Orange County, CA
Orange County, California, United States
CAREER DESCRIPTION Accounting Office Supervisor I SALARY INFORMATION This position is scheduled to receive salary range increases on the following dates: Effective June 27, 2025 - 4.00% increase Salary may be negotiable within the range listed above, based on position requirements and successful candidate's qualifications, subject to appropriate authorization. OPEN TO THE PUBLIC This recruitment will establish an Open eligible list used to fill current and future Accounting Office Supervisor I vacancies within Auditor-Controller. This recruitment may also be used to fill positions in similar and/or lower classifications throughout the County of Orange. DEADLINE TO APPLY Qualified applicants are encouraged to apply immediately, as the recruitment will close on SUNDAY, SEPTEMBER 29, 2024, at 11:59 PM (PST). ORANGE COUNTY Orange County is a desirable place to live - and is one of the premier employers in the region, as well as the third largest populated County in California. At the County you will find variety, individual opportunity, job satisfaction, and the pleasure of working with colleagues who are dedicated to making a positive difference. You can learn more about the County of Orange by clicking here . AUDITOR-CONTROLLER The Auditor-Controller Department is committed to serving Orange County by ensuring accountability over public spending, transparency of Taxpayer dollars, and engaging the public in government. We carry out our vision and mission by conducting the Public's business with the highest ethical and due diligence standards by supporting ethical and responsible financial decisions throughout the County. You can learn more about the Auditor-Controller Department by clicking here . THE OPPORTUNITY This position will directly supervise a small group of accounting support positions performing routine to moderately difficult duties/computations. The position responsibilities include reviewing and approving time sheets, delegating work to staff, providing guidance and coaching, reviewing financial and statistical records; assisting management with special projects, and other duties as needed. MINIMUM QUALIFICATIONS & CORE COMPETENCIES In addition to the minimum qualifications the ideal candidate will also possess extensive knowledge and/or experience in the following core competencies: Technical Knowledge | Technical Experience Performing difficult to complex accounting duties Operating computers programmed with accounting software to record, store, and analyze information Checking figures, reviewing and auditing forms, postings, and documents for correct entry Processing documents with mathematical accuracy and proper codes Understanding and interpreting legal requirements including contracts, agreements, minute orders, and memorandum of understanding Strong computer proficiency, specifically with Microsoft Suite Programs, such as Word, Excel, and Outlook Leadership | Supervisory Leading and team building with a strong desire to coach and mentor others Motivating and persuading individuals and team members to achieve unit objectives Providing employees with guidance in handling difficult or complex problems or in resolving escalated complaints or disputes Supervising the work of employees to ensure adherence to quality standards, deadlines, and proper procedures, correcting errors or problems Possess leadership or supervisory experience with knowledge of principles and practices of supervision including hiring, training, and evaluation of staff Problem Solving | Analytical Skills Developing alternate solutions for consideration, identify areas for improvement, seek creative solutions, achieve measurable results and implement best business practices Evaluating and using independent decision-making and judgment to address issues as they arise Researching, organizing, and analyzing relevant data and prepare complex and detailed reports for management and other agencies Establishing and maintaining effective accounting and other complex records and accounts Oral | Written Communication Skills Communicating effectively and tactfully with client agencies/departments and work collaboratively with staff to achieve unit objectives Demonstrating strong verbal and written communications skills by writing with excellent grammar skills and articulating ideas in an organized and effective manner verbally or in written means Communicating technical and complex information in a clear and concise manner Listening effectively to others and shares technical knowledge with others MINIMUM QUALIFICATIONS Please click here to learn about the minimum qualifications for the Accounting Office Supervisor I classification. NOTE: Foreign degrees require an evaluation of U.S. equivalency by an agency that is a member of the National Association of Credential Services (N.A.C.E.S.). RECRUITMENT PROCESS Human Resource Services (HRS) will screen all application materials to identify qualified applicants. After the screening, qualified applicants will be referred to the next step and notified of all further procedures applicable to their status in the recruitment. Application Screening (Refer/Non-Refer) Applications and supplemental responses will be screened for qualifications that are highly desirable and most needed to successfully perform the duties of this job. Only those candidates that meet the qualifications as listed in the job bulletin will be referred to the next step. Online Assessments (Weighted 100%) Candidates whose applications reflect the most job-related experience and training will be invited to online assessments. Only the most qualified candidates will be referred to the next step. Based on the Department's needs, the selection procedures listed above may be modified. Candidates will be notified of any changes in the selection procedures Veterans Employment Preference Policy (VEPP) The County is committed to providing a mechanism to give preferential consideration in the employment process to veterans and their eligible spouses and will provide eligible participants the opportunity to receive interviews in the selection process for employment and paid internship openings. Please click here (Download PDF reader) to review the policy. Eligible List Once the assessment has been completed, HRS will establish an eligible list of candidates. Candidates placed on the eligible list may be referred to a selection interview to be considered for present and future vacancies. ADDITIONAL INFORMATION Please see below for important information regarding COVID 19 related requirements Effective April 3, 2023, it is strongly recommended that County employees working in health care settings and correctional facilities follow vaccination and booster guidelines provided by the California Department of Public Health (CDPH) and the Centers for Disease Control and Prevention (CDC). Please click here to see the latest guidance for more details. EMAIL NOTIFICATION: Email is the primary form of notification during the recruitment process. Please ensure your correct email address is included in our application and use only one email account. NOTE: User accounts are established for one person only and should not be shared with another person. Multiple applications with multiple users may jeopardize your status in the recruitment process for any positions for which you apply. Candidates will be notified regarding their status as the recruitment proceeds via email through the GovernmentJobs.com site. Please check your email folders, including spam/junk folders, and/or accept emails ending with "governmentjobs.com" and "ocgov.com." If your email address should change, please update your profile at www.governmentjobs.com . FREQUENTLY ASKED QUESTIONS: Click here for additional Frequently Asked Questions. For specific information pertaining to this recruitment, please contact Sam Apraku at 714-834-3116 or at Samuel.Apraku@ac.ocgov.com EEO INFORMATION Orange County, as an equal employment opportunity employer, encourages applicants from diverse backgrounds to apply. Non-Management Benefits In addition to the County's standard suite of benefits, such as a variety of health plan options, annual leave and paid holidays--we also offer an excellent array of benefits such as a Health Care Reimbursement Account, 457 Defined Contribution Plan and Annual Education and Professional Reimbursement. Employees are provided a Retirement Plan through the Orange County Employees Retirement System (OCERS). Please go to the following link to find out more about Defined Benefit Pensions and OCERS Plan Types/Benefits. http://www.ocers.org/active-member-information Click here for information about benefits offered to County of Orange employees. Closing Date/Time: 9/29/2024 11:59 PM Pacific
CAREER DESCRIPTION Accounting Office Supervisor I SALARY INFORMATION This position is scheduled to receive salary range increases on the following dates: Effective June 27, 2025 - 4.00% increase Salary may be negotiable within the range listed above, based on position requirements and successful candidate's qualifications, subject to appropriate authorization. OPEN TO THE PUBLIC This recruitment will establish an Open eligible list used to fill current and future Accounting Office Supervisor I vacancies within Auditor-Controller. This recruitment may also be used to fill positions in similar and/or lower classifications throughout the County of Orange. DEADLINE TO APPLY Qualified applicants are encouraged to apply immediately, as the recruitment will close on SUNDAY, SEPTEMBER 29, 2024, at 11:59 PM (PST). ORANGE COUNTY Orange County is a desirable place to live - and is one of the premier employers in the region, as well as the third largest populated County in California. At the County you will find variety, individual opportunity, job satisfaction, and the pleasure of working with colleagues who are dedicated to making a positive difference. You can learn more about the County of Orange by clicking here . AUDITOR-CONTROLLER The Auditor-Controller Department is committed to serving Orange County by ensuring accountability over public spending, transparency of Taxpayer dollars, and engaging the public in government. We carry out our vision and mission by conducting the Public's business with the highest ethical and due diligence standards by supporting ethical and responsible financial decisions throughout the County. You can learn more about the Auditor-Controller Department by clicking here . THE OPPORTUNITY This position will directly supervise a small group of accounting support positions performing routine to moderately difficult duties/computations. The position responsibilities include reviewing and approving time sheets, delegating work to staff, providing guidance and coaching, reviewing financial and statistical records; assisting management with special projects, and other duties as needed. MINIMUM QUALIFICATIONS & CORE COMPETENCIES In addition to the minimum qualifications the ideal candidate will also possess extensive knowledge and/or experience in the following core competencies: Technical Knowledge | Technical Experience Performing difficult to complex accounting duties Operating computers programmed with accounting software to record, store, and analyze information Checking figures, reviewing and auditing forms, postings, and documents for correct entry Processing documents with mathematical accuracy and proper codes Understanding and interpreting legal requirements including contracts, agreements, minute orders, and memorandum of understanding Strong computer proficiency, specifically with Microsoft Suite Programs, such as Word, Excel, and Outlook Leadership | Supervisory Leading and team building with a strong desire to coach and mentor others Motivating and persuading individuals and team members to achieve unit objectives Providing employees with guidance in handling difficult or complex problems or in resolving escalated complaints or disputes Supervising the work of employees to ensure adherence to quality standards, deadlines, and proper procedures, correcting errors or problems Possess leadership or supervisory experience with knowledge of principles and practices of supervision including hiring, training, and evaluation of staff Problem Solving | Analytical Skills Developing alternate solutions for consideration, identify areas for improvement, seek creative solutions, achieve measurable results and implement best business practices Evaluating and using independent decision-making and judgment to address issues as they arise Researching, organizing, and analyzing relevant data and prepare complex and detailed reports for management and other agencies Establishing and maintaining effective accounting and other complex records and accounts Oral | Written Communication Skills Communicating effectively and tactfully with client agencies/departments and work collaboratively with staff to achieve unit objectives Demonstrating strong verbal and written communications skills by writing with excellent grammar skills and articulating ideas in an organized and effective manner verbally or in written means Communicating technical and complex information in a clear and concise manner Listening effectively to others and shares technical knowledge with others MINIMUM QUALIFICATIONS Please click here to learn about the minimum qualifications for the Accounting Office Supervisor I classification. NOTE: Foreign degrees require an evaluation of U.S. equivalency by an agency that is a member of the National Association of Credential Services (N.A.C.E.S.). RECRUITMENT PROCESS Human Resource Services (HRS) will screen all application materials to identify qualified applicants. After the screening, qualified applicants will be referred to the next step and notified of all further procedures applicable to their status in the recruitment. Application Screening (Refer/Non-Refer) Applications and supplemental responses will be screened for qualifications that are highly desirable and most needed to successfully perform the duties of this job. Only those candidates that meet the qualifications as listed in the job bulletin will be referred to the next step. Online Assessments (Weighted 100%) Candidates whose applications reflect the most job-related experience and training will be invited to online assessments. Only the most qualified candidates will be referred to the next step. Based on the Department's needs, the selection procedures listed above may be modified. Candidates will be notified of any changes in the selection procedures Veterans Employment Preference Policy (VEPP) The County is committed to providing a mechanism to give preferential consideration in the employment process to veterans and their eligible spouses and will provide eligible participants the opportunity to receive interviews in the selection process for employment and paid internship openings. Please click here (Download PDF reader) to review the policy. Eligible List Once the assessment has been completed, HRS will establish an eligible list of candidates. Candidates placed on the eligible list may be referred to a selection interview to be considered for present and future vacancies. ADDITIONAL INFORMATION Please see below for important information regarding COVID 19 related requirements Effective April 3, 2023, it is strongly recommended that County employees working in health care settings and correctional facilities follow vaccination and booster guidelines provided by the California Department of Public Health (CDPH) and the Centers for Disease Control and Prevention (CDC). Please click here to see the latest guidance for more details. EMAIL NOTIFICATION: Email is the primary form of notification during the recruitment process. Please ensure your correct email address is included in our application and use only one email account. NOTE: User accounts are established for one person only and should not be shared with another person. Multiple applications with multiple users may jeopardize your status in the recruitment process for any positions for which you apply. Candidates will be notified regarding their status as the recruitment proceeds via email through the GovernmentJobs.com site. Please check your email folders, including spam/junk folders, and/or accept emails ending with "governmentjobs.com" and "ocgov.com." If your email address should change, please update your profile at www.governmentjobs.com . FREQUENTLY ASKED QUESTIONS: Click here for additional Frequently Asked Questions. For specific information pertaining to this recruitment, please contact Sam Apraku at 714-834-3116 or at Samuel.Apraku@ac.ocgov.com EEO INFORMATION Orange County, as an equal employment opportunity employer, encourages applicants from diverse backgrounds to apply. Non-Management Benefits In addition to the County's standard suite of benefits, such as a variety of health plan options, annual leave and paid holidays--we also offer an excellent array of benefits such as a Health Care Reimbursement Account, 457 Defined Contribution Plan and Annual Education and Professional Reimbursement. Employees are provided a Retirement Plan through the Orange County Employees Retirement System (OCERS). Please go to the following link to find out more about Defined Benefit Pensions and OCERS Plan Types/Benefits. http://www.ocers.org/active-member-information Click here for information about benefits offered to County of Orange employees. Closing Date/Time: 9/29/2024 11:59 PM Pacific
CalOptima
Orange, CA, USA
Program Specialist CalOptima CalOptima Health is seeking a highly motivated an experienced Program Specialist to join our team. The Program Specialist will provide administrative clinical support services to the Grievance and Appeals Nurse Specialists in the investigation and preparation of cases for review based on clinical information, benefits, applicable regulations related to member or provider dispute of decisions. The incumbent will collect additional medical information from CalOptima Health members, and/or providers to complete appeal case reviews. The incumbent will support the department with the external medical review request process as it relates to appeals. Position Information: Department: Grievance & Appeals Salary Grade: 305 - $55,966 - $83,949 ($26.91 - $40.3601) Work Arrangement: Full Office Duties & Responsibilities: 85% - Program Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists with case pre-analysis and procures appropriate medical records and supporting documentation prior to sending appeal to internal stakeholders for case review. Supports the external medical review request process as it relates to appeals. Maintains departmental database and records' integrity by accurately entering case actions to assigned cases. Works with internal and external departments to gather additional information such as claims copies, referrals, authorization or resolution and other related procedures. Assists with State Fair Hearing preparation. Assists with the notification process to members or providers on the clinical decision issued. Works with Grievance and Appeals Nurse Specialists and Medical Directors, who oversee clinical aspects of the business, to ensure that the clinical issues are appropriately evaluated. 10% - Administrative Support Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Participates in departmental meetings, trainings and audits as needed. 5% - Completes other projects and duties as assigned. Minimum Qualifications: High School diploma or equivalent required PLUS 3 years of clinical experience required, preferably in a managed care environment; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. 1 year of experience with Medi-Cal, Healthy Families and Medicare reporting requirements including data validation audits required. Preferred Qualifications: Certified Medical Assistant (CMA). Bilingual in English and in one of CalOptima's defined threshold language (Arabic, Chinese, Farsi, Korean, Spanish, Vietnamese). Required Licensure / Certifications: n/a Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is September 25, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/program-specialist-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-c852a5c07b64f641a76cf45eefa5869e
Program Specialist CalOptima CalOptima Health is seeking a highly motivated an experienced Program Specialist to join our team. The Program Specialist will provide administrative clinical support services to the Grievance and Appeals Nurse Specialists in the investigation and preparation of cases for review based on clinical information, benefits, applicable regulations related to member or provider dispute of decisions. The incumbent will collect additional medical information from CalOptima Health members, and/or providers to complete appeal case reviews. The incumbent will support the department with the external medical review request process as it relates to appeals. Position Information: Department: Grievance & Appeals Salary Grade: 305 - $55,966 - $83,949 ($26.91 - $40.3601) Work Arrangement: Full Office Duties & Responsibilities: 85% - Program Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists with case pre-analysis and procures appropriate medical records and supporting documentation prior to sending appeal to internal stakeholders for case review. Supports the external medical review request process as it relates to appeals. Maintains departmental database and records' integrity by accurately entering case actions to assigned cases. Works with internal and external departments to gather additional information such as claims copies, referrals, authorization or resolution and other related procedures. Assists with State Fair Hearing preparation. Assists with the notification process to members or providers on the clinical decision issued. Works with Grievance and Appeals Nurse Specialists and Medical Directors, who oversee clinical aspects of the business, to ensure that the clinical issues are appropriately evaluated. 10% - Administrative Support Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Participates in departmental meetings, trainings and audits as needed. 5% - Completes other projects and duties as assigned. Minimum Qualifications: High School diploma or equivalent required PLUS 3 years of clinical experience required, preferably in a managed care environment; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. 1 year of experience with Medi-Cal, Healthy Families and Medicare reporting requirements including data validation audits required. Preferred Qualifications: Certified Medical Assistant (CMA). Bilingual in English and in one of CalOptima's defined threshold language (Arabic, Chinese, Farsi, Korean, Spanish, Vietnamese). Required Licensure / Certifications: n/a Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is September 25, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/program-specialist-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-c852a5c07b64f641a76cf45eefa5869e
Orange County, CA
Orange County, California, United States
CAREER DESCRIPTION HCA SERVICE CHIEF I In addition to performance-based merit increases, this position is scheduled to receive salary range increases on the following dates: Effective June 27, 2025 - 4.00% increase Salary may be negotiable within the range listed above, based on position requirements and successful candidate's qualifications, subject to appropriate authorization. OPEN TO THE PUBLIC This recruitment will establish an open eligible list to fill current and future HCA Service Chief I vacancies. The eligible list established may also be used to fill similar and/or lower level classifications throughout the County of Orange. DEADLINE TO APPLY This recruitment is open to the public for a minimum of five (5) business days and is scheduled to close at 11:59 PM on Thursda y, September 26, 202 4 . Qualified applicants are encouraged to apply immediately HEALTH CARE AGENCY The County of Orange , Health Care Agency (HCA) is a dynamic organization dedicated to creating and supporting an environment that promotes the achievement of optimal individual, family and community health. Under the direction of the Agency Director, a dynamic executive team with an organizational structure comprised of five (5) service areas - Administrative Services, Behavioral Health Services, Correctional Health Services, Specialized Medical Services and Public Health Services - is committed to meeting the health needs of the diverse Orange County community. THE DEPARTMENT The Behavioral Health Services (BHS) Division consists of the following service areas Adult and Older Adult Behavioral Health, Children and Youth Services, Quality Management Services, Mental Health Services Act Office, Data Analytics and Evaluation, Crisis and Acute Care Services, Substance Use Services, and Forensics and Justice Involved. These service areas provide a culturally competent and client-centered system of behavioral health services for all eligible county residents in need of treatment for alcohol and other drug abuse and mental health care. THE PROGRAMS Adult and Older Adult (AOA) includes Veteran services, offers a full range of programs to adults with mental health conditions that are at risk of more serious issues without treatment and supportive services. These services range from Outpatient services, which provide psychiatric medications, therapeutic services, peer support and other supportive services; to our Full Service Partnership (FSP) Programs which serve individuals with the most severe symptoms who need more intensive and focused services. These programs have a “whatever it takes” approach to treatment and often work in the field and in client homes to ensure needed treatment is being provided. AOA also offers Housing and Supportive Services for individuals with serious mental illness, and support services through contracted programs. Crisis and Acute Care Services provides responsive services to adults and youth in a behavioral health crisis. Services include mobile mental health Crisis Assessment Team (CAT), Psych Emergency Response Team (PERT), OC Links (24/7 Resources line), Crisis Stabilization Units (CSU), Crisis Residential Programs and In-home Crisis Stabilization services, as well as inpatient psychiatric hospital services and the coordination of 9-8-8. Substance Use Disorder Services (SUD) provides an array of prevention, treatment and recovery support services for youth and adults that include the Alcohol and Drug Education and Prevention Team (ADEPT) community SUD prevention programs, Residential Treatment, Outpatient treatment, perinatal services, narcotic treatment programs (NTP), Medicated Assistance Treatment (MAT), Withdrawal Management, Intensive Outpatient Program, Recovery Residences and the programmatic oversight of the States Opioid Abatement Funding Plan in OC. THE OPPORTUNITIES The immediate vacancies are within Adult and Older Adult (AOA), Crisis and Acute Care Services (CACS), and Substance Use Disorder Services (SUD). However, future vacancies may be in other Divisions ; thus, qualified applicants are encouraged to apply. The HCA Service Chief I (SC I) position in the Adult and Older Adult Division may be assigned to any area within to fulfill a business need. Intensive Outpatient, Outpatient, Housing & Supportive Services, and Recovery Services are service areas within AOA. The HCA Service Chief I (SC I) position in the Crisis and Acute Care Services (CACS) Division will be assigned to Crisis Assessment Team (CAT). CAT provides 24-hour mobile response services to any individual experiencing a behavioral health crisis. This position may perform the essential functions as required by and under LPS Act (WIC Code Section 5150 & 5585) and provides oversight of the services to individuals in the community who are at the highest risk for hospitalization. The Service Chief I (SC I) position in the Substance Use Disorder Division will provide oversight and clinical support for a multi-disciplinary team that provides services to those struggling with substance use disorders. This position facilitates staff meetings, organizes in-services, and ensures all staff are properly trained on Drug Medi-Cal Organized Delivery System (DMC-ODS Delivery) and documentation. Responsibilities also include but are not limited to, working within Electronic Health Record (EHR) to correct errors, process admissions/discharges, review documentation and co-sign notes. Duties and Responsibilities In addition, duties for this position include, but are not limited to, the following : Plans, schedules, assigns, and directs the work of a multidisciplinary team assigned to Mental Health and Recovery Services evaluates the performance of subordinates, recognizes good performance, and recommends disciplinary action when appropriate Orients and trains new staff and identifies and implements staff training and development Confers with program manager and human resources concerning staffing and other work- related issues Reviews cases, progress, and problem areas and acts as a resource on challenging or complex cases providing guidance to a multidisciplinary team Administers clinic operations, coordinates service delivery with other programs, and assists in evaluating program effectiveness and in program development. Maintains up-to-date knowledge of federal, state, and local laws, regulations, policies and procedures which govern program operations and funding Acts as a liaison , consultant and educator to community agencies, county, and county contracted providers to; achieving program goals Completes chart reviews, documentation, and medical records to ensure compliance with quality assurance and utilization review requirements Provides resource information, education, and consultation to representatives of clinic programs, outside agencies, community groups, or the general public Obtains and disseminates information relating to program needs compliance DESIRABLE QUALIFICATIONS & CORE COMPETENCIES The ideal candidate will possess a valid license as a Licensed Clinical Social Worker, Licensed Marriage and Family Therapist, Licensed Professional Clinical Counselor or Licensed Clinical Psychologist. In addition, the ideal candidate will possess extensive knowledge and/or experience in the following core competencies: Professional and Technical Expertise I Legal & Regulatory Navigation Using and working with Integrated Records Information System (IRIS) and Electronic Health Records (EHR) software Expert knowledge of Medi- Cal documentation requirements and proficient use of Microsoft Suite, specifically with Word, Excel, PowerPoint, and other software programs Understanding, interpreting, and ensuring compliance with laws and regulations Self-Management I Coaching & Developing Others l Delegating Showing personal organization, self-discipline, and dependability Values learning and finds opportunities for challenging and improving staff performance Providing in service training for community partners Promoting and supporting ethical and professional standards in the workplace , and skillfully handling personnel Sharing responsibility, authority, and accountability Innovative Problem Solving I Delivering Results Identifying and analyzing problems to propose new ways to do business Meeting organizational goals and customer expectations and making decisions that produce high quality results by applying technical knowledge, analyzing problems, and calculating risks Decision Making I Critical Thinking Choosing optimal courses of action in timely manner Analytically and logically evaluating information, propositions, and claims Communication I Building & Maintaining Relationship I Customer Focus Communicating effectively with staff within the department, community partners and the public Establishing rapport and maintaining mutually productive relationships Attending to the needs and expectations of customers MINIMUM QUALIFICATIONS Click here to view the minimum qualifications for the Service Chief I classification as well as the physical & mental requirements and the working & environmental conditions. NOTE: Foreign degrees require an evaluation of U.S. equivalency by an agency that is a member of the National Association of Credential Services (N.A.C.E.S.). RECRUITMENT PROCESS Human Resource Services (HRS) screens all application materials for minimum qualifications. After screening, applicants who meet the minimum qualifications will be referred to the next step in the recruitment process. All applicants will be notified via email of their status in the process. Application Screening (Refer/Non-Refer) Applications and supplemental responses will be screened for qualifications that are highly desirable and most needed to successfully perform the duties of this job. Only those applications exhibiting qualifications as listed in the job bulletin will be referred to the next step. Structured Oral Interview (Weighted 100% ) Applicants will be interviewed and rated by panel of job knowledge experts. Each applicant's rating will be based on responses to a series of structured questions designed to elicit the applicants for the job. - Critical Thinking (24%) - Oral Communication (22%) - Legal & Regulatory Navigation (19%) - Delivering Results (18%) - Building & Maintaining Relationships (17%) Based on the Department's needs, the selection procedure listed above may be modified. All candidates will be notified of any changes in the selection procedure. Eligible List Once the assessment has been completed, HRS will establish an eligible list of candidates. Candidates placed on the eligible list may be referred to a selection interview to be considered for present and future vacancies. Veterans Employment Preference Policy (VEPP) The County is committed to providing a mechanism to give preferential consideration in the employment process to veterans and their eligible spouses and will provide eligible participants the opportunity to receive interviews in the selection process for employment and paid internship openings. Please click here to review the policy. ADDITIONAL INFORMATION ADDITIONAL INFORMATION Please see below for important information regarding COVID-19-related requirements. Effective April 3, 2023, it is strongly recommended that County employees working in health care settings and correctional facilities follow vaccination and booster guidelines provided by the California Department of Public Health (CDPH) and the Center for Disease Control and Prevention (CDC). Please click here to see the latest guidance for more details. Email Notification Email is the primary form of notification during the recruitment process. Please ensure your correct email address is included in our application and use only one email account. NOTE: User accounts are established for one person only and should not be shared with another person. Multiple applications with multiple users may jeopardize your status in the recruitment process for any positions for which you apply. Candidates will be notified regarding their status as the recruitment proceeds via email through the G o v e r n m e n t J o b s . c o m site. Please check your email folders, including spam/junk folders, and/or accept emails ending with "governmentjobs.com" and "ocgov.com." If your email address should change, please update your profile at www. g overnmentjobs.com . FREQUENTLY ASKED QUESTIONS: Click here for additional Frequently Asked Questions. For specific information pertaining to this recruitment, please contact Rasika Wijayaweera at RWijayaweera@ochca.com or by phone at (714) 834-7877. EEO INFORMATION Orange County, as an equal employment opportunity employer, encourages applicants from diverse backgrounds to apply. Non-Management Benefits In addition to the County's standard suite of benefits, such as a variety of health plan options, annual leave and paid holidays--we also offer an excellent array of benefits such as a Health Care Reimbursement Account, 457 Defined Contribution Plan and Annual Education and Professional Reimbursement. Employees are provided a Retirement Plan through the Orange County Employees Retirement System (OCERS). Please go to the following link to find out more about Defined Benefit Pensions and OCERS Plan Types/Benefits. http://www.ocers.org/active-member-information Click here for information about benefits offered to County of Orange employees. Closing Date/Time: 9/26/2024 11:59 PM Pacific
