a single-source contract manufacturing and packaging company, delivering innovative engineering solutions from our strategically located network of manufacturing facilities.
ROLE PURPOSE/ POSITION SUMMARY
The Account Manager is responsible for managing and maintaining strong relationships with customers, ensuring timely and accurate processing of orders, and overseeing the efficient flow of materials to meet customer demand. This role involves collaboration with internal teams, such as production, logistics, and quality control, to ensure efficient plant operations and exceptional customer satisfaction.
KEY ACCOUNTABILITIES/PRIMARY DUTIES & RESPONSIBILITIES
Customer Relationship Management
- Build and nurture strong, long-lasting relationships with customers
- Understand customer needs, preferences, and expectations to provide personalized service
- Ensure customer reports and information are accurate and communicated to customer in a timely fashion
- Interface into customer reporting systems (i.e., SAP, Oracle for scheduling, production, -most times by lot control), shipping, receiving, and managing procurement of customer owned raw materials for specific customer assigned
- Assist in new product launches, collaborate with commercialization team, and site team to meet with timelines and other targets
- Handle customer issues & complaints by referring the issue to the appropriate department & logging them onto the system. Follow up to resolution
Order Processing
- Receive and process customer orders accurately and efficiently
- Verify order details, including quantities, specifications, and delivery schedules
- Prepare job files and project specifications for internal processing and manufacturing for specific customer assigned
- Track order fulfillment & communicate shorts to our customers with information on when product will be available
Material Inventory Management
- Participate in material planning process
- Drive change in managing inventory levels and inventory turns and minimizing obsolescence, scrap, aged inventories, and inventory reserves
- Analyze production yield, material usage, and material loss data to understand customer/material impacts
- Coordinate with production and procurement teams to ensure optimal inventory levels
Supply Chain Coordination
- Collaborate with internal supply chain teams to ensure timely procurement of raw materials and ingredients
- Oversee the supply of raw and packaging materials (whether customer or organization owned) for the facility to include new production to meet production schedules
- Coordinate with logistics teams to facilitate on-time deliveries to customers
Problem-Solving
- Identify and address customer-related supply chain issues promptly and effectively
- Resolve order discrepancies, shipping delays, or quality concerns in collaboration with relevant teams
Communication
- Maintain clear and open communication with customers regarding order status, changes, and potential issues
- Collaborate cross functionally with internal teams to convey customer requirements and expectations
Negotiation and Contract Management
- Negotiate terms, pricing, and delivery schedules with customers
- Manage contracts and agreements to ensure compliance with terms and conditions
Data Analysis
- Utilize data and analytics to track order performance, customer buying patterns, and inventory levels
- Provide insights to management for strategic decision-making
Quality Focus
- Ensure that materials and products meet quality control standards before delivery to customers
- Collaborate with quality control teams to address and resolve any quality issues
Continuous Improvement
- Identify opportunities for process optimization and efficiency improvements within customer material account management
- Stay informed about industry trends and best practices
- Participate and assist in development of new, effective programs/policies for customer, supplier, transportation, and logistics management in conjunction with Supply Chain and plant leadership
- Perform other duties as assigned
QUALIFICATIONS/ CAPABILITY PROFILE
Minimum Education
- High school diploma or GED
- Bachelor’s degree in related field
Minimum Experience
- Four plus (4+) years of experience in purchasing or material planning, purchasing, materials management
- Food manufacturing experience
- Demonstrated track record in improving inventory accuracy, driving inventory reduction strategies and reducing premium freight
- Strong Math and Typing Skills
- Basic level of business acumen, strong attention to detail and analytical skills
Minimum Knowledge/ Skills/ Abilities
- Working knowledge of manufacturing, material flow and improvement strategies and the ability to integrate those into the operation
- Excellent organizational and people skills, project management skills, with an ability to openly convey information to team members in a timely, concise manner
- Understanding of applicable computer systems, such as Microsoft Office, Nulogy, Tableau, etc.
