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Professional Diversity Network
Dec 10, 2019
Supervisor, Quality Improvement
Meridian Overview Who we are: Meridian, a WellCare Company, is part of a national network of passionate leaders, achievers, and innovators dedicated to making a difference in the lives of our members, our providers and in the healthcare industry. We provide government-based health plans (Medicare, Medicaid, and the Health Insurance Marketplace) in Michigan, Illinois, Indiana, and Ohio. As a part of the WellCare Family of companies, we deliver healthcare excellence to millions of members nationwide. Our associates work hard, play hard, and give back. Meridian associates enjoy an exceptional experience and culture including special events, company sports teams, potlucks, Bagel Fridays, and volunteer opportunities. Day in the Life of a Supv, Quality Improvement: This position works closely with the Manager of Quality Improvement to coordinate the development, implementation, documentation and evaluation of quality management initiatives within the State. Functions in a lead role within the quality team as an experienced resource for others. Assists and supports all quality management functions including QI projects, state compliance activities, disease management programs and initiatives, HEDIS, CAHPS and National Committee for Quality Assurance (NCQA), URAC or general accreditation efforts. Responsibilities Act as project lead and provides assignment oversight to state-specific tasks. Assists with task prioritization of the quality team in collaboration with State leadership. Participates in and maintains compliance with State quality initiatives. Serves as a representative at state quality and stakeholder meetings and within the organization in place of or with the Manager and/or Director. Coordinates design and execution of activities necessary to identify trends and important aspects of care for the Medicaid enrolled population. Identifies opportunities for improvement in Healthcare Effectiveness Data and Information Set (HEDIS) and CAHPS scores based on results of data analysis and required state performance standards. Serves as project manager or facilitator with regional teams and other departmental personnel to develop, implement and evaluate performance improvement initiatives. Assists with training new staff, identifying training and efficiency priorities, and supports training in other states and in the corporate environment. Coordinates provider outreach working with Network Development to ensure appropriate contact with provider offices through the year. Produces and reviews operations reports related to QI activities and goal performance, as assigned. Monitors and conducts quality improvement activities and performance improvement plans related to state and accreditation activities. Coordinates Member Advisory Committee and/or Member Focus Group meetings to solicit member satisfaction feedback. Documents the results of quality improvement activities in a standardized NCQA, URAC or general accreditation approved format, and develop other reporting formats as needed to meet the requirements of the State, NCQA, URAC or other regulatory bodies. Consistently demonstrates compliance with HIPAA regulations, professional conduct, and ethical practice. Leads team meetings and provides oversight to staff on quality team, including weekly meetings with each staff member. Facilitates professional development of staff to align with department and organizational objectives. Shadow manager and be able to serve as an alternate when manager not available. Monitor staff production and report to leadership on a regular basis. Lead state pay for performance project. Ability to travel, primarily within the state of employment. Perform other duties as assigned. Qualifications What you can bring to Meridian: A Bachelor's Degree in a related field is required 3+ years of experience in in managed care, quality management, patient education, health promotion or provider education is required Intermediate proficiency with Microsoft Outlook, Microsoft Powerpoint and Microsoft Word Advanced proficiency with Microrosft Excel and Microsoft Access Intermediate knowledge of PC environment is preferred What Meridian can offer you: Our healthcare benefits include a variety of plans that are effective on the first day of employment for our new full-time team members. Opportunity to work with the industry’s leading technologies and participate in unique projects, demonstrations, conferences, and exclusive learning opportunities. Meridian offers 401k matching that is above the national average. Full-time Meridian employees are eligible for tuition reimbursement towards Bachelor’s or Master’s degrees. Meridian was named Detroit's #1 Fastest Growing Company by Crain's Magazine, so it is a great time to get involved with Meridian. Equal Opportunity Employer
Professional Diversity Network Detroit, MI, USA Full-Time
Professional Diversity Network
Dec 10, 2019
XFINITY Sales Associate
Comcast COME FACE-TO-FACE WITH THE FUTURE OF AWESOME Give your sales career The power of XFINITY XFINITY's suite of products and services offer customers just about everything they need to manage their entertainment, information and even home automation and home security needs. And if you have the special qualities we're seeking tenacity, good listening skills, a tech mindset and the ability to structure and close a sale we could do great things together! We're looking for motivated, determined and highly personable individuals to be the face of XFINITY. You'll sell and promote the full range of products with focus on video, high-speed Internet and phone services. Working a flexible assigned schedule, you'll use your exceptional interpersonal and consulting skills to listen closely to each customer's needs, explain our products and services in-depth; and recommend the right solutions. This could involve calling on potential new customers, upgrading an existing customer's services, and even winning back former customers you've got to be flexible and ready for anything! Comprehensive, ongoing training in all of our products and services will keep you up to speed and ready to sell anything. And your managers and sales support the team will have your back --going on ride-alongs, attending weekly team huddles and giving you the tools you need to thrive. You'll even be given an iPad to let you demo our products in real time with your customers! A high school diploma or the equivalent is required; related experience is strongly preferred. In return, we provide an exceptionally supportive team environment, a generous commission (no cap on earnings) and a strong benefits package. Your talent and tenacity will take care of the rest. If you're eager to see where the future of awesome can take you, we'd like to hear from you. Comcast is an EOE/Veterans/Disabled/LGBT employer
Professional Diversity Network Sterling Heights, MI, USA Full-Time
Professional Diversity Network
Dec 10, 2019
XFINITY Sales Associate
Comcast COME FACE-TO-FACE WITH THE FUTURE OF AWESOME Give your sales career The power of XFINITY XFINITY's suite of products and services offer customers just about everything they need to manage their entertainment, information and even home automation and home security needs. And if you have the special qualities we're seeking tenacity, good listening skills, a tech mindset and the ability to structure and close a sale we could do great things together! We're looking for motivated, determined and highly personable individuals to be the face of XFINITY. You'll sell and promote the full range of products with focus on video, high-speed Internet and phone services. Working a flexible assigned schedule, you'll use your exceptional interpersonal and consulting skills to listen closely to each customer's needs, explain our products and services in-depth; and recommend the right solutions. This could involve calling on potential new customers, upgrading an existing customer's services, and even winning back former customers you've got to be flexible and ready for anything! Comprehensive, ongoing training in all of our products and services will keep you up to speed and ready to sell anything. And your managers and sales support the team will have your back --going on ride-alongs, attending weekly team huddles and giving you the tools you need to thrive. You'll even be given an iPad to let you demo our products in real time with your customers! A high school diploma or the equivalent is required; related experience is strongly preferred. In return, we provide an exceptionally supportive team environment, a generous commission (no cap on earnings) and a strong benefits package. Your talent and tenacity will take care of the rest. If you're eager to see where the future of awesome can take you, we'd like to hear from you. Comcast is an EOE/Veterans/Disabled/LGBT employer
Professional Diversity Network Dearborn Heights, MI, USA Full-Time
Merakey
Dec 09, 2019
Autism Behavioral Technician (Evenings until 7:30pm) Grand Rapids, MI
Merakey is seeking a Autism Behavioral Technician to join our Education and Autism division in Grand Rapids, MI. POSITION OVERVIEW The Autism Behavior Technician provides one-on-one support and assistance to a student with autism, including support and assistance in the use of medical equipment such as augmentative communication devices; activities of daily living; and monitoring health and behavior. Responsibilities include but are not limited to the following. Providing one on one ABA therapy for children with autism either at home or in our school/center Understanding and implementation of children's program books Implementation of the child's IPOS, assessment goals, and behavioral/crisis plan Completion of required documentation; including daily behavioral and program data and parent communication Completion of progress notes for every billable contact Daily preparation for sessions Other duties as assigned Note: A Behavior Technician may provide support to more than one student, but not at the same time. MERAKEY IS PROUD TO OFFER THE FOLLOWING BENEFITS Work/Life Balance Competitive Compensation Plans Opportunities for professional growth and advancement Medical, Dental, and Vision Insurance Plans Flexible Spending Accounts Short/Long Term Disability Coverage Life Insurance 403B Retirement Plan (with company matching) Marketplace Savings Program Employee Assistance Program Wellness Programs 24-Hour Nurse Hotline Tuition Reimbursement Generous Paid Time Off (for qualifying positions) Stability that coincides with working for a national leader in education and human services   ABOUT MERAKEY'S EDUCATION & AUTISM DIVISION The Merakey Education and Autism Division focuses on a continuum of care throughout the lifespan. The core, fundamental principles of Applied Behavior Analysis (ABA) are incorporated into a specialized approach across all service offerings. This division is supported by a senior management team of highly qualified professionals that provide training, supervision, guidance, and support to each of our specialized programs. This team is comprised of decades of expertise in education, autism, and behavioral health experiences. Merakey opened their very first Licensed Private Academic School for students on the Autism Spectrum in the fall of 2005. Since inception, the Education and Autism Services have grown across the state of Pennsylvania providing support for all individuals across the lifespan. Services include: Applied Behavior Analysis (ABA) Childcare/Pre-K Readiness Licensed Private Academic Schools In-District Specialized Classrooms Therapy Services Stepping Stones Plus Adult Autism Services Adult Autism Housing Services For more information on each individual service, please visit: www.educationandautism.merakey.org   ABOUT MERAKEY Merakey is a leading developmental, behavioral health and education provider offering a breadth of integrated services to individuals and communities across the country. We leverage our size and expertise to develop innovative solutions and new models of care to meet the needs of individuals, their families, public and private healthcare funders and community partner organizations. We recognize that complex needs require a holistic approach. With our experience, expertise and compassion, we empower everyone within our communities to reach their fullest potential. With a rich tradition spanning 50 years with nearly 10,000 employees, Merakey provides care to over 40,000 adults and children throughout Pennsylvania, New Jersey, New York, Maryland, Delaware, Louisiana, Michigan, Texas, California, and Tennessee. Merakey is an Equal Opportunity Employer!