CAREER DESCRIPTION HCA SERVICE CHIEF I In addition to performance-based merit increases, this position is scheduled to receive salary range increases on the following dates: Effective June 27, 2025 - 4.00% increase Salary may be negotiable within the range listed above, based on position requirements and successful candidate's qualifications, subject to appropriate authorization. OPEN TO THE PUBLIC This recruitment will establish an open eligible list to fill current and future HCA Service Chief I vacancies. The eligible list established may also be used to fill similar and/or lower level classifications throughout the County of Orange. DEADLINE TO APPLY This recruitment is open to the public for a minimum of five (5) business days and is scheduled to close at 11:59 PM on Thursda y, September 26, 202 4 . Qualified applicants are encouraged to apply immediately HEALTH CARE AGENCY The County of Orange , Health Care Agency (HCA) is a dynamic organization dedicated to creating and supporting an environment that promotes the achievement of optimal individual, family and community health. Under the direction of the Agency Director, a dynamic executive team with an organizational structure comprised of five (5) service areas - Administrative Services, Behavioral Health Services, Correctional Health Services, Specialized Medical Services and Public Health Services - is committed to meeting the health needs of the diverse Orange County community. THE DEPARTMENT The Behavioral Health Services (BHS) Division consists of the following service areas Adult and Older Adult Behavioral Health, Children and Youth Services, Quality Management Services, Mental Health Services Act Office, Data Analytics and Evaluation, Crisis and Acute Care Services, Substance Use Services, and Forensics and Justice Involved. These service areas provide a culturally competent and client-centered system of behavioral health services for all eligible county residents in need of treatment for alcohol and other drug abuse and mental health care. THE PROGRAMS Adult and Older Adult (AOA) includes Veteran services, offers a full range of programs to adults with mental health conditions that are at risk of more serious issues without treatment and supportive services. These services range from Outpatient services, which provide psychiatric medications, therapeutic services, peer support and other supportive services; to our Full Service Partnership (FSP) Programs which serve individuals with the most severe symptoms who need more intensive and focused services. These programs have a “whatever it takes” approach to treatment and often work in the field and in client homes to ensure needed treatment is being provided. AOA also offers Housing and Supportive Services for individuals with serious mental illness, and support services through contracted programs. Crisis and Acute Care Services provides responsive services to adults and youth in a behavioral health crisis. Services include mobile mental health Crisis Assessment Team (CAT), Psych Emergency Response Team (PERT), OC Links (24/7 Resources line), Crisis Stabilization Units (CSU), Crisis Residential Programs and In-home Crisis Stabilization services, as well as inpatient psychiatric hospital services and the coordination of 9-8-8. Substance Use Disorder Services (SUD) provides an array of prevention, treatment and recovery support services for youth and adults that include the Alcohol and Drug Education and Prevention Team (ADEPT) community SUD prevention programs, Residential Treatment, Outpatient treatment, perinatal services, narcotic treatment programs (NTP), Medicated Assistance Treatment (MAT), Withdrawal Management, Intensive Outpatient Program, Recovery Residences and the programmatic oversight of the States Opioid Abatement Funding Plan in OC. THE OPPORTUNITIES The immediate vacancies are within Adult and Older Adult (AOA), Crisis and Acute Care Services (CACS), and Substance Use Disorder Services (SUD). However, future vacancies may be in other Divisions ; thus, qualified applicants are encouraged to apply. The HCA Service Chief I (SC I) position in the Adult and Older Adult Division may be assigned to any area within to fulfill a business need. Intensive Outpatient, Outpatient, Housing & Supportive Services, and Recovery Services are service areas within AOA. The HCA Service Chief I (SC I) position in the Crisis and Acute Care Services (CACS) Division will be assigned to Crisis Assessment Team (CAT). CAT provides 24-hour mobile response services to any individual experiencing a behavioral health crisis. This position may perform the essential functions as required by and under LPS Act (WIC Code Section 5150 & 5585) and provides oversight of the services to individuals in the community who are at the highest risk for hospitalization. The Service Chief I (SC I) position in the Substance Use Disorder Division will provide oversight and clinical support for a multi-disciplinary team that provides services to those struggling with substance use disorders. This position facilitates staff meetings, organizes in-services, and ensures all staff are properly trained on Drug Medi-Cal Organized Delivery System (DMC-ODS Delivery) and documentation. Responsibilities also include but are not limited to, working within Electronic Health Record (EHR) to correct errors, process admissions/discharges, review documentation and co-sign notes. Duties and Responsibilities In addition, duties for this position include, but are not limited to, the following : Plans, schedules, assigns, and directs the work of a multidisciplinary team assigned to Mental Health and Recovery Services evaluates the performance of subordinates, recognizes good performance, and recommends disciplinary action when appropriate Orients and trains new staff and identifies and implements staff training and development Confers with program manager and human resources concerning staffing and other work- related issues Reviews cases, progress, and problem areas and acts as a resource on challenging or complex cases providing guidance to a multidisciplinary team Administers clinic operations, coordinates service delivery with other programs, and assists in evaluating program effectiveness and in program development. Maintains up-to-date knowledge of federal, state, and local laws, regulations, policies and procedures which govern program operations and funding Acts as a liaison , consultant and educator to community agencies, county, and county contracted providers to; achieving program goals Completes chart reviews, documentation, and medical records to ensure compliance with quality assurance and utilization review requirements Provides resource information, education, and consultation to representatives of clinic programs, outside agencies, community groups, or the general public Obtains and disseminates information relating to program needs compliance DESIRABLE QUALIFICATIONS & CORE COMPETENCIES The ideal candidate will possess a valid license as a Licensed Clinical Social Worker, Licensed Marriage and Family Therapist, Licensed Professional Clinical Counselor or Licensed Clinical Psychologist. In addition, the ideal candidate will possess extensive knowledge and/or experience in the following core competencies: Professional and Technical Expertise I Legal & Regulatory Navigation Using and working with Integrated Records Information System (IRIS) and Electronic Health Records (EHR) software Expert knowledge of Medi- Cal documentation requirements and proficient use of Microsoft Suite, specifically with Word, Excel, PowerPoint, and other software programs Understanding, interpreting, and ensuring compliance with laws and regulations Self-Management I Coaching & Developing Others l Delegating Showing personal organization, self-discipline, and dependability Values learning and finds opportunities for challenging and improving staff performance Providing in service training for community partners Promoting and supporting ethical and professional standards in the workplace , and skillfully handling personnel Sharing responsibility, authority, and accountability Innovative Problem Solving I Delivering Results Identifying and analyzing problems to propose new ways to do business Meeting organizational goals and customer expectations and making decisions that produce high quality results by applying technical knowledge, analyzing problems, and calculating risks Decision Making I Critical Thinking Choosing optimal courses of action in timely manner Analytically and logically evaluating information, propositions, and claims Communication I Building & Maintaining Relationship I Customer Focus Communicating effectively with staff within the department, community partners and the public Establishing rapport and maintaining mutually productive relationships Attending to the needs and expectations of customers MINIMUM QUALIFICATIONS Click here to view the minimum qualifications for the Service Chief I classification as well as the physical & mental requirements and the working & environmental conditions. NOTE: Foreign degrees require an evaluation of U.S. equivalency by an agency that is a member of the National Association of Credential Services (N.A.C.E.S.). RECRUITMENT PROCESS Human Resource Services (HRS) screens all application materials for minimum qualifications. After screening, applicants who meet the minimum qualifications will be referred to the next step in the recruitment process. All applicants will be notified via email of their status in the process. Application Screening (Refer/Non-Refer) Applications and supplemental responses will be screened for qualifications that are highly desirable and most needed to successfully perform the duties of this job. Only those applications exhibiting qualifications as listed in the job bulletin will be referred to the next step. Structured Oral Interview (Weighted 100% ) Applicants will be interviewed and rated by panel of job knowledge experts. Each applicant's rating will be based on responses to a series of structured questions designed to elicit the applicants for the job. - Critical Thinking (24%) - Oral Communication (22%) - Legal & Regulatory Navigation (19%) - Delivering Results (18%) - Building & Maintaining Relationships (17%) Based on the Department's needs, the selection procedure listed above may be modified. All candidates will be notified of any changes in the selection procedure. Eligible List Once the assessment has been completed, HRS will establish an eligible list of candidates. Candidates placed on the eligible list may be referred to a selection interview to be considered for present and future vacancies. Veterans Employment Preference Policy (VEPP) The County is committed to providing a mechanism to give preferential consideration in the employment process to veterans and their eligible spouses and will provide eligible participants the opportunity to receive interviews in the selection process for employment and paid internship openings. Please click here to review the policy. ADDITIONAL INFORMATION ADDITIONAL INFORMATION Please see below for important information regarding COVID-19-related requirements. Effective April 3, 2023, it is strongly recommended that County employees working in health care settings and correctional facilities follow vaccination and booster guidelines provided by the California Department of Public Health (CDPH) and the Center for Disease Control and Prevention (CDC). Please click here to see the latest guidance for more details. Email Notification Email is the primary form of notification during the recruitment process. Please ensure your correct email address is included in our application and use only one email account. NOTE: User accounts are established for one person only and should not be shared with another person. Multiple applications with multiple users may jeopardize your status in the recruitment process for any positions for which you apply. Candidates will be notified regarding their status as the recruitment proceeds via email through the G o v e r n m e n t J o b s . c o m site. Please check your email folders, including spam/junk folders, and/or accept emails ending with "governmentjobs.com" and "ocgov.com." If your email address should change, please update your profile at www. g overnmentjobs.com . FREQUENTLY ASKED QUESTIONS: Click here for additional Frequently Asked Questions. For specific information pertaining to this recruitment, please contact Rasika Wijayaweera at RWijayaweera@ochca.com or by phone at (714) 834-7877. EEO INFORMATION Orange County, as an equal employment opportunity employer, encourages applicants from diverse backgrounds to apply. Non-Management Benefits In addition to the County's standard suite of benefits, such as a variety of health plan options, annual leave and paid holidays--we also offer an excellent array of benefits such as a Health Care Reimbursement Account, 457 Defined Contribution Plan and Annual Education and Professional Reimbursement. Employees are provided a Retirement Plan through the Orange County Employees Retirement System (OCERS). Please go to the following link to find out more about Defined Benefit Pensions and OCERS Plan Types/Benefits. http://www.ocers.org/active-member-information Click here for information about benefits offered to County of Orange employees. Closing Date/Time: 9/26/2024 11:59 PM Pacific
Orange County, CA
Orange County, California, United States
CAREER DESCRIPTION ENVIRONMENTAL RESOURCES TECHNICIAN SALARY INFORMATION Salary may be negotiable within the range listed above, based on position requirements and the successful candidate's qualifications, subject to appropriate authorization. OPEN TO THE PUBLIC This recruitment is being held to establish an open eligible list to fill current and future Environmental Resources Technician vacancies within OC Public Works. This recruitment may also be used to fill positions in similar and/or lower classifications throughout the County of Orange. DEADLINE TO APPLY Qualified applicants are encouraged to apply immediately, as the recruitment will close on Thursday , September 26, 2024, at 11:59 PM (PST) OC PUBLIC WORKS OC Public Works is a unique County department comprised of 10 service areas, each of which directly impacts the quality of life for Orange County residents and the private sector. OC Public Works provides services on a regional basis to unincorporated areas, cities, and other County agencies and departments. The primary mission of the department is to ensure quality of service today and quality of life tomorrow. OC Public Works' core values are integrity, accountability, service, and trust. In addition, our vision is to be a world-class leader in innovative, professional, and quality public works services OC ENVIRONMENTAL RESOURCES OC Environmental Resources is a service area within OC Public Works that manages the OC Watersheds and OC Agricultural Commissioner/Sealer of Weights and Measures programs, which protect public health and safety, promote environmental quality, certify consumer weights and measures, and sustain business competitiveness through education, regulation, and collaborative regional programs. For more information on OC Watersheds click here . For more information on OC Public Works click here . For more information on the County of Orange click here . THE OPPORTUNITY OC Public Works has an exciting career opportunity for an Environmental Resources Technician in our Environmental Resources/Watershed department. Environmental Resources Technicians (ERT) perform a variety of assignments as part of a skilled professional staff in programs designed to monitor, maintain, or improve the quality of environmental factors related to the County’s land and water resources. Under direction, the ERT's job duties include, but are not limited to:: Performing a wide variety of environmental assignments related to the protection and enhancement of Orange County's streams, channels, bays, and coastal waters Implementing regulatory compliance programs in response to National Pollutant Discharge Elimination System (NPDES) permits and Total Maximum Daily Load (TMDL) requirements throughout Orange County Conducting specialized environmental studies Conducting field monitoring of water quality and quantity Assessing environmental data and preparing informational / scientific / technical / compliance reports for the public, executive management, elected officials, and regulatory oversight audiences Assisting with the management of specialized consultant contracts Prepare and deliver presentations in public and professional settings Conducting technical reviews of reports, permits, work plans, etc. prepared by others Contribute to OC Public Works' leadership role in the management of surface water quality in Orange County DESIRABLE QUALIFICATIONS AND CORE COMPETENCIES The ideal candidate must possess a Bachelor's degree or higher from an accredited college or university, in environmental science, biology, chemistry, environmental engineering, watershed management, ecology, geology, or a related science field. Environmental regulatory compliance experience with the NPDES Stormwater permits and surface water monitoring is highly desirable. Possession of any of the following certifications is also highly desirable but not necessary; Nationally recognized certification in either the stormwater or erosion control category, State of California Qualified Stormwater Pollution Prevention Plan Practitioner (QSP) certification, or State of California Qualified Stormwater Pollution Prevention Plan Developer (QSD) certification. In addition to the minimum and desired qualifications, the ideal candidate will demonstrate the experience and core competencies as described below. Technical Knowledge Knowledge of basic scientific research and analysis Knowledge of Geographic Information Systems (GIS) Knowledge of web-based applications, databases, and the MS Office suite. Knowledge of basic chemical laboratory methods, safety, sample handling protocols, equipment, materials, and facilities Knowledge of federal, State, and County laws, regulations, and policies governing surface water quality National Pollutant Discharge Elimination System (NPDES) and Total Maximum Daily Load (TMDL) compliance programs Ability to collect environmental samples through prescribed methods Ability to traverse uneven terrain to conduct fieldwork and/or site inspections Experience with construction site inspections with visual assessment processes Knowledge of construction and post-construction best management practices (BMPs) Experience with reading and interpreting construction plans Oral & Written Communication Ability to prepare informational, scientific, technical, and compliance reports Effectively communicate using oral and written communication Building and maintaining effective working relationships Communicating clearly in public presentations to multiple audiences Understanding and following oral and written technical instructions LICENSE REQUIREMENTS Possession of a valid California Driver's License may be required for some assignments. MINIMUM QUALIFICATIONS Click here to view the complete list of minimum qualifications for the Environmental Resources Technician position. RECRUITMENT PROCESS Human Resource Services (HRS) will screen all applications to identify qualified applications. After the screening, qualified applicants will be referred to the next step and notified of all further procedures applicable to their status in the competition. Structured Oral Interview | SOI (Weighted 100%) Applicants will be interviewed and rated by a qualification appraisal panel of job knowledge experts. Each applicant's rating will be based on responses to a series of structured questions designed to elicit the applicant's qualifications for the job. Based on the Department's needs, the selection procedures listed above may be modified. Candidates will be notified of any changes in the selection procedure. Eligible List Once the assessment has been completed, HRS will establish an eligible list of candidates. Candidates placed on the eligible list may be referred to a selection interview to be considered for present and future vacancies. Veterans Employment Preference The County is committed to providing a mechanism to give preferential consideration in the employment process to veterans and their eligible spouses and will provide eligible participants the opportunity to receive interviews in the selection process for employment and paid internship openings. Please click here to review the policy. ADDITIONAL INFORMATION Please see below for important information regarding COVID-19 related recommendations. Effective April 3, 2023, it is strongly recommended that County employees working in health care settings and correctional facilities follow vaccination and booster guidelines provided by the California Department of Public Health (CDPH) and the Centers for Disease Control and Prevention (CDC). Please click here to see the latest guidance for more details. EMAIL NOTIFICATION Email is the primary form of notification during the recruitment process. Please ensure your correct email address is included in our application and use only one email account. NOTE: User accounts are established for one person only and should not be shared with another person. Multiple applications with multiple users may jeopardize your status in the recruitment process for any positions for which you apply. Candidates will be notified regarding their status as the recruitment proceeds via email through the GovernmentJobs.com site. Please check your email folders, including spam/junk folders, and/or accept emails ending with "governmentjobs.com" and "ocgov.com." If your email address should change, please update your profile at www.governmentjobs.com . FREQUENTLY ASKED QUESTIONS Click here for additional Frequently Asked Questions. Questions? For specific information pertaining to this recruitment, contact Linette Lavey at 714-667-9751 or by email at linette.lavey@ocpw.ocgov.com . EEO INFORMATION Orange County, as an equal employment opportunity employer, encourages applicants from diverse backgrounds to apply. Non-Management Benefits In addition to the County's standard suite of benefits, such as a variety of health plan options, annual leave and paid holidays--we also offer an excellent array of benefits such as a Health Care Reimbursement Account, 457 Defined Contribution Plan and Annual Education and Professional Reimbursement. Employees are provided a Retirement Plan through the Orange County Employees Retirement System (OCERS). Please go to the following link to find out more about Defined Benefit Pensions and OCERS Plan Types/Benefits. http://www.ocers.org/active-member-information Click here for information about benefits offered to County of Orange employees. Closing Date/Time: 9/26/2024 11:59 PM Pacific
CAREER DESCRIPTION ENVIRONMENTAL RESOURCES TECHNICIAN SALARY INFORMATION Salary may be negotiable within the range listed above, based on position requirements and the successful candidate's qualifications, subject to appropriate authorization. OPEN TO THE PUBLIC This recruitment is being held to establish an open eligible list to fill current and future Environmental Resources Technician vacancies within OC Public Works. This recruitment may also be used to fill positions in similar and/or lower classifications throughout the County of Orange. DEADLINE TO APPLY Qualified applicants are encouraged to apply immediately, as the recruitment will close on Thursday , September 26, 2024, at 11:59 PM (PST) OC PUBLIC WORKS OC Public Works is a unique County department comprised of 10 service areas, each of which directly impacts the quality of life for Orange County residents and the private sector. OC Public Works provides services on a regional basis to unincorporated areas, cities, and other County agencies and departments. The primary mission of the department is to ensure quality of service today and quality of life tomorrow. OC Public Works' core values are integrity, accountability, service, and trust. In addition, our vision is to be a world-class leader in innovative, professional, and quality public works services OC ENVIRONMENTAL RESOURCES OC Environmental Resources is a service area within OC Public Works that manages the OC Watersheds and OC Agricultural Commissioner/Sealer of Weights and Measures programs, which protect public health and safety, promote environmental quality, certify consumer weights and measures, and sustain business competitiveness through education, regulation, and collaborative regional programs. For more information on OC Watersheds click here . For more information on OC Public Works click here . For more information on the County of Orange click here . THE OPPORTUNITY OC Public Works has an exciting career opportunity for an Environmental Resources Technician in our Environmental Resources/Watershed department. Environmental Resources Technicians (ERT) perform a variety of assignments as part of a skilled professional staff in programs designed to monitor, maintain, or improve the quality of environmental factors related to the County’s land and water resources. Under direction, the ERT's job duties include, but are not limited to:: Performing a wide variety of environmental assignments related to the protection and enhancement of Orange County's streams, channels, bays, and coastal waters Implementing regulatory compliance programs in response to National Pollutant Discharge Elimination System (NPDES) permits and Total Maximum Daily Load (TMDL) requirements throughout Orange County Conducting specialized environmental studies Conducting field monitoring of water quality and quantity Assessing environmental data and preparing informational / scientific / technical / compliance reports for the public, executive management, elected officials, and regulatory oversight audiences Assisting with the management of specialized consultant contracts Prepare and deliver presentations in public and professional settings Conducting technical reviews of reports, permits, work plans, etc. prepared by others Contribute to OC Public Works' leadership role in the management of surface water quality in Orange County DESIRABLE QUALIFICATIONS AND CORE COMPETENCIES The ideal candidate must possess a Bachelor's degree or higher from an accredited college or university, in environmental science, biology, chemistry, environmental engineering, watershed management, ecology, geology, or a related science field. Environmental regulatory compliance experience with the NPDES Stormwater permits and surface water monitoring is highly desirable. Possession of any of the following certifications is also highly desirable but not necessary; Nationally recognized certification in either the stormwater or erosion control category, State of California Qualified Stormwater Pollution Prevention Plan Practitioner (QSP) certification, or State of California Qualified Stormwater Pollution Prevention Plan Developer (QSD) certification. In addition to the minimum and desired qualifications, the ideal candidate will demonstrate the experience and core competencies as described below. Technical Knowledge Knowledge of basic scientific research and analysis Knowledge of Geographic Information Systems (GIS) Knowledge of web-based applications, databases, and the MS Office suite. Knowledge of basic chemical laboratory methods, safety, sample handling protocols, equipment, materials, and facilities Knowledge of federal, State, and County laws, regulations, and policies governing surface water quality National Pollutant Discharge Elimination System (NPDES) and Total Maximum Daily Load (TMDL) compliance programs Ability to collect environmental samples through prescribed methods Ability to traverse uneven terrain to conduct fieldwork and/or site inspections Experience with construction site inspections with visual assessment processes Knowledge of construction and post-construction best management practices (BMPs) Experience with reading and interpreting construction plans Oral & Written Communication Ability to prepare informational, scientific, technical, and compliance reports Effectively communicate using oral and written communication Building and maintaining effective working relationships Communicating clearly in public presentations to multiple audiences Understanding and following oral and written technical instructions LICENSE REQUIREMENTS Possession of a valid California Driver's License may be required for some assignments. MINIMUM QUALIFICATIONS Click here to view the complete list of minimum qualifications for the Environmental Resources Technician position. RECRUITMENT PROCESS Human Resource Services (HRS) will screen all applications to identify qualified applications. After the screening, qualified applicants will be referred to the next step and notified of all further procedures applicable to their status in the competition. Structured Oral Interview | SOI (Weighted 100%) Applicants will be interviewed and rated by a qualification appraisal panel of job knowledge experts. Each applicant's rating will be based on responses to a series of structured questions designed to elicit the applicant's qualifications for the job. Based on the Department's needs, the selection procedures listed above may be modified. Candidates will be notified of any changes in the selection procedure. Eligible List Once the assessment has been completed, HRS will establish an eligible list of candidates. Candidates placed on the eligible list may be referred to a selection interview to be considered for present and future vacancies. Veterans Employment Preference The County is committed to providing a mechanism to give preferential consideration in the employment process to veterans and their eligible spouses and will provide eligible participants the opportunity to receive interviews in the selection process for employment and paid internship openings. Please click here to review the policy. ADDITIONAL INFORMATION Please see below for important information regarding COVID-19 related recommendations. Effective April 3, 2023, it is strongly recommended that County employees working in health care settings and correctional facilities follow vaccination and booster guidelines provided by the California Department of Public Health (CDPH) and the Centers for Disease Control and Prevention (CDC). Please click here to see the latest guidance for more details. EMAIL NOTIFICATION Email is the primary form of notification during the recruitment process. Please ensure your correct email address is included in our application and use only one email account. NOTE: User accounts are established for one person only and should not be shared with another person. Multiple applications with multiple users may jeopardize your status in the recruitment process for any positions for which you apply. Candidates will be notified regarding their status as the recruitment proceeds via email through the GovernmentJobs.com site. Please check your email folders, including spam/junk folders, and/or accept emails ending with "governmentjobs.com" and "ocgov.com." If your email address should change, please update your profile at www.governmentjobs.com . FREQUENTLY ASKED QUESTIONS Click here for additional Frequently Asked Questions. Questions? For specific information pertaining to this recruitment, contact Linette Lavey at 714-667-9751 or by email at linette.lavey@ocpw.ocgov.com . EEO INFORMATION Orange County, as an equal employment opportunity employer, encourages applicants from diverse backgrounds to apply. Non-Management Benefits In addition to the County's standard suite of benefits, such as a variety of health plan options, annual leave and paid holidays--we also offer an excellent array of benefits such as a Health Care Reimbursement Account, 457 Defined Contribution Plan and Annual Education and Professional Reimbursement. Employees are provided a Retirement Plan through the Orange County Employees Retirement System (OCERS). Please go to the following link to find out more about Defined Benefit Pensions and OCERS Plan Types/Benefits. http://www.ocers.org/active-member-information Click here for information about benefits offered to County of Orange employees. Closing Date/Time: 9/26/2024 11:59 PM Pacific
Department of Transportation (Caltrans) - Planning & Modal Program Management (PM²) Division
Orange County, California, United States
Job Description and Duties Under the general direction of the District 12 Office Chief of Transportation Planning, a Supervising Transportation Planner, the Senior Transportation Planner is responsible for overseeing, coordinating, and managing all System Planning Programs within the District. The incumbent handles complex and sensitive multi-modal plans and efforts that arise to the Department under the guidance of the Office Chief. This involves ongoing coordination responsibilities with other branches, external agencies, and the general public, and conferring with State, Regional and Local Agency staff on transportation issues and making recommendations for their solutions. The incumbent liaises with the Headquarters Division of Transportation Planning and regional District counterparts to discuss revisions to procedures, corridor plans, planning documents, regional and local issues, or projects affecting the Department, and the like. The incumbent will also oversee the Travel Demand Modeling and Forecasting, Goods Movement, Sustainable Transportation Planning Grants, Relinquishment, and Park-and-Ride Programs. The work requires strong communication (written and oral), partnership, customer service, and strategic thinking skills, as well as a deep commitment to the Department's strategic vision, mission, values, and goals, and advancing equity through all efforts. Eligibility for hire may be determined by your score on the Senior Transportation Planner exam. For those who do not have current eligibility (e.g., transfer, permissive reinstatement, or voluntary demotions) and/or who will be new to state civil services employment, you must be on the state examination list to be eligible for these positions. To apply for the exam, please click here and search by typing in the classification title. The Human Resources Contact is available to answer questions regarding the application process. The Hiring Unit Contact is available to answer questions regarding the position. Please take this 1-minute Caltrans Recruitment survey to tell us how you found out about this job. https://forms.office.com/g/RyK102ty4G https://youtu.be/oC9wIp8QalI Apply today to join our team! We especially encourage applicants to check out our Caltrans Career Compass tool! The Caltrans Career Compass is a tool to assist and help candidates understand and succeed in applying to Caltrans positions. PARF# 12-5-003 / JC-449009 You will find additional information about the job in the Duty Statement . Working Conditions Position located in Santa Ana - District 12/Division of Planning, Orange County. While at their base of operation, employee will work in a climate-controlled office under artificial lighting. Incumbent may also be required to travel and attend meetings outside the district office in-state. The work environment characteristics described here are representative of what an employee encounters while performing the essential functions of his job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The work will occur in and office and field environment. While performing the duties and responsibilities, the incumbent may be exposed to loud noise, electricity, moving mechanical parts, varying weather conditions, and other related conditions and situations. This position may be eligible for telework. The amount of telework is at the discretion of the Department and based on Caltrans’s evolving telework policy. Caltrans supports telework, recognizing that in-person attendance may be required based on operational needs. Employees are expected to be able to report to their worksites with minimum notification if an urgent need arises. The selected candidate will be required to commute to the headquartered location as needed to meet operational needs. Business travel may be required, and reimbursement considers an employee’s designated headquartered location, primary residence, and may be subject to CalHR regulations or applicable bargaining unit contract provisions. All commute expenses to the headquartered location will be the responsibility of the selected candidate. New to State candidates will be hired into the minimum salary of the classification or minimum of alternate range when applicable. Minimum Requirements You will find the Minimum Requirements in the Class Specification. SENIOR TRANSPORTATION PLANNER Additional Documents Job Application Package Checklist Duty Statement Position Details Job Code #: JC-449009 Position #(s): 912-820-4724-912 Working Title: Branch Chief Classification: SENIOR TRANSPORTATION PLANNER $8,425.00 - $10,469.00 # of Positions: Multiple Work Location: Orange County Telework: Hybrid Job Type: Permanent, Full Time Department Information Caltrans Mission: Provide a safe and reliable transportation network that serves all people and respects the environment. Caltrans Vision: A brighter future for all through a world-class transportation network. The Caltrans workforce is made up of diverse and unique individuals who contribute to our organizational success. Caltrans is about celebrating diversity, valuing one another, and recognizing that Caltrans is strong not in spite of the diverse attributes of our workforce, but because of our diversity. Department Website: www.dot.ca.gov Frequently Asked Questions for an Applicant: http://dot.ca.gov/jobs/docs/faq-ct-applicants-081617.pdf Director’s EEO Policy : https://dot.ca.gov/programs/equal-employment-opportunity Director’s EEO Policy Statement: https://dot.ca.gov/programs/equal-employment-opportunity Special Requirements Possession of a valid driver’s license is required when operating a state owned or leased vehicle. Statement of Qualifications (SOQ) is required. Failure to submit a Statement of Qualifications will disqualify candidates from the hiring process. A Statement of Qualifications (SOQ) is required for this position. The SOQ serves as documentation of each candidate's ability to present information clearly and concisely in writing. The SOQ is about how an applicant’s education, training, experience, and skills meet the criteria in the duty statement and qualify the applicant for the position. The SOQ describes your experience as it relates to this position. The SOQ should be single spaced, size 12-point font and no longer than 1 page in length. Resumes and cover letters will not take the place of the SOQ. Applications without an SOQ will not be considered. Failure to include and complete the SOQ may result in disqualification for interview. Possession of Minimum Qualifications will be verified prior to interview and/or appointment. If you are basing your eligibility on education, you must include your unofficial transcript(s)/diploma for verification. Unofficial, original, or official sealed transcripts will be accepted and may be required upon appointment. Applicants with foreign transcripts/degrees must provide a transcript/degree U.S. equivalency report evaluation that indicates the number of units and degree to which the foreign coursework is equivalent. Please visit either of the following two websites for a list of evaluation agencies: https://www.naces.org/members or https://aice-eval.org . Please redact birthdates and social security numbers. Application Instructions Completed applications and all required documents must be received or postmarked by the Final Filing Date in order to be considered. Dates printed on Mobile Bar Codes, such as the Quick Response (QR) Codes available at the USPS, are not considered Postmark dates for the purpose of determining timely filing of an application. Final Filing Date: 9/23/2024 Who May Apply Individuals who are currently in the classification, eligible for lateral transfer, eligible for reinstatement, have list or LEAP eligibility, are in the process of obtaining list eligibility, or have SROA and/or Surplus eligibility (please attach your letter, if available). SROA and Surplus candidates are given priority; therefore, individuals with other eligibility may be considered in the event no SROA or Surplus candidates apply. Individuals who are eligible for a Training and Development assignment may also be considered for this position(s). Applications will be screened and only the most qualified applicants will be selected to move forward in the selection process. Applicants must meet the Minimum Qualifications stated in the Classification Specification(s). How To Apply Complete Application Packages (including your Examination/Employment Application (STD 678) and applicable or required documents) must be submitted to apply for this Job Posting. Application Packages may be submitted electronically through your CalCareer Account at www.CalCareers.ca.gov. When submitting your application in hard copy, a completed copy of the Application Package listing must be included. If you choose to not apply electronically, a hard copy application package may be submitted through an alternative method listed below: Address for Mailing Application Packages You may submit your application and any applicable or required documents to: Department of Transportation Attn: Caltrans DHR Contact JC-449009 1750 E. 4th Street, 1st Floor Santa Ana , CA 92705 Address for Drop-Off Application Packages You may drop off your application and any applicable or required documents at: Department of Transportation Caltrans DHR Contact JC-449009 1750 E. 4th Street, 1st Floor Santa Ana , CA 92705 Closed on weekends and State holidays. 08:00 AM - 05:00 PM Required Application Package Documents The following items are required to be submitted with your application. Applicants who do not submit the required items timely may not be considered for this job: Current version of the State Examination/Employment Application STD Form 678 (when not applying electronically), or the Electronic State Employment Application through your Applicant Account at www.CalCareers.ca.gov. All Experience and Education relating to the Minimum Qualifications listed on the Classification Specification should be included to demonstrate how you meet the Minimum Qualifications for the position. Resume is optional. It may be included, but is not required. Statement of Qualifications - Statement of Qualifications (SOQ) is required. Please see the Special Requirements section for SOQ instructions. Applicants requiring reasonable accommodations for the hiring interview process must request the necessary accommodations if scheduled for a hiring interview. The request should be made at the time of contact to schedule the interview. Questions regarding reasonable accommodations may be directed to the EEO contact listed on this job posting. Benefits Click HERE to view the Benefits Summary for Civil Service Employees in the State of California. Contact Information The Human Resources Contact is available to answer questions regarding the application process. The Hiring Unit Contact is available to answer questions regarding the position. Human Resources Contact: Lupe MartinezRoberts (279) 234-2325 Lupe.Martinez-Roberts@dot.ca.gov Hiring Unit Contact: Paris Aludino (805) 732-9801 paris.aludino@dot.ca.gov Please direct requests for Reasonable Accommodations to the interview scheduler at the time the interview is being scheduled. You may direct any additional questions regarding Reasonable Accommodations or Equal Employment Opportunity for this position(s) to the Department's EEO Office. EEO Contact: Caltrans EEO Office (844) 368-3367 Ask.eeo@dot.ca.gov California Relay Service: 1-800-735-2929 (TTY), 1-800-735-2922 (Voice) TTY is a Telecommunications Device for the Deaf, and is reachable only from phones equipped with a TTY Device. Important Applications Instructions The State application (STD. 678) is required, and each section must be filled out completely and thoroughly. For mailed or hand delivered applications to be considered for this position, the Job Control number (JC-449009), PARF# 12-5-003 and title of the position (Senior Transportation Planner) must be included on the STD. 678 form. Electronic applications through your CalCareers account are highly recommended and encouraged. Candidates that meet the minimum qualifications based on possession of EDUCATION, LICENSE, OR CERTIFICATE must include a copy of your DEGREE/TRANSCRIPTS, LICENSE, or CERTIFICATE, along with your State application (STD. 678), to be considered for this position. NOTE: Do not submit the “Equal Employment Opportunity” questionnaire (page 5) with your completed State application (STD. 678). This page is for examination use only. Do not include any confidential information on any documents you submit for this job vacancy, such as your state application, resume, or educational transcripts. Confidential information that should be excluded or removed from these documents includes, but is not limited to, your Social Security Number, birth date, driver’s license number, examination results, LEAP status, marital status, and age. The job application packet checklist is not required to apply for this position. Failure to follow these instructions may result in your application not being considered for this position. Equal Opportunity Employer The State of California is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding and related medical conditions), and sexual orientation. It is an objective of the State of California to achieve a drug-free work place. Any applicant for state employment will be expected to behave in accordance with this objective because the use of illegal drugs is inconsistent with the law of the State, the rules governing Civil Service, and the special trust placed in public servants. Closing Date/Time: 9/23/2024