- Leadership
- Budget Management
- Vendor/Contractor Management
- Metric Development
- Ability to identify and propose potential solutions to production
- Demonstrated Understanding of Materials Management
- Inc. 5000 #124 fastest growing company in the Midwest. (2025)
- Inc. 5000 #10 fastest growing company in the Midwest. (2022)
- Inc. 5000 #165 fastest growing company in the Midwest. (2021)
- Inc. 5000 #1,085 fastest growing company in the USA. (2023)
- Inc. 5000 #622 fastest growing company in the USA. (2022)
- Inc. 5000 #479 fastest growing company in the USA. (2021)
SENIOR TRANSPORTATION PLANNER
The Lehigh Valley Planning Commission (LVPC), in coordination with the Lehigh Valley Transportation Study (LVTS), is seeking a Senior Transportation Planner to lead regional transportation planning initiatives across the Lehigh Valley. This position plays a key role in shaping future infrastructure investments through sound planning, data analysis, and interagency coordination.
As a senior member of the Transportation Planning + Data Division, the selected candidate will independently manage complex transportation projects that intersect with land use, safety, system performance, freight, active transportation, and infrastructure management. The role combines technical knowledge with collaborative leadership to support the region’s evolving transportation needs and priorities.
This position serves as a trusted resource to internal teams and external stakeholders, including state and federal transportation agencies, local governments, and the public.
ESSENTIAL DUTIES + RESPONSIBILITIES
Working under the general direction of the Director of Transportation, the Senior Transportation Planner:
- Lead the development and implementation of the Metropolitan Transportation Plan (MTP) and supporting documents.
- Oversee the Transportation Improvement Program (TIP) and coordinate with state partners on the Statewide Transportation Improvement Program (STIP).
- Support planning initiatives that address safety, mobility, system condition, freight movement, and multimodal accessibility.
- Manage transportation funding programs, including review of federal and state grant opportunities and support materials.
- Analyze system performance using a variety of data sources and tools, including GIS, travel demand models, and other technical platforms.
- Integrate transportation and land use policy by reviewing development proposals, local plans, and ordinances for potential impacts on the regional network.
- Prepare and present clear, concise reports and briefings to technical and non-technical audiences, including elected officials and community groups.
- Engage with diverse community stakeholders and support inclusive public involvement strategies.
- Collaborate with state, federal, and local partners, including PennDOT District 5-0, FHWA, FTA, and municipal governments.
- Represent the LVPC/LVTS in regional, statewide, and national working groups focused on areas such as freight, transit, trails, traffic operations, and infrastructure planning.
- Participate in and support transportation-related advisory committees, public meetings, and planning forums.
- Other duties as assigned.
KNOWLEDGE, SKILLS + ABILITIES
- Comprehensive understanding of transportation planning principles and best practices.
- Ability to manage multiple tasks and projects with minimal supervision.
- Effective team collaborator who can also lead independent workstreams.
- Familiarity with public engagement practices and ability to communicate with a wide range of audiences.
- Proficient in Microsoft Office 365, Microsoft Teams, and standard communication tools.
- Ability to interpret technical data and convert it into accessible, actionable planning materials.
QUALIFICATIONS AND REQUIREMENTS:
Minimum Requirements:
- Bachelor's degree in Urban Planning, Transportation Planning, Civil Engineering, or a closely related field.
- Minimum of 5 years of professional experience in transportation or regional planning.
- Proven ability to manage projects and lead multi-agency planning efforts.
- Strong verbal, written, and graphical communication skills.
Preferred Qualifications:
- Master's degree or equivalent experience.
- Certification with the American Institute of Certified Planners (AICP), or willingness to pursue certification.
- Experience with GIS platforms and tools (ArcGIS Pro, StoryMaps, etc.).
- Familiarity with travel demand models, REMI, or other forecasting tools.
- Knowledge of PennDOT Connects, the PennDOT One Map system, and current state/federal transportation planning requirements.
- Understanding of funding programs and related transportation initiatives.
Other Requirements
- This position requires participation at some early morning, evening and weekend meetings and events. Valid driver’s license is also, required within six months of employment.
SALARY + BENEFITS
- Grade 10 - $77,506 – $112,383 per annum; excellent benefits.
- The Lehigh Valley Planning Commission also, budgets for training and professional membership(s). The LVPC is active in the American Planning Association (national, state and regional,) American Association of Metropolitan Planning Organizations, National Association of Regional Councils, Urban Land Institute, Green Building United/US Green Building Council, Lincoln Institute of Land Policy, ESRI, REMI, Greater Lehigh Valley Chamber of Commerce, among other local, regional, state and national allied organizations and initiatives. Team members are encouraged to participate with partner entities.