Merakey 2925 Breton Rd SE, Grand Rapids, MI 49512, USA
Merakey
Dec 09, 2019
Autism Behavioral Technician-Flint, MI
Merakey is seeking a Fee For Service Autism Behavioral Technician to join our Education and Autism division in Flint, MI. This position is up to 15 hours a week; hours are not guaranteed POSITION OVERVIEW The Autism Behavior Technician provides one-on-one support and assistance to a student with autism, including support and assistance in the use of medical equipment such as augmentative communication devices; activities of daily living; and monitoring health and behavior. Responsibilities include but are not limited to the following. Providing one on one ABA therapy for children with autism either at home or in our school/center Understanding and implementation of children's program books Implementation of the child's IPOS, assessment goals, and behavioral/crisis plan Completion of required documentation; including daily behavioral and program data and parent communication Completion of progress notes for every billable contact Daily preparation for sessions Other duties as assigned Note: A Behavior Technician may provide support to more than one student, but not at the same time. MERAKEY IS PROUD TO OFFER THE FOLLOWING BENEFITS Work/Life Balance Competitive Compensation Plans Opportunities for professional growth and advancement Medical, Dental, and Vision Insurance Plans Flexible Spending Accounts Short/Long Term Disability Coverage Life Insurance 403B Retirement Plan (with company matching) Marketplace Savings Program Employee Assistance Program Wellness Programs 24-Hour Nurse Hotline Tuition Reimbursement Generous Paid Time Off (for qualifying positions) Stability that coincides with working for a national leader in education and human services   ABOUT MERAKEY'S EDUCATION & AUTISM DIVISION The Merakey Education and Autism Division focuses on a continuum of care throughout the lifespan. The core, fundamental principles of Applied Behavior Analysis (ABA) are incorporated into a specialized approach across all service offerings. This division is supported by a senior management team of highly qualified professionals that provide training, supervision, guidance, and support to each of our specialized programs. This team is comprised of decades of expertise in education, autism, and behavioral health experiences. Merakey opened their very first Licensed Private Academic School for students on the Autism Spectrum in the fall of 2005. Since inception, the Education and Autism Services have grown across the state of Pennsylvania providing support for all individuals across the lifespan. Services include: Applied Behavior Analysis (ABA) Childcare/Pre-K Readiness Licensed Private Academic Schools In-District Specialized Classrooms Therapy Services Stepping Stones Plus Adult Autism Services Adult Autism Housing Services For more information on each individual service, please visit: www.educationandautism.merakey.org ABOUT MERAKEY Merakey is a leading developmental, behavioral health and education provider offering a breadth of integrated services to individuals and communities across the country. We leverage our size and expertise to develop innovative solutions and new models of care to meet the needs of individuals, their families, public and private healthcare funders and community partner organizations. We recognize that complex needs require a holistic approach. With our experience, expertise and compassion, we empower everyone within our communities to reach their fullest potential. With a rich tradition spanning 50 years with nearly 10,000 employees, Merakey provides care to over 40,000 adults and children throughout Pennsylvania, New Jersey, New York, Maryland, Delaware, Louisiana, Michigan, Texas, California, and Tennessee. Merakey is an Equal Opportunity Employer! APPLY TODAY In addition to completing your application, please feel free to email your resume directly to our recruiter at hope.jacobs@merakey.org.
Merakey 2284 Ballenger Highway, ste G-5306C
Professional Diversity Network
Dec 09, 2019
Certified Nursing Assistant CNA
Cherry Hill Nursing and Rehab 38410 Cherry Hill Rd, Westland, MI 48185, USA Shifts Available: FT 3pm-11pm and FT 11pm-7am We are seeking a Certified Nursing Assistant CNA RCS for our skilled nursing facility Cherry Hill Nursing and Rehab, Westland MI! You will work alongside fellow caregivers to provide each of your assigned residents with routine daily nursing care and services in accordance with the resident's assessment and care plan as a Certified Nursing Assistant CNA. SMS us for a rapid response 717.740.2906- People Powered. Shifts Available: CNA FT 3pm-11pm CNA FT 11pm-7am Responsibilities: Assist residents with daily dental and mouth care (i.e., brushing teeth/dentures, oral hygiene, special mouth care, etc.), with bath functions (i.e., bed, bathtub or shower bath, etc) and with hair care functions (i.e., combing, brushing, shampooing, etc.) Change bed linens. Keep linens tight to avoid wrinkles from forming under the resident Assist resident with bowel and bladder functions (i.e., take to bathroom, offer bedpan/urinal, portable commode, etc) Assist residents in preparing for activity and social programs (i.e. church services, parties, visitors, etc) Change dressings, bandages, binders, etc., as instructed Ensure that residents who are unable to call for help are checked frequently Qualifications: Active Certified Nursing Assistant Certification Benefits Offered: Paid Time Off (PTO), To be used at your discretion for; Vacation, Sick, &/or Personal time Medical, Dental, & Vision Insurance 401K & many more! XQ7
Professional Diversity Network Westland, MI, USA Full-Time
Professional Diversity Network
Dec 09, 2019
Intern - Construction
Walbridge Walbridge Intern US-MI-Detroit 2019-1351 Overview Walbridge offers a Summer Construction Internship program designed to provide meaningful hands-on work experience and exposure to industry leaders across the organization. Our goal is to provide professional experience for talented construction and engineering students with the goal of starting a full-time career with Walbridge upon graduation. Our internships are competitive, paid positions throughout the typical summer months. Part-time opportunities may also be available throughout the school year for those who qualify. What we offer you: Cutting-edge technologies, and industry-leading processes A learning culture committed to innovation and improvement Career planning, coaching, development & growth Access to hundreds of construction and professional development training programs Opportunities in Field Operations, Engineering, Estimating and Project Controls Why choose Walbridge: Large organization with award-winning projects, yet small enough for you to make an impact Strong values which are the foundation of our growth for over 100 years International, regional and local recognition for stand-out projects, safety, sustainability, culture, wellness and diversity Responsibilities Assist in the coordination of on-site construction and engineering activities for construction projects. Interpret design/drawings, specifications, submittals, and other construction documents. Assist Superintendents, Project Managers, Engineers, and Coordinators with project-related technical and logistical functions. Includes subcontractor and supplier planning/administration, work assignments, etc. Interface with on-site departments as required to resolve problems, ensure quality of construction, etc. in support of overall project schedule. Qualifications Enrolled in a construction-related degree program (Engineering - EE, ME, CE, Engineering Technology, Construction Management, or related degree program) at an accredited college/university; prior construction experience or military service a plus. Knowledge of technology, computers and software, including standard MS Office applications Competencies of successful interns: Demonstrating Initiative. Takes action on his/her own without being prompted; handles problems independently; able to resolve issues without relying on extensive help from others; does more than is expected or asked. Delivering High Quality Work. Critically reviews work processes to ensure quality; addresses problems that could impact quality; makes sure project deliverables and services meet all requirements and expectations; does not make the same mistakes twice. Working Safely. Understands and embraces the Walbridge safety culture, policies and regulations; scans the environment for things that may pose a safety risk; encourages others to utilize safe and healthy work practices. Teamwork. Shows enthusiasm toward being a member of the group; actively participates in team meetings and activities; leverages the skills and interests of coworkers to achieve goals and solve problems; supports team decisions. Continuous Improvement. Thinks creatively and identifies issues/solutions to improve existing processes; engages with others to solve problems, develop new ideas and process improvements; learns from, and shares insights from past experience. Demonstrating Tenacity and Perseverance. Maintains high levels of energy and enthusiasm over an extended amount of time; does not give up when faced with challenging obstacles; completes what he/she starts; sees projects through to the end. Following Policies and Procedures. Understands and follows company policies; encourages others to follow work rules; calls attention to actions that may violate policies and procedures. Learning Quickly. Quickly comprehends new problems and situations; needs very little time to learn and master new processes or tools; able to figure things out as he/she goes along. Walbridge is an equal opportunity employer with a culture that promotes diversity in the workforce. We provide equal employment opportunities to all qualified employees and applicants for employment without regard to race, color, national origin, sex, religion, age, marital status, sexual orientation, gender identity, citizenship status, status as an individual with a disability, military, or protected veteran status or any other legally protected status. We prohibit discrimination in decisions concerning career development, recruitment, hiring, compensation, benefits, training, termination, promotions, or any other condition of employment. PM19
Professional Diversity Network Detroit, MI, USA Full-Time
Mondelez International
Dec 09, 2019
Part-time Nabisco Retail Merchandise Stocker - Lapeer, MI - 1909921
