Jobs in Boca Raton, Florida | November 2024 Opportunities

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. ***Candidate must reside in the state of Florida. Experience working in Chronic Illness is highly preferred.***Position Purpose: Develops, assesses, and coordinates care management activities based on member needs to provide quality, cost-effective healthcare outcomes. Develops or contributes to the development of a personalized care plan/service plan for members and educates members and their families/caregivers on services and benefit options available to improve health care access and receive appropriate high-quality care through advocacy and care coordination.Evaluates the needs of the member, barriers to care, the resources available, and recommends and facilitates the plan for the best outcomeDevelops or contributes to the development of a personalized care plan/service ongoing care plans/service plans and works to identify providers, specialists, and/or community resources needed for careProvides psychosocial and resource support to members/caregivers, and care managers to access local resources or services such as: employment, education, housing, food, participant direction, independent living, justice, foster care) based on service assessment and plansCoordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified care or services are accessible to members in a timely mannerMay monitor progress towards care plans/service plans goals and/or member status or change in condition, and collaborates with healthcare providers for care plan/service plan revision or address identified member needs, refer to care management for further evaluation as appropriateCollects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulatorsMay perform on-site visits to assess member’s needs and collaborate with providers or resources, as appropriateMay provide education to care manager and/or members and their families/caregivers on procedures, healthcare provider instructions, care options, referrals, and healthcare benefitsOther duties or responsibilities as assigned by people leader to meet the member and/or business needsPerforms other duties as assignedComplies with all policies and standardsEducation/Experience: Requires a Bachelor’s degree and 2 – 4 years of related experience. Requirement is Graduate from an Accredited School of Nursing if holding clinical licensure.Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.License/Certification:Current state’s clinical license preferredPay Range: $22.07 - $37.25 per hourCentene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. 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 other characteristic protected by applicable law.Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

We're unique. You should be, too. We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great people to join our team. The Care Coordinator is a highly visible customer service and patient-focused role. They work directly with the organization's patient population and their families to authorize, schedule, and ensure completion of patient visits with specialty care. This includes working with insurance representatives and outside vendors, arranging transportation, communicating with physicians, clinicians and other medical personnel, and any other entities necessary for successful completion of approved referrals. ESSENTIAL JOB DUTIES/RESPONSIBILITIES: .Serve as primary point of contact for incoming and outgoing patient referrals. Triage referrals, gather necessary information, ensure timely processing and assignment to appropriate providers.Facilitates communication, collaboration, and coordination of care. Coordinating appointments, referrals, transitions of care between primary care, specialists, hospitals, and other healthcare settings, ensuring seamless transitions and continuity of care.Schedules patients utilizing coordinated provider list (CPL), makes all necessary arrangements related to the appointment, notify patients of appointment information: date, time, and location.Uses web-based insurance platforms to generate referral authorizations.Effectively communicates the physicians/clinicians needs or outstanding items to patients.Follows all referrals through to completed appointment and obtains all documentation related to appointment, uploading into organization's medical record system for physician review prior to PCP follow-up appointment. Ensures any missed external appointments are rescheduled and communicated to the PCP.Addresses referral-related phone calls from patients, providers, etc. Completes and addresses phone messages in a timely manner.Provides extraordinary customer service to all internal and external customers.Performs other related duties as assigned. KNOWLEDGE, SKILLS AND ABILITIES: Knowledge of medical terminology, CPT, HCPCS and ICD coding desiredAn understanding of the company's patient population, including the complexities of Medicare programsExceptional organizational skills with the ability to effectively prioritize and complete tasks in a timely manner.An understanding of the company's patient population, including the complexities of Medicare programsDetail-oriented with the ability to multi-task.Able to exercise proper phone etiquette.Ability to navigate proficiently through computer software systems & use technology.Ability to work well with patients, colleagues, physicians and other personnel in a professional manner.Proficient in Microsoft Office Suite products including Word, Excel, PowerPoint and Outlook, database, and presentation software.Spoken and written fluency in English; bilingual preferred. EDUCATION AND EXPERIENCE CRITERIA: High School diploma or equivalent requiredA minimum of 1 year of referral experience in a healthcare setting required.Experience with web-based insurance sites and obtaining referrals/authorizations for multiple payors preferred.Experience with Web IVRs and obtaining referrals/authorizations for multiple payers strongly preferredHealthcare experience within the Medicare Advantage population preferred.Medical Assistant certification preferredCPR for Healthcare Providers is preferred We're ChenMed and we're transforming healthcare for seniors and changing America's healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We're growing rapidly as we seek to rescue more and more seniors from inadequate health care. ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people's lives every single day. Current Employee apply HERE Current Contingent Worker please see job aid HERE to apply

OverviewIntuit is seeking Tax Associates for the upcoming tax season. If you have an active PTIN, we would love to connect with you!What You Get:Company Benefits: 401(k) savings plan with Intuit matching, paid sick leave, Intuit provided E&O insurance, employee stock purchase plan, employee assistance program, product discounts and free copy of TurboTax Live. As part of this position, you have the opportunity to work 100% remotely, collaborating with an exceptional team from the comfort of your home or office. What you'll bringWho You Are:As a Tax Associate, you have a minimum of 2 years of paid experience filing 30 or more federal and state individual 1040 tax returns, using commercial tax preparation software.   You are passionate about helping clients navigate the complexities of taxation, and you’re committed to enhancing our brand by delighting our customers and empowering them to prepare their taxes.  You possess excellent customer service skills, and you are excited to interact with customers through video and audio tools in a professional, friendly, and confident manner.  What You Need:You must possess or be able to obtain any related State licenses, certificates, permits, or bonds and an active Preparer Tax Identification Number (PTIN).Must have (or be willing to obtain) a dedicated hardwired internet connection that meets Intuit Security criteria.Must be willing and available to work a minimum of 20 hours per week. How you will leadWhat You Will Do:In this role, you will help our customers complete their taxes using Intuit TurboTax products.  By providing tax advice, full service return preparation, tax calculations, and managing product/software inquiries, you will be working toward advancing our goal of “Powering Prosperity Around the World.”You will utilize government websites, professional resources, and team expertise to seek out and deliver the right answer to the customer using everyday language.  This is a virtual, customer-facing role, so you will use our state of the art video communication software to interact with customers, and you will document interactions to maintain accurate records.