APPLY
Only e-mail submissions to will be accepted and must include:
- Current resume detailing your education and experience.
- Letter of interest describing how you meet the qualifications for this position and why you would like to be considered. Please address this letter to, Becky Bradley, AICP, Executive Director, Lehigh Valley Planning Commission, 615 Waterfront Drive, Suite 201, Allentown, PA 18102.
- Work samples or links to work that demonstrate your capabilities.
- Minimum of three (3) professional references with contact information.
Position open until filled. Review of applications and interviews will begin immediately.
TEAM COMMITMENT
The Lehigh Valley Planning Commission provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation or identity, national origin, age, disability, or genetics. In addition to federal law requirements, the Lehigh Valley Planning Commission complies with applicable state and local laws governing nondiscrimination in employment. This policy applies to all terms and conditions of employment.
In Compliance with the Immigration Reform and Control Act of 1986, applicants hired by LVPC must show acceptable proof of identity and evidence of authorization to work in the United States. Perrsons with a disability who need assistance with their application or that need this announcement in an alternative format may call (61
FURTHER INFORMATION
Visit for more information on the Lehigh Valley Planning Commission, our work program, products and services.
Surescripts serves the nation through simpler, trusted health intelligence sharing, in order to increase patient safety, lower costs and ensure quality care. We deliver insights at critical points of care for better decisions - from streamlining prior authorizations to delivering comprehensive medication histories to facilitating messages between providers.
The Strategic Data(RWD) Acquisition Manager will be an integral part of Surescripts' data ecosystem by executing negotiations with Surescripts Network Alliance partners to secure data usage rights, while also identifying and acquiring new, strategic data sources. This person will play a critical role in maintaining access to high quality data necessary for the development of solutions that will deliver value and improve the experience for stakeholders across the healthcare ecosystem. This position requires a deep understanding of healthcare data, the regulatory landscape and business development experience to successfully negotiate and secure data agreements that will enhance our product portfolio.
Responsibilities:- Identify and evaluate potential data sources of interest that expand Surescripts' data portfolio. Create comprehensive value propositions for how the data could be used within Surescripts' solutions, and valuation of the data to make offers to data sources for data acquisition.
- Drive business development efforts to secure agreements that enhance Surescripts' data portfolio. With guidance from leadership, execute strategies to identify and approach potential data partners, and successfully negotiate terms.
- Collaborate with sales and product teams to develop strategies to align customer incentives with broader data-dependent initiatives. Interface with Surescripts Network Alliance partners to negotiate data usage rights, ensuring alignment with business goals and regulatory requirements.
- Interface with data providers, industry partners, and other stakeholders.
- Manage day-to-day data procurement-related inquiries and negotiations with data providers and customers.
- Maintain a thorough understanding of privacy laws, including HIPAA permitted purposes. Collaborate with compliance, privacy, security, and data governance teams to ensure all data procurement activities comply with all state and federal regulations, internal policies, and customer contracts.
- Monitor and report on data procurement activities. Track progress of data procurement efforts, report on key metrics, and provide regular updates to senior management. Proactively identify and address any challenges or obstacles in the procurement process. Monitor and evaluate the ROI of data acquisition initiatives to prioritize high-impact opportunities.
- Keep up-to-date with the latest developments in data rights, privacy regulations, and the healthcare industry. Apply and share this knowledge to improve data procurement strategies and ensure the company remains compliant and competitive.
Qualifications:
Basic Requirements:
- Bachelor's degree in Business, Economics, Data Science, or related field;
- 8+ years of experience in business development and/or related experience in the procurement/acquisition of healthcare data.
- Strong understanding of regulations around healthcare data, including Health Insurance Portability and Accountability Act (HIPAA) and Trusted Exchange Framework and Common Agreement (TEFCA).
- Ability to evaluate the value and quality of data assets and their applicability to business needs.
- Proven experience in negotiating contracts and managing vendor relationships.
- Demonstrated success in business development and deal negotiation.
- Excellent written and verbal communication and interpersonal skills.
- Ability to work independently and as part of a team.
- Ability to travel for team, customer and vendor meetings as needed.
- Strategic thinker with strong analytical and problem-solving abilities and results-driven mindset.