Mondelēz International, Inc. empowers people to snack right in over 160 countries around the world. We're leading the future of snacking with iconic brands such as Oreo, belVita and LU biscuits; Cadbury Dairy Milk, Milka and Toblerone chocolate; Sour Patch Kids candy and Trident gum. Our 90,000 colleagues around the world are key to the success of our business. Great people and great brands . That's who we are. Join us on our mission to continue leading the future of snacking around the world by offering the right snack , for the right moment , made the right way . As a part of Sales, you'll put our customers at the heart of our business. By building strong relationships with every customer, big or small, you'll help Mondelēz International become the supplier of choice and ensure we deliver world-class execution of our business plans in every store. Primary Role: The role of the Mondelēz International Sales Service Representative (Stocker) is to build a world-class Direct Store Delivery (DSD) business at the retail level. Sales Service Representatives (Stockers) fulfill the merchandising needs of our grocery-related customers through stocking the shelves and building and maintaining displays. We service nationally recognized customers such as Walmart, Kroger and Target, as well as regional customers. As a Sales Service Representative (Stocker) for our company, you are primarily, though not exclusively, merchandising Nabisco specific brands. This includes physically moving products from the backrooms of our customer stores and then stocking the product on the shelf. Areas of focus will include stocking to ensure full-shelf conditions, neatly-merchandising displays and shelves, building display point-of-sale in all areas of the store, properly-rotating product on the shelf, and creating and hanging accurate price tags / point-of-sale in all departments. A major objective of this role is to establish and maintain clear and effective communication with key store individuals and fellow Mondelēz team members, while providing outstanding customer service. This role will be responsible for maintaining an efficient and accurate merchandising service schedule, which includes driving to multiple customer stores throughout the shift. This role is also be responsible for identifying and communicating individual store opportunities to the appropriate Mondelēz International personnel. Mondelēz International is an employer of inclusion who partners with diversity groups that cater to people of all races, colors, religions, national origins, ethnicities, ages, genders, sexual orientations, gender identities, and gender expressions. Our company also works with military veterans to help hire our heroes who have served our nation, as well as partnering with disability networks to include people of all abilities to help the company succeed for years to come. Benefits and Compensation: The PART-TIME Sales Service Representative position offers a competitive hourly compensation rate, work related mileage reimbursement and an Employee Assistance Program. Key Competencies: Ability to perform hard work in a fast-paced work environment and to meet the defined physical activities, which include: Repetitive lifting (from floor to waist, chest high and above), bending, and carrying up to 25 lbs., occasionally over 50 lbs., pushing & pulling over 100 lbs., etc., occasional ladder use, while adhering to established safety expectations and processes Ability to stand and stock shelves, using repetitive hand/arm motions throughout the entire shift Unpacking Nabisco product consisting of 100 cases or more Experience utilizing hand pallet jack and pushing/pulling U-Boat carts is preferred Previous retail / grocery experience is a plus, as well as work that has included repetitive physical activities (lifting, bending, reaching, carrying, pushing and pulling) Ability to drive your personal vehicle to a variety of store locations (mileage will be reimbursed) A flexible work schedule is required, including being available to work weekends and holidays Additional responsibilities as assigned You must be at least 18 years of age, have a valid driver's license, reliable transportation and proof of auto insurance Have a personal email account and access to the internet (business internet/data expenses will be reimbursed up to $10/per month, unless documentation of higher expenses incurred is provided) Successful completion of a drug test, MVR check, and general background check Requirements: You must be at least 18 years of age, have a valid driver's license, reliable transportation, proof of auto insurance and have access to the internet with a personal email account A flexible work schedule is required, including being available to work weekends and holidays Previous retail / grocery experience a plus Successful completion of drug test, MVR check, and general background check Mondelēz Global LLC is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, creed, sex, gender, national origin, disability, protected Veteran status, uniform service, sexual orientation, gender identity, gender expression, genetic information, or any other characteristic protected by law. Applicants who require accommodation to participate in the job application process may contact 847-943-5460 for assistance. Applicants must complete all required steps in the application process, including providing education and work history, in order to be considered for this position. All applicants will receive an email after submitting the first stage of the application. This email will include a link to return to the second stage of the application process. If you had previously submitted a resume, you will need to confirm/verify education and work history. For those that did not submit a resume, you will need to manually enter education and work history.
Mondelez International Lapeer, MI 48446, USA Part-Time
Merakey
Dec 09, 2019
Board Certified Behavior Analyst- Flint, MI
Merakey is currently seeking Full time Masters prepared Behavior Analyst (BCBA) (BCBA Eligible ) to join education and Austin division in Flint, MI.   POSITION OVERVIEW In this position, you will have a direct impact in enhancing a child's ability to succeed. The BCBA will provide support in our home and center-based ABA program. Responsibilities include but are not limited to the following: Providing supervision to the Behavior Technicians along with supporting the individuals in our program Completing VB-MAPPs and assessments for new referrals, re-evaluations and parent training. Developing child specific program books, including activities and data collection as well as behavioral/crisis plans. Supporting the Behavioral Technicians through implementation of the treatment goals, program book, IPOS, behavioral/crisis plans and documentation. MERAKEY IS PROUD TO OFFER THE FOLLOWING BENEFITS Work/Life Balance Competitive Compensation Plans Opportunities for professional growth and advancement Medical, Dental, and Vision Insurance Plans Flexible Spending Accounts Short/Long Term Disability Coverage Life Insurance 403B Retirement Plan (with company matching) Marketplace Savings Program Employee Assistance Program Wellness Programs 24-Hour Nurse Hotline Tuition Reimbursement Generous Paid Time Off (for qualifying positions) Stability that coincides with working for a national leader in education and human services   ABOUT MERAKEY'S EDUCATION & AUTISM DIVISION The Merakey Education and Autism Division focuses on a continuum of care throughout the lifespan. The core, fundamental principles of Applied Behavior Analysis (ABA) are incorporated into a specialized approach across all service offerings. This division is supported by a senior management team of highly qualified professionals that provide training, supervision, guidance, and support to each of our specialized programs. This team is comprised of decades of expertise in education, autism, and behavioral health experiences. Merakey opened their very first Licensed Private Academic School for students on the Autism Spectrum in the fall of 2005. Since inception, the Education and Autism Services have grown across the state of Pennsylvania providing support for all individuals across the lifespan. Services include: Applied Behavior Analysis (ABA) Childcare/Pre-K Readiness Licensed Private Academic Schools In-District Specialized Classrooms Therapy Services Stepping Stones Plus Adult Autism Services Adult Autism Housing Services For more information on each individual service, please visit: www.educationandautism.merakey.org   ABOUT MERAKEY Merakey is a leading developmental, behavioral health and education provider offering a breadth of integrated services to individuals and communities across the country. We leverage our size and expertise to develop innovative solutions and new models of care to meet the needs of individuals, their families, public and private healthcare funders and community partner organizations. We recognize that complex needs require a holistic approach. With our experience, expertise and compassion, we empower everyone within our communities to reach their fullest potential. With a rich tradition spanning 50 years with nearly 10,000 employees, Merakey provides care to over 40,000 adults and children throughout Pennsylvania, New Jersey, New York, Maryland, Delaware, Louisiana, Michigan, Texas, California, and Tennessee.   Merakey is an Equal Opportunity Employer!   APPLY TODAY In addition to completing your application, please feel free to email your resume directly to our recruiter at hope.jacobs@merakey.org    
Merakey 2284 Ballenger Highway, ste G-5306C
Professional Diversity Network
Dec 08, 2019
Sr Mgr, Quality Improvement