Job Description and Duties Under the general direction of the District 12 Office Chief of Transportation Planning, a Supervising Transportation Planner, the Senior Transportation Planner is responsible for overseeing, coordinating, and managing all System Planning Programs within the District. The incumbent handles complex and sensitive multi-modal plans and efforts that arise to the Department under the guidance of the Office Chief. This involves ongoing coordination responsibilities with other branches, external agencies, and the general public, and conferring with State, Regional and Local Agency staff on transportation issues and making recommendations for their solutions. The incumbent liaises with the Headquarters Division of Transportation Planning and regional District counterparts to discuss revisions to procedures, corridor plans, planning documents, regional and local issues, or projects affecting the Department, and the like. The incumbent will also oversee the Travel Demand Modeling and Forecasting, Goods Movement, Sustainable Transportation Planning Grants, Relinquishment, and Park-and-Ride Programs. The work requires strong communication (written and oral), partnership, customer service, and strategic thinking skills, as well as a deep commitment to the Department's strategic vision, mission, values, and goals, and advancing equity through all efforts. Eligibility for hire may be determined by your score on the Senior Transportation Planner exam. For those who do not have current eligibility (e.g., transfer, permissive reinstatement, or voluntary demotions) and/or who will be new to state civil services employment, you must be on the state examination list to be eligible for these positions. To apply for the exam, please click here and search by typing in the classification title. The Human Resources Contact is available to answer questions regarding the application process. The Hiring Unit Contact is available to answer questions regarding the position. Please take this 1-minute Caltrans Recruitment survey to tell us how you found out about this job. https://forms.office.com/g/RyK102ty4G https://youtu.be/oC9wIp8QalI Apply today to join our team! We especially encourage applicants to check out our Caltrans Career Compass tool! The Caltrans Career Compass is a tool to assist and help candidates understand and succeed in applying to Caltrans positions. PARF# 12-5-003 / JC-449009 You will find additional information about the job in the Duty Statement . Working Conditions Position located in Santa Ana - District 12/Division of Planning, Orange County. While at their base of operation, employee will work in a climate-controlled office under artificial lighting. Incumbent may also be required to travel and attend meetings outside the district office in-state. The work environment characteristics described here are representative of what an employee encounters while performing the essential functions of his job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The work will occur in and office and field environment. While performing the duties and responsibilities, the incumbent may be exposed to loud noise, electricity, moving mechanical parts, varying weather conditions, and other related conditions and situations. This position may be eligible for telework. The amount of telework is at the discretion of the Department and based on Caltrans’s evolving telework policy. Caltrans supports telework, recognizing that in-person attendance may be required based on operational needs. Employees are expected to be able to report to their worksites with minimum notification if an urgent need arises. The selected candidate will be required to commute to the headquartered location as needed to meet operational needs. Business travel may be required, and reimbursement considers an employee’s designated headquartered location, primary residence, and may be subject to CalHR regulations or applicable bargaining unit contract provisions. All commute expenses to the headquartered location will be the responsibility of the selected candidate. New to State candidates will be hired into the minimum salary of the classification or minimum of alternate range when applicable. Minimum Requirements You will find the Minimum Requirements in the Class Specification. SENIOR TRANSPORTATION PLANNER Additional Documents Job Application Package Checklist Duty Statement Position Details Job Code #: JC-449009 Position #(s): 912-820-4724-912 Working Title: Branch Chief Classification: SENIOR TRANSPORTATION PLANNER $8,425.00 - $10,469.00 # of Positions: Multiple Work Location: Orange County Telework: Hybrid Job Type: Permanent, Full Time Department Information Caltrans Mission: Provide a safe and reliable transportation network that serves all people and respects the environment. Caltrans Vision: A brighter future for all through a world-class transportation network. The Caltrans workforce is made up of diverse and unique individuals who contribute to our organizational success. Caltrans is about celebrating diversity, valuing one another, and recognizing that Caltrans is strong not in spite of the diverse attributes of our workforce, but because of our diversity. Department Website: www.dot.ca.gov Frequently Asked Questions for an Applicant: http://dot.ca.gov/jobs/docs/faq-ct-applicants-081617.pdf Director’s EEO Policy : https://dot.ca.gov/programs/equal-employment-opportunity Director’s EEO Policy Statement: https://dot.ca.gov/programs/equal-employment-opportunity Special Requirements Possession of a valid driver’s license is required when operating a state owned or leased vehicle. Statement of Qualifications (SOQ) is required. Failure to submit a Statement of Qualifications will disqualify candidates from the hiring process. A Statement of Qualifications (SOQ) is required for this position. The SOQ serves as documentation of each candidate's ability to present information clearly and concisely in writing. The SOQ is about how an applicant’s education, training, experience, and skills meet the criteria in the duty statement and qualify the applicant for the position. The SOQ describes your experience as it relates to this position. The SOQ should be single spaced, size 12-point font and no longer than 1 page in length. Resumes and cover letters will not take the place of the SOQ. Applications without an SOQ will not be considered. Failure to include and complete the SOQ may result in disqualification for interview. Possession of Minimum Qualifications will be verified prior to interview and/or appointment. If you are basing your eligibility on education, you must include your unofficial transcript(s)/diploma for verification. Unofficial, original, or official sealed transcripts will be accepted and may be required upon appointment. Applicants with foreign transcripts/degrees must provide a transcript/degree U.S. equivalency report evaluation that indicates the number of units and degree to which the foreign coursework is equivalent. Please visit either of the following two websites for a list of evaluation agencies: https://www.naces.org/members or https://aice-eval.org . Please redact birthdates and social security numbers. Application Instructions Completed applications and all required documents must be received or postmarked by the Final Filing Date in order to be considered. Dates printed on Mobile Bar Codes, such as the Quick Response (QR) Codes available at the USPS, are not considered Postmark dates for the purpose of determining timely filing of an application. Final Filing Date: 9/23/2024 Who May Apply Individuals who are currently in the classification, eligible for lateral transfer, eligible for reinstatement, have list or LEAP eligibility, are in the process of obtaining list eligibility, or have SROA and/or Surplus eligibility (please attach your letter, if available). SROA and Surplus candidates are given priority; therefore, individuals with other eligibility may be considered in the event no SROA or Surplus candidates apply. Individuals who are eligible for a Training and Development assignment may also be considered for this position(s). Applications will be screened and only the most qualified applicants will be selected to move forward in the selection process. Applicants must meet the Minimum Qualifications stated in the Classification Specification(s). How To Apply Complete Application Packages (including your Examination/Employment Application (STD 678) and applicable or required documents) must be submitted to apply for this Job Posting. Application Packages may be submitted electronically through your CalCareer Account at www.CalCareers.ca.gov. When submitting your application in hard copy, a completed copy of the Application Package listing must be included. If you choose to not apply electronically, a hard copy application package may be submitted through an alternative method listed below: Address for Mailing Application Packages You may submit your application and any applicable or required documents to: Department of Transportation Attn: Caltrans DHR Contact JC-449009 1750 E. 4th Street, 1st Floor Santa Ana , CA 92705 Address for Drop-Off Application Packages You may drop off your application and any applicable or required documents at: Department of Transportation Caltrans DHR Contact JC-449009 1750 E. 4th Street, 1st Floor Santa Ana , CA 92705 Closed on weekends and State holidays. 08:00 AM - 05:00 PM Required Application Package Documents The following items are required to be submitted with your application. Applicants who do not submit the required items timely may not be considered for this job: Current version of the State Examination/Employment Application STD Form 678 (when not applying electronically), or the Electronic State Employment Application through your Applicant Account at www.CalCareers.ca.gov. All Experience and Education relating to the Minimum Qualifications listed on the Classification Specification should be included to demonstrate how you meet the Minimum Qualifications for the position. Resume is optional. It may be included, but is not required. Statement of Qualifications - Statement of Qualifications (SOQ) is required. Please see the Special Requirements section for SOQ instructions. Applicants requiring reasonable accommodations for the hiring interview process must request the necessary accommodations if scheduled for a hiring interview. The request should be made at the time of contact to schedule the interview. Questions regarding reasonable accommodations may be directed to the EEO contact listed on this job posting. Benefits Click HERE to view the Benefits Summary for Civil Service Employees in the State of California. Contact Information The Human Resources Contact is available to answer questions regarding the application process. The Hiring Unit Contact is available to answer questions regarding the position. Human Resources Contact: Lupe MartinezRoberts (279) 234-2325 Lupe.Martinez-Roberts@dot.ca.gov Hiring Unit Contact: Paris Aludino (805) 732-9801 paris.aludino@dot.ca.gov Please direct requests for Reasonable Accommodations to the interview scheduler at the time the interview is being scheduled. You may direct any additional questions regarding Reasonable Accommodations or Equal Employment Opportunity for this position(s) to the Department's EEO Office. EEO Contact: Caltrans EEO Office (844) 368-3367 Ask.eeo@dot.ca.gov California Relay Service: 1-800-735-2929 (TTY), 1-800-735-2922 (Voice) TTY is a Telecommunications Device for the Deaf, and is reachable only from phones equipped with a TTY Device. Important Applications Instructions The State application (STD. 678) is required, and each section must be filled out completely and thoroughly. For mailed or hand delivered applications to be considered for this position, the Job Control number (JC-449009), PARF# 12-5-003 and title of the position (Senior Transportation Planner) must be included on the STD. 678 form. Electronic applications through your CalCareers account are highly recommended and encouraged. Candidates that meet the minimum qualifications based on possession of EDUCATION, LICENSE, OR CERTIFICATE must include a copy of your DEGREE/TRANSCRIPTS, LICENSE, or CERTIFICATE, along with your State application (STD. 678), to be considered for this position. NOTE: Do not submit the “Equal Employment Opportunity” questionnaire (page 5) with your completed State application (STD. 678). This page is for examination use only. Do not include any confidential information on any documents you submit for this job vacancy, such as your state application, resume, or educational transcripts. Confidential information that should be excluded or removed from these documents includes, but is not limited to, your Social Security Number, birth date, driver’s license number, examination results, LEAP status, marital status, and age. The job application packet checklist is not required to apply for this position. Failure to follow these instructions may result in your application not being considered for this position. Equal Opportunity Employer The State of California is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding and related medical conditions), and sexual orientation. It is an objective of the State of California to achieve a drug-free work place. Any applicant for state employment will be expected to behave in accordance with this objective because the use of illegal drugs is inconsistent with the law of the State, the rules governing Civil Service, and the special trust placed in public servants. Closing Date/Time: 9/23/2024
Orange County, CA
Orange County, California, United States
CAREER DESCRIPTION LANDFILL LABORER In addition to performance-based merit increases, this position is scheduled to receive salary range increases on the following dates: Effective June 27, 2025 - 3.75% increase SALARY INFORMATION Salary may be negotiable within the range listed above, based on position requirements and successful candidate's qualifications, subject to appropriate authorization. OPEN TO THE PUBLIC This recruitment is being held to establish an open to the public eligible list to fill current and/or future Landfill Laborer positions within OC Waste & Recycling. DEADLINE TO APPLY Qualified candidates are encouraged to apply immediately, as the recruitment will close on Wednesday, September 25, 2024, at 11:59 PM PST. Please note this is a cyclical recruitment and will reopen every 3 months as needed by the department. OC WASTE & RECYCLING OC Waste & Recycling (OCWR) is an organization dedicated to providing waste management services, protecting the environment, and promoting recycling in order to ensure a safe and healthy community for current and future generations. OCWR operates three active regional landfills, four household hazardous waste collection centers, monitors 20 closed landfills, and administers municipal solid waste collection, recycling and planning for County unincorporated areas. OCWR is a nationally renowned waste management department responsible for a network of sanitary landfills. The Department is committed to its exceptional record of regulatory compliance and excellence. For more information on the County of Orange click here . Click on the video link below to learn more about the Landfill Laborer position https://vimeo.com/manage/videos/797420486 THE OPPORTUNITY OCWR is seeking individuals who are enthusiastic and highly motivated; display initiative and positive attitude; communicate professionally and work cooperatively with co-workers, supervisors, contractors, and the public; and promote awareness of safety in self. Landfill Laborers perform routine unskilled heavy manual laboring work as members of a crew. The job duties include, but are not limited to: Direct traffic in unloading areas and around job locations; Vegetation control or litter pick-up activities, such as, hoeing and cutting weeds; cleaning debris from ditches, culverts, drains and channels and other drainage structures; Work with the traffic paint crew, moving stencils, and picking up warning cones and signs Wash and fuel light duty vehicles; Assist Landfill Maintenance Workers while performing skills projects; Perform composting materials handling activities; Install culverts, fences, road signs and guard rails; Safely using various hand and power tools; Install chain link and wirefences and guard rails; Lay down straw matting, netting, place gravel bags and flumes; Assist with spreading and compacting asphalt, setting forms, and mixing, wheeling and pouring concrete; Other duties as assigned. Landfill Laborers are expected to perform the above-mentioned duties at one of the County's three active Regional Landfills located in Brea, Irvine, and San Juan Capistrano or at a closed landfill assigned to one of the regions. The incumbent will work one of the following 4/10 shifts: Olinda Landfill (Brea, Ca) - Monday, Tuesday, Friday and Saturday 7:00 am - 5:30 pm FRB Landfill (Irvine, Ca) - Thursday, Friday, Saturday 7:30 am -6:00 pm, Sunday 6:00 am -4:30 pm Prima Landfill ( San Juan Capistrano, Ca) - Monday, Tuesday, Friday and Saturday 7:30 am -6:00 pm DESIRABLE QUALIFICATIONS AND CORE COMPETENCIES Although highly desirable, but not required, the ideal candidate will possess some experience in any of the following areas: Concrete grinding/patching Minor asphalt patching Traffic sign installation, repairs, and replacement Reading plan specifications and traffic control plans Operation of light commercial vehicles and stake bed trucks Using small hand and power tools for set-up, maintenance and repairs Using gas powered tools for trimming and cutting trees and vegetation Using high-pressure spray equipment to pressure wash various surfaces In addition, the ideal candidate will demonstrate and possess knowledge and experience in most of the following core competencies. Technical Expertise Knowledge and ability to operate power tools including hedge pruner, pole pruner, pole saw, chain saw, leaf blower, generator, cement mixer and paint sprayer. Safety Savvy Ensure safe work practices associated with the appropriate use of tools and equipment. Use of appropriate Personnel Protective Equipment (PPE) such as safety glasses/goggles, gloves, vest, and hard hats and task specific PPE. Knowledge of traffic safety regulations, and work site safety. Interpersonal Skills (Teamwork / Customer Service) Ability to work in a team environment and provide assistance to others when needed. Display a positive attitude and maintain effective working relationships. Express disagreement constructively and work with others to achieve a common goal. Ability to communicate effectively with customers verbally and present a positive and professional demeanor. MINIMUM QUALIFICATIONS Click here for more information on minimum qualifications for the Landfill Laborer classification. Six (6) months of experience performing maintenance and repair work in open spaces or facilities. REQUIRED LICENSE Possession of, or the ability to obtain and maintain, a valid California Driver License, Class C or higher, by the date of appointment is required. PHYSICAL & MENTAL REQUIREMENTS Vision sufficient to read fine print found on blueprints and schematics; to read all interior vehicle equipment controls, gauges and displays; and to see people, objects, and vehicles at a distance of approximately 100 yards. Speak and hear well enough to communicate in person, and over the radio and telephone. Body mobility and movement sufficient to walk on uneven ground, and enter and exit motor equipment. Hand and foot dexterity sufficient to reach and operate all equipment controls and tools. Stand, stoop, reach, bend and perform strenuous physical or manual labor for a minimum of ten hours per day. ENVIROMENTAL & WORKING CONDITIONS Work in various landfill structures, and work outdoors amid loud noise and fumes in all weather conditions. Work with cleaning supplies and other chemicals. Interact with landfill customers. Exposure to municipal solid waste, dust, pollen, birds, odors, noise, vibration, etc. RECRUITMENT PROCESS Human Resource Services (HRS) will screen all application materials for minimum qualifications. After screening, candidates who meet the qualifications will be referred to the next step in the recruitment process. All candidates will be notified via email of their status in the process. Online Examination | Multiple Choice Test (Weighted 100%): An online skills assessment will be conducted to evaluate the applicant's knowledge and experience as it relates to the job, as well as their interpersonal skills including their ability to follow written instructions, customer service, and ability to build and maintain effective working relationships. Only the most successful candidates will be placed on the eligible list. Based on the Department's needs, the recruitment procedures listed above may be modified. Candidates will be notified of any changes in the recruitment procedures. Eligible List Once the online assessment has been completed HRS will establish an eligible list of candidates. Candidates placed on the eligible list may be referred to a selection interview to be considered for present and future vacancies. Veterans Employment Preference The County is committed to providing a mechanism to give preferential consideration in the employment process to veterans and their eligible spouses and will provide eligible participants the opportunity to receive interviews in the selection process for employment and paid internship openings. Please click here (Download PDF reader) to review the policy. ADDITIONAL INFORMATION Please see below for important information regarding COVID-19 related requirements. Effective April 3, 2023, it is strongly recommended that County employees working in health care settings and correctional facilities follow vaccination and booster guidelines provided by the California Department of Public Health (CDPH) and the Centers for Disease Control and Prevention (CDC). Please click here to see the latest guidance for more details. The position for which you are applying may be required to adhere to any applicable State or County Public Health Orders. You will receive notification of any requirement as it applies to a position. EMAIL NOTIFICATION Email is the primary form of notification during the recruitment process. Please ensure your correct email address is included in our application and use only one email account. NOTE: User accounts are established for one person only and should not be shared with another person. Multiple applications with multiple users may jeopardize your status in the recruitment process for any positions for which you apply. Candidates will be notified regarding their status as the recruitment proceeds via email through the GovernmentJobs.com site. Please check your email folders, including spam/junk folders, and/or accept emails ending with "governmentjobs.com," "ocgov.com," and "ocwr.ocgov.com" If your email address should change, please update your profile at www.governmentjobs.com . FREQUENTLY ASKED QUESTIONS: Click here for additional Frequently Asked Questions. For specific information pertaining to this recruitment please contact Angela Malanga 714 -745-3516 or by email at angela.malanga@ocwr.ocgov.com EEO INFORMATION Orange County, as an equal employment opportunity employer, encourages applicants from diverse backgrounds to apply. Non-Management Benefits In addition to the County's standard suite of benefits, such as a variety of health plan options, annual leave and paid holidays--we also offer an excellent array of benefits such as a Health Care Reimbursement Account, 457 Defined Contribution Plan and Annual Education and Professional Reimbursement. Employees are provided a Retirement Plan through the Orange County Employees Retirement System (OCERS). Please go to the following link to find out more about Defined Benefit Pensions and OCERS Plan Types/Benefits. http://www.ocers.org/active-member-information Click here for information about benefits offered to County of Orange employees. Closing Date/Time: 9/25/2024 11:59 PM Pacific
Sep 12, 2024
Variable Shift
CAREER DESCRIPTION LANDFILL LABORER In addition to performance-based merit increases, this position is scheduled to receive salary range increases on the following dates: Effective June 27, 2025 - 3.75% increase SALARY INFORMATION Salary may be negotiable within the range listed above, based on position requirements and successful candidate's qualifications, subject to appropriate authorization. OPEN TO THE PUBLIC This recruitment is being held to establish an open to the public eligible list to fill current and/or future Landfill Laborer positions within OC Waste & Recycling. DEADLINE TO APPLY Qualified candidates are encouraged to apply immediately, as the recruitment will close on Wednesday, September 25, 2024, at 11:59 PM PST. Please note this is a cyclical recruitment and will reopen every 3 months as needed by the department. OC WASTE & RECYCLING OC Waste & Recycling (OCWR) is an organization dedicated to providing waste management services, protecting the environment, and promoting recycling in order to ensure a safe and healthy community for current and future generations. OCWR operates three active regional landfills, four household hazardous waste collection centers, monitors 20 closed landfills, and administers municipal solid waste collection, recycling and planning for County unincorporated areas. OCWR is a nationally renowned waste management department responsible for a network of sanitary landfills. The Department is committed to its exceptional record of regulatory compliance and excellence. For more information on the County of Orange click here . Click on the video link below to learn more about the Landfill Laborer position https://vimeo.com/manage/videos/797420486 THE OPPORTUNITY OCWR is seeking individuals who are enthusiastic and highly motivated; display initiative and positive attitude; communicate professionally and work cooperatively with co-workers, supervisors, contractors, and the public; and promote awareness of safety in self. Landfill Laborers perform routine unskilled heavy manual laboring work as members of a crew. The job duties include, but are not limited to: Direct traffic in unloading areas and around job locations; Vegetation control or litter pick-up activities, such as, hoeing and cutting weeds; cleaning debris from ditches, culverts, drains and channels and other drainage structures; Work with the traffic paint crew, moving stencils, and picking up warning cones and signs Wash and fuel light duty vehicles; Assist Landfill Maintenance Workers while performing skills projects; Perform composting materials handling activities; Install culverts, fences, road signs and guard rails; Safely using various hand and power tools; Install chain link and wirefences and guard rails; Lay down straw matting, netting, place gravel bags and flumes; Assist with spreading and compacting asphalt, setting forms, and mixing, wheeling and pouring concrete; Other duties as assigned. Landfill Laborers are expected to perform the above-mentioned duties at one of the County's three active Regional Landfills located in Brea, Irvine, and San Juan Capistrano or at a closed landfill assigned to one of the regions. The incumbent will work one of the following 4/10 shifts: Olinda Landfill (Brea, Ca) - Monday, Tuesday, Friday and Saturday 7:00 am - 5:30 pm FRB Landfill (Irvine, Ca) - Thursday, Friday, Saturday 7:30 am -6:00 pm, Sunday 6:00 am -4:30 pm Prima Landfill ( San Juan Capistrano, Ca) - Monday, Tuesday, Friday and Saturday 7:30 am -6:00 pm DESIRABLE QUALIFICATIONS AND CORE COMPETENCIES Although highly desirable, but not required, the ideal candidate will possess some experience in any of the following areas: Concrete grinding/patching Minor asphalt patching Traffic sign installation, repairs, and replacement Reading plan specifications and traffic control plans Operation of light commercial vehicles and stake bed trucks Using small hand and power tools for set-up, maintenance and repairs Using gas powered tools for trimming and cutting trees and vegetation Using high-pressure spray equipment to pressure wash various surfaces In addition, the ideal candidate will demonstrate and possess knowledge and experience in most of the following core competencies. Technical Expertise Knowledge and ability to operate power tools including hedge pruner, pole pruner, pole saw, chain saw, leaf blower, generator, cement mixer and paint sprayer. Safety Savvy Ensure safe work practices associated with the appropriate use of tools and equipment. Use of appropriate Personnel Protective Equipment (PPE) such as safety glasses/goggles, gloves, vest, and hard hats and task specific PPE. Knowledge of traffic safety regulations, and work site safety. Interpersonal Skills (Teamwork / Customer Service) Ability to work in a team environment and provide assistance to others when needed. Display a positive attitude and maintain effective working relationships. Express disagreement constructively and work with others to achieve a common goal. Ability to communicate effectively with customers verbally and present a positive and professional demeanor. MINIMUM QUALIFICATIONS Click here for more information on minimum qualifications for the Landfill Laborer classification. Six (6) months of experience performing maintenance and repair work in open spaces or facilities. REQUIRED LICENSE Possession of, or the ability to obtain and maintain, a valid California Driver License, Class C or higher, by the date of appointment is required. PHYSICAL & MENTAL REQUIREMENTS Vision sufficient to read fine print found on blueprints and schematics; to read all interior vehicle equipment controls, gauges and displays; and to see people, objects, and vehicles at a distance of approximately 100 yards. Speak and hear well enough to communicate in person, and over the radio and telephone. Body mobility and movement sufficient to walk on uneven ground, and enter and exit motor equipment. Hand and foot dexterity sufficient to reach and operate all equipment controls and tools. Stand, stoop, reach, bend and perform strenuous physical or manual labor for a minimum of ten hours per day. ENVIROMENTAL & WORKING CONDITIONS Work in various landfill structures, and work outdoors amid loud noise and fumes in all weather conditions. Work with cleaning supplies and other chemicals. Interact with landfill customers. Exposure to municipal solid waste, dust, pollen, birds, odors, noise, vibration, etc. RECRUITMENT PROCESS Human Resource Services (HRS) will screen all application materials for minimum qualifications. After screening, candidates who meet the qualifications will be referred to the next step in the recruitment process. All candidates will be notified via email of their status in the process. Online Examination | Multiple Choice Test (Weighted 100%): An online skills assessment will be conducted to evaluate the applicant's knowledge and experience as it relates to the job, as well as their interpersonal skills including their ability to follow written instructions, customer service, and ability to build and maintain effective working relationships. Only the most successful candidates will be placed on the eligible list. Based on the Department's needs, the recruitment procedures listed above may be modified. Candidates will be notified of any changes in the recruitment procedures. Eligible List Once the online assessment has been completed HRS will establish an eligible list of candidates. Candidates placed on the eligible list may be referred to a selection interview to be considered for present and future vacancies. Veterans Employment Preference The County is committed to providing a mechanism to give preferential consideration in the employment process to veterans and their eligible spouses and will provide eligible participants the opportunity to receive interviews in the selection process for employment and paid internship openings. Please click here (Download PDF reader) to review the policy. ADDITIONAL INFORMATION Please see below for important information regarding COVID-19 related requirements. Effective April 3, 2023, it is strongly recommended that County employees working in health care settings and correctional facilities follow vaccination and booster guidelines provided by the California Department of Public Health (CDPH) and the Centers for Disease Control and Prevention (CDC). Please click here to see the latest guidance for more details. The position for which you are applying may be required to adhere to any applicable State or County Public Health Orders. You will receive notification of any requirement as it applies to a position. EMAIL NOTIFICATION Email is the primary form of notification during the recruitment process. Please ensure your correct email address is included in our application and use only one email account. NOTE: User accounts are established for one person only and should not be shared with another person. Multiple applications with multiple users may jeopardize your status in the recruitment process for any positions for which you apply. Candidates will be notified regarding their status as the recruitment proceeds via email through the GovernmentJobs.com site. Please check your email folders, including spam/junk folders, and/or accept emails ending with "governmentjobs.com," "ocgov.com," and "ocwr.ocgov.com" If your email address should change, please update your profile at www.governmentjobs.com . FREQUENTLY ASKED QUESTIONS: Click here for additional Frequently Asked Questions. For specific information pertaining to this recruitment please contact Angela Malanga 714 -745-3516 or by email at angela.malanga@ocwr.ocgov.com EEO INFORMATION Orange County, as an equal employment opportunity employer, encourages applicants from diverse backgrounds to apply. Non-Management Benefits In addition to the County's standard suite of benefits, such as a variety of health plan options, annual leave and paid holidays--we also offer an excellent array of benefits such as a Health Care Reimbursement Account, 457 Defined Contribution Plan and Annual Education and Professional Reimbursement. Employees are provided a Retirement Plan through the Orange County Employees Retirement System (OCERS). Please go to the following link to find out more about Defined Benefit Pensions and OCERS Plan Types/Benefits. http://www.ocers.org/active-member-information Click here for information about benefits offered to County of Orange employees. Closing Date/Time: 9/25/2024 11:59 PM Pacific