Preferred Qualifications:
- MBA or advanced degree preferred in a related field.
- Strong understanding of healthcare interoperability standards, such as Fast Healthcare Interoperability Resource (FHIR).
- Strong understanding of electronic health records (EHR), pharmacy and claims data, health information exchanges (HIE), and TEFCA qualified health information networks (QHINs)
- Familiarity with data governance tools (e.g. data mapping, lineage
#LI-remote
Surescripts embraces flexibility through its Flexible Hybrid Work model for most positions. This model allows employees to work virtually while still utilizing our offices as collaboration centers. With alignment and agreement from your leadership, you can come and go from the office as needed.
To be considered for employment, applicants must have a valid U.S. work authorization allowing work without restrictions with Surecripts in the U.S. At this time, we are unable to provide support or provide sponsorship for immigration benefits such as work visas. Additionally, we do not participate in academic training programs or work-study programs through an academic institution that require employer endorsement of F-1/CPT or F-1/STEM.
Why Wait? Apply Now
We're a midsize company. This means you're not just another employee ID number. Here, you can build real relationships and feel supported by truly awesome people with diverse backgrounds and talents in an innovative and collaborative work culture. We strive to create an environment where you can be yourself, share your ideas and work your way. We offer opportunities for employee development, as well as competitive compensation packages and extensive benefits.
Benefits include, but are not limited to, comprehensive healthcare (including infertility coverage), generous paid time off including paid childbirth and parental leave and mental health days, pet insurance, and 401(k) with company match and immediate vesting. To learn more, review the Keep You and Yours Healthy, Balancing Work and Life, and Where Talent Takes Shape links under the Better Benefits. Better Work. Better Life section of our careers site.
While performing duties of this job, an employee may be required to perform any, or all of the following: attend meetings in and out of the office, travel, communicate effectively (both orally and in writing), and be able to effectively use computers and other electronic and standard office equipment with, or without, a reasonable accommodation. Additionally, this job requires certain mental demands, including the ability to use judgement, withstand moderate amounts of stress and maintain attention to detail with, or without, a reasonable accommodation.
Surescripts is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate on the basis of race, color, religion, age, national origin, ancestry, disability, medical condition, marital status, pregnancy, genetic information, gender, sexual orientation, parental status, gender identity, gender expression, veteran status, or any other status protected under federal, state, or local law.
JOB DESCRIPTION Job Summary
Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
• Completes comprehensive member assessments within regulated timelines, including in-person home visits as required.
• Facilitates comprehensive waiver enrollment and disenrollment processes.
• Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate health care professionals and member support network to address the member needs and goals.
• Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
• Promotes integration of services for members including behavioral health care and long-term services and supports (LTSS) and home and community resources to enhance continuity of care.
• Assesses for medical necessity and authorizes all appropriate waiver services.
• Evaluates covered benefits and advises appropriately regarding funding sources.
• Facilitates interdisciplinary care team (ICT) meetings for approval or denial of services and informal ICT collaboration.
• Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.
• Assesses for barriers to care and provides care coordination and assistance to members to address psycho/social, financial, and medical obstacles concerns.
• Identifies critical incidents and develops prevention plans to assure member health and welfare.
• Collaborates with licensed care managers/leadership as needed or required.
• 25-40% estimated local travel may be required (based upon state/contractual requirements).
Required Qualifications
• At least 2 years health care experience, including at least 1 year of experience working with persons with disabilities/chronic conditions long-term services and supports (LTSS), and 1 year of experience in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience.
•Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN). Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
• In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).
• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.
• Demonstrated knowledge of community resources.
• Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.
• Ability to operate proactively and demonstrate detail-oriented work.
• Ability to work independently, with minimal supervision and self-motivation.
• Ability to demonstrate responsiveness in all forms of communication, and remain calm in high-pressure situations.
• Ability to develop and maintain professional relationships.
• Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.
• Excellent problem-solving, and critical-thinking skills.
• Strong verbal and written communication skills.
• Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases.
• In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).
Preferred Qualifications
• Certified Case Manager (CCM), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN). License must be active and unrestricted in state of practice.
• Experience working with populations that receive waiver services.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
#PJHS
#HTF
Pay Range: $24 - $46.81 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
JOB DESCRIPTION Job Summary
Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
• Completes comprehensive member assessments within regulated timelines, including in-person home visits as required.