WellCare Health Plans Performs oversight and management of Accreditation initiatives, state and regulatory quality compliance, HEDIS and quality improvement initiatives for PiPs, QiPs, QIA's, delegation audits and external quality reviews . Applies medical knowledge and analytical skills to effectively and efficiently coordinate quality activities and improve performance metrics of organizational goals. Essential Functions: Develops, implements and maintains a standardized quality management plan and program to ensure compliance with external regulatory and accreditation requirements. Establishes and maintains tracking and monitoring systems for health care quality improvement activities according to regulatory requirements, accreditation standards, policies and procedures and contractual agreements. Ensures high risk, high volume, and unusual events are monitored concurrently and retrospectively as they occur. Researches and develops performance measurement and outcome studies to assess and improve the health status of the membership. Plans, organizes and manages the design, development and analysis of a wide variety of topics relevant to health care services. Designs and develops methodologies for preventive care and health care evaluations. Researches and documents current health care standards for use in study design and methodologies. Conducts preventive studies to evaluate the continuity and coordination of care and to assess the quality and utilization of health care services. Provides assistance and guidance to clinical staff with regard to study design, methodology, data analysis and reporting. Manages and evaluate performance of staff related to clinical and health care services performance improvement activities. Provides department orientation to new staff and ongoing staff development to the entire department. Coordinates guidelines, studies and performance improvement activities in concert with the utilization management, quality management, pharmacy services, case management and disease management programs. Maintains a knowledge base of HEDIS requirements and implementing clinical performance methods to improve HEDIS performance. Prepares, compiles, reviews and submits monthly and quarterly reports for quality committee meetings. Coordinates all external programmatic oversight visits for contracted providers and ensures timely completion and follow up on corrective action plans. Participates in the development, review and updating of policies and procedures. Develops and analyzes reports to monitor and evaluate quality performance in meeting established goals related to quality improvement plan and contractual requirements. Provides guidance and training to new associates. Performs other duties as assigned. Additional Responsibilities: Completes the state Licensed Health Care Risk Management certification program. Completes AHCA Code 15 Reports for confirmed adverse incidents. Submits an annual AHCA adverse incident summary report. Performs annual update on Florida Plan Risk Management Program Description. Coordinates the regular and systematic review of all potential adverse incidents in accordance with state statute. Presents summary reports of reported AHCA Code 15 adverse incidents through the state Plan quality committee structure and Board of Directors. Candidate Education: Required A Bachelor's Degree in HealthCare, Nursing, Public Health, Health Administration or Business or equivalent work experience Preferred A Master's Degree in HealthCare or Business Candidate Experience: Required 6 years of experience in in quality improvement, analysis, development, public health or related area (4 years experience with Master's degree) Required 4 years of experience in Healthcare (2 years experience with Master's degree) Required 2 years of management experience including leading projects, senior or lead role directing teams Candidate Skills: Intermediate Knowledge of community, state and federal laws and resources Advanced Demonstrated written communication skills Advanced Demonstrated interpersonal/verbal communication skills Advanced Demonstrated analytical skills Advanced Demonstrated problem solving skills Intermediate Ability to work in a fast paced environment with changing priorities Intermediate Ability to multi-task Advanced Ability to effectively present information and respond to questions from families, members, and providers Advanced Ability to effectively present information and respond to questions from peers and management Intermediate Ability to lead/manage others Advanced Ability to influence internal and external constituents Licenses and Certifications: A license in one of the following is required: Required Other RN license required for IL & MO markets; preferred for all other markets Preferred Other Completion of state Licensed Health Care Risk Management certification program Required for FL market only; preferred for all other markets. Technical Skills: Required Intermediate Microsoft Excel Required Intermediate Microsoft Word Required Intermediate Microsoft Visio Required Intermediate Microsoft PowerPoint Required Intermediate Microsoft Outlook Required Intermediate Healthcare Management Systems (Generic) Languages: About us Headquartered in Tampa, Fla., WellCare Health Plans, Inc. (NYSE: WCG) focuses primarily on providing government-sponsored managed care services to families, children, seniors and individuals with complex medical needs primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug Plans, as well as individuals in the Health Insurance Marketplace. WellCare serves approximately 5.5 million members nationwide as of September 30, 2018. WellCare is a Fortune 500 company that employs nearly 12,000 associates across the country and was ranked a "World's Most Admired Company" in 2018 by Fortune magazine. For more information about WellCare, please visit the company's website at www.wellcare.com. EOE: All qualified applicants shall receive consideration for employment without regard to race, color, religion, creed, age, sex, pregnancy, veteran status, marital status, sexual orientation, gender identity or expression, national origin, ancestry, disability, genetic information, childbirth or related medical condition or other legally protected basis protected by applicable federal or state law except where a bona fide occupational qualification applies. Comprehensive Health Management, Inc. is an equal opportunity employer, M/F/D/V/SO.
Professional Diversity Network Detroit, MI, USA Full-Time
Mondelez International
Dec 08, 2019
Full Time Nabisco Sales Service Representative/Merchandiser - Benton Harbor, MI - 1913296
Mondelēz International, Inc. empowers people to snack right in over 150 countries around the world. We're leading the future of snacking with iconic brands such as Oreo, belVita and LU biscuits; Cadbury Dairy Milk, Milka and Toblerone chocolate; Sour Patch Kids candy and Trident gum. Our 80,000 colleagues around the world are key to the success of our business. Great people and great brands . That's who we are. Join us on our mission to continue leading the future of snacking around the world by offering the right snack , for the right moment , made the right way . It's time for you to Make It with Mondelēz International. As a part of Sales , you'll put our customers at the heart of our business. By building strong relationships with every customer, big or small, you'll help Mondelēz International become the supplier of choice and ensure we deliver world-class execution of our business plans in every store. Primary Role: The role of the Mondelēz International Sales Service Representative (Merchandiser) is to build a world-class Direct Store Delivery (DSD) business at the retail level. Sales Service Representatives (Merchandisers) fulfill the merchandising needs of our grocery-related customers through stocking the shelves and building and maintaining displays. We service nationally recognized customers such as Walmart, Kroger and Target, as well as regional customers. As a Sales Service Representative (Merchandiser) for our company, you are primarily, though not exclusively, merchandising Nabisco specific brands. This includes physically moving products from the backrooms of our customer stores and then stocking the product on the shelf. Areas of focus will include stocking to ensure full-shelf conditions, neatly-merchandising displays and shelves, building display point-of-sale in all areas of the store, properly-rotating product on the shelf, and creating and hanging accurate price tags / point-of-sale in all departments. A major objective of this role is to establish and maintain clear and effective communication with key store individuals and fellow Mondelēz team members, while providing outstanding customer service. This role will be responsible for maintaining an efficient and accurate merchandising service schedule, which includes driving to multiple customer stores throughout the shift. This role is also be responsible for identifying and communicating individual store opportunities to the appropriate Mondelēz International personnel. Mondelēz International is an employer of inclusion who partners with diversity groups that cater to people of all races, colors, religions, national origins, ethnicities, ages, genders, sexual orientations, gender identities, and gender expressions. Our company also works with military veterans to help hire our heroes who have served our nation, as well as partnering with disability networks to include people of all abilities to help the company succeed for years to come. Benefits and Compensation: The FULL-TIME Sales Service Representative position offers a comprehensive medical, dental and vision benefit package, Employee Assistance Program, paid vacation and holidays. Along with a competitive hourly compensation rate, the role also offers work related mileage reimbursement and eligibility to participate in an incentive program. Hourly compensation fixed rate: $14.75, subject to relevant experience. Key Competencies: Planning and organizing skills Effective communication skills Creativity Flexibility Detail-oriented Problem solving skills Self-starter Selling and Inventory Management: Fully using sales, order management systems and technologies that ensure exceptional customer service Promotions/Merchandising: Identifying opportunities to use promotional and merchandising techniques to develop and support customer relations Computer literate (Microsoft Office, Internet and Cellular/Wireless devices) Requirements: Ability to perform hard work in a fast-paced work environment and to meet the defined physical activities, which include: Repetitive lifting (from floor to waist, chest high and above), bending, and carrying up to 25 lbs., occasionally over 50 lbs., pushing & pulling over 100 lbs., etc., occasional ladder use, while adhering to established safety expectations and processes Ability to stand and stock shelves, using repetitive hand/arm motions throughout the entire shift Unpacking Nabisco product consisting of 100 cases or more Experience utilizing hand pallet jack and pushing/pulling U-Boat carts is preferred. Previous retail / grocery experience is a plus, as well as work that has included physical activities (lifting, bending, reaching, carrying, pushing and pulling). Ability to drive your personal vehicle to a variety of store locations (mileage will be reimbursed). A flexible work schedule is required, including being available to work weekends and holidays. Additional responsibilities as assigned. High School Diploma or GED required. You must be at least 18 years of age, have a valid driver's license, reliable transportation and proof of auto insurance. Successful completion of drug test, MVR check, and general background check. Mondelēz Global LLC is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected Veteran status, sexual orientation, gender identity, gender expression, genetic information, or any other characteristic protected by law. Applicants who require accommodation to participate in the job application process may contact 847-943-5460 for assistance. Applicants must complete all required steps in the application process, including providing a Resume/CV, in order to be considered for this position.