CalOptima
Orange, CA, USA
Customer Service Representative CalOptima CalOptima Health is seeking a highly motivated an experienced Customer Service Representative to join our team. The Customer Service Representative (CSR) will be the first line of contact for CalOptima Health's members and providers. The incumbent will assist members and providers with questions and/or complaints related to the Medi-Cal programs for Orange County. The incumbent will provide information regarding eligibility, enrollment, benefits and services to CalOptima Health's eligible members and providers. Position Information: Department: Customer Service Salary Grade: 301 - $47,840 - $64,584 ($23.00 - $31.0500) Work Arrangement: Full Office Duties & Responsibilities: 80% - Program Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Maintains departmental productivity and quality standards. Follows through on and completes all member and provider inquiries or requests during the original member and provider interaction. Serves as a resource for other team members. 15% - Administrative Support Assists the team in carrying out department responsibilities and collaborates with others to support short and long-term goals/priorities for the department. Addresses member and provider inquiries, questions and concerns in all areas including eligibility, enrollment, claims or authorization status, benefit interpretation and referrals/authorizations for medical care in-person or telephonically. Enters accurate and complete documentation into internal application systems regarding all concerns and/or inquiries from the member and provider interaction. Communicates, builds and maintains internal and external relationships by prompt and accurate service delivery. Identifies and communicates challenges that might arise with the use of professional judgment while adhering to departmental policies and procedures. 5% - Completes other projects and duties as assigned. Minimum Qualifications: High School diploma or equivalent required PLUS 6 months of experience in a call center capacity required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. Typing speed of 35 words per minute (WPM) required. Preferred Qualifications: 6 months of Medi-Cal/Medicaid or health services experience. Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Farsi, Chinese, Korean, Spanish, Vietnamese) required. Required Licensure / Certifications: N/A Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is September 20, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/customer-service-representative-505-city-parkway-west-california-united-states-680cbd94-bf25-4a08-b16c-e8f122c7e1b7 Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-05f240df4599894f9767eb9bb5f61b31
Customer Service Representative CalOptima CalOptima Health is seeking a highly motivated an experienced Customer Service Representative to join our team. The Customer Service Representative (CSR) will be the first line of contact for CalOptima Health's members and providers. The incumbent will assist members and providers with questions and/or complaints related to the Medi-Cal programs for Orange County. The incumbent will provide information regarding eligibility, enrollment, benefits and services to CalOptima Health's eligible members and providers. Position Information: Department: Customer Service Salary Grade: 301 - $47,840 - $64,584 ($23.00 - $31.0500) Work Arrangement: Full Office Duties & Responsibilities: 80% - Program Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Maintains departmental productivity and quality standards. Follows through on and completes all member and provider inquiries or requests during the original member and provider interaction. Serves as a resource for other team members. 15% - Administrative Support Assists the team in carrying out department responsibilities and collaborates with others to support short and long-term goals/priorities for the department. Addresses member and provider inquiries, questions and concerns in all areas including eligibility, enrollment, claims or authorization status, benefit interpretation and referrals/authorizations for medical care in-person or telephonically. Enters accurate and complete documentation into internal application systems regarding all concerns and/or inquiries from the member and provider interaction. Communicates, builds and maintains internal and external relationships by prompt and accurate service delivery. Identifies and communicates challenges that might arise with the use of professional judgment while adhering to departmental policies and procedures. 5% - Completes other projects and duties as assigned. Minimum Qualifications: High School diploma or equivalent required PLUS 6 months of experience in a call center capacity required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. Typing speed of 35 words per minute (WPM) required. Preferred Qualifications: 6 months of Medi-Cal/Medicaid or health services experience. Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Farsi, Chinese, Korean, Spanish, Vietnamese) required. Required Licensure / Certifications: N/A Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is September 20, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/customer-service-representative-505-city-parkway-west-california-united-states-680cbd94-bf25-4a08-b16c-e8f122c7e1b7 Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-05f240df4599894f9767eb9bb5f61b31
CalOptima
Orange, CA, USA
Actuary CalOptima CalOptima Health is seeking a highly motivated an experienced Actuary to join our team. The Actuary will ensure the fiscal integrity of CalOptima Health's program and policy decisions and facilitate executive decision making by providing timely and accurate actuarial and financial analyses. The incumbent will be responsible for the ongoing financial planning and analysis needs of the organization, including the review and analysis of revenue, medical costs and their underlying trends. Position Information: Department: Financial Analysis Salary Grade: 315 - $109,892 - $175,827 ($52.83 - $84.5322) Work Arrangement: Partial Telework **This position is eligible for telework in California.** Duties & Responsibilities: 80% - Financial Analysis Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Develops clinical utilization, cost profiles and other indicators for all areas of medical costs, including but not limited to CalOptima Health Direct, pharmacy and skilled nursing facilities. Completes analysis to support regulatory filings, including state rate development models and Medicare Advantage bids. Supports operating budget development and monthly reporting analysis. Responsible for incurred but not reported reserves (IBNR) modeling and analysis. Advises management of significant changes or unusual trends in medical costs and proposes recommendations for management consideration. Supports activities related to regulatory and financial audits and findings. Assists with the development of appropriate reimbursement rates and other financial contract provisions for CalOptima Health with the state of California. Assists in evaluation of decision support and analysis tools, as well as improvements to the data warehouse. Supports management with budgeting and forecasting duties. 15% - Administrative Support Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Provides direction and guidance to Financial Analysis staff in accordance with established departmental and organizational policies. Serves as primary liaison with external actuarial services and support. 5% - Completes other projects and duties as assigned. Minimum Qualifications: Bachelor's degree in health care economics/planning, business, mathematics or related field required. 3 years of health care informatics or actuarial experience required. An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. Preferred Qualifications: Master's degree in health care economics/planning, business, mathematics or related field required. Required Licensure / Certifications: Associate of the Society of Actuaries (ASA) certification required. Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is September 20, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/actuary-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-0e09af5a9f8f304aa5dd33eb77854535
Actuary CalOptima CalOptima Health is seeking a highly motivated an experienced Actuary to join our team. The Actuary will ensure the fiscal integrity of CalOptima Health's program and policy decisions and facilitate executive decision making by providing timely and accurate actuarial and financial analyses. The incumbent will be responsible for the ongoing financial planning and analysis needs of the organization, including the review and analysis of revenue, medical costs and their underlying trends. Position Information: Department: Financial Analysis Salary Grade: 315 - $109,892 - $175,827 ($52.83 - $84.5322) Work Arrangement: Partial Telework **This position is eligible for telework in California.** Duties & Responsibilities: 80% - Financial Analysis Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Develops clinical utilization, cost profiles and other indicators for all areas of medical costs, including but not limited to CalOptima Health Direct, pharmacy and skilled nursing facilities. Completes analysis to support regulatory filings, including state rate development models and Medicare Advantage bids. Supports operating budget development and monthly reporting analysis. Responsible for incurred but not reported reserves (IBNR) modeling and analysis. Advises management of significant changes or unusual trends in medical costs and proposes recommendations for management consideration. Supports activities related to regulatory and financial audits and findings. Assists with the development of appropriate reimbursement rates and other financial contract provisions for CalOptima Health with the state of California. Assists in evaluation of decision support and analysis tools, as well as improvements to the data warehouse. Supports management with budgeting and forecasting duties. 15% - Administrative Support Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Provides direction and guidance to Financial Analysis staff in accordance with established departmental and organizational policies. Serves as primary liaison with external actuarial services and support. 5% - Completes other projects and duties as assigned. Minimum Qualifications: Bachelor's degree in health care economics/planning, business, mathematics or related field required. 3 years of health care informatics or actuarial experience required. An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. Preferred Qualifications: Master's degree in health care economics/planning, business, mathematics or related field required. Required Licensure / Certifications: Associate of the Society of Actuaries (ASA) certification required. Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is September 20, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/actuary-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-0e09af5a9f8f304aa5dd33eb77854535
CalOptima
Orange, CA, USA
ITS Analyst, Sr. (ServiceNow) CalOptima CalOptima Health is seeking a highly motivated an experienced ITS Analyst, Sr. (ServiceNow) to join our team. The ITS Analyst Sr (Corporate Applications (ServiceNow)) will facilitate the coordination and integration of program related activities through vendor-supported corporate applications. The incumbent will define system scope, objectives and business requirements to meet user needs. The incumbent will assist business customers in making informed decisions regarding the development, configuration and functionality of various applications and provide technical consulting to end users on systems projects. The incumbent will provide coordination and services relevant to key functions of software supported by the Information Technology Services (ITS) department, which supports a variety of end users and software, usually provided by a third-party vendor. The incumbent will contribute to the support and maintenance of assigned applications and serve as a technical point-of-contact. Position Information: Department: ITS - Infrastructure Salary Grade: 314 - $99,902 - $159,843 ($48.03 - $76.8476) Work Arrangement: Full Telework **This position is eligible for telework in California.** Duties & Responsibilities: 70% - Program Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Optimizes existing and develops new service catalog offerings and associated flows with a focus on continual improvement and automation. Leverages Flow Designer to further mature the service catalog and migrates away from workflows. Identifies inefficiencies to ultimately implement areas of automation. Supports the design of custom catalog items; works with business partners and the Service Catalog manager and application owner for implementation. Maintains an ongoing knowledge of the ServiceNow product, version upgrades, enhancements, new features, etc. 25% - Technical Support Processes core system configuration as well as day-to-day user requests and incidents. Creates technical design, ServiceNow code and architecture, and works with key business units to build solutions and processes, supporting maintenance, continual service improvement, and new capabilities on the ServiceNow platform. Provides technical guidance on existing workflows for streamlining and improved efficiencies. 5% - Completes other projects and duties as assigned. Minimum Qualifications: Bachelor's degree in information services or related field required PLUS 5 years of direct experience as a ServiceNow admin or application owner; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. 5 years of ITS technical application support experience required. 5 years of computer hardware and/or software troubleshooting techniques and system support required. Preferred Qualifications: ServiceNow Certified Implementation Specialist a plus. ServiceNow Certified Application Developer a plus. ITIL Certification is highly desirable. Required Licensure / Certifications: n/a Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is August 20, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/its-analyst-sr-servicenow-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-14d829e26b4b1746b6993e02fd550844
ITS Analyst, Sr. (ServiceNow) CalOptima CalOptima Health is seeking a highly motivated an experienced ITS Analyst, Sr. (ServiceNow) to join our team. The ITS Analyst Sr (Corporate Applications (ServiceNow)) will facilitate the coordination and integration of program related activities through vendor-supported corporate applications. The incumbent will define system scope, objectives and business requirements to meet user needs. The incumbent will assist business customers in making informed decisions regarding the development, configuration and functionality of various applications and provide technical consulting to end users on systems projects. The incumbent will provide coordination and services relevant to key functions of software supported by the Information Technology Services (ITS) department, which supports a variety of end users and software, usually provided by a third-party vendor. The incumbent will contribute to the support and maintenance of assigned applications and serve as a technical point-of-contact. Position Information: Department: ITS - Infrastructure Salary Grade: 314 - $99,902 - $159,843 ($48.03 - $76.8476) Work Arrangement: Full Telework **This position is eligible for telework in California.** Duties & Responsibilities: 70% - Program Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Optimizes existing and develops new service catalog offerings and associated flows with a focus on continual improvement and automation. Leverages Flow Designer to further mature the service catalog and migrates away from workflows. Identifies inefficiencies to ultimately implement areas of automation. Supports the design of custom catalog items; works with business partners and the Service Catalog manager and application owner for implementation. Maintains an ongoing knowledge of the ServiceNow product, version upgrades, enhancements, new features, etc. 25% - Technical Support Processes core system configuration as well as day-to-day user requests and incidents. Creates technical design, ServiceNow code and architecture, and works with key business units to build solutions and processes, supporting maintenance, continual service improvement, and new capabilities on the ServiceNow platform. Provides technical guidance on existing workflows for streamlining and improved efficiencies. 5% - Completes other projects and duties as assigned. Minimum Qualifications: Bachelor's degree in information services or related field required PLUS 5 years of direct experience as a ServiceNow admin or application owner; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. 5 years of ITS technical application support experience required. 5 years of computer hardware and/or software troubleshooting techniques and system support required. Preferred Qualifications: ServiceNow Certified Implementation Specialist a plus. ServiceNow Certified Application Developer a plus. ITIL Certification is highly desirable. Required Licensure / Certifications: n/a Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is August 20, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/its-analyst-sr-servicenow-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-14d829e26b4b1746b6993e02fd550844
CalOptima
Orange, CA, USA
Grievance & Appeals Nurse Specialist CalOptima CalOptima Health is seeking a highly motivated an experienced Grievance & Appeals Nurse Specialist to join our team. The Grievance and Appeals Nurse Specialist participates in managing CalOptima Health's medical appeals and state hearing reviews for all lines of business, including handling expedited and standard requests. The incumbent will ensure appeals and state hearing requests are processed in accordance with regulations, compliance standards and policies and procedures. The incumbent will investigate and prepare case narratives and statements of position based on clinical information, benefits and applicable regulations related to member or provider disputes of decisions. The incumbent will clearly articulate the facts and CalOptima Health's position regarding disputes to the Administrative Law Judge hearing the case. The incumbent will be responsible for creating and reviewing resolution letters for appropriateness of clinical criteria and regulatory requirements. Position Information: Department: Grievance & Appeals Salary Grade: 313 - $90,820 - $145,312 ($43.66 - $69.8615) Work Arrangement: Partial Telework **This position is eligible for telework in California.** Duties & Responsibilities: 80% - Program Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Prepares clinical reviews based on clinical guidelines and provides monitoring of cases involving medical decisions and quality of care or service decisions. Ensures all cases are completed in accordance with state and federal regulatory requirements including timelines. Presents recommendations based on clinical review, criteria and organizational policies to CalOptima Health's physician reviewers for final determination. Resolves complex and sensitive member issues within established timelines. Maintains departmental database and the integrity of records by accurately entering case actions to assigned cases. Analyzes and reports cases through GARS' subcommittee. Oversees state hearing cases. Discusses appeal process, medical decisions and hearing rights with members. Assists members in coordinating their services with providers and communicates the status and outcome to members. Assigns position statements and represents CalOptima Health at state hearings. 15% - Administrative Support Participates in departmental meetings, trainings and audits as requested. Assists with the notification process to members or providers on the clinical decision issued. 5% - Completes other projects and duties as assigned. Minimum Qualifications: High School diploma required PLUS 5 years of health care or managed care experience required; preferably in the following related areas of responsibility: grievances and appeals, utilization management and/or quality management; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. Preferred Qualifications: Active Registered Nurse (RN) license to practice in the state of California. Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Farsi, Chinese, Korean, Spanish, Vietnamese). Required Licensure / Certifications: Active Licensed Vocational Nurse (LVN) license to practice in the state of California required. Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is August 23, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/grievance-appeals-nurse-specialist-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-43fe6d6f43ac9b4fbf081cb334080af6
Grievance & Appeals Nurse Specialist CalOptima CalOptima Health is seeking a highly motivated an experienced Grievance & Appeals Nurse Specialist to join our team. The Grievance and Appeals Nurse Specialist participates in managing CalOptima Health's medical appeals and state hearing reviews for all lines of business, including handling expedited and standard requests. The incumbent will ensure appeals and state hearing requests are processed in accordance with regulations, compliance standards and policies and procedures. The incumbent will investigate and prepare case narratives and statements of position based on clinical information, benefits and applicable regulations related to member or provider disputes of decisions. The incumbent will clearly articulate the facts and CalOptima Health's position regarding disputes to the Administrative Law Judge hearing the case. The incumbent will be responsible for creating and reviewing resolution letters for appropriateness of clinical criteria and regulatory requirements. Position Information: Department: Grievance & Appeals Salary Grade: 313 - $90,820 - $145,312 ($43.66 - $69.8615) Work Arrangement: Partial Telework **This position is eligible for telework in California.** Duties & Responsibilities: 80% - Program Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Prepares clinical reviews based on clinical guidelines and provides monitoring of cases involving medical decisions and quality of care or service decisions. Ensures all cases are completed in accordance with state and federal regulatory requirements including timelines. Presents recommendations based on clinical review, criteria and organizational policies to CalOptima Health's physician reviewers for final determination. Resolves complex and sensitive member issues within established timelines. Maintains departmental database and the integrity of records by accurately entering case actions to assigned cases. Analyzes and reports cases through GARS' subcommittee. Oversees state hearing cases. Discusses appeal process, medical decisions and hearing rights with members. Assists members in coordinating their services with providers and communicates the status and outcome to members. Assigns position statements and represents CalOptima Health at state hearings. 15% - Administrative Support Participates in departmental meetings, trainings and audits as requested. Assists with the notification process to members or providers on the clinical decision issued. 5% - Completes other projects and duties as assigned. Minimum Qualifications: High School diploma required PLUS 5 years of health care or managed care experience required; preferably in the following related areas of responsibility: grievances and appeals, utilization management and/or quality management; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. Preferred Qualifications: Active Registered Nurse (RN) license to practice in the state of California. Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Farsi, Chinese, Korean, Spanish, Vietnamese). Required Licensure / Certifications: Active Licensed Vocational Nurse (LVN) license to practice in the state of California required. Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is August 23, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/grievance-appeals-nurse-specialist-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-43fe6d6f43ac9b4fbf081cb334080af6
Orange County, CA
Orange County, California, United States
CAREER DESCRIPTION ANIMAL ADOPTABILITY ASSESSMENT SPECIALIST SALARY INFORMATION In addition to performance-based merit increases, this position is scheduled to receive a salary range increase on the following date: Effective June 27, 2025 - 4.00% increase Salary may be negotiable within the range listed above, based on position requirements and successful candidate's qualifications, subject to appropriate authorization. OPEN TO THE PUBLIC This recruitment will establish an open eligible list to fill current and future Animal Adoptability Assessment Specialist vacancies within OC Community Resources/OC Animal Care. The eligible list established may also be used to fill similar and/or lower-level classifications throughout the County of Orange. DEADLINE TO APPLY Qualified applicants are encouraged to apply immediately, as this recruitment will close on October 7, 2024 at 11:59 PM (PT) . OC ANIMAL CARE OC Animal Care promotes responsible pet ownership, the health and safety of people and animals, and spay/neuter programs. OC Animal Care provides temporary shelter and medical care for "lost" owned or stray animals and opportunities for the adoption of these animals. For more information on OC Community Resources click on the link. For more information on the County of Orange click on the link. THE OPPORTUNITY OC Animal Care provides animal care and control to 14 cities and county unincorporated areas and impounds over 10,000 animals annually. In addition, OC Animal Care is experiencing increased intakes with decreased adoptions. The Animal Adoptability Assessment Specialists will be essential in assisting the Shelter Services Team with managing the shelter's population, assessing adaptability, and developing pathways for all animals entering the shelter. Incumbents will participate in the development, tracking, coordination, and documentation of assessment and enrichment efforts for animals exhibiting behavioral or other concerns impacting adaptability. Incumbents will be responsible for drafting enrichment and shelter pathways to support the adoptability assessment process. Primary duties include, but are not limited to, the following: Conduct assessments in-person and through a review of documented information. Create enrichment and behavior plans to support the successful assessment of an animal's adoptability. Track and maintain detailed records of actions taken and behavioral observations. Research industry standards with regard to adoptability assessments; create written procedures and protocols for review and approval by management. Assist staff with the handling of fractious, unsocialized, or aggressive animals as needed. Support ongoing staff and volunteer trainings. Help create and implement new trainings as needed. OC Animal Care provides municipal sheltering and field services to the public and may house a variety of domestic or wild animals. Incumbents should be comfortable caring for and handling animals such as dogs, cats, small mammal pets, reptiles, livestock, wildlife indigenous to Orange County, and non-native exotic animals; as well as other animal species which may be housed at the OC Animal Care Shelter. Housed animals exhibit a variety of temperaments and may not always be cooperative during handling, care, or medical treatments. Work Schedule: Incumbents should be prepared to work rotating shifts, including days, nights, weekends, and holidays on a four day per week, 10 hours per day schedule, or five day per week, 8 hours per day schedule, or another schedule as assigned. Incumbents may be drafted for mandatory overtime in the event of an emergency, disaster, or during periods of unexpected staffing shortages. CORE COMPETENCIES Successful candidates will possess the knowledge and/or experience in the following core competencies: TECHNICAL EXPERTISE Working with computers and computer programs such as Chameleon, Microsoft Word and Outlook and is able to read, understand, and implement academic material Demonstrating strong writing skills Working knowledge of the animal control or animal welfare industry Working experience in animal behavioral evaluation or assessment Handling of domestic or wild animals including maintenance and care Maintaining sufficient content and knowledge to perform all aspects of the job effectively ORAL COMMUNICATION & WRITING SKILLS Exchanging accurate and concise information with others both orally and in writing Relaying confidence when communicating information; clearly and concisely composes written documents to convey information with accuracy Following written and oral instruction effectively Interpreting and applying oral/written instructions Listening actively to others for full understanding of what is being communicated Communicating with members of the public in a variety of situations displaying social skill, awareness, and tact CUSTOMER SERVICE & PROBLEM-SOLVING SKILLS Providing courteous and professional customer service to all clients Applying knowledge of principles and processes for providing customer and personal services including complex problem solving to manage stressful situations effectively Applying knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, and other office procedures and terminology Anticipating and meeting customer (internal/external) needs in all situations ORGANIZING & PLANNING SKILLS Demonstrating organizing and planning skills to ensure high productivity and efficiency Working independently and managing time to effectively prioritize multiple and competing tasks Meeting departmental and project goals and deadlines by prioritizing workload and projects LEADERSHIP SKILLS Managing and guiding group efforts effectively by influencing, motivating, guiding and directing others toward meeting business objectives Mentoring, training, and providing appropriate level of feedback MINIMUM QUALIFICATIONS Click here for the complete classification description for Animal Adoptability Assessment Specialist including the minimum qualifications. RECRUITMENT PROCESS Human Resource Services (HRS) screens all application materials for minimum qualifications. After screening, applicants who meet the minimum qualifications will be referred to the next step in the recruitment process. All applicants will be notified via email of their status in the process. Online Assessment | (Weighted 100%) An online assessment consisting of job-related questions will be administered. Candidates who pass this test will be placed on the eligible list. Based on the Department's needs, the recruitment procedures listed above may be modified. All candidates will be notified of any changes in the selection procedure. Eligible List Once the assessment has been completed, HRS will establish an eligible list of candidates. Candidates placed on the eligible list may be referred to a selection interview to be considered for present and future vacancies. Veterans Employment Preference The County is committed to providing a mechanism to give preferential consideration in the employment process to veterans and their eligible spouses and will provide eligible participants the opportunity to receive interviews in the selection process for employment and paid internship openings. Please click here (Download PDF reader) to review the policy. ADDITIONAL INFORMATION Please see below for important information regarding COVID-19 related recommendations. Effective April 3, 2023, it is strongly recommended that County employees working in health care settings and correctional facilities follow vaccination and booster guidelines provided by the California Department of Public Health (CDPH) and the Centers for Disease Control and Prevention (CDC). Please click here to see the latest guidance for more details. EMAIL NOTIFICATION: Email is the primary form of notification during the recruitment process. Please ensure your correct email address is included in our application and use only one email account. NOTE: User accounts are established for one person only and should not be shared with another person. Multiple applications with multiple users may jeopardize your status in the recruitment process for any positions for which you apply. Candidates will be notified regarding their status as the recruitment proceeds via email through the GovernmentJobs.com site. Please check your email folders, including spam/junk folders, and/or accept emails ending with "governmentjobs.com" and "ocgov.com." If your email address should change, please update your profile at www.governmentjobs.com . FREQUENTLY ASKED QUESTIONS: Click here for additional Frequently Asked Questions. For specific information pertaining to this recruitment, contact Jenny Kim at Jenny.Kim@occr.ocgov.com . EEO INFORMATION Orange County, as an equal employment opportunity employer, encourages applicants from diverse backgrounds to apply. Non-Management Benefits In addition to the County's standard suite of benefits, such as a variety of health plan options, annual leave and paid holidays--we also offer an excellent array of benefits such as a Health Care Reimbursement Account, 457 Defined Contribution Plan and Annual Education and Professional Reimbursement. Employees are provided a Retirement Plan through the Orange County Employees Retirement System (OCERS). Please go to the following link to find out more about Defined Benefit Pensions and OCERS Plan Types/Benefits. http://www.ocers.org/active-member-information Click here for information about benefits offered to County of Orange employees. Closing Date/Time: 10/7/2024 11:59 PM Pacific