• Facilitates comprehensive waiver enrollment and disenrollment processes.
• Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate health care professionals and member support network to address the member needs and goals.
• Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
• Promotes integration of services for members including behavioral health care and long-term services and supports (LTSS) and home and community resources to enhance continuity of care.
• Assesses for medical necessity and authorizes all appropriate waiver services.
• Evaluates covered benefits and advises appropriately regarding funding sources.
• Facilitates interdisciplinary care team (ICT) meetings for approval or denial of services and informal ICT collaboration.
• Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.
• Assesses for barriers to care and provides care coordination and assistance to members to address psycho/social, financial, and medical obstacles concerns.
• Identifies critical incidents and develops prevention plans to assure member health and welfare.
• Collaborates with licensed care managers/leadership as needed or required.
• 25-40% estimated local travel may be required (based upon state/contractual requirements).
Required Qualifications
• At least 2 years health care experience, including at least 1 year of experience working with persons with disabilities/chronic conditions long-term services and supports (LTSS), and 1 year of experience in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience.
•Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN). Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
• In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).
• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.
• Demonstrated knowledge of community resources.
• Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.
• Ability to operate proactively and demonstrate detail-oriented work.
• Ability to work independently, with minimal supervision and self-motivation.
• Ability to demonstrate responsiveness in all forms of communication, and remain calm in high-pressure situations.
• Ability to develop and maintain professional relationships.
• Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.
• Excellent problem-solving, and critical-thinking skills.
• Strong verbal and written communication skills.
• Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases.
• In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).
Preferred Qualifications
• Certified Case Manager (CCM), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN). License must be active and unrestricted in state of practice.
• Experience working with populations that receive waiver services.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
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Pay Range: $24 - $46.81 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
The Information Technology Business Operations Manager plays a crucial role in managing and optimizing financial processes, ensuring efficient operations, and supporting vendor relationships within the IT Organization. This position involves handling invoicing, payments, contract tracking, and financial analysis and reporting.
- At all times employees are expected to uphold Creighton's core values and demonstrate commitment to valuing diversity and contributing to an inclusive working and learning environment, while adhering to all University Ethical Standards of Conduct, rules, regulations, and job requirements, including required educational trainings.
- Financial Management:
- Billing and Payments:
- Internal Billing Generation: Create accurate billing for services provided by internal IT teams or external vendors to campus departments.
- Payment Coordination: Ensure timely payment processing, coordinating with finance and accounts payable.
- Payment Tracking: Maintain records of payments made and reconcile any discrepancies.
- Budget Planning and Analysis:
- Budget Planning: Collaborate with finance to draft and monitor IT budgets, considering operational needs and strategic goals.
- Financial Analysis: Analyze spending patterns, monitor variances, and provide insights to optimize budget allocation.
- Forecasting: Use historical data to forecast future IT expenses along with keeping track of new impacts rolling off capital projects.
- Reporting & Monitoring
- Monitor all IT accounts to ensure proper billing and charges are done and any necessary corrections or reallocations are made timely.
- Identify areas of overspending and report to management for action/decision.
- Develop reports where necessary to communicate current state of finances.
- Cost Optimization:
- Expense Reduction Strategies: Recommend ways to reduce operational costs (e.g., cloud cost optimization, license consolidation, process improvements).
- Contract Tracking and Routing:
- Contract Management:
- Contract Inventory & Maintenance: In alignment with Strategic Sourcing, maintain a centralized contract inventory, including details like contract start/end dates, terms, and stakeholders.
- Renewal Alerts: Track contract milestones, renewals, and terminations. Set up reminders for contract renewals and initiate renewal processes.
- Termination Coordination: Facilitate contract terminations when necessary.
- Collaborate with legal teams to ensure compliance where necessary.
- Routing and Approvals:
- Facilitate contract routing for approvals.
- Coordinate with relevant stakeholders during the contract lifecycle.
- Vendor Engagement:
- Vendor Relationship Management:
- Interact with vendors and address issues or changes.
- Participate in vendor onboarding and establishment.
- Evaluate vendor performance and provide feedback where necessary.
- Address any related issues promptly.
- Vendor Billing:
- Review vendor invoices, validate charges, and process payments.