Mondelez International Benton Harbor, MI, USA Full-Time
Mondelez International
Dec 08, 2019
Part-time Nabisco Retail Merchandise Stocker - Benton Harbor, MI - 1913287
Mondelēz International, Inc. empowers people to snack right in over 150 countries around the world. We're leading the future of snacking with iconic brands such as Oreo, belVita and LU biscuits; Cadbury Dairy Milk, Milka and Toblerone chocolate; Sour Patch Kids candy and Trident gum. Our 80,000 colleagues around the world are key to the success of our business. Great people and great brands . That's who we are. Join us on our mission to continue leading the future of snacking around the world by offering the right snack , for the right moment , made the right way . It's time for you to Make It with Mondelēz International. As a part of Sales, you'll put our customers at the heart of our business. By building strong relationships with every customer, big or small, you'll help Mondelēz International become the supplier of choice and ensure we deliver world-class execution of our business plans in every store. Primary Role: The role of the Mondelēz International Sales Service Representative (Stocker) is to build a world-class Direct Store Delivery (DSD) business at the retail level. Sales Service Representatives (Stockers) fulfill the merchandising needs of our grocery-related customers through stocking the shelves and building and maintaining displays. We service nationally recognized customers such as Walmart, Kroger and Target, as well as regional customers. As a Sales Service Representative (Stocker) for our company, you are primarily, though not exclusively, merchandising Nabisco specific brands. This includes physically moving products from the backrooms of our customer stores and then stocking the product on the shelf. Areas of focus will include stocking to ensure full-shelf conditions, neatly-merchandising displays and shelves, building display point-of-sale in all areas of the store, properly-rotating product on the shelf, and creating and hanging accurate price tags / point-of-sale in all departments. A major objective of this role is to establish and maintain clear and effective communication with key store individuals and fellow Mondelēz team members, while providing outstanding customer service. This role will be responsible for maintaining an efficient and accurate merchandising service schedule, which includes driving to multiple customer stores throughout the shift. This role is also be responsible for identifying and communicating individual store opportunities to the appropriate Mondelēz International personnel. Mondelēz International is an employer of inclusion who partners with diversity groups that cater to people of all races, colors, religions, national origins, ethnicities, ages, genders, sexual orientations, gender identities, and gender expressions. Our company also works with military veterans to help hire our heroes who have served our nation, as well as partnering with disability networks to include people of all abilities to help the company succeed for years to come. Benefits and Compensation: The PART-TIME Sales Service Representative position offers a competitive hourly compensation rate, work related mileage reimbursement and an Employee Assistance Program. Hourly compensation fixed rate: $13, subject to relevant experience. Key Competencies: Ability to perform hard work in a fast-paced work environment and to meet the defined physical activities, which include: Repetitive lifting (from floor to waist, chest high and above), bending, and carrying up to 25 lbs., occasionally over 50 lbs., pushing & pulling over 100 lbs., etc., occasional ladder use, while adhering to established safety expectations and processes Ability to stand and stock shelves, using repetitive hand/arm motions throughout the entire shift Unpacking Nabisco product consisting of 100 cases or more Experience utilizing hand pallet jack and pushing/pulling U-Boat carts is preferred Previous retail / grocery experience is a plus, as well as work that has included repetitive physical activities (lifting, bending, reaching, carrying, pushing and pulling) Ability to drive your personal vehicle to a variety of store locations (mileage will be reimbursed) A flexible work schedule is required, including being available to work weekends and holidays Additional responsibilities as assigned You must be at least 18 years of age, have a valid driver's license, reliable transportation and proof of auto insurance Have a personal email account and access to the internet (business internet/data expenses will be reimbursed up to $10/per month, unless documentation of higher expenses incurred is provided) Successful completion of a drug test, MVR check, and general background check Requirements: You must be at least 18 years of age, have a valid driver's license, reliable transportation, proof of auto insurance and have access to the internet with a personal email account A flexible work schedule is required, including being available to work weekends and holidays Previous retail / grocery experience a plus Successful completion of drug test, MVR check, and general background check Mondelēz Global LLC is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, creed, sex, gender, national origin, disability, protected Veteran status, uniform service, sexual orientation, gender identity, gender expression, genetic information, or any other characteristic protected by law. Applicants who require accommodation to participate in the job application process may contact 847-943-5460 for assistance. Applicants must complete all required steps in the application process, including providing education and work history, in order to be considered for this position. All applicants will receive an email after submitting the first stage of the application. This email will include a link to return to the second stage of the application process. If you had previously submitted a resume, you will need to confirm/verify education and work history. For those that did not submit a resume, you will need to manually enter education and work history.
Mondelez International Benton Harbor, MI, USA Part-Time
Professional Diversity Network
Dec 07, 2019
Health Advocate
WellCare Health Plans Coordinates the socio economic needs and service of selected member populations across the continuum of illness. Interviews, coordinates and plans daily living routines to meet the medical, social and emotional needs of members and their families. Provides support and/or intervention and assists members in understanding the implications and complexities of their current medical situation and/or overall personal care. Collaborates with the interdisciplinary team to achieve optimal resource outcomes. Works with Case Management to assess, plan, implement, coordinate, monitor, and evaluate services and outcomes to maximize the health of the Member. Essential Functions: Participates in and supports developed care plans for members and evaluates the members need for alternative services and third party needs. Outreaches to members telephonically and/or in-person and coordinates member's case management services. Interacts continuously with members, family, physician(s), and other resources to determine appropriate action needed to address/support medical needs. Reviews benefits options, researches community resources, coordinates services, trains/creates activities of daily living routines and enables members to be active participants in their own healthcare. Provides telephone follow-up to ensure members have seen their PCP and are completing their treatment plan or preventive care services a defined by the PCP or guidelines. Coordinates community resources with emphasis on the development of natural support system. Coordinates benefits, regulations, laws and public entitlement programs. Acts as a liaison and member advocate between the member/family, physician and facilities/agencies. Assists in obtaining benefits for members through community resources when benefits are exhausted or not available. Performs other duties as assigned. Additional Responsibilities: In Illinois, the incumbent may conduct comprehensive member psychosocial/health assessments and develop a care management treatment plan specific to each member. Candidate Education: Required A Bachelor's Degree in Human Services or other related field Required or equivalent work experience in a similar capacity in a managed care environment. Candidate Experience: Required 2 years of experience in Health and human services Preferred Other Experience in a managed care environment Required Other Work experience requirements may be waived for associates engaged in Florida's CMS contract that worked in a similar capacity for Florida's Department of Health in 2018. Candidate Skills: Intermediate Ability to work independently Intermediate Demonstrated interpersonal/verbal communication skills Intermediate Ability to create, review and interpret treatment plans Intermediate Ability to multi-task Intermediate Ability to work within tight timeframes and meet strict deadlines Intermediate Ability to effectively present information and respond to questions from families, members, and providers Intermediate Ability to effectively present information and respond to questions from peers and management Intermediate Demonstrated problem solving skills Intermediate Demonstrated written communication skills Intermediate Demonstrated time management and priority setting skills Intermediate Knowledge of healthcare delivery Intermediate Knowledge of community, state and federal laws and resources Licenses and Certifications: A license in one of the following is required: Technical Skills: Required Intermediate Microsoft Outlook Required Intermediate Microsoft Word Required Intermediate Microsoft Excel Required Intermediate Other Knowledge of or the ability to learn company approved software such as EMMA, CRMS, Peradigm, InterQual, Sidewinder and other software in order to perform job duties. Languages: About us Headquartered in Tampa, Fla., WellCare Health Plans, Inc. (NYSE: WCG) focuses primarily on providing government-sponsored managed care services to families, children, seniors and individuals with complex medical needs primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug Plans, as well as individuals in the Health Insurance Marketplace. WellCare serves approximately 5.5 million members nationwide as of September 30, 2018. WellCare is a Fortune 500 company that employs nearly 12,000 associates across the country and was ranked a "World's Most Admired Company" in 2018 by Fortune magazine. For more information about WellCare, please visit the company's website at www.wellcare.com. EOE: All qualified applicants shall receive consideration for employment without regard to race, color, religion, creed, age, sex, pregnancy, veteran status, marital status, sexual orientation, gender identity or expression, national origin, ancestry, disability, genetic information, childbirth or related medical condition or other legally protected basis protected by applicable federal or state law except where a bona fide occupational qualification applies. Comprehensive Health Management, Inc. is an equal opportunity employer, M/F/D/V/SO.