CAREER DESCRIPTION ANIMAL ADOPTABILITY ASSESSMENT SPECIALIST SALARY INFORMATION In addition to performance-based merit increases, this position is scheduled to receive a salary range increase on the following date: Effective June 27, 2025 - 4.00% increase Salary may be negotiable within the range listed above, based on position requirements and successful candidate's qualifications, subject to appropriate authorization. OPEN TO THE PUBLIC This recruitment will establish an open eligible list to fill current and future Animal Adoptability Assessment Specialist vacancies within OC Community Resources/OC Animal Care. The eligible list established may also be used to fill similar and/or lower-level classifications throughout the County of Orange. DEADLINE TO APPLY Qualified applicants are encouraged to apply immediately, as this recruitment will close on October 7, 2024 at 11:59 PM (PT) . OC ANIMAL CARE OC Animal Care promotes responsible pet ownership, the health and safety of people and animals, and spay/neuter programs. OC Animal Care provides temporary shelter and medical care for "lost" owned or stray animals and opportunities for the adoption of these animals. For more information on OC Community Resources click on the link. For more information on the County of Orange click on the link. THE OPPORTUNITY OC Animal Care provides animal care and control to 14 cities and county unincorporated areas and impounds over 10,000 animals annually. In addition, OC Animal Care is experiencing increased intakes with decreased adoptions. The Animal Adoptability Assessment Specialists will be essential in assisting the Shelter Services Team with managing the shelter's population, assessing adaptability, and developing pathways for all animals entering the shelter. Incumbents will participate in the development, tracking, coordination, and documentation of assessment and enrichment efforts for animals exhibiting behavioral or other concerns impacting adaptability. Incumbents will be responsible for drafting enrichment and shelter pathways to support the adoptability assessment process. Primary duties include, but are not limited to, the following: Conduct assessments in-person and through a review of documented information. Create enrichment and behavior plans to support the successful assessment of an animal's adoptability. Track and maintain detailed records of actions taken and behavioral observations. Research industry standards with regard to adoptability assessments; create written procedures and protocols for review and approval by management. Assist staff with the handling of fractious, unsocialized, or aggressive animals as needed. Support ongoing staff and volunteer trainings. Help create and implement new trainings as needed. OC Animal Care provides municipal sheltering and field services to the public and may house a variety of domestic or wild animals. Incumbents should be comfortable caring for and handling animals such as dogs, cats, small mammal pets, reptiles, livestock, wildlife indigenous to Orange County, and non-native exotic animals; as well as other animal species which may be housed at the OC Animal Care Shelter. Housed animals exhibit a variety of temperaments and may not always be cooperative during handling, care, or medical treatments. Work Schedule: Incumbents should be prepared to work rotating shifts, including days, nights, weekends, and holidays on a four day per week, 10 hours per day schedule, or five day per week, 8 hours per day schedule, or another schedule as assigned. Incumbents may be drafted for mandatory overtime in the event of an emergency, disaster, or during periods of unexpected staffing shortages. CORE COMPETENCIES Successful candidates will possess the knowledge and/or experience in the following core competencies: TECHNICAL EXPERTISE Working with computers and computer programs such as Chameleon, Microsoft Word and Outlook and is able to read, understand, and implement academic material Demonstrating strong writing skills Working knowledge of the animal control or animal welfare industry Working experience in animal behavioral evaluation or assessment Handling of domestic or wild animals including maintenance and care Maintaining sufficient content and knowledge to perform all aspects of the job effectively ORAL COMMUNICATION & WRITING SKILLS Exchanging accurate and concise information with others both orally and in writing Relaying confidence when communicating information; clearly and concisely composes written documents to convey information with accuracy Following written and oral instruction effectively Interpreting and applying oral/written instructions Listening actively to others for full understanding of what is being communicated Communicating with members of the public in a variety of situations displaying social skill, awareness, and tact CUSTOMER SERVICE & PROBLEM-SOLVING SKILLS Providing courteous and professional customer service to all clients Applying knowledge of principles and processes for providing customer and personal services including complex problem solving to manage stressful situations effectively Applying knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, and other office procedures and terminology Anticipating and meeting customer (internal/external) needs in all situations ORGANIZING & PLANNING SKILLS Demonstrating organizing and planning skills to ensure high productivity and efficiency Working independently and managing time to effectively prioritize multiple and competing tasks Meeting departmental and project goals and deadlines by prioritizing workload and projects LEADERSHIP SKILLS Managing and guiding group efforts effectively by influencing, motivating, guiding and directing others toward meeting business objectives Mentoring, training, and providing appropriate level of feedback MINIMUM QUALIFICATIONS Click here for the complete classification description for Animal Adoptability Assessment Specialist including the minimum qualifications. RECRUITMENT PROCESS Human Resource Services (HRS) screens all application materials for minimum qualifications. After screening, applicants who meet the minimum qualifications will be referred to the next step in the recruitment process. All applicants will be notified via email of their status in the process. Online Assessment | (Weighted 100%) An online assessment consisting of job-related questions will be administered. Candidates who pass this test will be placed on the eligible list. Based on the Department's needs, the recruitment procedures listed above may be modified. All candidates will be notified of any changes in the selection procedure. Eligible List Once the assessment has been completed, HRS will establish an eligible list of candidates. Candidates placed on the eligible list may be referred to a selection interview to be considered for present and future vacancies. Veterans Employment Preference The County is committed to providing a mechanism to give preferential consideration in the employment process to veterans and their eligible spouses and will provide eligible participants the opportunity to receive interviews in the selection process for employment and paid internship openings. Please click here (Download PDF reader) to review the policy. ADDITIONAL INFORMATION Please see below for important information regarding COVID-19 related recommendations. Effective April 3, 2023, it is strongly recommended that County employees working in health care settings and correctional facilities follow vaccination and booster guidelines provided by the California Department of Public Health (CDPH) and the Centers for Disease Control and Prevention (CDC). Please click here to see the latest guidance for more details. EMAIL NOTIFICATION: Email is the primary form of notification during the recruitment process. Please ensure your correct email address is included in our application and use only one email account. NOTE: User accounts are established for one person only and should not be shared with another person. Multiple applications with multiple users may jeopardize your status in the recruitment process for any positions for which you apply. Candidates will be notified regarding their status as the recruitment proceeds via email through the GovernmentJobs.com site. Please check your email folders, including spam/junk folders, and/or accept emails ending with "governmentjobs.com" and "ocgov.com." If your email address should change, please update your profile at www.governmentjobs.com . FREQUENTLY ASKED QUESTIONS: Click here for additional Frequently Asked Questions. For specific information pertaining to this recruitment, contact Jenny Kim at Jenny.Kim@occr.ocgov.com . EEO INFORMATION Orange County, as an equal employment opportunity employer, encourages applicants from diverse backgrounds to apply. Non-Management Benefits In addition to the County's standard suite of benefits, such as a variety of health plan options, annual leave and paid holidays--we also offer an excellent array of benefits such as a Health Care Reimbursement Account, 457 Defined Contribution Plan and Annual Education and Professional Reimbursement. Employees are provided a Retirement Plan through the Orange County Employees Retirement System (OCERS). Please go to the following link to find out more about Defined Benefit Pensions and OCERS Plan Types/Benefits. http://www.ocers.org/active-member-information Click here for information about benefits offered to County of Orange employees. Closing Date/Time: 10/7/2024 11:59 PM Pacific
CalOptima
Orange, CA, USA
QI Nurse Specialist (LVN) CalOptima CalOptima Health is seeking a highly motivated an experienced QI Nurse Specialist (LVN) to join our team. The Quality Improvement (QI) Nurse Specialist (LVN) for Utilization Management (UM) is responsible for overseeing UM for CalOptima Health's direct network and delegated Health Network teams. The incumbent will be responsible for ensuring standards are met for operational and oversight compliance and UM operations are consistent with regulatory requirements, accreditation standards and CalOptima Health's policies and procedures. The incumbent will be responsible for staying current with regulatory reports, audit requirements (internal and regulatory body) and regulatory requirements from All Plan Letters (APLs) and CCS Number Letters (NLs) for the management of the UM department. The incumbent will interact with other internal CalOptima Health departments, health networks and external agencies. Position Information: Department: Utilization Management Salary Grade: 312 - $84,092 - $134,548 ($40.43 - $64.6865) Work Arrangement: Full Telework **This position is eligible for telework in California.** Duties & Responsibilities: 85% - Program Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Independently performs and manages internal UM department audits, drafts corrective action plans (CAPs) if necessary and tracks to closure, presents findings to UM leadership and committee members, identifies opportunities for improvement, makes improvement recommendations to UM leadership and develops and deploys staff training. Analyzes internal audit findings to develop key performance indicators (KPI) dashboard or other like dashboards. Serves as subject matter expert (SME) for clinical areas including but not limited to Jiva. Prepares reports and presents findings in a clear and concise manner, both written and verbal for management review and approval. Assists to analyze and interpret regulatory requirements and the impact on the UM department based on analysis and interpretation. Assists with reviewing and responding to Regulatory Affairs and Compliance (RAC) requests including but not limited to a request for validation (RVD). Develops training materials in reference to clinical decisioning and rationale, inter rater-reliability (IRR), policy and procedure updates, desktop procedure (DTP)updates, regulatory audit findings remediation and changes to regulatory requirements. Collects and analyzes data for regulatory reports (federal and state mandated), audits and forwards to RAC for final review and submission to the regulatory body including but not limited to the Centers for Medicare & Medicaid Services (CMS), the Department of Health Care Services (DHCS) or the National Committee for Quality Assurance (NCQA). Evaluates reports for data integrity, accuracy and appropriateness and assists in the timely production of reports. Participates in internal and external audits including but not limited to gathering and reviewing documents for submission, preparing files consistent with regulatory requirements, reviewing files and identifying areas of potential risk, participating as the driver or presenter at the time of the audit and assisting with CAP/Blue Sheet responses. Drafts policy and procedure revisions to align with regulatory requirements from entities including but not limited to CMS, DHCS and NCQA and presents changes to committee members. Assists with the development and oversight of the Utilization Management program and work plan. 10% - Administrative Support Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Provides support to committees working on Quality Improvement activities. Serves as a liaison and resource between CalOptima Health, delegated health networks and external agencies. Partners with CalOptima Health internal data/reporting teams to meet all reporting and project deadlines. 5% - Completes other projects and duties as assigned. Minimum Qualifications: High school diploma or equivalent required PLUS 3 years of clinical/UM experience required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. 2 years of UM experience in an auditor role. 2 years of experience in a health care delivery system, including a health plan, medical group or IPA. 2 years of managed care experience required. Preferred Qualifications: Associate or bachelor's degree in health sciences or related field. Required Licensure / Certifications: Licensed Vocational Nurse (LVN) license to practice in the state of California required. Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is September 19, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/qi-nurse-specialist-lvn-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-aff4b7e81a8ce04b968c4eb5c8ab2549
QI Nurse Specialist (LVN) CalOptima CalOptima Health is seeking a highly motivated an experienced QI Nurse Specialist (LVN) to join our team. The Quality Improvement (QI) Nurse Specialist (LVN) for Utilization Management (UM) is responsible for overseeing UM for CalOptima Health's direct network and delegated Health Network teams. The incumbent will be responsible for ensuring standards are met for operational and oversight compliance and UM operations are consistent with regulatory requirements, accreditation standards and CalOptima Health's policies and procedures. The incumbent will be responsible for staying current with regulatory reports, audit requirements (internal and regulatory body) and regulatory requirements from All Plan Letters (APLs) and CCS Number Letters (NLs) for the management of the UM department. The incumbent will interact with other internal CalOptima Health departments, health networks and external agencies. Position Information: Department: Utilization Management Salary Grade: 312 - $84,092 - $134,548 ($40.43 - $64.6865) Work Arrangement: Full Telework **This position is eligible for telework in California.** Duties & Responsibilities: 85% - Program Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Independently performs and manages internal UM department audits, drafts corrective action plans (CAPs) if necessary and tracks to closure, presents findings to UM leadership and committee members, identifies opportunities for improvement, makes improvement recommendations to UM leadership and develops and deploys staff training. Analyzes internal audit findings to develop key performance indicators (KPI) dashboard or other like dashboards. Serves as subject matter expert (SME) for clinical areas including but not limited to Jiva. Prepares reports and presents findings in a clear and concise manner, both written and verbal for management review and approval. Assists to analyze and interpret regulatory requirements and the impact on the UM department based on analysis and interpretation. Assists with reviewing and responding to Regulatory Affairs and Compliance (RAC) requests including but not limited to a request for validation (RVD). Develops training materials in reference to clinical decisioning and rationale, inter rater-reliability (IRR), policy and procedure updates, desktop procedure (DTP)updates, regulatory audit findings remediation and changes to regulatory requirements. Collects and analyzes data for regulatory reports (federal and state mandated), audits and forwards to RAC for final review and submission to the regulatory body including but not limited to the Centers for Medicare & Medicaid Services (CMS), the Department of Health Care Services (DHCS) or the National Committee for Quality Assurance (NCQA). Evaluates reports for data integrity, accuracy and appropriateness and assists in the timely production of reports. Participates in internal and external audits including but not limited to gathering and reviewing documents for submission, preparing files consistent with regulatory requirements, reviewing files and identifying areas of potential risk, participating as the driver or presenter at the time of the audit and assisting with CAP/Blue Sheet responses. Drafts policy and procedure revisions to align with regulatory requirements from entities including but not limited to CMS, DHCS and NCQA and presents changes to committee members. Assists with the development and oversight of the Utilization Management program and work plan. 10% - Administrative Support Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Provides support to committees working on Quality Improvement activities. Serves as a liaison and resource between CalOptima Health, delegated health networks and external agencies. Partners with CalOptima Health internal data/reporting teams to meet all reporting and project deadlines. 5% - Completes other projects and duties as assigned. Minimum Qualifications: High school diploma or equivalent required PLUS 3 years of clinical/UM experience required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. 2 years of UM experience in an auditor role. 2 years of experience in a health care delivery system, including a health plan, medical group or IPA. 2 years of managed care experience required. Preferred Qualifications: Associate or bachelor's degree in health sciences or related field. Required Licensure / Certifications: Licensed Vocational Nurse (LVN) license to practice in the state of California required. Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is September 19, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/qi-nurse-specialist-lvn-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-aff4b7e81a8ce04b968c4eb5c8ab2549
CalOptima
Orange, CA, USA
Sr. Director, Health Equity (Sr. Director) CalOptima CalOptima Health is seeking a highly motivated an experienced Sr. Director, Health Equity (Sr. Director) to join our team. The Sr. Director of Health Equity is responsible for leading the development and implementation of community outreach and member engagement strategies designed to address identified health inequities. The incumbent will be responsible for directly assisting the Chief Health Equity Officer (CHEO) in developing, implementing, analyzing, and refining the CalOptima Health goals and objectives related to health equity (HE). The incumbent will partner with the CHEO, Executive Director of Equity and Community Health and other leaders to strengthen the organization's commitment and strategy to advance health equity and reduce health disparities of our member population, as well as to remain a diverse, equitable, and inclusive organization. The incumbent will assist in raising awareness of health inequities within our membership and establish plans to address them. The incumbent will drive the imbedding and communication of health equity strategies across stakeholder groups, such as CalOptima Health's Board of Directors, employees, members, and the local community. The incumbent will build and maintain strong relationships with CalOptima Health employees, providers, and local stakeholders who will help to combat inequities. Position Information: Department: Equity and Community Health Salary Grade: 324 - $216,737 - $346,778 ($104.20 - $166.7201) Work Arrangement: Partial Telework **This position is eligible for telework in California.** Duties & Responsibilities: 50% - Leadership Functions Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Plans, organizes, directs, and coordinates the CalOptima Health approach to health equity. Manages direct reports, including hiring, planning, design, implementation, training, and reporting of specified health equity initiatives. Mentors the professional performance and development of subordinate staff. Works collaboratively and promotes teamwork within assigned departments as well as with other departments to achieve effective message delivery, both internally and externally, through a variety of communication tools. Promotes a positive, mission-driven, public image of CalOptima Health with local and federal (as applicable) leaders. Serves as primary backup for the CHEO and attends regular health equity meetings with key constituents to build relationships, share best practices and health equity tactics, hear feedback, continually improve the health equity plan, and provide quality resources or services that add value for CalOptima Health members. Oversees the development of department policies and procedures to ensure health equity focus. Helps ensure employees, subcontractors, and Network Provider department staff receive mandatory diversity, equity, inclusion, and belonging (DEIB) training. Serves as a resource to departmental staff, internal departments, CalOptima Health providers, health networks, and the community. Provides oversight to the creation and implementation of programs and initiatives that support underrepresented populations, promote health equity, and address social determinants of health. 45% - Program Oversight Coordinates community initiatives aimed at advancing and aligning the health equity strategy and tactical workplan to reduce health disparities among specified populations. Researches evidence-based practices and nationally recognized criteria. Helps design and recommends opportunities to enhance efforts through scaling best practices, technology platforms or other culturally relevant modes of communication, and insights and perspectives generated by impacted and diverse stakeholders. Works collaboratively with internal and external partners and with external stakeholders and community organizations to address identified priority disparities and improve health quality and outcomes. Participates in strategy and program development across the organization and in the community to ensure that health equity is prioritized and addressed through internal health plan functions, operations, and external partnerships and initiatives. Works collaboratively with senior management teams at CalOptima Health and partners with agencies to ensure the strategic priorities of the organization are met. Facilitates community outreach strategies and partnerships towards health equity and best practices by identifying and addressing ethnic, cultural, or racial disparities in health quality and outcomes. Provides support in the design and implementation of CalOptima Health strategies and programs to ensure health equity is prioritized and addressed. Works with the CHEO and other leaders to ensure CalOptima Health's compliance with the California Department of Health Care Services (DHCS) and the Department of Managed Health Care (DMHC) on regulatory and contractual requirements. Tracks and analyze trends in healthcare disparities that impact our members. Engages and collaborates with the CHEO, leaders and staff, subcontractors, network providers and entities, including but not limited to, local community-based organizations, the local health department, behavioral health and social services, child welfare systems, and members of health equity efforts and initiatives. Assists with reviewing CalOptima Health policies and procedures to ensure they continually promote health equity where possible. Interprets research and helps implement strategies designed to identify and address root causes of health inequities throughout CalOptima Health's service area, which includes but is not limited to systemic racism, social determinants of health, and infrastructure barriers. Supports the development and implementation of targeted interventions to address and eliminate health inequities and disparities. Participates in state and industry work groups such as DHCS, DMHC, California Health Care Foundation (CHCF), National Committee for Quality Assurance (NCQA), Association for Community Affiliated Plans (ACAP), and California Association of Health Plans (CAHP)to expand influence on benefit design, regulations, and policy direction. 5% - Completes other projects and duties as assigned. Minimum Qualifications: Master's degree in social work promoting equity, inclusion and social justice is required PLUS 6 years of related experience in the health care industry required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. 5 years of progressive supervisory/management experience. 5 years of experience in advocating for diversity, equity, and inclusion in health care and/or other settings, and an interest and involvement in the affairs of the health care community. 5 years of experience in developing and implementing initiatives/programs related to health equity. Preferred Qualifications: Direct work experience with the vulnerable and at-risk communities in Orange County. Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Farsi, Chinese, Korean, Spanish, Vietnamese). 5 years of experience advocating for and implementing change within a multicultural environment, preferably with some experience in project planning, developing, and implementing diversity, equity, and inclusion programs, managing outcomes, and using data to inform continuous decision-making and improvement. Experience facilitating large multi-stakeholder collaborations related to health equity is a plus. Proven track record of successful project and program leadership. Experience with historically underrepresented, low-income, traditionally disenfranchised, and differently labeled populations in diverse environments. Required Licensure / Certifications: Valid driver's license and vehicle or other approved means of transportation, an acceptable driving record and current auto insurance will be required for work away from the primary office approximately 40% of the time. Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is September 19, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/sr-director-health-equity-sr-director-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-831eb5f187d0be429363dee4377aa0f7
Sr. Director, Health Equity (Sr. Director) CalOptima CalOptima Health is seeking a highly motivated an experienced Sr. Director, Health Equity (Sr. Director) to join our team. The Sr. Director of Health Equity is responsible for leading the development and implementation of community outreach and member engagement strategies designed to address identified health inequities. The incumbent will be responsible for directly assisting the Chief Health Equity Officer (CHEO) in developing, implementing, analyzing, and refining the CalOptima Health goals and objectives related to health equity (HE). The incumbent will partner with the CHEO, Executive Director of Equity and Community Health and other leaders to strengthen the organization's commitment and strategy to advance health equity and reduce health disparities of our member population, as well as to remain a diverse, equitable, and inclusive organization. The incumbent will assist in raising awareness of health inequities within our membership and establish plans to address them. The incumbent will drive the imbedding and communication of health equity strategies across stakeholder groups, such as CalOptima Health's Board of Directors, employees, members, and the local community. The incumbent will build and maintain strong relationships with CalOptima Health employees, providers, and local stakeholders who will help to combat inequities. Position Information: Department: Equity and Community Health Salary Grade: 324 - $216,737 - $346,778 ($104.20 - $166.7201) Work Arrangement: Partial Telework **This position is eligible for telework in California.** Duties & Responsibilities: 50% - Leadership Functions Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Plans, organizes, directs, and coordinates the CalOptima Health approach to health equity. Manages direct reports, including hiring, planning, design, implementation, training, and reporting of specified health equity initiatives. Mentors the professional performance and development of subordinate staff. Works collaboratively and promotes teamwork within assigned departments as well as with other departments to achieve effective message delivery, both internally and externally, through a variety of communication tools. Promotes a positive, mission-driven, public image of CalOptima Health with local and federal (as applicable) leaders. Serves as primary backup for the CHEO and attends regular health equity meetings with key constituents to build relationships, share best practices and health equity tactics, hear feedback, continually improve the health equity plan, and provide quality resources or services that add value for CalOptima Health members. Oversees the development of department policies and procedures to ensure health equity focus. Helps ensure employees, subcontractors, and Network Provider department staff receive mandatory diversity, equity, inclusion, and belonging (DEIB) training. Serves as a resource to departmental staff, internal departments, CalOptima Health providers, health networks, and the community. Provides oversight to the creation and implementation of programs and initiatives that support underrepresented populations, promote health equity, and address social determinants of health. 45% - Program Oversight Coordinates community initiatives aimed at advancing and aligning the health equity strategy and tactical workplan to reduce health disparities among specified populations. Researches evidence-based practices and nationally recognized criteria. Helps design and recommends opportunities to enhance efforts through scaling best practices, technology platforms or other culturally relevant modes of communication, and insights and perspectives generated by impacted and diverse stakeholders. Works collaboratively with internal and external partners and with external stakeholders and community organizations to address identified priority disparities and improve health quality and outcomes. Participates in strategy and program development across the organization and in the community to ensure that health equity is prioritized and addressed through internal health plan functions, operations, and external partnerships and initiatives. Works collaboratively with senior management teams at CalOptima Health and partners with agencies to ensure the strategic priorities of the organization are met. Facilitates community outreach strategies and partnerships towards health equity and best practices by identifying and addressing ethnic, cultural, or racial disparities in health quality and outcomes. Provides support in the design and implementation of CalOptima Health strategies and programs to ensure health equity is prioritized and addressed. Works with the CHEO and other leaders to ensure CalOptima Health's compliance with the California Department of Health Care Services (DHCS) and the Department of Managed Health Care (DMHC) on regulatory and contractual requirements. Tracks and analyze trends in healthcare disparities that impact our members. Engages and collaborates with the CHEO, leaders and staff, subcontractors, network providers and entities, including but not limited to, local community-based organizations, the local health department, behavioral health and social services, child welfare systems, and members of health equity efforts and initiatives. Assists with reviewing CalOptima Health policies and procedures to ensure they continually promote health equity where possible. Interprets research and helps implement strategies designed to identify and address root causes of health inequities throughout CalOptima Health's service area, which includes but is not limited to systemic racism, social determinants of health, and infrastructure barriers. Supports the development and implementation of targeted interventions to address and eliminate health inequities and disparities. Participates in state and industry work groups such as DHCS, DMHC, California Health Care Foundation (CHCF), National Committee for Quality Assurance (NCQA), Association for Community Affiliated Plans (ACAP), and California Association of Health Plans (CAHP)to expand influence on benefit design, regulations, and policy direction. 5% - Completes other projects and duties as assigned. Minimum Qualifications: Master's degree in social work promoting equity, inclusion and social justice is required PLUS 6 years of related experience in the health care industry required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. 5 years of progressive supervisory/management experience. 5 years of experience in advocating for diversity, equity, and inclusion in health care and/or other settings, and an interest and involvement in the affairs of the health care community. 5 years of experience in developing and implementing initiatives/programs related to health equity. Preferred Qualifications: Direct work experience with the vulnerable and at-risk communities in Orange County. Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Farsi, Chinese, Korean, Spanish, Vietnamese). 5 years of experience advocating for and implementing change within a multicultural environment, preferably with some experience in project planning, developing, and implementing diversity, equity, and inclusion programs, managing outcomes, and using data to inform continuous decision-making and improvement. Experience facilitating large multi-stakeholder collaborations related to health equity is a plus. Proven track record of successful project and program leadership. Experience with historically underrepresented, low-income, traditionally disenfranchised, and differently labeled populations in diverse environments. Required Licensure / Certifications: Valid driver's license and vehicle or other approved means of transportation, an acceptable driving record and current auto insurance will be required for work away from the primary office approximately 40% of the time. Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is September 19, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/sr-director-health-equity-sr-director-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-831eb5f187d0be429363dee4377aa0f7
CalOptima
Orange, CA, USA
Sr Manager, CalAIM (Sr Manager II) CalOptima CalOptima Health is seeking a highly motivated an experienced Sr. Manager, CalAIM (Sr. Manager II) to join our team. The Sr Manager II (CalAIM) will be responsible for overall management and oversight of the grants management lifecycle, including grant program development and approval, grant application and award and grants monitoring and close-out. The incumbent will work across all program areas, including collaborating with business owners, finance, compliance and senior leadership to ensure effective and efficient grantmaking processes. The incumbent will be responsible for grant project oversight, reporting, financial tracking and record keeping. The incumbent will also meet regularly with grantee organizations and provide monitoring and oversight to ensure compliant and successful completion of grant programs. The incumbent will support outcomes reporting on the impact of grantmaking and will help to fulfill any other requirements set by the source from which grantmaking funds originate. The incumbent will also support the development of new programs as directed by the board and senior leadership. Position Information: Department: Medi-Cal & CalAIM Salary Grade: 317 - $132,969 - $212,751 ($63.93 - $102.2841) Work Arrangement: Partial Telework **This position is eligible for telework in California.** Duties & Responsibilities: 50% - Leadership Cultivates and promotes a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Directs and assists the team in carrying out department responsibilities and collaborates with the leadership team and staff to support short- and long-term goals/priorities for the department. Hires, manages, trains, reviews and set goals for staff. Leads and manages all aspects of the grant development and award process, including development of approval documents for the board, briefing documents, grant notice of funding opportunity documents, stakeholder engagement efforts, application review, award development and grant agreement processing. 45% - Program Oversight Manages end-to-end grants operations, including initiation, grant agreement execution, planning, implementation, payment, monitoring, reporting, extensions, and close out procedures. Develops, establishes and updates grants management processes, policies and procedures, desktop protocols, forms, templates, reports and data as needed to maintain quality controls. Guides the operation of grant making and assures full compliance with regulatory and legal requirements. Develops work plans and requirements to support successful implementation and execution of grants and strategic initiatives. Partners with the Compliance department on grant audit functions. Problem-solves complex grant scenarios and works with grantees to ensure grant-funded programs come to fruition. Works with the Finance department to ensure timely payment of grantees and to generate reporting required for compliance and financial statement audits. Develops quarterly progress reports for the Board of Directors and Committees. Collaborates with Communications department on the publication of announcements related to grant programs. Fosters ongoing relationships and mutually beneficial partnerships with internal CalOptima Health departments and external organizations. 5% - Completes other projects and duties as assigned. Minimum Qualifications: Bachelor's degree in health administration, public health, psychology, sociology, public relations, applied or community health, organizational leadership or a related field PLUS five (5) years of experience at a grantmaking organization that awards funding to grantees and oversees grant administration such as a foundation, health system, non-profit organization, government or other agency or equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. 3 years of management level experience required. Experience and aptitude for working in a highly matrixed, mission-driven public agency required. Preferred Qualifications: Master's degree. Project and program management experience. Experience in new program development in the health care space. Program implementation and performance monitoring experience. Required Licensure / Certifications: N/A Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is September 18, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/sr-manager-calaim-sr-manager-ii-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-6e1576c7d6c5dd41ad3d63d52a92033c
Sr Manager, CalAIM (Sr Manager II) CalOptima CalOptima Health is seeking a highly motivated an experienced Sr. Manager, CalAIM (Sr. Manager II) to join our team. The Sr Manager II (CalAIM) will be responsible for overall management and oversight of the grants management lifecycle, including grant program development and approval, grant application and award and grants monitoring and close-out. The incumbent will work across all program areas, including collaborating with business owners, finance, compliance and senior leadership to ensure effective and efficient grantmaking processes. The incumbent will be responsible for grant project oversight, reporting, financial tracking and record keeping. The incumbent will also meet regularly with grantee organizations and provide monitoring and oversight to ensure compliant and successful completion of grant programs. The incumbent will support outcomes reporting on the impact of grantmaking and will help to fulfill any other requirements set by the source from which grantmaking funds originate. The incumbent will also support the development of new programs as directed by the board and senior leadership. Position Information: Department: Medi-Cal & CalAIM Salary Grade: 317 - $132,969 - $212,751 ($63.93 - $102.2841) Work Arrangement: Partial Telework **This position is eligible for telework in California.** Duties & Responsibilities: 50% - Leadership Cultivates and promotes a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Directs and assists the team in carrying out department responsibilities and collaborates with the leadership team and staff to support short- and long-term goals/priorities for the department. Hires, manages, trains, reviews and set goals for staff. Leads and manages all aspects of the grant development and award process, including development of approval documents for the board, briefing documents, grant notice of funding opportunity documents, stakeholder engagement efforts, application review, award development and grant agreement processing. 45% - Program Oversight Manages end-to-end grants operations, including initiation, grant agreement execution, planning, implementation, payment, monitoring, reporting, extensions, and close out procedures. Develops, establishes and updates grants management processes, policies and procedures, desktop protocols, forms, templates, reports and data as needed to maintain quality controls. Guides the operation of grant making and assures full compliance with regulatory and legal requirements. Develops work plans and requirements to support successful implementation and execution of grants and strategic initiatives. Partners with the Compliance department on grant audit functions. Problem-solves complex grant scenarios and works with grantees to ensure grant-funded programs come to fruition. Works with the Finance department to ensure timely payment of grantees and to generate reporting required for compliance and financial statement audits. Develops quarterly progress reports for the Board of Directors and Committees. Collaborates with Communications department on the publication of announcements related to grant programs. Fosters ongoing relationships and mutually beneficial partnerships with internal CalOptima Health departments and external organizations. 5% - Completes other projects and duties as assigned. Minimum Qualifications: Bachelor's degree in health administration, public health, psychology, sociology, public relations, applied or community health, organizational leadership or a related field PLUS five (5) years of experience at a grantmaking organization that awards funding to grantees and oversees grant administration such as a foundation, health system, non-profit organization, government or other agency or equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. 3 years of management level experience required. Experience and aptitude for working in a highly matrixed, mission-driven public agency required. Preferred Qualifications: Master's degree. Project and program management experience. Experience in new program development in the health care space. Program implementation and performance monitoring experience. Required Licensure / Certifications: N/A Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is September 18, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/sr-manager-calaim-sr-manager-ii-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-6e1576c7d6c5dd41ad3d63d52a92033c
