Jobs
>
Las Vegas

    Program Manager - North Las Vegas, United States - BCforward

    BCforward
    BCforward North Las Vegas, United States

    3 weeks ago

    BCforward background
    Full time
    Description

    BC Forward is looking for Program Coordinator 1 (Remote Work)

    Position Title: Program Coordinator 1 (Remote Work) Locations: Remote PST

    Anticipated Start Date: 5/13

    Expected Duration: 3 months Temp to Perm is the goal

    Job Type: Contract to Hire

    Pay Rate: $19.00/hr on W2.

    Spanish Bilingual Required

    Job Description:

    Position Purpose: Assist in activities related to the medical and psychosocial aspects of utilization and coordinated care.

    Outreach members telephonically

    Answer incoming calls from members or Centene associates.

    Create Case, Create Tasks, Create Referrals in member's chart in TruCare

    Complete screenings in TruCare

    Filter Excel Spreadsheet

    Utilize Outlook Calendar for daily planning.

    Document in TruCare

    Assist Member is downloading Wellframe App and Onboarding

    Educating members on Digital Case Management and Wellframe

    Handle calls per week (outbound and inbound calls)

    Complete screenings on all new members

    Document all member interactions and outreach in Trucare

    Onboard 5-10 members/week to Wellframe

    Required Skills/Experience:

    Microsoft Office a must

    Professional Spoken Communication Skills

    Typing

    Preferred Skills/ Experience:

    MS Word, Excel, Outlook

    Prior Call Center experience

    Prior experience in a managed health plan or medical facility

    Education Requirement: High School Diploma/GED

    Education/Experience: High school diploma or equivalent. 2-3 years managed care setting, medical office or facility setting with demonstration of medical administration duties. Thorough knowledge of customer service, utilization review or claims processing practices in a managed care environment and operation of office equipment such as a personal computer. Knowledge of medical terminology.

    For Illinois Youth Care contract: Required Education/Experience - Bachelors Degree in nursing, social sciences, social work, or a related field. 1 year supervised clinical experience in a human services field.

    For Oregon plan only: A valid driver's license is required.

    Initiate authorization requests for output or input services in keeping with the prior authorization list. Research claims inquiry specific to the department and responsibility.

    Perform tasks necessary to promote member compliance such as verifying appointments, obtaining lab results. Assess and monitor inpatient census.

    Screen for eligibility and benefits. Identify members without a PCP and refer to Member Services. Screen members by priority for case management (CM) assessment. Perform transition of care duties to include but not limited to, contact the members attending physician, member or medical power of attorney, other medical providers (home health agencies, equipment vendors) for information pertaining to special needs.

    Coordinate services with community based organizations. Attend marketing and outreach meetings as directed to represent the plan. Produces and mails routine CM letters and program educational material.

    Data enter assessments and authorizations into the system.

    About BCforward:

    Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally.

    BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.

    BCforward is 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, or protected veteran status and will not be discriminated against based on disability.

    To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.

    This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration.

    Interested candidates please send resume in Word format Please reference job code when responding to this ad.

  • Transportation Security Administration

    Program Manager

    3 weeks ago

    Transportation Security Administration Las Vegas, United States

    Summary · Securing Travel, Protecting People - At the Transportation Security Administration, you will serve in a high-stakes environment to safeguard the American way of life. In cities across the country, you would secure airports, seaports, railroads, highways, and/or public ...

  • AIDS Healthcare Foundation

    Program Manager

    2 weeks ago

    AIDS Healthcare Foundation Las Vegas, United States

    Job Description · Job DescriptionOverview · AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation · Does the idea of doing something that really makes a difference in people's lives while being well-compensated intrigue you? Are you looking to work for an ...

  • New York Life - Las Vegas

    Accelerated Management Program

    1 week ago

    New York Life - Las Vegas Las Vegas, United States

    Exciting opportunity for driven individuals in Las Vegas, NV Propel your career through our Fast-Track Accelerated Management Program. Achieve managerial roles in less than a year. Access comprehensive training, attractive benefits, and a Pension Plan. Potential for a competitive ...

  • New York Life - Las Vegas

    Accelerated Management Program

    1 week ago

    New York Life - Las Vegas Las Vegas, United States

    Job Description · Job DescriptionExciting opportunity for driven individuals in Las Vegas, NV Propel your career through our Fast-Track Accelerated Management Program. Achieve managerial roles in less than a year. Access comprehensive training, attractive benefits, and a Pension ...

  • New York Life - Las Vegas

    Accelerated Management Program

    1 week ago

    New York Life - Las Vegas Las Vegas, United States

    Job Description · Job DescriptionExciting opportunity for ambitious individuals in Las Vegas, NV Propel your career with our Fast-Track Accelerated Management Program. Attain managerial positions in under a year. Gain access to extensive training, appealing benefits, and a Pensio ...

  • HealthTrust Workforce Solutions WFH

    Program Manager Work From Home

    1 day ago

    HealthTrust Workforce Solutions WFH Sunrise, United States

    **Introduction**: · Do you have the career opportunities as a Program Manager Work from Home you want with your current employer? We have an exciting opportunity for you to join HealthTrust Workforce Solutions, which is part of the nation's leading provider of healthcare services ...