Professional Diversity Network Detroit, MI, USA Full-Time
Professional Diversity Network
Dec 07, 2019
Health Advocate
WellCare Health Plans Coordinates the socio economic needs and service of selected member populations across the continuum of illness. Interviews, coordinates and plans daily living routines to meet the medical, social and emotional needs of members and their families. Provides support and/or intervention and assists members in understanding the implications and complexities of their current medical situation and/or overall personal care. Collaborates with the interdisciplinary team to achieve optimal resource outcomes. Works with Case Management to assess, plan, implement, coordinate, monitor, and evaluate services and outcomes to maximize the health of the Member. Essential Functions: Participates in and supports developed care plans for members and evaluates the members need for alternative services and third party needs. Outreaches to members telephonically and/or in-person and coordinates member's case management services. Interacts continuously with members, family, physician(s), and other resources to determine appropriate action needed to address/support medical needs. Reviews benefits options, researches community resources, coordinates services, trains/creates activities of daily living routines and enables members to be active participants in their own healthcare. Provides telephone follow-up to ensure members have seen their PCP and are completing their treatment plan or preventive care services a defined by the PCP or guidelines. Coordinates community resources with emphasis on the development of natural support system. Coordinates benefits, regulations, laws and public entitlement programs. Acts as a liaison and member advocate between the member/family, physician and facilities/agencies. Assists in obtaining benefits for members through community resources when benefits are exhausted or not available. Performs other duties as assigned. Additional Responsibilities: In Illinois, the incumbent may conduct comprehensive member psychosocial/health assessments and develop a care management treatment plan specific to each member. Candidate Education: Required A Bachelor's Degree in Human Services or other related field Required or equivalent work experience in a similar capacity in a managed care environment. Candidate Experience: Required 2 years of experience in Health and human services Preferred Other Experience in a managed care environment Required Other Work experience requirements may be waived for associates engaged in Florida's CMS contract that worked in a similar capacity for Florida's Department of Health in 2018. Candidate Skills: Intermediate Ability to work independently Intermediate Demonstrated interpersonal/verbal communication skills Intermediate Ability to create, review and interpret treatment plans Intermediate Ability to multi-task Intermediate Ability to work within tight timeframes and meet strict deadlines Intermediate Ability to effectively present information and respond to questions from families, members, and providers Intermediate Ability to effectively present information and respond to questions from peers and management Intermediate Demonstrated problem solving skills Intermediate Demonstrated written communication skills Intermediate Demonstrated time management and priority setting skills Intermediate Knowledge of healthcare delivery Intermediate Knowledge of community, state and federal laws and resources Licenses and Certifications: A license in one of the following is required: Technical Skills: Required Intermediate Microsoft Outlook Required Intermediate Microsoft Word Required Intermediate Microsoft Excel Required Intermediate Other Knowledge of or the ability to learn company approved software such as EMMA, CRMS, Peradigm, InterQual, Sidewinder and other software in order to perform job duties. Languages: About us Headquartered in Tampa, Fla., WellCare Health Plans, Inc. (NYSE: WCG) focuses primarily on providing government-sponsored managed care services to families, children, seniors and individuals with complex medical needs primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug Plans, as well as individuals in the Health Insurance Marketplace. WellCare serves approximately 5.5 million members nationwide as of September 30, 2018. WellCare is a Fortune 500 company that employs nearly 12,000 associates across the country and was ranked a "World's Most Admired Company" in 2018 by Fortune magazine. For more information about WellCare, please visit the company's website at www.wellcare.com. EOE: All qualified applicants shall receive consideration for employment without regard to race, color, religion, creed, age, sex, pregnancy, veteran status, marital status, sexual orientation, gender identity or expression, national origin, ancestry, disability, genetic information, childbirth or related medical condition or other legally protected basis protected by applicable federal or state law except where a bona fide occupational qualification applies. Comprehensive Health Management, Inc. is an equal opportunity employer, M/F/D/V/SO.
Professional Diversity Network Detroit, MI, USA Full-Time
Professional Diversity Network
Dec 07, 2019
Behavioral Health Advocate, Sr
WellCare Health Plans Coordinates the socio economic needs and service of selected member populations across the continuum of illness. Coordinates and plans activities and behavioral routines to meet the medical, social and emotional needs of members and their families. Provides support and/or intervention and assists members in understanding the implications and complexities of their current medical situation and/or overall personal care. Collaborates with the interdisciplinary team to achieve optimal resource outcomes. Essential Functions: Interviews clients and their families and coordinates programs and activities to meet their social and emotional needs. Provides support to care and case managers regarding the coordination of care plans for members by utilizing social service expertise to evaluate the members need for alternative services and third party intervention. Outreaches to members telephonically and/or in-person to provide health coaching and consultation and by providing guidance regarding barriers to managing health conditions. Assists members to change behaviors and to locate and access interpersonal, family and community resources that will make it easier to manage their health. Reviews benefits options, researches community resources, coordinates services, trains behavioral routines and enables members to be active participants in their own healthcare. Provides telephone follow-up to ensure members have seen their PCP and are completing their treatment plan or preventive care services a defined by the PCP or guidelines. Coordinates community resources with emphasis on the development of natural support system. Coordinates benefits, regulations, laws and public entitlement programs. Acts as a liaison and member advocate between the member/family, physician and facilities/agencies. Assists in obtaining benefits for members through community resources when benefits are exhausted or not available. Assists with implementation of new and expanding health services initiatives. Helps establish process improvements leading to best practice and assist in implementing change movement. Trains, mentors and provides guidance to new and current Social Workers regarding policy and procedure, systemic tools, workload and care plan development. Performs other duties as assigned. Additional Responsibilities: Candidate Education: Required A Bachelor's Degree in Social Work (BSW), Psychology, Counseling, Rehabilitation, or other relevant field Candidate Experience: Required 4 years of experience in a health care environment with client care coordination responsibilities via assisting clients to change behaviors and to locate and access interpersonal, family and community resources that will make it easier to manage their health Required 2 years of experience in a managed care environment Candidate Skills: Intermediate Ability to work independently Ability to work independently, handle multiple assignments and prioritize workload Intermediate Demonstrated interpersonal/verbal communication skills Communicates effectively in person and by phone Intermediate Ability to create, review and interpret treatment plans Ability to create, review and interpret treatment plans Intermediate Ability to multi-task Intermediate Ability to work within tight timeframes and meet strict deadlines Intermediate Ability to effectively present information and respond to questions from families, members, and providers Intermediate Ability to effectively present information and respond to questions from peers and management Intermediate Demonstrated problem solving skills Intermediate Demonstrated written communication skills Intermediate Demonstrated time management and priority setting skills Intermediate Knowledge of healthcare delivery Intermediate Knowledge of community, state and federal laws and resources Licenses and Certifications: A license in one of the following is required: Preferred Licensed Bachelor Social Worker (LBSW) Technical Skills: Required Intermediate Microsoft Outlook Proficient in Microsoft Office including Outlook, Word and Excel Required Intermediate Microsoft Word Knowledge of or the ability to learn company approved software such as EMMA, CRMS, Peradigm, InterQual, Sidewinder and other software in order to perform job duties Required Intermediate Microsoft Excel Required Intermediate Other Knowledge of or the ability to learn company approved software such as EMMA, CRMS, Peradigm, InterQual, Sidewinder and other software in order to perform job duties. Languages: About us Headquartered in Tampa, Fla., WellCare Health Plans, Inc. (NYSE: WCG) focuses primarily on providing government-sponsored managed care services to families, children, seniors and individuals with complex medical needs primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug Plans, as well as individuals in the Health Insurance Marketplace. WellCare serves approximately 5.5 million members nationwide as of September 30, 2018. WellCare is a Fortune 500 company that employs nearly 12,000 associates across the country and was ranked a "World's Most Admired Company" in 2018 by Fortune magazine. For more information about WellCare, please visit the company's website at www.wellcare.com. EOE: All qualified applicants shall receive consideration for employment without regard to race, color, religion, creed, age, sex, pregnancy, veteran status, marital status, sexual orientation, gender identity or expression, national origin, ancestry, disability, genetic information, childbirth or related medical condition or other legally protected basis protected by applicable federal or state law except where a bona fide occupational qualification applies. Comprehensive Health Management, Inc. is an equal opportunity employer, M/F/D/V/SO.