- Ensure timely payment to vendors.
- Resolve billing discrepancies.
- Operational Efficiency:
- Process Improvement:
- Workflow Streamlining: Identify bottlenecks in operational processes (e.g., procurement, approvals) and propose improvements.
- Automation: Implement automation tools to streamline routine tasks (e.g., invoice processing).
- Internal Billing:
- Chargeback Mechanism: Allocate IT costs to relevant departments based on usage.
- Transparency: Communicate internal billing details to stakeholders.
- Allocate costs appropriately across departments.
Qualifications:
- Bachelor's degree in business administration, Finance, or related field.
- Relevant experience (1-3 years) in financial management, contract administration, or business operations.
Knowledge, Skills, and Abilities:
- Proficiency in financial software and tools (e.g., Excel, accounting software).
- Financial Acumen: Understanding financial statements, budgeting, and cost management
- Strong analytical skills and attention to detail.
- Excellent communication (both written and verbal) is crucial for collaborating with teams and stakeholders.
- Problem-Solving: must be adept at analyzing complex situations and finding practical solutions.
- Experience in an university environment is beneficial.
- High Adaptability
- Experience in negotiation with vendors and stakeholders is preferred.
- Networking: Building professional relationships is essential for growth.
- Risk Management: Identifying and mitigating risks related to vendor and compliance issues. This includes understanding legal and regulatory requirements
JOB DESCRIPTION
Opportunity for a TX licensed RN, residing in Texas, with experience functioning as a Care Manager working with Complex/Intensive cases. Telephonically you will complete assessments needed for determining the types of services we need to provide and managing their care until they are discharged from your service. The ideal candidate will have experience as a Case Manager within a managed care organization (MCO) like Molina, but we also consider RNs with a strong background in complex cases. Hours are Monday – Friday, 8 AM – 5 PM CST working from home.
Solid experience with Microsoft Office Suite is necessary, especially with Outlook, Excel, and Teams as well as being confident in moving between different programs to complete the necessary forms and documentation. Excellent computer skills and attention to detail are very important to multitask between systems and talking with members on the phone while entering accurate contact notes. This is a fast-paced position and productivity is important.
Job Summary
Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
• Completes comprehensive member assessments within regulated timelines, including in-person home visits as required.
• Facilitates comprehensive waiver enrollment and disenrollment processes.
• Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate health care professionals and member support network to address the member needs and goals.
• Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
• Promotes integration of services for members including behavioral health care and long-term services and supports (LTSS) and home and community resources to enhance continuity of care.
• Assesses for medical necessity and authorizes all appropriate waiver services.
• Evaluates covered benefits and advises appropriately regarding funding sources.
• Facilitates interdisciplinary care team (ICT) meetings for approval or denial of services and informal ICT collaboration.
• Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.
• Assesses for barriers to care and provides care coordination and assistance to members to address psycho/social, financial, and medical obstacles concerns.
• Identifies critical incidents and develops prevention plans to assure member health and welfare.
• May provide consultation, resources and recommendations to peers as needed.
• Care manager RNs may be assigned complex member cases and medication regimens.
• Care manager RNs may conduct medication reconciliation as needed.
Required Qualifications
• At least 2 years experience in health care, including at least 1 year experience in care management, managed care, and/or experience in a medical or behavioral health setting, and at least 1 year of experience working with persons with disabilities, chronic conditions, substance abuse disorders, and long-term services and supports (LTSS), or equivalent combination of relevant education and experience.
• Registered Nurse (RN). License must be active and unrestricted in state of practice.
• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.
• Ability to operate proactively and demonstrate detail-oriented work.
• Demonstrated knowledge of community resources.
• Ability to work within a variety of settings and adjust style as needed - working with diverse populations and various personalities and personal situations.
• Ability to work independently, with minimal supervision and demonstrate self-motivation.
• Responsiveness in all forms of communication, and ability to remain calm in high-pressure situations.
• Ability to develop and maintain professional relationships.
• Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.
• Excellent problem-solving and critical-thinking skills.
• Strong verbal and written communication skills.
• Microsoft Office suite/applicable software program(s) proficiency.
• In some states, must have at least one year of experience working directly with individuals with substance use disorders.
Preferred Qualifications
• Certified Case Manager (CCM).
• Experience working with populations that receive waiver services.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V