  • The Garrett Group

    Program Manager

    4 days ago

    The Garrett Group Nellis Air Force Base, United States

    The Garrett Group is seeking a highly skilled Program Manager / Program Control Specialist to play a vital role in fulfilling critical duties at the Joint Center for Electromagnetic Readiness (JCER). This position involves conducting routine assessments of service deployment cert ...

  • Accessible Space, Inc.

    Program Manager

    2 weeks ago

    Accessible Space, Inc. Las Vegas, NV, United States

    Accessible Space, Inc. (ASI), a nonprofit organization, was founded in 1978. At that time, housing opportunities for adults with disabilities did not exist. Many people in need of attendant and homemaker support ended up in nursing homes. ASI offered a different option in which p ...

  • Accessible Space, Inc.

    Program Manager

    2 weeks ago

    Accessible Space, Inc. Las Vegas, United States

    Accessible Space, Inc. (ASI), a nonprofit organization, was founded in 1978. At that time, housing opportunities for adults with disabilities did not exist. Many people in need of attendant and homemaker support ended up in nursing homes. ASI offered a different option in which p ...

  • Hamaspik Choice

    Member Experience Program Manager

    2 weeks ago

    Hamaspik Choice Spring Valley, United States

    **Job Overview**: · The Member Experience Program Manager is be responsible for development and implementation of strategic objectives aimed at optimizing performance and enhancing the quality of member experience across all lines of business. Experience in Medicare Star Ratings, ...

  • Manpower- Las Vegas

    Program Manager

    3 weeks ago

    Manpower- Las Vegas Las Vegas, United States

    Job Description · Job DescriptionWe are in search of a Temporary Program Officer to oversee and manage various complex programs on a short-term basis. This role is central to planning, coordinating, and executing program services and activities, ensuring compliance with legal and ...

  • Aristocrat Leisure LTD

    Compliance Program Manager

    2 weeks ago

    Aristocrat Leisure LTD Las Vegas, United States

    Reporting into the Senior Global Director Product Compliance Operations, the Compliance Program Manager is responsible for oversight, team development, and direct management for all Compliance Programs. These programs, processes, and requirements necessitate coordination efforts ...

  • Mission Support and Test Services, LLC

    Program Manager II

    3 weeks ago

    Mission Support and Test Services, LLC North Las Vegas, United States

    Overview: · Mission Support and Test Services, LLC (MSTS) manages and operates the Nevada National Security Site (NNSS) for the U.S. National Nuclear Security Administration (NNSA). Our MISSION is to help ensure the security of the United States and its allies by providing high- ...

  • Omega Dynamics

    Graduate program for retail management executives"

    3 weeks ago

    Omega Dynamics Paradise, United States

    Location: 50181 Bedburg | Contract type: Full-time, temporary | Job ID: 806061 · Start of training: | planned end of training: · At REWE, you can expect more than just a job, because we know: You are more than just an employee. In our REWE team, you can develop professionally an ...

  • Infinity Ventures

    The Abiturient Program for Trade Management Specialist

    3 weeks ago

    Infinity Ventures Spring Valley, United States

    Spring Valley Trainee Program for Retail Management (m/f/d) · Our stores are the heart of Takko Fashion - with more than 1,900 stores in 17 countries in Europe, Takko Fashion is always close by. Do you have a passion for fashion? And do you want to make families happy through go ...

  • Aristocrat Technologies

    Program Manager ESG

    3 weeks ago

    Aristocrat Technologies Las Vegas, NV, United States

    Job Summary:The role of Program Manager, ESG PMO, is an important role in the company's Enterprise Project Management Office (EPMO). The ESG PMO vertical requires experience and expertise in project and program management with experience and or aptitude in climate and carbon emis ...

  • New York Life - Las Vegas

    Accelerated Management Program

    1 week ago

    New York Life - Las Vegas Las Vegas, United States

    Exciting opportunity for ambitious individuals in Las Vegas, NV Propel your career with our Fast-Track Accelerated Management Program. Attain managerial positions in under a year. Gain access to extensive training, appealing benefits, and a Pension Plan. Potential for an attracti ...

  • Community Care Plan

    Program Manager

    1 week ago

    Community Care Plan Sunrise, United States

    Position Summary: · The Regulatory and Accreditation Program Manager is responsible for overseeing regulatory compliance and accreditation efforts within the organization. This role ensures that the organization meets industry standards set by accrediting bodies such as NCQA and ...

  • The Sherwin-Williams Company

    Management & Sales Training Program

    2 days ago

    The Sherwin-Williams Company North Las Vegas, United States

    The Sherwin-Williams Management & Sales Training Program is an accelerated, entry-level position designed to prepare you for a Store Management role in 18-24 months. With Sherwin-Williams' promote-from-within philosophy, you will have the opportunity to progress into an Assistant ...

  • CoreWeave

    Physical Security Program Manager

    1 week ago

    CoreWeave Las Vegas, United States

    Job Description · Job DescriptionCoreWeave is a specialized cloud provider, delivering a massive scale of GPU compute resources on top of the industry's fastest and most flexible infrastructure. CoreWeave builds cloud solutions for compute intensive use cases — VFX and rendering, ...