Professional Diversity Network Detroit, MI, USA Full-Time
Professional Diversity Network
Dec 07, 2019
Ad Sales Account Executive
Comcast Effectv combines the targeting and measurement of digital with the reach and impact of TV delivering the results that matter to our clients Clients of all sizes need to reach their audiences in a targeted, compelling and strategic fashion. Effectv, a leader in the ad-creation business, is leading ad-creation business in the industry, has the solutions they're looking for. Effectv Account Executives have an in-depth knowledge of their local markets and competitive landscape. You'll create and propose advertising solutions across all media, as well as meeting your existing clients' needs. You will also assist with production planning; attend, participate in, and lead sales meetings; and act as a valued resource to your coworkers. Additional responsibilities include handling client issues; and managing all financial aspects for your accounts. This role is best suited to a sales professional interested in learning more about our suite of advertising solutions and the development of our markets. Experience within a sales-oriented setting is key, along with a keen interest in all types of media products (including online/interactive solutions) and the ability to stay current with, or even ahead of, new and emerging technologies. A high school diploma or the equivalent is required; a bachelor's degree and related sales experience is preferred. You'll enjoy an upbeat, supportive environment (which includes regular training, team huddles and even boot camps) and a competitive base salary plus commissions. Best of all, you can advance as far and as fast as your abilities and interests allow. To learn more about this and other exciting opportunities, use the link below to review the full job description, including experience requirements, and complete an application. Comcast is an EOE/Veterans/Disabled/LGBT employer
Professional Diversity Network Lansing, MI, USA Full-Time
Professional Diversity Network
Dec 06, 2019
Mgr, Quality Improvement
WellCare Health Plans Conducts oversight and management of Accreditation initiatives, state and regulatory quality compliance, HEDIS and quality improvement initiatives for PiPs, QiPs, QIA's, delegation audits and external quality reviews. Applies medical knowledge and analytical skills to effectively and efficiently coordinate quality activities and improve performance metrics of organizational goals. Essential Functions: Develops, implements and maintains a standardized quality management plan and program to ensure compliance with external regulatory and accreditation requirements. Establishes and maintains tracking and monitoring systems for health care quality improvement activities according to regulatory requirements, accreditation standards, policies and procedures and contractual agreements. Ensures high risk, high volume, and unusual events are monitored concurrently and retrospectively as they occur. Researches and develops performance measurement and outcome studies to assess and improve the health status of the membership. Plans, organizes and manages the design, development and analysis of a wide variety of topics relevant to health care services. Designs and develops methodologies for preventive care and health care evaluations. Researches and documents current health care standards for use in study design and methodologies. Conducts preventive studies to evaluate the continuity and coordination of care and to assess the quality and utilization of health care services. Provides assistance and guidance to clinical staff with regard to study design, methodology, data analysis and reporting. Manages and evaluates performance of staff related to clinical and health care services performance improvement activities. Provides department orientation to new staff and ongoing staff development to the entire department. Coordinates guidelines, studies and performance improvement activities in concert with the utilization management, quality management, pharmacy services, case management and disease management programs. Maintains a knowledge base of HEDIS requirements and implementing clinical performance methods to improve HEDIS performance. Prepares, compiles, reviews and submits monthly and quarterly reports for quality committee meetings. Coordinates all external programmatic oversight visits for contracted providers and ensures timely completion and follow up on corrective action plans. Participates in the development, review and updating of policies and procedures. Develops and analyzes reports to monitor and evaluate quality performance in meeting established goals related to quality improvement plan and contractual requirements. Provides guidance and training to new associates. Performs other duties as assigned. Additional Responsibilities: Performs annual update on state Plan Risk Management Program Description. Coordinates the regular and systematic review of all potential adverse incidents in accordance with state statute. Completes AHCA Code 15 Reports for confirmed adverse incidents. Submits an annual AHCA adverse incident summary report. Presents summary reports of reported AHCA Code 15 adverse incidents through the state Plan quality committee structure and Board of Directors. Candidate Education: Required A Bachelor's Degree in HealthCare, Nursing, Public Health, Health Administration or Business or equivalent work experience Preferred A Master's Degree in Healthcare Candidate Experience: Required 5 years of experience in in quality improvement, analysis, development, public health or related area (3 years experience with Healthcare Master's degree) Required 3 years of experience in Healthcare (1 year experience with Healthcare Master's degree) Required 1 year of management experience or in a project, senior or lead role directing teams Required Other If Masters Degree - 3 years required overall Candidate Skills: Intermediate Knowledge of community, state and federal laws and resources Advanced Demonstrated written communication skills Advanced Demonstrated interpersonal/verbal communication skills Advanced Demonstrated analytical skills Advanced Demonstrated problem solving skills Intermediate Ability to work in a fast paced environment with changing priorities Intermediate Ability to multi-task Advanced Ability to effectively present information and respond to questions from families, members, and providers Advanced Ability to effectively present information and respond to questions from peers and management Intermediate Ability to influence internal and external constituents Intermediate Ability to lead/manage others Licenses and Certifications: A license in one of the following is required: Preferred Registered Nurse (RN) Required Other Completion of state Licensed Health Care Risk Management certification program Required for FL market only; preferred for all other markets. Technical Skills: Required Intermediate Microsoft Excel Required Intermediate Microsoft Word Required Intermediate Microsoft Visio Required Intermediate Microsoft PowerPoint Required Intermediate Microsoft Outlook Required Intermediate Healthcare Management Systems (Generic) Languages: About us Headquartered in Tampa, Fla., WellCare Health Plans, Inc. (NYSE: WCG) focuses primarily on providing government-sponsored managed care services to families, children, seniors and individuals with complex medical needs primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug Plans, as well as individuals in the Health Insurance Marketplace. WellCare serves approximately 5.5 million members nationwide as of September 30, 2018. WellCare is a Fortune 500 company that employs nearly 12,000 associates across the country and was ranked a "World's Most Admired Company" in 2018 by Fortune magazine. For more information about WellCare, please visit the company's website at www.wellcare.com. EOE: All qualified applicants shall receive consideration for employment without regard to race, color, religion, creed, age, sex, pregnancy, veteran status, marital status, sexual orientation, gender identity or expression, national origin, ancestry, disability, genetic information, childbirth or related medical condition or other legally protected basis protected by applicable federal or state law except where a bona fide occupational qualification applies. Comprehensive Health Management, Inc. is an equal opportunity employer, M/F/D/V/SO.
Professional Diversity Network Detroit, MI, USA Full-Time
Professional Diversity Network
Dec 06, 2019
Pharmacy Support Clerk
WellCare Health Plans Assists staff in a variety of tasks that help maintain proper work flow and meet time sensitive deadlines within the pharmacy department. Essential Functions: Labels / assigns incoming faxes in RightFax (or equivalent application) to help ensure critical pharmacy turnaround time frames are met. Sends faxes on behalf of WellCare pharmacy to appropriate parties within designated service level agreements. (SLA's) Organizes and prioritizes a variety of administrative and clinical job tasks in order of importance and impact on members and providers. Conducts member and provider research; updating member profiles as needed. Answers / conducts inbound and outbound calls with members and provider offices to provide resolution to claims (i.e.: additional information requests and medication determination updates). Performs special projects as assigned. Additional Responsibilities: Runs reports and distributes to appropriate parties as necessary. (Specialty Pharmacy) Coordinates specialty drug inventory levels such as check in, stocking, rotating stock, pulling/returning expired product. (Specialty Pharmacy) Accepts and unloads deliveries. (Specialty Pharmacy) Responsible for warehouse management such as ordering/management of supplies needed (i.e.: boxes, coolers, packing materials) (Specialty Pharmacy) Packs and ships medications, supplies, paperwork etc. (Specialty Pharmacy) Candidate Education: Required A High School or GED Candidate Experience: Required Other 6 months experience in an office environment that allowed for attention to detail and the ability to work within time lines Candidate Skills: Intermediate Other Ability to evaluate information from both oral and written sources Intermediate Ability to create, review and interpret treatment plans Intermediate Ability to multi-task Intermediate Ability to work within tight timeframes and meet strict deadlines Intermediate Ability to work independently Licenses and Certifications: A license in one of the following is required: Technical Skills: Preferred Beginner Microsoft Word Preferred Beginner Microsoft Excel Preferred Beginner Microsoft Outlook Languages: About us Headquartered in Tampa, Fla., WellCare Health Plans, Inc. (NYSE: WCG) focuses primarily on providing government-sponsored managed care services to families, children, seniors and individuals with complex medical needs primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug Plans, as well as individuals in the Health Insurance Marketplace. WellCare serves approximately 5.5 million members nationwide as of September 30, 2018. WellCare is a Fortune 500 company that employs nearly 12,000 associates across the country and was ranked a "World's Most Admired Company" in 2018 by Fortune magazine. For more information about WellCare, please visit the company's website at www.wellcare.com. EOE: All qualified applicants shall receive consideration for employment without regard to race, color, religion, creed, age, sex, pregnancy, veteran status, marital status, sexual orientation, gender identity or expression, national origin, ancestry, disability, genetic information, childbirth or related medical condition or other legally protected basis protected by applicable federal or state law except where a bona fide occupational qualification applies. Comprehensive Health Management, Inc. is an equal opportunity employer, M/F/D/V/SO.