CalOptima
Orange, CA, USA
Medical Case Manager CalOptima CalOptima Health is seeking a highly motivated an experienced Medical Case Manager to join our team. Case Management is an advanced specialty collaborative practice responsible for providing ongoing case management services for CalOptima Health's members. The Medical Case Manager will facilitate communication and coordination among all participants of the health care team and CalOptima Health's members to ensure the services provided promote quality and cost-effective outcomes for all members. The incumbent will be responsible for providing intensive case management, which includes assessment, planning, implementation, coordination, monitoring and evaluation of the member's needs. Position Information: Department: Case Management Salary Grade: 313 - $90,820 - $145,312 ($43.66 - $69.8615) Work Arrangement: Full Telework **This position is eligible for telework in California.** Duties & Responsibilities: 85% - Care Management Assesses member needs using a standardized health needs assessment or health risk assessment. Performs comprehensive, disease specific, clinical assessments of all identified cases, which includes but is not limited to, assessment of: Member's physical, functional, social and psychological status Member's cultural and linguistic needs Caregiver resources and available benefits Performs post-discharge assessments to identify member's post-hospital or post-emergency department discharge needs including but not limited to: Member's physical, functional, social and psychological status Member's cultural and linguistic needs Caregiver resources and available benefits Follow-up provider care and ensuring scheduled appointments Durable medical equipment and supplies Community resources Develops and implements a member's specific care plan which includes prioritized Specific, Measurable, Achievable, Relevant, and Time-Bound (SMART) goals. Reviews, modifies and updates care plans continuously to reflect the member's needs, at minimum, annually or upon change in condition. Schedules follow-ups to assess progress towards goals and identifies barriers to meeting goal. Provides regular outreach to assigned members along with members from a worklist and evaluates quality of service given to members according to department contact standards. Coordinates care and services with members, members' family members/representatives and other providers, as appropriate, including community supports and Long-Term Services and Supports (LTSS). Communicates with member's physicians, specialists, community agencies and vendors to ensure coordination of services. Facilitates referrals to behavioral health/substance use disorder services and identifies and makes referrals to LTSS department, community supports and community resources. Facilitates and participates in Interdisciplinary Team meetings as applicable. Collaborates with interdepartmental staff in case resolution as needed. Identifies cases needing supervisor, manager, director or medical director review or input, routes accordingly and closes cases according to procedures and guidelines in a timely manner. Advocates in the member's best interest for necessary funding, treatment alternatives, timelines and coordination of care and frequent evaluations of progress and goals. 10% - Administrative Support Participates in a mission driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Follows CalOptima Health's protocol for documenting all case interventions. Prepares and maintains appropriate documentation of patient care and progress within the care plan. 5% - Completes other projects and duties as assigned. Minimum Qualifications: Associate degree in nursing (ADN) or related field required PLUS 3 years of clinical experience and/or managed care experience required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. Preferred Qualifications: Bachelor of Science in Nursing (BSN) degree or related field. Case Management Certification (CCM). Bilingual in English and one of CalOptima Health's defined threshold languages (Arabic, Chinese, Farsi, Korean, Spanish, Vietnamese). Required Licensure / Certifications: Current, unrestricted Registered Nurse (RN) license to practice in the state of California required. Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is September 18, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/medical-case-manager-505-city-parkway-west-california-united-states-f37057b8-db66-4021-958f-eedb698e17f5 Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-75d9641c78fa8f42becd14ba50dadc02
Medical Case Manager CalOptima CalOptima Health is seeking a highly motivated an experienced Medical Case Manager to join our team. Case Management is an advanced specialty collaborative practice responsible for providing ongoing case management services for CalOptima Health's members. The Medical Case Manager will facilitate communication and coordination among all participants of the health care team and CalOptima Health's members to ensure the services provided promote quality and cost-effective outcomes for all members. The incumbent will be responsible for providing intensive case management, which includes assessment, planning, implementation, coordination, monitoring and evaluation of the member's needs. Position Information: Department: Case Management Salary Grade: 313 - $90,820 - $145,312 ($43.66 - $69.8615) Work Arrangement: Full Telework **This position is eligible for telework in California.** Duties & Responsibilities: 85% - Care Management Assesses member needs using a standardized health needs assessment or health risk assessment. Performs comprehensive, disease specific, clinical assessments of all identified cases, which includes but is not limited to, assessment of: Member's physical, functional, social and psychological status Member's cultural and linguistic needs Caregiver resources and available benefits Performs post-discharge assessments to identify member's post-hospital or post-emergency department discharge needs including but not limited to: Member's physical, functional, social and psychological status Member's cultural and linguistic needs Caregiver resources and available benefits Follow-up provider care and ensuring scheduled appointments Durable medical equipment and supplies Community resources Develops and implements a member's specific care plan which includes prioritized Specific, Measurable, Achievable, Relevant, and Time-Bound (SMART) goals. Reviews, modifies and updates care plans continuously to reflect the member's needs, at minimum, annually or upon change in condition. Schedules follow-ups to assess progress towards goals and identifies barriers to meeting goal. Provides regular outreach to assigned members along with members from a worklist and evaluates quality of service given to members according to department contact standards. Coordinates care and services with members, members' family members/representatives and other providers, as appropriate, including community supports and Long-Term Services and Supports (LTSS). Communicates with member's physicians, specialists, community agencies and vendors to ensure coordination of services. Facilitates referrals to behavioral health/substance use disorder services and identifies and makes referrals to LTSS department, community supports and community resources. Facilitates and participates in Interdisciplinary Team meetings as applicable. Collaborates with interdepartmental staff in case resolution as needed. Identifies cases needing supervisor, manager, director or medical director review or input, routes accordingly and closes cases according to procedures and guidelines in a timely manner. Advocates in the member's best interest for necessary funding, treatment alternatives, timelines and coordination of care and frequent evaluations of progress and goals. 10% - Administrative Support Participates in a mission driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Follows CalOptima Health's protocol for documenting all case interventions. Prepares and maintains appropriate documentation of patient care and progress within the care plan. 5% - Completes other projects and duties as assigned. Minimum Qualifications: Associate degree in nursing (ADN) or related field required PLUS 3 years of clinical experience and/or managed care experience required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. Preferred Qualifications: Bachelor of Science in Nursing (BSN) degree or related field. Case Management Certification (CCM). Bilingual in English and one of CalOptima Health's defined threshold languages (Arabic, Chinese, Farsi, Korean, Spanish, Vietnamese). Required Licensure / Certifications: Current, unrestricted Registered Nurse (RN) license to practice in the state of California required. Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is September 18, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/medical-case-manager-505-city-parkway-west-california-united-states-f37057b8-db66-4021-958f-eedb698e17f5 Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-75d9641c78fa8f42becd14ba50dadc02
CalOptima
Orange, CA, USA
Sr. Tableau BI Developer (Enterprise Analytics Manager) CalOptima CalOptima Health is seeking a highly motivated an experienced Sr. Tableau BI Developer (Enterprise Analytics Manager) to join our team. The Enterprise Analytics (EA) Manager will provide a "one-stop shop" for analysis, visualization, reporting, guidance and expert knowledge on health care analytics for various departments within CalOptima Health. The incumbent will work independently and in collaboration with other knowledge experts to develop report suites that are accurate in transforming various data sets into information as well as high-impact presentations utilizing Tableau to visualize results in a framework that enables decision-makers to drill-down. The incumbent will evaluate various issues, perform detailed analysis as it relates to those issues and communicate well-reasoned solutions to all levels of management within CalOptima Health. The incumbent will work with large amounts of claims, authorizations, case management, enrollment and provider data. The incumbent will have strong database, spreadsheet and business intelligence (BI) presentation skills. Position Information: Department: Financial Analysis Salary Grade: 315 - $109,892 - $175,827 ($52.83 - $84.5322) Work Arrangement: Partial Telework **This position is eligible for telework in California.** Duties & Responsibilities: 95% - Program Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Provides clinical and utilization analysis to assist medical management with improving outcomes and quality of care for CalOptima Health's members. Researches, assesses and develops advanced tools, models, visualizations, reports and approaches to increase accuracy and timeliness of data-driven projects. Develops return on investment and business case analyses for program initiatives under consideration by senior management. Collaborates with the Data Warehouse team to design and recommend improvements to the data warehouse. Mentors, trains and acts as a lead for more junior analytical staff. Creates models to answer "what-if" questions for changes to programs or initiatives. Partners with CalOptima Health's leaders to establish measurable improvement goals. 5% - Completes other projects and duties as assigned. Minimum Qualifications: Bachelor's degree in computer science, data science, data analytics, business administration, economics, statistics, applied mathematics or related field required PLUS 3 years of applied expert knowledge in Tableau Desktop developing and designing dashboards to provide analytical insights; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. 1 year of applied expert knowledge in SQL development (e.g., SQL queries, stored procedures and functions) required, preferably in a Microsoft SQL Server environment. Preferred Qualifications: Experience working in a healthcare analytics role. Experience working with Medi-Cal and/or Medicare payer information (e.g., claims, encounters, eligibility, authorizations, case management levels, HEDIS, etc.). Experience with ETL tools, preferably SQL Server Integration Services (SSIS). Required Licensure / Certifications: n/a Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is September 17, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/sr-tableau-bi-developer-enterprise-analytics-manager-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-a8f94b5395427c48a94cdd0df4026f18
Sr. Tableau BI Developer (Enterprise Analytics Manager) CalOptima CalOptima Health is seeking a highly motivated an experienced Sr. Tableau BI Developer (Enterprise Analytics Manager) to join our team. The Enterprise Analytics (EA) Manager will provide a "one-stop shop" for analysis, visualization, reporting, guidance and expert knowledge on health care analytics for various departments within CalOptima Health. The incumbent will work independently and in collaboration with other knowledge experts to develop report suites that are accurate in transforming various data sets into information as well as high-impact presentations utilizing Tableau to visualize results in a framework that enables decision-makers to drill-down. The incumbent will evaluate various issues, perform detailed analysis as it relates to those issues and communicate well-reasoned solutions to all levels of management within CalOptima Health. The incumbent will work with large amounts of claims, authorizations, case management, enrollment and provider data. The incumbent will have strong database, spreadsheet and business intelligence (BI) presentation skills. Position Information: Department: Financial Analysis Salary Grade: 315 - $109,892 - $175,827 ($52.83 - $84.5322) Work Arrangement: Partial Telework **This position is eligible for telework in California.** Duties & Responsibilities: 95% - Program Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Provides clinical and utilization analysis to assist medical management with improving outcomes and quality of care for CalOptima Health's members. Researches, assesses and develops advanced tools, models, visualizations, reports and approaches to increase accuracy and timeliness of data-driven projects. Develops return on investment and business case analyses for program initiatives under consideration by senior management. Collaborates with the Data Warehouse team to design and recommend improvements to the data warehouse. Mentors, trains and acts as a lead for more junior analytical staff. Creates models to answer "what-if" questions for changes to programs or initiatives. Partners with CalOptima Health's leaders to establish measurable improvement goals. 5% - Completes other projects and duties as assigned. Minimum Qualifications: Bachelor's degree in computer science, data science, data analytics, business administration, economics, statistics, applied mathematics or related field required PLUS 3 years of applied expert knowledge in Tableau Desktop developing and designing dashboards to provide analytical insights; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. 1 year of applied expert knowledge in SQL development (e.g., SQL queries, stored procedures and functions) required, preferably in a Microsoft SQL Server environment. Preferred Qualifications: Experience working in a healthcare analytics role. Experience working with Medi-Cal and/or Medicare payer information (e.g., claims, encounters, eligibility, authorizations, case management levels, HEDIS, etc.). Experience with ETL tools, preferably SQL Server Integration Services (SSIS). Required Licensure / Certifications: n/a Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is September 17, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/sr-tableau-bi-developer-enterprise-analytics-manager-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-a8f94b5395427c48a94cdd0df4026f18
CalOptima
Orange, CA, USA
Claims Resolution Specialist (Claims) CalOptima CalOptima Health is seeking a highly motivated an experienced Claims Resolution Specialist (Claims) to join our team. The Claims Resolution Specialist (Claims) will be responsible for overseeing and managing the claims resolution process. The incumbent will follow regulatory and internal guidelines in conjunction with CalOptima Health's policies and procedures that apply to claims adjudication and adjustment of claims. The incumbent will work closely with claims management and trainers to identify training opportunities from trend reports. The incumbent will also process Medi-Cal and OneCare claims. Position Information: Department: Claims Administration Salary Grade: 304 - $53,813 - $80,720 ($25.87 - $38.8077) Work Arrangement: Full Telework **This position is eligible for telework in California.** Duties & Responsibilities: 95% - Claims Support Participates in a mission driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short and long-term goals/priorities for the department. Responsible for accurate and timely adjudication of claims according to AB1455 regulatory guidelines. Processes claims based upon contractual and/or CalOptima Health's agreements involving the use of established payment methodologies, division of financial responsibility, applicable regulatory legislation, claim processing guidelines and company policies and procedures. Informs the supervisor or manager of issues impacting production and quality (i.e., incorrect database configurations, incorrect claim payments, etc.). Analyzes, processes, researches and adjusts all provider reconsideration requests and correspondence. 5% - Completes other duties or projects as assigned. Minimum Qualifications: High School diploma or equivalent required. 2 years of experience processing on-line claims in a health care/managed care setting specifically in adjudicating and adjusting claims required. 1 year of experience in both Medicare and Medi-Cal billing required. An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. Preferred Qualifications: Bachelor's degree in business administration, health care management or related field. Experience in claims billing systems. Required Licensure / Certifications: N/A Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is September 17, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/claims-resolution-specialist-claims-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-68cfda419b152c4e9b3a9b15f780e07d
Claims Resolution Specialist (Claims) CalOptima CalOptima Health is seeking a highly motivated an experienced Claims Resolution Specialist (Claims) to join our team. The Claims Resolution Specialist (Claims) will be responsible for overseeing and managing the claims resolution process. The incumbent will follow regulatory and internal guidelines in conjunction with CalOptima Health's policies and procedures that apply to claims adjudication and adjustment of claims. The incumbent will work closely with claims management and trainers to identify training opportunities from trend reports. The incumbent will also process Medi-Cal and OneCare claims. Position Information: Department: Claims Administration Salary Grade: 304 - $53,813 - $80,720 ($25.87 - $38.8077) Work Arrangement: Full Telework **This position is eligible for telework in California.** Duties & Responsibilities: 95% - Claims Support Participates in a mission driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short and long-term goals/priorities for the department. Responsible for accurate and timely adjudication of claims according to AB1455 regulatory guidelines. Processes claims based upon contractual and/or CalOptima Health's agreements involving the use of established payment methodologies, division of financial responsibility, applicable regulatory legislation, claim processing guidelines and company policies and procedures. Informs the supervisor or manager of issues impacting production and quality (i.e., incorrect database configurations, incorrect claim payments, etc.). Analyzes, processes, researches and adjusts all provider reconsideration requests and correspondence. 5% - Completes other duties or projects as assigned. Minimum Qualifications: High School diploma or equivalent required. 2 years of experience processing on-line claims in a health care/managed care setting specifically in adjudicating and adjusting claims required. 1 year of experience in both Medicare and Medi-Cal billing required. An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. Preferred Qualifications: Bachelor's degree in business administration, health care management or related field. Experience in claims billing systems. Required Licensure / Certifications: N/A Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is September 17, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/claims-resolution-specialist-claims-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-68cfda419b152c4e9b3a9b15f780e07d
CalOptima
Orange, CA, USA
Prior Authorization Review Coordinator (Medical Authorization Assistant) CalOptima CalOptima Health is seeking a highly motivated an experienced Prior Authorization Review Coordinator (Medical Authorization Assistant) to join our team. The Medical Authorization Assistant (Prior Authorization) will provide office and referral management services and serve as a contact between members, physicians, providers and CalOptima Health staff. The incumbent will process initial intake of information, assist with authorization functions and gather information. The incumbent will be responsible for reviewing and processing requests for authorization and notification of medical services from health professionals, clinical facilities and ancillary providers. The incumbent monitor tasks related to CalOptima Health's prior authorization and referral process. Additionally, the incumbent will be responsible for applying CalOptima Health's medical criteria and policies/procedures to authorization or referral requests from medical professionals, clinical facilities and ancillary providers. The incumbent will directly interact with provider callers, acting as a resource for their needs. The incumbent will operate under the direction of the licensed nurse. Position Information: Department: Utilization Management Salary Grade: 302 - $49,754 - $69,655 ($23.92 - $33.4880) Work Arrangement: Partial Telework **This position is eligible for telework in California.** Duties & Responsibilities: 85% - Medical Authorization Receives referral requests via fax, phone or electronically and enters new service request information into the authorization system. Collects additional information from CalOptima Health members and providers to complete referral information. Authorizes requested services according to CalOptima Health's authorization guidelines, performing data entry into the authorization system and verifying eligibility. Contacts the health networks and CalOptima Health Customer Service regarding health network enrollments. Assists the Medical Case Managers in gathering medical records, obtains appropriate coding for diagnosis and procedures and follows up on phone calls as directed by the authorization nurse. Documents all contacts and case information in the system using the standard charting format. Performs data entry into the appropriate databases for monitoring, tracking and trending of events and other relevant databases as needed. 10% - Administrative Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. 5% - Completes other projects and duties as assigned. Minimum Qualifications: High School diploma or equivalent required. 2 years of experience in a health care or managed care setting required. An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. Preferred Qualifications: Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Chinese, Farsi, Korean, Spanish, Vietnamese). Prior authorization and utilization management process experience. Required Licensure / Certifications: N/A Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is September 17, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/prior-authorization-review-coordinator-medical-authorization-assistant-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-b4bc1c81ac224b49911fbd7f7174b708
Prior Authorization Review Coordinator (Medical Authorization Assistant) CalOptima CalOptima Health is seeking a highly motivated an experienced Prior Authorization Review Coordinator (Medical Authorization Assistant) to join our team. The Medical Authorization Assistant (Prior Authorization) will provide office and referral management services and serve as a contact between members, physicians, providers and CalOptima Health staff. The incumbent will process initial intake of information, assist with authorization functions and gather information. The incumbent will be responsible for reviewing and processing requests for authorization and notification of medical services from health professionals, clinical facilities and ancillary providers. The incumbent monitor tasks related to CalOptima Health's prior authorization and referral process. Additionally, the incumbent will be responsible for applying CalOptima Health's medical criteria and policies/procedures to authorization or referral requests from medical professionals, clinical facilities and ancillary providers. The incumbent will directly interact with provider callers, acting as a resource for their needs. The incumbent will operate under the direction of the licensed nurse. Position Information: Department: Utilization Management Salary Grade: 302 - $49,754 - $69,655 ($23.92 - $33.4880) Work Arrangement: Partial Telework **This position is eligible for telework in California.** Duties & Responsibilities: 85% - Medical Authorization Receives referral requests via fax, phone or electronically and enters new service request information into the authorization system. Collects additional information from CalOptima Health members and providers to complete referral information. Authorizes requested services according to CalOptima Health's authorization guidelines, performing data entry into the authorization system and verifying eligibility. Contacts the health networks and CalOptima Health Customer Service regarding health network enrollments. Assists the Medical Case Managers in gathering medical records, obtains appropriate coding for diagnosis and procedures and follows up on phone calls as directed by the authorization nurse. Documents all contacts and case information in the system using the standard charting format. Performs data entry into the appropriate databases for monitoring, tracking and trending of events and other relevant databases as needed. 10% - Administrative Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. 5% - Completes other projects and duties as assigned. Minimum Qualifications: High School diploma or equivalent required. 2 years of experience in a health care or managed care setting required. An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. Preferred Qualifications: Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Chinese, Farsi, Korean, Spanish, Vietnamese). Prior authorization and utilization management process experience. Required Licensure / Certifications: N/A Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is September 17, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/prior-authorization-review-coordinator-medical-authorization-assistant-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-b4bc1c81ac224b49911fbd7f7174b708
CalOptima
Orange, CA, USA
Sr. Manager Provider Data Analytics (Sr. Manager I) CalOptima CalOptima Health is seeking a highly motivated an experienced Sr. Manager Provider Data Analytics (Sr. Manager I) to join our team. The Sr Manager (Provider Data Analytics) will provide technical and tactical management oversight and leadership for moderate to complex activities involving data reporting and analytics in support of provider data operation processes as well as regulatory requirements. The incumbent will provide day-to-day leadership and technical guidance to an analytics team including on-going data clean up, analysis of the provider network, requirements review, reporting and dashboard creation and enhancement. The Sr Manager will be responsible for supporting data integrity, ensuring reporting accuracy and enabling optimization of reporting processes. The incumbent will be responsible for overall stability, timeliness and quality of reports and analyses. Position Information: Department: Provider Data Management Services Salary Grade: 316 - $120,881 - $193,410 ($58.12 - $92.9856) Work Arrangement: Partial Telework **This position is eligible for telework in California.** Duties & Responsibilities: 50% - Leadership Cultivates and promotes a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Directs and assists the team in carrying out department responsibilities and collaborates with the leadership team and staff to support short- and long-term goals/priorities for the department. Hires, trains, retains and manages a team of analytic professionals. Sets goals, objectives and key performance indicators (KPI) and manages overall team performance. Provides technical guidance and support to the team on complex issues and analytics request. Provides leadership, innovation and oversight for data analytics operations to produce the data sets required to inform and develop insights and strategies for operational and business initiatives. Leads the effort to document and refine processes and procedures and establishes reporting standards and presentation. Anticipates future demands of initiatives, strategic plans and regulatory updates, and designs/implements solutions to meet these needs. Establishes and manages teams to a set of standards and governance to improve performance and support effective development and outputs. 45% - Program Oversight Defines data management best practices. Manages and monitors Department of Health Care Services (DHCS) and Centers for Medicare & Medicaid Services (CMS) network adequacy requirements for all networks, identify and presents gaps and trends for network enhancement. Leads efforts to systematically collect, review, assess, analyze and report on plan and health network level performance related to provider data and network adequacy to provide to leadership and stakeholders. Directs the annual development and changes to policies and procedures for reporting requirements or other policies as assigned, consistent with, but not limited to, regulatory requirements and National Committee for Quality Assurance (NCQA) guidelines. Supports efforts in provider data verification and reconciliation processes and coordinate with vendors and internal functional areas for issue resolutions. Identifies new ways to support and improve analytics and data accuracy, which includes traditional business intelligence (BI), Tableau and other data validation and tracking technologies; works with internal departments to implement new data initiatives, conduct regression tests, etc. Develops the data standards and deploys automation tools to obtain and process data from different sources. Constructs datasets to analyze, inform, identify trends and support stakeholder decision-making. Stays current with regulatory guidelines impacting essential functions and data requirements. 5% - Completes other projects and duties as assigned. Minimum Qualifications: Bachelor's degree in a related field PLUS 5 years of work experience in health care industry in operations, claims, risk adjustment, or other data related functions; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above is also qualifying. 2 years of experience working directly with business users in gathering requirements, refining and completing meaningful data/report requests required. 2 years of experience supervising analysts. Preferred Qualifications: 2 years of experience developing reports and completing data analysis using business intelligence tools (e.g.: SSRS, Tableau). 3 years of experience working with health care data such as encounters, claims, risk adjustment, provider data, and QI. Experience using SQL to extract data, understand data structures and run queries. Required Licensure / Certifications: n/a Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is September 17, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/sr-manager-provider-data-analytics-sr-manager-i-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-441ebd51f5b44445a3035e456a202834
Sr. Manager Provider Data Analytics (Sr. Manager I) CalOptima CalOptima Health is seeking a highly motivated an experienced Sr. Manager Provider Data Analytics (Sr. Manager I) to join our team. The Sr Manager (Provider Data Analytics) will provide technical and tactical management oversight and leadership for moderate to complex activities involving data reporting and analytics in support of provider data operation processes as well as regulatory requirements. The incumbent will provide day-to-day leadership and technical guidance to an analytics team including on-going data clean up, analysis of the provider network, requirements review, reporting and dashboard creation and enhancement. The Sr Manager will be responsible for supporting data integrity, ensuring reporting accuracy and enabling optimization of reporting processes. The incumbent will be responsible for overall stability, timeliness and quality of reports and analyses. Position Information: Department: Provider Data Management Services Salary Grade: 316 - $120,881 - $193,410 ($58.12 - $92.9856) Work Arrangement: Partial Telework **This position is eligible for telework in California.** Duties & Responsibilities: 50% - Leadership Cultivates and promotes a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Directs and assists the team in carrying out department responsibilities and collaborates with the leadership team and staff to support short- and long-term goals/priorities for the department. Hires, trains, retains and manages a team of analytic professionals. Sets goals, objectives and key performance indicators (KPI) and manages overall team performance. Provides technical guidance and support to the team on complex issues and analytics request. Provides leadership, innovation and oversight for data analytics operations to produce the data sets required to inform and develop insights and strategies for operational and business initiatives. Leads the effort to document and refine processes and procedures and establishes reporting standards and presentation. Anticipates future demands of initiatives, strategic plans and regulatory updates, and designs/implements solutions to meet these needs. Establishes and manages teams to a set of standards and governance to improve performance and support effective development and outputs. 45% - Program Oversight Defines data management best practices. Manages and monitors Department of Health Care Services (DHCS) and Centers for Medicare & Medicaid Services (CMS) network adequacy requirements for all networks, identify and presents gaps and trends for network enhancement. Leads efforts to systematically collect, review, assess, analyze and report on plan and health network level performance related to provider data and network adequacy to provide to leadership and stakeholders. Directs the annual development and changes to policies and procedures for reporting requirements or other policies as assigned, consistent with, but not limited to, regulatory requirements and National Committee for Quality Assurance (NCQA) guidelines. Supports efforts in provider data verification and reconciliation processes and coordinate with vendors and internal functional areas for issue resolutions. Identifies new ways to support and improve analytics and data accuracy, which includes traditional business intelligence (BI), Tableau and other data validation and tracking technologies; works with internal departments to implement new data initiatives, conduct regression tests, etc. Develops the data standards and deploys automation tools to obtain and process data from different sources. Constructs datasets to analyze, inform, identify trends and support stakeholder decision-making. Stays current with regulatory guidelines impacting essential functions and data requirements. 5% - Completes other projects and duties as assigned. Minimum Qualifications: Bachelor's degree in a related field PLUS 5 years of work experience in health care industry in operations, claims, risk adjustment, or other data related functions; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above is also qualifying. 2 years of experience working directly with business users in gathering requirements, refining and completing meaningful data/report requests required. 2 years of experience supervising analysts. Preferred Qualifications: 2 years of experience developing reports and completing data analysis using business intelligence tools (e.g.: SSRS, Tableau). 3 years of experience working with health care data such as encounters, claims, risk adjustment, provider data, and QI. Experience using SQL to extract data, understand data structures and run queries. Required Licensure / Certifications: n/a Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is September 17, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/sr-manager-provider-data-analytics-sr-manager-i-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-441ebd51f5b44445a3035e456a202834
CalOptima
Orange, CA, USA
Pharmacy Services Specialist, Sr. (Clinical Programs) CalOptima CalOptima Health is seeking a highly motivated an experienced Pharmacy Services Specialist Sr to join our team. The Pharmacy Services Specialist Sr will be responsible for utilizing specialized pharmacy knowledge and expertise to assist participating pharmacies, members, providers, CalOptima Health departments, health networks and other entities in assuring the efficient, timely and effective provision of pharmaceutical products and services to CalOptima Health members. The incumbent will interact with other staff throughout the organization, as well as external contacts daily. The incumbent will be responsible for ongoing public contacts including, but not limited to, members, individual pharmacies, member advocates, family members, health networks, Public Guardian's Office, Regional Centers and other agencies. The incumbent will have the authority to make and carry out decisions on behalf of the Pharmacy department within established policies and procedures. Position Information: Department: Pharmacy Management Salary Grade: 304 - $53,813 - $80,720 ($25.87 - $38.8077) Work Arrangement: Full Telework **This position is eligible for telework in California.** Duties & Responsibilities: 95% - Program Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Serves as lead for pharmacy services operations activities for the Medication Therapy Management (MTM) program in various systems such as Guiding Care, MTM vendor software and Facets. Coordinates outbound call efforts to MTM eligible members in accordance with MTM program desktops. Maintains documentation of member and pharmacy cases in MTM vendor software and manages case load to ensure completion within departmental standards as needed. Functions efficiently and productively in the pharmacy call center as needed. Using a pharmacy computer program, retrieves drug-specific technical data and information necessary for the completion of departmental and interdepartmental pharmacy-related functions and operations. Coordinates resolution of provider and member pharmacy issues requiring specialized technical and professional knowledge and expertise, including pharmacy authorizations. Resolves claims disputes between providing pharmacies, the pharmacy claims administrator, CalOptima Health Claims Department and other entities as necessary. Interprets and articulates Pharmacy Management program policies and procedures to pharmacy providers, other providers, other CalOptima Health staff, external agencies and others as required. Assists in the processing of pharmaceutical prior authorization and appeals requests as per the CalOptima Health Prior Authorization Guidelines as needed. Establishes and maintains key contacts both internally and externally to assure appropriate coordination and provision of pharmacy services to CalOptima Health Members. Accepts referrals from Member Services and work in conjunction with employees from this department to resolve all pharmacy-related member complaints, including those related to the MTM program process. Assists pharmacies and health plans in resolving member-specific pharmacy services access issues, removing barriers to access to pharmaceutical services. Runs daily, weekly and monthly pharmacy compliance report. Provides ongoing staff training to new hires as needed. 5% - Completes other duties as assigned by management. Minimum Qualifications: High School diploma or equivalent required PLUS 5 years of experience as a Pharmacy Technician in the ambulatory, community, home infusion, inpatient, long-term care or managed care setting required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. Preferred Qualifications: An associate degree in health-related field. Lead work experience in Clinical Programs. Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Farsi, Chinese, Korean, Spanish, Vietnamese). Required Licensure / Certifications: A current, valid and unrestricted California Pharmacy Technician license required. Pharmacy Technician Certification Board (PTCB) Certification required. Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is September 12, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/pharmacy-services-specialist-sr-clinical-programs-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-7af5f2522efec441859b7f5aea979d88
Pharmacy Services Specialist, Sr. (Clinical Programs) CalOptima CalOptima Health is seeking a highly motivated an experienced Pharmacy Services Specialist Sr to join our team. The Pharmacy Services Specialist Sr will be responsible for utilizing specialized pharmacy knowledge and expertise to assist participating pharmacies, members, providers, CalOptima Health departments, health networks and other entities in assuring the efficient, timely and effective provision of pharmaceutical products and services to CalOptima Health members. The incumbent will interact with other staff throughout the organization, as well as external contacts daily. The incumbent will be responsible for ongoing public contacts including, but not limited to, members, individual pharmacies, member advocates, family members, health networks, Public Guardian's Office, Regional Centers and other agencies. The incumbent will have the authority to make and carry out decisions on behalf of the Pharmacy department within established policies and procedures. Position Information: Department: Pharmacy Management Salary Grade: 304 - $53,813 - $80,720 ($25.87 - $38.8077) Work Arrangement: Full Telework **This position is eligible for telework in California.** Duties & Responsibilities: 95% - Program Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Serves as lead for pharmacy services operations activities for the Medication Therapy Management (MTM) program in various systems such as Guiding Care, MTM vendor software and Facets. Coordinates outbound call efforts to MTM eligible members in accordance with MTM program desktops. Maintains documentation of member and pharmacy cases in MTM vendor software and manages case load to ensure completion within departmental standards as needed. Functions efficiently and productively in the pharmacy call center as needed. Using a pharmacy computer program, retrieves drug-specific technical data and information necessary for the completion of departmental and interdepartmental pharmacy-related functions and operations. Coordinates resolution of provider and member pharmacy issues requiring specialized technical and professional knowledge and expertise, including pharmacy authorizations. Resolves claims disputes between providing pharmacies, the pharmacy claims administrator, CalOptima Health Claims Department and other entities as necessary. Interprets and articulates Pharmacy Management program policies and procedures to pharmacy providers, other providers, other CalOptima Health staff, external agencies and others as required. Assists in the processing of pharmaceutical prior authorization and appeals requests as per the CalOptima Health Prior Authorization Guidelines as needed. Establishes and maintains key contacts both internally and externally to assure appropriate coordination and provision of pharmacy services to CalOptima Health Members. Accepts referrals from Member Services and work in conjunction with employees from this department to resolve all pharmacy-related member complaints, including those related to the MTM program process. Assists pharmacies and health plans in resolving member-specific pharmacy services access issues, removing barriers to access to pharmaceutical services. Runs daily, weekly and monthly pharmacy compliance report. Provides ongoing staff training to new hires as needed. 5% - Completes other duties as assigned by management. Minimum Qualifications: High School diploma or equivalent required PLUS 5 years of experience as a Pharmacy Technician in the ambulatory, community, home infusion, inpatient, long-term care or managed care setting required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. Preferred Qualifications: An associate degree in health-related field. Lead work experience in Clinical Programs. Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Farsi, Chinese, Korean, Spanish, Vietnamese). Required Licensure / Certifications: A current, valid and unrestricted California Pharmacy Technician license required. Pharmacy Technician Certification Board (PTCB) Certification required. Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is September 12, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/pharmacy-services-specialist-sr-clinical-programs-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-7af5f2522efec441859b7f5aea979d88
CalOptima
Orange, CA, USA
Program Manager (Operations) CalOptima CalOptima Health is seeking a highly motivated an experienced Program Manager (Operations) to join our team. Under the general direction of the Supervisor Quality Analytics, the Program Manager (Operations) will collaborate and coordinate with leadership to design, implement and evaluate quality programs. The incumbent will lead, coordinate, monitor and complete tasks supporting the development of quality programs and initiatives. The incumbent will monitor cross functional projects and other assignments, including those relating to department efficiency to ensure department strategic objectives and initiatives are met. The incumbent will interact with CalOptima Health's executives and management, legal counsel and state and federal regulatory agencies. Additionally, the incumbent will support CalOptima Health staff on related projects as needed. Position Information: Department: Quality Analytics Salary Grade: 311 - $77,863 - $124,581 ($37.43 - $59.8947) Work Arrangement: Partial Telework **This position is eligible for telework in California.** Duties & Responsibilities: 80% - Program Support Leads program development, execution of activities and oversight of campaigns executed through vendors such as text messages, robocalls and member health rewards program. Tracks and monitors the impact and success of programs. Assists management in the development of specifications and scope of work for a Request for Proposal (RFP), Request for Quote (RFQ) or Request for Inquiry (RFI) to support new program development. Collaborates with other departments on program design, development and implementation of quality programs impacting, but not limited to, Healthcare Effectiveness Data and Information Set (HEDIS), Managed Care Accountability Sets (MCAS) and Centers for Medicare & Medicaid Services (CMS) STARs quality measures; ensures consistency with the quality program and workplan. Supports National Committee for Quality Assurance (NCQA) accreditation standard initiatives or projects and provides analysis and evaluation of related activities as needed. Produces documentation, summaries, root cause analyses, impact analyses and reports for department operations, audits, and responses to regulators. Reviews evidence-based literature for best practices to incorporate into strategy. Develops and oversees the process of written tools for programmatic use, including program plans, surveys and evaluation instruments. Collaborates with other departments in the development of program measures of success and outcome reports for programs. Maintains current knowledge of applicable regulations or clinical guidelines related to program development. Stays current on the local, state and federal health care environment and identifies issues that may impact CalOptima Health's quality program and workplan. 15% - Administration Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Reviews and assists in updating policies and procedures to ensure knowledge related to assigned programs and projects is kept up-to-date. Works with all CalOptima Health departments in response to inquiries, problem-solving and promoting CalOptima Health's mission and message. 5% - Completes other projects and duties as assigned. Minimum Qualifications: Bachelor's degree required PLUS 3 years of health care related work experience in program development, including strategic planning for a start-up program, implementing the program and evaluating evidenced-based programs required, preferably in the health care industry or a managed care environment is required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. Preferred Qualifications: Master's degree in public health, health administration or related field. 1 year of experience working in a highly matrixed, mission-driven organization. Required Licensure / Certifications: N/A Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is September 12, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/program-manager-operations-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-0d8ac2bd7c03a94e96940c3aa5d407b9
Program Manager (Operations) CalOptima CalOptima Health is seeking a highly motivated an experienced Program Manager (Operations) to join our team. Under the general direction of the Supervisor Quality Analytics, the Program Manager (Operations) will collaborate and coordinate with leadership to design, implement and evaluate quality programs. The incumbent will lead, coordinate, monitor and complete tasks supporting the development of quality programs and initiatives. The incumbent will monitor cross functional projects and other assignments, including those relating to department efficiency to ensure department strategic objectives and initiatives are met. The incumbent will interact with CalOptima Health's executives and management, legal counsel and state and federal regulatory agencies. Additionally, the incumbent will support CalOptima Health staff on related projects as needed. Position Information: Department: Quality Analytics Salary Grade: 311 - $77,863 - $124,581 ($37.43 - $59.8947) Work Arrangement: Partial Telework **This position is eligible for telework in California.** Duties & Responsibilities: 80% - Program Support Leads program development, execution of activities and oversight of campaigns executed through vendors such as text messages, robocalls and member health rewards program. Tracks and monitors the impact and success of programs. Assists management in the development of specifications and scope of work for a Request for Proposal (RFP), Request for Quote (RFQ) or Request for Inquiry (RFI) to support new program development. Collaborates with other departments on program design, development and implementation of quality programs impacting, but not limited to, Healthcare Effectiveness Data and Information Set (HEDIS), Managed Care Accountability Sets (MCAS) and Centers for Medicare & Medicaid Services (CMS) STARs quality measures; ensures consistency with the quality program and workplan. Supports National Committee for Quality Assurance (NCQA) accreditation standard initiatives or projects and provides analysis and evaluation of related activities as needed. Produces documentation, summaries, root cause analyses, impact analyses and reports for department operations, audits, and responses to regulators. Reviews evidence-based literature for best practices to incorporate into strategy. Develops and oversees the process of written tools for programmatic use, including program plans, surveys and evaluation instruments. Collaborates with other departments in the development of program measures of success and outcome reports for programs. Maintains current knowledge of applicable regulations or clinical guidelines related to program development. Stays current on the local, state and federal health care environment and identifies issues that may impact CalOptima Health's quality program and workplan. 15% - Administration Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Reviews and assists in updating policies and procedures to ensure knowledge related to assigned programs and projects is kept up-to-date. Works with all CalOptima Health departments in response to inquiries, problem-solving and promoting CalOptima Health's mission and message. 5% - Completes other projects and duties as assigned. Minimum Qualifications: Bachelor's degree required PLUS 3 years of health care related work experience in program development, including strategic planning for a start-up program, implementing the program and evaluating evidenced-based programs required, preferably in the health care industry or a managed care environment is required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. Preferred Qualifications: Master's degree in public health, health administration or related field. 1 year of experience working in a highly matrixed, mission-driven organization. Required Licensure / Certifications: N/A Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is September 12, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/program-manager-operations-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-0d8ac2bd7c03a94e96940c3aa5d407b9
CalOptima
Orange, CA, USA
Program Assistant (GARS) CalOptima CalOptima Health is seeking a highly motivated an experienced Program Assistant (GARS) to join our team. Under general supervision, the Program Assistant will assist with specialized services relevant to the Grievance and Appeals Resolution Services (GARS) department. The incumbent will work independently, exercising discretion and judgment and may assist in coordinating a function for the program assigned. The incumbent will be responsible for monitoring the GARS member and provider mailbox, fax, mail and processing appeals and grievances for assignment to key staff within the required timeframe. Position Information: Department: Grievance & Appeals Salary Grade: 302 - $49,754 - $69,655 ($23.92 - $33.4880) Work Arrangement: Full Office Duties & Responsibilities: 80% - Program Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Serves as the point of contact within or outside CalOptima Health for inquiries related to grievances and appeals. Monitors incoming complaints via the Customer Service system routing, interdepartmental referral, mail, telephone, fax or via email from the website for members and providers. Monitors inquiry requests from the Department of Managed Health Care (DMHC), Medicare Complaint Tracking Module (CTM) from the Centers for Medicare Medicaid Services (CMS), Medicare Quality Improvement Organization (QIO) and the State Hearing Office from Department of Social Services (DSS). Responds to DMHC requests for information in a timely manner. Sets up complaint case files, enters cases in the GARS system with accurate classification and category types and assigns them to appropriate staff. 15% - Administrative Support Works with internal and external departments and providers in gathering supporting information relevant to the case. Generates acknowledgment letters for all lines of business per department and regulatory standards. Assists in the development of departmental forms and intake processes. Coordinates administrative support for state hearings, serves as a contact with DSS for incoming cases, enters cases in the GARS system, creates electronic files and routes the scanned documents to designated staff and fax required state hearing documentation to the local hearing office as necessary. 5% - Completes other projects and duties as assigned. Minimum Qualifications: High School diploma or equivalent required PLUS 1 year of experience in appeal and grievance guidelines or Medi-Cal/Medicaid or Medicare programs required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. Preferred Qualifications: Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Chinese, Farsi, Korean, Spanish, Vietnamese). Required Licensure / Certifications: n/a Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is September 12, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/program-assistant-gars-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-c6187a5a1d33ba4d91771dd230bc414d
Program Assistant (GARS) CalOptima CalOptima Health is seeking a highly motivated an experienced Program Assistant (GARS) to join our team. Under general supervision, the Program Assistant will assist with specialized services relevant to the Grievance and Appeals Resolution Services (GARS) department. The incumbent will work independently, exercising discretion and judgment and may assist in coordinating a function for the program assigned. The incumbent will be responsible for monitoring the GARS member and provider mailbox, fax, mail and processing appeals and grievances for assignment to key staff within the required timeframe. Position Information: Department: Grievance & Appeals Salary Grade: 302 - $49,754 - $69,655 ($23.92 - $33.4880) Work Arrangement: Full Office Duties & Responsibilities: 80% - Program Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Serves as the point of contact within or outside CalOptima Health for inquiries related to grievances and appeals. Monitors incoming complaints via the Customer Service system routing, interdepartmental referral, mail, telephone, fax or via email from the website for members and providers. Monitors inquiry requests from the Department of Managed Health Care (DMHC), Medicare Complaint Tracking Module (CTM) from the Centers for Medicare Medicaid Services (CMS), Medicare Quality Improvement Organization (QIO) and the State Hearing Office from Department of Social Services (DSS). Responds to DMHC requests for information in a timely manner. Sets up complaint case files, enters cases in the GARS system with accurate classification and category types and assigns them to appropriate staff. 15% - Administrative Support Works with internal and external departments and providers in gathering supporting information relevant to the case. Generates acknowledgment letters for all lines of business per department and regulatory standards. Assists in the development of departmental forms and intake processes. Coordinates administrative support for state hearings, serves as a contact with DSS for incoming cases, enters cases in the GARS system, creates electronic files and routes the scanned documents to designated staff and fax required state hearing documentation to the local hearing office as necessary. 5% - Completes other projects and duties as assigned. Minimum Qualifications: High School diploma or equivalent required PLUS 1 year of experience in appeal and grievance guidelines or Medi-Cal/Medicaid or Medicare programs required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. Preferred Qualifications: Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Chinese, Farsi, Korean, Spanish, Vietnamese). Required Licensure / Certifications: n/a Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is September 12, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/program-assistant-gars-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-c6187a5a1d33ba4d91771dd230bc414d
Orange County, CA
Orange County, California, United States
CAREER DESCRIPTION SALARY INFORMATION In addition to performance-based merit increases, this position is scheduled to receive salary range increases on the following dates: Effective June 27, 2025 - 4.00% increase Salary may be negotiable within the range listed above, based on position requirements and successful candidate's qualifications, subject to appropriate authorization. OPEN TO THE PUBLIC This recruitment will establish an open eligible list. The eligible list established through this recruitment will be used to fill current/future vacancies in Auditor-Controller and/or any other agencies within the County of Orange. This recruitment may also be used to fill positions in similar and/or lower classifications throughout the County of Orange. DEADLINE TO APPLY Qualified applicants are encouraged to apply immediately, as the recruitment will close on SUNDAY, SEPTEMBER 22, 2024, at 11:59 PM (PST). ORANGE COUNTY Orange County is a desirable place to live - and is one of the premier employers in the region, as well as the third largest populated County in California. At the County you will find variety, individual opportunity, job satisfaction, and the pleasure of working with colleagues who are dedicated to making a positive difference. You can learn more about the County of Orange by clicking here . AUDITOR-CONTROLLER The Auditor-Controller Department is committed to serving Orange County by ensuring accountability over public spending, transparency of Taxpayer dollars, and engaging the public in government. We carry out our vision and mission by conducting the Public's business with the highest ethical and due diligence standards by supporting ethical and responsible financial decisions throughout the County. You can learn more about the Auditor-Controller Department by clicking here . THE OPPORTUNITY Under general supervision, the Accounting Specialist performs a variety of general accounting duties related to the maintenance and review of fiscal, financial, and statistical records. The position at this level has the responsibility to independently resolve most problems occurring within the assignment. Responsible duties may include, but are not limited to Accounts Payable, Accounts Receivable, Payroll, Contracts, Property Tax, Purchasing etc. The Accounting Specialist will maintain a variety of accounting records and documents within a specialized area and other duties as required. MINIMUM QUALIFICATIONS AND CORE COMPETENCIES In addition to the minimum qualifications the ideal candidate will demonstrate work experience and/or knowledge in the following core competencies: Technical Knowledge | Technical Experience Experience performing a wide variety of financial/accounting duties. Reviewing and analyze accounting documents prepared by others. Software proficiency with Microsoft Excel, Word, and Outlook. Interpreting terms and conditions of contracts with vendors for services and goods. Comprehending and comply with policies and procedures of the County. Knowledge of current practices, procedures, techniques and terminology related to the processing and recording of accounting transactions. Analysis | Problem Solving The judgment necessary to recognize problems and when to bring them to the supervisor's attention. Utilizing all available resources for researching issues and draw logical conclusions to determine appropriate corrective action. Strong organization skills and time management is required. Communication Skills Communicating complex material clearly, concisely, and logically both orally and in writing with minimal grammatical errors. Establishing and maintain effective working relationships through collaboration and teamwork with other co-workers, agencies/departments, the public, and vendors. Demonstrating excellent customer service skills in a fast-paced office. Explaining basic accounting systems or procedures to those with no prior knowledge of accounting terminology. Exercising good judgment in communicating promptly with supervisor when issues arise. MINIMUM QUALIFICATIONS Click here for minimum qualifications of the Accounting Specialist. NOTE: Foreign degrees require an evaluation of U.S. equivalency by an agency that is a member of the National Association of Credential Services (N.A.C.E.S.). RECRUITMENT PROCESS Human Resource Services (HRS) will screen all application materials to identify qualified applicants. After screening, qualified applicants will be referred to the next step and notified of all further procedures applicable to their status in the competition. Application Screening (Refer/Non-Refer) Applications and supplemental responses will be screened for qualifications that are highly desirable and most needed to successfully perform the duties of this job. Only those candidates that meet the qualifications as listed in the job bulletin will be referred to the next step. Online Assessments (100% Weighted) Candidates whose applications reflect the most job-related experience and training will be invited to online assessments. Only the most qualified candidates will be referred to the next step. Veterans Employment Preference Policy (VEPP) The County is committed to providing a mechanism to give preferential consideration in the employment process to veterans and their eligible spouses and will provide eligible participants the opportunity to receive interviews in the selection process for employment and paid internship openings. Please click here to review the policy. Eligible List Once the assessment has been completed, HRS will establish an eligible list of candidates. Candidates placed on the eligible list may be referred to a selection interview to be considered for present and future vacancies. Only the most successful candidates will be placed on the eligible list. Based on the Department's needs, the selection procedures listed above may be modified. Candidates will be notified of any changes in the selection procedures ADDITIONAL INFORMATION Please see below for important information regarding COVID 19 related requirements Effective April 3, 2023, it is strongly recommended that County employees working in health care settings and correctional facilities follow vaccination and booster guidelines provided by the California Department of Public Health (CDPH) and the Centers for Disease Control and Prevention (CDC). Please click here to see the latest guidance for more details. EMAIL NOTIFICATION: Email is the primary form of notification during the recruitment process. Please ensure your correct email address is included in our application and use only one email account. NOTE: User accounts are established for one person only and should not be shared with another person. Multiple applications with multiple users may jeopardize your status in the recruitment process for any positions for which you apply. Candidates will be notified regarding their status as the recruitment proceeds via email through the GovernmentJobs.com site. Please check your email folders, including spam/junk folders, and/or accept emails ending with "governmentjobs.com" and "ocgov.com." If your email address should change, please update your profile at www.governmentjobs.com . FREQUENTLY ASKED QUESTIONS: Click here for additional Frequently Asked Questions. For specific information pertaining to this recruitment, please contact Sam Apraku at 714-834-3116 or at Samuel.Apraku@ac.ocgov.com EEO INFORMATION Orange County, as an equal employment opportunity employer, encourages applicants from diverse backgrounds to apply. Non-Management Benefits In addition to the County's standard suite of benefits, such as a variety of health plan options, annual leave and paid holidays--we also offer an excellent array of benefits such as a Health Care Reimbursement Account, 457 Defined Contribution Plan and Annual Education and Professional Reimbursement. Employees are provided a Retirement Plan through the Orange County Employees Retirement System (OCERS). Please go to the following link to find out more about Defined Benefit Pensions and OCERS Plan Types/Benefits. http://www.ocers.org/active-member-information Click here for information about benefits offered to County of Orange employees. Closing Date/Time: 9/22/2024 11:59 PM Pacific
CAREER DESCRIPTION SALARY INFORMATION In addition to performance-based merit increases, this position is scheduled to receive salary range increases on the following dates: Effective June 27, 2025 - 4.00% increase Salary may be negotiable within the range listed above, based on position requirements and successful candidate's qualifications, subject to appropriate authorization. OPEN TO THE PUBLIC This recruitment will establish an open eligible list. The eligible list established through this recruitment will be used to fill current/future vacancies in Auditor-Controller and/or any other agencies within the County of Orange. This recruitment may also be used to fill positions in similar and/or lower classifications throughout the County of Orange. DEADLINE TO APPLY Qualified applicants are encouraged to apply immediately, as the recruitment will close on SUNDAY, SEPTEMBER 22, 2024, at 11:59 PM (PST). ORANGE COUNTY Orange County is a desirable place to live - and is one of the premier employers in the region, as well as the third largest populated County in California. At the County you will find variety, individual opportunity, job satisfaction, and the pleasure of working with colleagues who are dedicated to making a positive difference. You can learn more about the County of Orange by clicking here . AUDITOR-CONTROLLER The Auditor-Controller Department is committed to serving Orange County by ensuring accountability over public spending, transparency of Taxpayer dollars, and engaging the public in government. We carry out our vision and mission by conducting the Public's business with the highest ethical and due diligence standards by supporting ethical and responsible financial decisions throughout the County. You can learn more about the Auditor-Controller Department by clicking here . THE OPPORTUNITY Under general supervision, the Accounting Specialist performs a variety of general accounting duties related to the maintenance and review of fiscal, financial, and statistical records. The position at this level has the responsibility to independently resolve most problems occurring within the assignment. Responsible duties may include, but are not limited to Accounts Payable, Accounts Receivable, Payroll, Contracts, Property Tax, Purchasing etc. The Accounting Specialist will maintain a variety of accounting records and documents within a specialized area and other duties as required. MINIMUM QUALIFICATIONS AND CORE COMPETENCIES In addition to the minimum qualifications the ideal candidate will demonstrate work experience and/or knowledge in the following core competencies: Technical Knowledge | Technical Experience Experience performing a wide variety of financial/accounting duties. Reviewing and analyze accounting documents prepared by others. Software proficiency with Microsoft Excel, Word, and Outlook. Interpreting terms and conditions of contracts with vendors for services and goods. Comprehending and comply with policies and procedures of the County. Knowledge of current practices, procedures, techniques and terminology related to the processing and recording of accounting transactions. Analysis | Problem Solving The judgment necessary to recognize problems and when to bring them to the supervisor's attention. Utilizing all available resources for researching issues and draw logical conclusions to determine appropriate corrective action. Strong organization skills and time management is required. Communication Skills Communicating complex material clearly, concisely, and logically both orally and in writing with minimal grammatical errors. Establishing and maintain effective working relationships through collaboration and teamwork with other co-workers, agencies/departments, the public, and vendors. Demonstrating excellent customer service skills in a fast-paced office. Explaining basic accounting systems or procedures to those with no prior knowledge of accounting terminology. Exercising good judgment in communicating promptly with supervisor when issues arise. MINIMUM QUALIFICATIONS Click here for minimum qualifications of the Accounting Specialist. NOTE: Foreign degrees require an evaluation of U.S. equivalency by an agency that is a member of the National Association of Credential Services (N.A.C.E.S.). RECRUITMENT PROCESS Human Resource Services (HRS) will screen all application materials to identify qualified applicants. After screening, qualified applicants will be referred to the next step and notified of all further procedures applicable to their status in the competition. Application Screening (Refer/Non-Refer) Applications and supplemental responses will be screened for qualifications that are highly desirable and most needed to successfully perform the duties of this job. Only those candidates that meet the qualifications as listed in the job bulletin will be referred to the next step. Online Assessments (100% Weighted) Candidates whose applications reflect the most job-related experience and training will be invited to online assessments. Only the most qualified candidates will be referred to the next step. Veterans Employment Preference Policy (VEPP) The County is committed to providing a mechanism to give preferential consideration in the employment process to veterans and their eligible spouses and will provide eligible participants the opportunity to receive interviews in the selection process for employment and paid internship openings. Please click here to review the policy. Eligible List Once the assessment has been completed, HRS will establish an eligible list of candidates. Candidates placed on the eligible list may be referred to a selection interview to be considered for present and future vacancies. Only the most successful candidates will be placed on the eligible list. Based on the Department's needs, the selection procedures listed above may be modified. Candidates will be notified of any changes in the selection procedures ADDITIONAL INFORMATION Please see below for important information regarding COVID 19 related requirements Effective April 3, 2023, it is strongly recommended that County employees working in health care settings and correctional facilities follow vaccination and booster guidelines provided by the California Department of Public Health (CDPH) and the Centers for Disease Control and Prevention (CDC). Please click here to see the latest guidance for more details. EMAIL NOTIFICATION: Email is the primary form of notification during the recruitment process. Please ensure your correct email address is included in our application and use only one email account. NOTE: User accounts are established for one person only and should not be shared with another person. Multiple applications with multiple users may jeopardize your status in the recruitment process for any positions for which you apply. Candidates will be notified regarding their status as the recruitment proceeds via email through the GovernmentJobs.com site. Please check your email folders, including spam/junk folders, and/or accept emails ending with "governmentjobs.com" and "ocgov.com." If your email address should change, please update your profile at www.governmentjobs.com . FREQUENTLY ASKED QUESTIONS: Click here for additional Frequently Asked Questions. For specific information pertaining to this recruitment, please contact Sam Apraku at 714-834-3116 or at Samuel.Apraku@ac.ocgov.com EEO INFORMATION Orange County, as an equal employment opportunity employer, encourages applicants from diverse backgrounds to apply. Non-Management Benefits In addition to the County's standard suite of benefits, such as a variety of health plan options, annual leave and paid holidays--we also offer an excellent array of benefits such as a Health Care Reimbursement Account, 457 Defined Contribution Plan and Annual Education and Professional Reimbursement. Employees are provided a Retirement Plan through the Orange County Employees Retirement System (OCERS). Please go to the following link to find out more about Defined Benefit Pensions and OCERS Plan Types/Benefits. http://www.ocers.org/active-member-information Click here for information about benefits offered to County of Orange employees. Closing Date/Time: 9/22/2024 11:59 PM Pacific