Professional Diversity Network Detroit, MI, USA Full-Time
Professional Diversity Network
Dec 05, 2019
Nurse, Health Screener
Quest Diagnostics THIS IS PER DIEM, NOT FULL OR PART TIME Go the extra mile. Patients and Physicians rely on our diagnostic testing, information and services to help them make better healthcare decisions. These are often serious decisions with far reaching consequences, and require sensitivity, tact and a clear dedication to service. It's about providing clarity and hope. In Patient Services you will work for the world leader in the industry, with a career where you can expand your skills and knowledge. You'll have a role where you can act with professionalism, you can inspire colleagues, and you can care about the work we do and the people we serve. At Quest, Patient Service roles are tremendously important - it is a patient-focused role where it is essential to remember that there is a life and person behind every test tube. Your skills are critical, as is your ability to work with the patients. The role is varied and offers a developing career in Phlebotomy due to the scale and reach of Quest. You can grow and improve your skills in a fast-moving, supportive team environment. Most importantly, you can help us make a real difference. Basic Purpose: The primary responsibility of the Health Screener is to provide coverage in the field ensuring that health screenings are completed accurately and on time. Maintain a safe and professional environment for clients and employees; perform with confidence all aspects of a health screening, including specimen collection and processing duties following established practices and procedures. Duties and Responsibilities: * Perform biometric screening at client sites including finger stick blood collection, BMI, Blood Pressure and other health screening services based on service package * Performs basic waived testing technical procedures on blood samples and completes required quality control. * Provide exceptional customer service at all health screenings. * Maintains accurate, complete, and legible records. * Participates in training/retraining and continuing education programs as necessary. * Complies with all designated safety policies and procedures in the work area, including the use of applicable protective equipment when necessary to prevent exposure to potentially infectious agents. * Understands and complies with applicable federal, state and local laws. Adheres to quality assurance procedures and good manufacturing practices. * Maintain all HIPAA and OSHA standards while on events. * Performs other related duties as necessary. Supervision Exercised: N/A Qualifications: Education/Certification: Formal medical education including current appropriate medical certification (RN, BSN, NP) Current nursing license Additional medical certification / licensure as required by state / regulatory requirements. Work Experience: At least 1 year of healthcare experience in a professional setting preferred. Other: * Proficient with finger sticks and manual blood pressure. * Ability to understand and perform complex procedures and techniques and work with complex instrumentation (Cholestech and/ or Cardio Check experience preferred). * Skills required for proper specimen and reagent handling, labeling, processing, preparation, transportation and storage necessary. * Must be knowledgeable of required regulations and comply with them. * Excellent customer service internally and externally. * Possess good written and verbal communication skills. * Ability to read, understand and follow detailed procedures. * Basic computer skills necessary including access to internet / email. * Strong communication skills both written and verbal. * Proficient in Microsoft Office Suite, specifically Word, Outlook, and Excel. Physical and Mental Requirements: * Lift light to moderately heavy objects. The normal performance of duties may require lifting and carrying objects. Objects in the weight range of 1 to 15 pounds are lifted and carried frequently; objects in the weight range of 16 to 40 pounds may be lifted and carried occasionally. Objects exceeding 41 pounds are not to be lifted or carried without assistance. * Requires use of phone and PC. * Fine dexterity with hands/steadiness. * Handling stress & emotions, * Concentrating on tasks * Making decisions, * Adjusting to change, * Examining/observing details * Sitting or standing for long periods at a time * Position requires travel.
Professional Diversity Network Novi, MI, USA Full-Time
Lundbeck LLC
Dec 05, 2019
Neuroscience Account Manager - Psychiatry - Detroit, MI
Territory: Detroit, MI - Psychiatry   Target city for territory is Detroit, MI - will consider candidates who live within 40 miles of territory boundaries with access to a major airport. Territory boundaries include:  Detroit, Canton, Dearborn and Royal Oak   SUMMARY:   At Lundbeck, we are tirelessly dedicated to restoring brain health so every person can be their best. Lundbeck is the only global pharmaceutical company focused solely on brain diseases. Our legacy in neuroscience goes back seven decades and we have a long heritage of innovation. Lundbeck has developed and commercialized some of the world’s most widely prescribed therapies for psychiatric and neurological disorders. Today, we remain uncompromisingly committed to improving the quality of life for people impacted by brain disorders. Lundbeck is unique from other biopharmaceutical companies in that we are 70 percent owned by a research-focused foundation. We have a deep and productive pipeline, and continue to bring forward symptomatic therapies to help people live better lives, while simultaneously pursuing disease-modifying treatments.   As a Neuroscience Account Manager, you will act as the primary customer contact for demand creation by providing comprehensive clinical knowledge and executing sales and marketing strategies in the local market. Strong Account Manager candidates must demonstrate the ability to drive strong sales performance, as well as partner with a field-based team to deploy approved services necessary to meet the needs of each account/customer.   Specifically, the Neuroscience Account Manager will demonstrate ability in the following areas:     ESSENTIAL FUNCTIONS:   Selling  - Understand the core selling process, adapt style, and effectively negotiate to bring value to the customer and close the sale. Customer Development  - Build and maintain productive internal and external relationships (e.g., customers, account contacts, stakeholders and influencers, etc.) based on customer needs and organizational goals. Local Market Expertise  - Ability to collaborate with internal and external partners to gather and validate key trends and dynamics in the market, map account linkages, including stakeholders who exhibit direct and indirect influence on customer behavior. Utilize market knowledge to uncover and prioritize unique opportunities that will allow for mutual value between Lundbeck and our customers. Therapeutic Area Knowledge  - Ability to apply therapeutic area knowledge to the sale of Lundbeck products and/or to increase effectiveness in role. Reimbursement  - Consistently demonstrates the ability to stay informed on reimbursement dynamics, anticipates and communicates impact on product portfolio to key internal and external partners and effectively addresses payer access issues (Medicare, Medicaid, Commercial) using Lundbeck resources. Business Planning and Execution  - Ability to prioritize opportunities, develops strategy & tactics, allocates resources, monitors progress and adjusts direction to maximize sales performance and measure progress against plan. Uses monthly budget to maximize profitability and return on investment. Critical Thinking  - Ability to understand a situation, issue, or problem by breaking it into smaller components. Ability to collect information, derive inferences, find solutions and make informed decisions and recommendations using data and tools where appropriate Pharmaceutical Environment  - Ability to apply knowledge of pharmaceutical and regulatory environment, including Lundbeck policies and procedures and FDA regulations regarding the promotion of pharmaceutical and medical products. Ability to apply knowledge of overall healthcare economy and industry practices. Compliance  - Accountability and adherence to corporate, FDA, and PDMA guidelines     REQUIRED EDUCATION, EXPERIENCE and SKILLS:   Bachelor of Arts or Bachelor of Sciences degree from an accredited college or university 4+ years pharmaceutical, healthcare, medical sales or related experience 2+ years promoting and detailing products in the field of CNS/neuroscience, hospital, medical devices or within a specialty product sales force. Must live within 40 miles of territory boundaries Must demonstrate the intellectual capacity to score highly on disease and product training exams, including being certified on product knowledge annually High energy level and strong work ethic Outstanding communication skills Must be computer literate with proficiency in Microsoft Office software Valid driver’s license with a safe driving record that meets company requirements Meeting and complying with reasonable industry-standard credentialing requirements of healthcare providers / customer facilities is required for continued employment with Lundbeck     PREFERRED EDUCATION, EXPERIENCE AND SKILLS:   Prior experience promoting and detailing products specific to CNS/neuroscience including: depression, schizophrenia, bipolar disorder, epilepsy and/or movement disorders Previous hospital, specialty pharmacy or buy & bill/injectable sales experience Documented successful sales performance Strong leadership through participation in committees, job rotations, subject matter expert panels and related activities Account planning experience, ownership and accountability for the development and execution of a fully integrated account plan that utilizes effective deployment of company resources Experience in calling on customers at a variety of call points, including offices, community mental health centers and hospitals Experience in product launch or expansion within sales Previous experience working with alliance partners (i.e., co-promotions) Strong analytical background Master's degree in business, marketing or related field   TRAVEL:   Willingness/Ability to travel up to 30% - 40% domestically to (a) regularly meet/interact with customer base and internal personnel within assigned territory; and (b) typically attend 4-8 internal/external conferences and meetings spanning locations within the United States. Travel must be able to be completed in a timely manner.   Lundbeck is proud to be an equal opportunity workplace and is an affirmative action employer. We are committed to equal employment opportunity regardless of race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, protected veteran status, and any other characteristic protected by law, rule, or regulation. Lundbeck participates in E-Verify. 
Lundbeck LLC Detroit, MI, USA

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