CalOptima
Orange, CA, USA
Supervisor, Behavioral Health (Utilization Management) CalOptima CalOptima Health is seeking a highly motivated an experienced Supervisor, Behavioral Health (Utilization Management) to join our team. The Supervisor Behavioral Health (Utilization Management) will be responsible for the daily operation of Behavioral Health Integration (BHI) Utilization Management (UM) functions. The incumbent will oversee the benefit's prior authorization, concurrent review processes and transition of care. The incumbent will be responsible for the direct supervision and oversight of the BHI staff. The incumbent will work under the direction of the Sr Manager II to implement processes to ensure effective delivery of behavioral health services. The incumbent will be accountable for establishing and achieving quality and productivity standards and ensuring compliance with CalOptima Health's policies and procedures. The incumbent will collaborate with other internal CalOptima Health departments to ensure all regulatory requirements are met. The incumbent will interact with contracted organizations and providers, health networks and other stakeholders in a manner that promotes collaborative working relationships. Position Information: Department: Behavioral Health Salary Grade: 313 - $90,820 - $145,312 ($43.66 - $69.8615) Work Arrangement: Full Telework **This position is eligible for telework in California.** Duties & Responsibilities: 50% - Program Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Assists the Sr Manager II as needed to ensure departmental and agency goals are met. Participates and prepares for regular internal and external audits. Provides clinical support for cases with complex behavioral health needs. Participates in the development, implementation and improvement of departmental policies, procedures and workflows. Develops and prepares reports to meet internal, regulatory, contractual and accreditation requirements. Maintains current knowledge of regulatory requirements pertinent to BHI UM which includes the Department of Health Care Services (DHCS), Centers for Medicare & Medicaid Services (CMS), Managed Risk Medical Insurance Board (MRMIB) and Department of Managed Health Care (DMHC). Ensures compliance with federal, state and county contracts and/or Memorandum of Understanding (MOUs) and other requirements set forth by regulatory agencies or funding sources specific to behavioral health care services. Acts as a liaison to community based and governmental providers that serve members. 45% - Supervision Supervises and assists with hiring, training, reviewing and setting goals for department and staff. Oversees and monitors the prior authorization and concurrent review process of the benefit and regulatory compliance. Provides direct oversight of the day-to-day operations of the behavioral health benefit. Facilitates staff meetings, including individual supervision. Provides coverage and expertise for other teams within the BHI UM department. Serves as a subject matter expert (SME) to departmental staff, internal departments and affiliated health networks regarding authorization rules and processes. Identifies and conducts performance feedback and/or counseling/corrective action meetings with the assistance of Human Resources as necessary. 5% - Completes other projects and duties as assigned. Minimum Qualifications: Master's degree in social work, clinical psychology, marriage and family therapy or related field or graduation from an accredited School of Nursing required. 3 years of behavioral health experience (post licensure) required. 2 years of supervisory/management experience required. Experience in behavioral health audits, including CMS, DHCS, DMHC and NCQA required. An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. Preferred Qualifications: 2 years of utilization management (UM) experience. 2 years of managed care experience. Required Licensure / Certifications: Current and unrestricted California Board Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed professional Clinical Counselor (LPCC), Licensed Clinical Psychologist or an active Registered Nurse (RN) license to practice in the state of California required. Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is June 13, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/supervisor-behavioral-health-utilization-management-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-6bfbafa42d863c4085390b042a27b790
Supervisor, Behavioral Health (Utilization Management) CalOptima CalOptima Health is seeking a highly motivated an experienced Supervisor, Behavioral Health (Utilization Management) to join our team. The Supervisor Behavioral Health (Utilization Management) will be responsible for the daily operation of Behavioral Health Integration (BHI) Utilization Management (UM) functions. The incumbent will oversee the benefit's prior authorization, concurrent review processes and transition of care. The incumbent will be responsible for the direct supervision and oversight of the BHI staff. The incumbent will work under the direction of the Sr Manager II to implement processes to ensure effective delivery of behavioral health services. The incumbent will be accountable for establishing and achieving quality and productivity standards and ensuring compliance with CalOptima Health's policies and procedures. The incumbent will collaborate with other internal CalOptima Health departments to ensure all regulatory requirements are met. The incumbent will interact with contracted organizations and providers, health networks and other stakeholders in a manner that promotes collaborative working relationships. Position Information: Department: Behavioral Health Salary Grade: 313 - $90,820 - $145,312 ($43.66 - $69.8615) Work Arrangement: Full Telework **This position is eligible for telework in California.** Duties & Responsibilities: 50% - Program Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Assists the Sr Manager II as needed to ensure departmental and agency goals are met. Participates and prepares for regular internal and external audits. Provides clinical support for cases with complex behavioral health needs. Participates in the development, implementation and improvement of departmental policies, procedures and workflows. Develops and prepares reports to meet internal, regulatory, contractual and accreditation requirements. Maintains current knowledge of regulatory requirements pertinent to BHI UM which includes the Department of Health Care Services (DHCS), Centers for Medicare & Medicaid Services (CMS), Managed Risk Medical Insurance Board (MRMIB) and Department of Managed Health Care (DMHC). Ensures compliance with federal, state and county contracts and/or Memorandum of Understanding (MOUs) and other requirements set forth by regulatory agencies or funding sources specific to behavioral health care services. Acts as a liaison to community based and governmental providers that serve members. 45% - Supervision Supervises and assists with hiring, training, reviewing and setting goals for department and staff. Oversees and monitors the prior authorization and concurrent review process of the benefit and regulatory compliance. Provides direct oversight of the day-to-day operations of the behavioral health benefit. Facilitates staff meetings, including individual supervision. Provides coverage and expertise for other teams within the BHI UM department. Serves as a subject matter expert (SME) to departmental staff, internal departments and affiliated health networks regarding authorization rules and processes. Identifies and conducts performance feedback and/or counseling/corrective action meetings with the assistance of Human Resources as necessary. 5% - Completes other projects and duties as assigned. Minimum Qualifications: Master's degree in social work, clinical psychology, marriage and family therapy or related field or graduation from an accredited School of Nursing required. 3 years of behavioral health experience (post licensure) required. 2 years of supervisory/management experience required. Experience in behavioral health audits, including CMS, DHCS, DMHC and NCQA required. An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. Preferred Qualifications: 2 years of utilization management (UM) experience. 2 years of managed care experience. Required Licensure / Certifications: Current and unrestricted California Board Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed professional Clinical Counselor (LPCC), Licensed Clinical Psychologist or an active Registered Nurse (RN) license to practice in the state of California required. Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is June 13, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/supervisor-behavioral-health-utilization-management-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-6bfbafa42d863c4085390b042a27b790
Orange County, CA
Orange County, California, United States
CAREER DESCRIPTION Health Services Manager (Forensics) In addition to performance-based merit increases, this position is scheduled to receive salary range increases on the following dates: Effective June 27, 2025 - 4.00% increase Salary may be negotiable within the range listed above, based on position requirements and successful candidate's qualifications, subject to appropriate authorization. This recruitment is being held to establish an open eligible list to fill current and future Health Services Manager positions within this specialty. This recruitment may also be used to fill positions in similar and/or lower classifications throughout the County of Orange. This recruitment is open to the public for a minimum of five (5) business days and is scheduled to close at 11:59 PM (PST) on September 11, 2024 . Qualified applicants are encouraged to apply immediately. Please note that the deadline to apply for this recruitment has been extended to: September 25, 204 at 11:59PM (PST). HEALTH CARE AGENCY The County of Orange, Health Care Agency (HCA) is a dynamic organization dedicated to creating and supporting an environment that promotes the achievement of optimal individual, family, and community health. Under the leadership of the Agency Director, a dynamic executive team with an organizational structure comprised of five (5) service areas - Administrative Services, Behavioral Health Services, Correctional Health Services, Specialized Medical Services and Public Health Services - is committed to meeting the health needs of the diverse Orange County community. THE DEPARTMENT Behavioral Health Services (BHS) Division consists of the following service areas, Adult and Older Adult Behavioral Health, Children and Youth Services, Quality Management Services, Mental Health Services Act Office, Data Analytics and Evaluation, Crisis and Acute Care Services, Substance Use Services, and Forensic and Justice Involved. These service areas provide a culturally competent and client-centered system of behavioral health services for all eligible county residents in need of treatment for alcohol and other drug abuse and mental health care. THE PROGR AM Forensics and Justice Involved Division provides oversight, evaluation, and treatment for all of the mental health justice involved for Orange County. This includes Collaborative Courts, AOT, Mental Health Diversion, AB109 & Re-entry, Assisted Intervention Court, Whatever It Takes collaborative court, and Recovery Court/Opportunity Court, CONREP, LPS Psychology Unit, SB317 Incompetent to Stand Trial Diversion unit, CARE Court, and Early Access and Stabilization Services. THE OPPORTUNITY There is one (1) immediate vacancy in the Forensics Division. The Health Services Manager in Forensics is responsible for overseeing programs, which are legislatively required, and may be called upon for courtroom testimony and collaborating with various County, State, and justice stakeholders. The position also oversees and maintains multiple Department of State Hospitals (DSH) contracts and budgets, collaborates with justice partners, provides feedback, and supervises various types of court reports, and will help to develop and build new programs. The Health Services Manager will also provide oversight to the Conditional Release Program (CONREP) and Early Access to Stabilization Services (EASS) which are under the jurisdiction of the County's Health Care Agency (HCA) and the Department of State Hospitals (DSH). CONREP is a statewide system of structured treatment protocol and community-based supervision for forensic patients. CONREP is for patients found not guilty by reason of insanity, incompetent to stand trial, mentally disordered sex offenders, or the civil committed with a mental disorder. The EASS program provides Early Access and Stabilization Services, as specifically set forth in subsection B, below, to individuals charged with felony offenses and found by the courts to be Incompetent to Stand Trial pursuant to Penal Code section 1370 and are housed in Orange County Jail. This management position is also responsible for overseeing placement evaluations for both misdemeanor and felony Incompetent to Stand Trial (IST) for individuals who are waiting for a forensic inpatient psychiatric bed in a DSH facility or placement in a jail-based competency treatment program. Additional duties include: Plans, coordinates, and evaluates health services programs and/or projects in areas including, but not limited to public health, mental health and recovery, correctional health, and medical health. Directs, coordinates, and participates in the development and implementation of program goals, objectives, policies, procedures, and priorities that balance both mandated services and community needs. Researches, analyzes, develops, and reviews medical, clinical, grant, and related reports, agreements, applications, presentations, and other documents. Negotiates, develops, and manages contracts; and monitors and evaluates for compliance with contractual obligations. Develops and maintains effective working relationships with a variety of public and private organizations, including other County departments and agencies, advocacy groups, and client organizations. Prepares, administers, and monitors the program budget to ensure the accomplishment of program and service objectives within budget restrictions. Prepares and presents a variety of reports and correspondence to higher-level management, staff, and the community. Supervises professional, paraprofessional, and support level staff including conducting performance evaluations, coordinating training, and implementing hiring, discipline, and termination procedures. Ensures compliance with applicable regulations, policies, and procedures. Performs other duties of a similar nature and level as assigned. DESIRABLE QUALIFICATIONS AND CORE COMPETENCIES The ideal candidate will demonstrate leadership skills as well as outstanding interpersonal and communication skills. Valid registration as a Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC) or Licensed Psychologist may be desirable for some positions. In addition, the ideal candidate will possess extensive knowledge and experience in the following core competencies: Professional and Technical Expertise Interpreting and implementing laws, regulations, policies, and procedures concerning health care regulations Understanding and adapting to behavioral health including current issues, challenges, and trends Software proficiency with Microsoft Word, Excel, and Outlook Critical Thinking | Decision Making | Innovative Problem Solving | Delivering Results Using appropriate judgment, data, and risk management skills in making business decisions and formulating policy recommendations for achieving positive business outcomes Analyzing problems and proposing solutions while dealing with changing priorities Managing programs within regulatory and budgetary guidelines, in collaboration with program support/budget Identifying department needs; and the development, design and implementation of program objectives, policies and procedures, compliance and audits Partnering with Human Resource Services in handling personnel issues Leadership l Handing & Resolving Conflict | Coaching & Developing Others Ensuring that individual performance action plans are aligned to MHRS business strategies Developing, mentoring, motivating, supervising, and evaluating performance of staff Clarifying performance expectations (e.g., roles, responsibilities, standards, and goals) collaboratively with staff Acknowledging and recognizing staff contributions, accomplishments, and superior performance Ensuring that staff have the resources they need, and that the workforce as a whole has the capacity and diversity to meet current and long-term objectives Building & Maintaining Relationships | Informing Communicating effectively on sensitive issues, demonstrating excellent judgment and diplomacy, leading to successful outcomes Building effective working relationships inside and outside the organization and dealing effectively with various levels of the organization Producing clear, informative, and concise written documents, emails, project status reports and briefs Presenting information and materials to various types of audiences MINIMUM QUALIFICATIONS Click here to view the minimum qualifications for the Health Services Manager classification as well as the physical & mental requirements and the working & environmental conditions. RECRUITMENT PROCESS Human Resource Services (HRS) screens all application materials for minimum qualifications. After screening, applicants who meet the minimum qualifications will be referred to the next step in the recruitment process. All applicants will be notified via email of their status in the process. Application Screening (Refer/Non-Refer) Applications and supplemental responses will be screened for qualifications that are highly desirable and most needed to successfully perform the duties of this job. Only those applicants that meet the qualifications as listed in the job bulletin will be referred to the next step. Structured Oral Interview |SOI (Weighted 100%) Applicants will be interviewed and rated by a panel of job knowledge experts. Each applicant's rating will be based on responses to a series of structured questions designed to elicit the applicant's qualifications for the job. The competencies to be assessed include the following: Critical Thinking (18.93%) Building and Maintaining Relationships (16.60%) Leadership (16.41%) Delivering Results (16.39%) Decision Making (16.25%) Based on the Department's needs, the selection procedures listed above may be modified. All candidates will be notified of any changes in the selection procedure. Eligible List Once the assessment has been completed, HRS will establish an eligible list of candidates. Candidates placed on the eligible list may be referred to a selection interview to be considered for present and future vacancies. Veterans Employment Preference Policy (VEPP) The County is committed to providing a mechanism to give preferential consideration in the employment process to veterans and their eligible spouses and will provide eligible participants the opportunity to receive interviews in the selection process for employment and paid internship openings. Please click here to review the policy. ADDITIONAL INFORMATION Please see below for important information regarding COVID-19-related requirements. Effective April 3, 2023, it is strongly recommended that County employees working in health care settings and correctional facilities follow vaccination and booster guidelines provided by the California Department of Public Health (CDPH) and the Center for Disease Control and Prevention (CDC). Please click here to see the latest guidance for more details. Email Notification Email is the primary form of notification during the recruitment process. Please ensure your correct email address is included in our application and use only one email account. NOTE: User accounts are established for one person only and should not be shared with another person. Multiple applications with multiple users may jeopardize your status in the recruitment process for any positions for which you apply. Candidates will be notified regarding their status as the recruitment proceeds via email through the GovernmentJobs.com site. Please check your email folders, including spam/junk folders, and/or accept emails ending with "governmentjobs.com" and "ocgov.com." If your email address should change, please update your profile at www.governmentjobs.com . Frequently Asked Questions Click here for additional Frequently Asked Questions. For specific information pertaining to this recruitment, please contact Janeth Boudreaux at 714-834-2217 or Jboudreaux@ochca.com . EEO INFORMATION Orange County, as an equal employment opportunity employer, encourages applicants from diverse backgrounds to apply. Administrative Management * In addition to the County's standard suite of benefits -- such as a variety of health plan options, sick and vacation time and paid holidays -- we also offer an excellent array of benefits such as: Retirement: Benefits are provided through the Orange County Employees' Retirement System (OCERS). Please go to the following link to find out more about Defined Benefit Pensions and OCERS Plan Types/Benefits. http://www.ocers.org/active-member-information . Paid Leave: Twelve holidays per year plus sick and vacation time Health & Dependent Care Reimbursement Accounts Dental Insurance: County pays 100% of employee and dependent premiums Paid Life Insurance: $100,000 life insurance policy Paid Accidental & Death and Dismemberment Insurance: $100,000 AD&D insurance policy Paid Short & Long Term Disability insurance programs 457 Defined Contribution Program *Effective 07/01/20, management employees who are sworn Public Safety Managers receive health insurance benefits through the AOCDS Medical Benefit Plans. Click here for information about benefits offered to County of Orange employees.
CAREER DESCRIPTION Health Services Manager (Forensics) In addition to performance-based merit increases, this position is scheduled to receive salary range increases on the following dates: Effective June 27, 2025 - 4.00% increase Salary may be negotiable within the range listed above, based on position requirements and successful candidate's qualifications, subject to appropriate authorization. This recruitment is being held to establish an open eligible list to fill current and future Health Services Manager positions within this specialty. This recruitment may also be used to fill positions in similar and/or lower classifications throughout the County of Orange. This recruitment is open to the public for a minimum of five (5) business days and is scheduled to close at 11:59 PM (PST) on September 11, 2024 . Qualified applicants are encouraged to apply immediately. Please note that the deadline to apply for this recruitment has been extended to: September 25, 204 at 11:59PM (PST). HEALTH CARE AGENCY The County of Orange, Health Care Agency (HCA) is a dynamic organization dedicated to creating and supporting an environment that promotes the achievement of optimal individual, family, and community health. Under the leadership of the Agency Director, a dynamic executive team with an organizational structure comprised of five (5) service areas - Administrative Services, Behavioral Health Services, Correctional Health Services, Specialized Medical Services and Public Health Services - is committed to meeting the health needs of the diverse Orange County community. THE DEPARTMENT Behavioral Health Services (BHS) Division consists of the following service areas, Adult and Older Adult Behavioral Health, Children and Youth Services, Quality Management Services, Mental Health Services Act Office, Data Analytics and Evaluation, Crisis and Acute Care Services, Substance Use Services, and Forensic and Justice Involved. These service areas provide a culturally competent and client-centered system of behavioral health services for all eligible county residents in need of treatment for alcohol and other drug abuse and mental health care. THE PROGR AM Forensics and Justice Involved Division provides oversight, evaluation, and treatment for all of the mental health justice involved for Orange County. This includes Collaborative Courts, AOT, Mental Health Diversion, AB109 & Re-entry, Assisted Intervention Court, Whatever It Takes collaborative court, and Recovery Court/Opportunity Court, CONREP, LPS Psychology Unit, SB317 Incompetent to Stand Trial Diversion unit, CARE Court, and Early Access and Stabilization Services. THE OPPORTUNITY There is one (1) immediate vacancy in the Forensics Division. The Health Services Manager in Forensics is responsible for overseeing programs, which are legislatively required, and may be called upon for courtroom testimony and collaborating with various County, State, and justice stakeholders. The position also oversees and maintains multiple Department of State Hospitals (DSH) contracts and budgets, collaborates with justice partners, provides feedback, and supervises various types of court reports, and will help to develop and build new programs. The Health Services Manager will also provide oversight to the Conditional Release Program (CONREP) and Early Access to Stabilization Services (EASS) which are under the jurisdiction of the County's Health Care Agency (HCA) and the Department of State Hospitals (DSH). CONREP is a statewide system of structured treatment protocol and community-based supervision for forensic patients. CONREP is for patients found not guilty by reason of insanity, incompetent to stand trial, mentally disordered sex offenders, or the civil committed with a mental disorder. The EASS program provides Early Access and Stabilization Services, as specifically set forth in subsection B, below, to individuals charged with felony offenses and found by the courts to be Incompetent to Stand Trial pursuant to Penal Code section 1370 and are housed in Orange County Jail. This management position is also responsible for overseeing placement evaluations for both misdemeanor and felony Incompetent to Stand Trial (IST) for individuals who are waiting for a forensic inpatient psychiatric bed in a DSH facility or placement in a jail-based competency treatment program. Additional duties include: Plans, coordinates, and evaluates health services programs and/or projects in areas including, but not limited to public health, mental health and recovery, correctional health, and medical health. Directs, coordinates, and participates in the development and implementation of program goals, objectives, policies, procedures, and priorities that balance both mandated services and community needs. Researches, analyzes, develops, and reviews medical, clinical, grant, and related reports, agreements, applications, presentations, and other documents. Negotiates, develops, and manages contracts; and monitors and evaluates for compliance with contractual obligations. Develops and maintains effective working relationships with a variety of public and private organizations, including other County departments and agencies, advocacy groups, and client organizations. Prepares, administers, and monitors the program budget to ensure the accomplishment of program and service objectives within budget restrictions. Prepares and presents a variety of reports and correspondence to higher-level management, staff, and the community. Supervises professional, paraprofessional, and support level staff including conducting performance evaluations, coordinating training, and implementing hiring, discipline, and termination procedures. Ensures compliance with applicable regulations, policies, and procedures. Performs other duties of a similar nature and level as assigned. DESIRABLE QUALIFICATIONS AND CORE COMPETENCIES The ideal candidate will demonstrate leadership skills as well as outstanding interpersonal and communication skills. Valid registration as a Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC) or Licensed Psychologist may be desirable for some positions. In addition, the ideal candidate will possess extensive knowledge and experience in the following core competencies: Professional and Technical Expertise Interpreting and implementing laws, regulations, policies, and procedures concerning health care regulations Understanding and adapting to behavioral health including current issues, challenges, and trends Software proficiency with Microsoft Word, Excel, and Outlook Critical Thinking | Decision Making | Innovative Problem Solving | Delivering Results Using appropriate judgment, data, and risk management skills in making business decisions and formulating policy recommendations for achieving positive business outcomes Analyzing problems and proposing solutions while dealing with changing priorities Managing programs within regulatory and budgetary guidelines, in collaboration with program support/budget Identifying department needs; and the development, design and implementation of program objectives, policies and procedures, compliance and audits Partnering with Human Resource Services in handling personnel issues Leadership l Handing & Resolving Conflict | Coaching & Developing Others Ensuring that individual performance action plans are aligned to MHRS business strategies Developing, mentoring, motivating, supervising, and evaluating performance of staff Clarifying performance expectations (e.g., roles, responsibilities, standards, and goals) collaboratively with staff Acknowledging and recognizing staff contributions, accomplishments, and superior performance Ensuring that staff have the resources they need, and that the workforce as a whole has the capacity and diversity to meet current and long-term objectives Building & Maintaining Relationships | Informing Communicating effectively on sensitive issues, demonstrating excellent judgment and diplomacy, leading to successful outcomes Building effective working relationships inside and outside the organization and dealing effectively with various levels of the organization Producing clear, informative, and concise written documents, emails, project status reports and briefs Presenting information and materials to various types of audiences MINIMUM QUALIFICATIONS Click here to view the minimum qualifications for the Health Services Manager classification as well as the physical & mental requirements and the working & environmental conditions. RECRUITMENT PROCESS Human Resource Services (HRS) screens all application materials for minimum qualifications. After screening, applicants who meet the minimum qualifications will be referred to the next step in the recruitment process. All applicants will be notified via email of their status in the process. Application Screening (Refer/Non-Refer) Applications and supplemental responses will be screened for qualifications that are highly desirable and most needed to successfully perform the duties of this job. Only those applicants that meet the qualifications as listed in the job bulletin will be referred to the next step. Structured Oral Interview |SOI (Weighted 100%) Applicants will be interviewed and rated by a panel of job knowledge experts. Each applicant's rating will be based on responses to a series of structured questions designed to elicit the applicant's qualifications for the job. The competencies to be assessed include the following: Critical Thinking (18.93%) Building and Maintaining Relationships (16.60%) Leadership (16.41%) Delivering Results (16.39%) Decision Making (16.25%) Based on the Department's needs, the selection procedures listed above may be modified. All candidates will be notified of any changes in the selection procedure. Eligible List Once the assessment has been completed, HRS will establish an eligible list of candidates. Candidates placed on the eligible list may be referred to a selection interview to be considered for present and future vacancies. Veterans Employment Preference Policy (VEPP) The County is committed to providing a mechanism to give preferential consideration in the employment process to veterans and their eligible spouses and will provide eligible participants the opportunity to receive interviews in the selection process for employment and paid internship openings. Please click here to review the policy. ADDITIONAL INFORMATION Please see below for important information regarding COVID-19-related requirements. Effective April 3, 2023, it is strongly recommended that County employees working in health care settings and correctional facilities follow vaccination and booster guidelines provided by the California Department of Public Health (CDPH) and the Center for Disease Control and Prevention (CDC). Please click here to see the latest guidance for more details. Email Notification Email is the primary form of notification during the recruitment process. Please ensure your correct email address is included in our application and use only one email account. NOTE: User accounts are established for one person only and should not be shared with another person. Multiple applications with multiple users may jeopardize your status in the recruitment process for any positions for which you apply. Candidates will be notified regarding their status as the recruitment proceeds via email through the GovernmentJobs.com site. Please check your email folders, including spam/junk folders, and/or accept emails ending with "governmentjobs.com" and "ocgov.com." If your email address should change, please update your profile at www.governmentjobs.com . Frequently Asked Questions Click here for additional Frequently Asked Questions. For specific information pertaining to this recruitment, please contact Janeth Boudreaux at 714-834-2217 or Jboudreaux@ochca.com . EEO INFORMATION Orange County, as an equal employment opportunity employer, encourages applicants from diverse backgrounds to apply. Administrative Management * In addition to the County's standard suite of benefits -- such as a variety of health plan options, sick and vacation time and paid holidays -- we also offer an excellent array of benefits such as: Retirement: Benefits are provided through the Orange County Employees' Retirement System (OCERS). Please go to the following link to find out more about Defined Benefit Pensions and OCERS Plan Types/Benefits. http://www.ocers.org/active-member-information . Paid Leave: Twelve holidays per year plus sick and vacation time Health & Dependent Care Reimbursement Accounts Dental Insurance: County pays 100% of employee and dependent premiums Paid Life Insurance: $100,000 life insurance policy Paid Accidental & Death and Dismemberment Insurance: $100,000 AD&D insurance policy Paid Short & Long Term Disability insurance programs 457 Defined Contribution Program *Effective 07/01/20, management employees who are sworn Public Safety Managers receive health insurance benefits through the AOCDS Medical Benefit Plans. Click here for information about benefits offered to County of Orange employees.
CalOptima
Orange, CA, USA
Kitchen Assistant CalOptima CalOptima Health is seeking a highly motivated an experienced Kitchen Assistant to join our team. Under the supervision of the Supervisor Dietary Services, the Kitchen Assistant will ensure adequate amounts of food are planned for, purchased and served in compliance with food safety standards and clinical indications. The incumbent will ensure appropriate preparation and flow of food service to participants at the Program for All-Inclusive Care for the Elderly (PACE) center. Position Information: Department: PACE Salary Grade: 301 - $47,840 - $64,584 ($23.00 - $31.0500) Work Arrangement: Full Office **This position is eligible for telework in California.** Duties & Responsibilities: 95% - Program Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Serves meals at the designated times, along with service recording after food service is accomplished. Plans and coordinates the service of breakfast, lunch and snack menus, per dietitian guidelines. Reviews menus with the supervisor and adjusts as instructed for clinical indication, including textures, portions and other considerations. Ensures daily clean-up of dishes and kitchen area. Participates in ordering food for planned menus and other kitchen-related goods within budget. Completes food service-related logs, food temperatures, food inventory and other paperwork, as necessary and reports any abnormal findings to the supervisor in a timely manner. Assists in planning food service for special events and activities in the social day area. Collaborates with the supervisor to ensure kitchen practices meet the standards of PACE regulations and the county health department. Assists in diet tag production and preparation for meal service. 5% - Completes other projects and duties as assigned. Minimum Qualifications: High school diploma or equivalent required PLUS 6 months of meal preparation service experience required, preferably in a health care setting; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above is also qualifying. Preferred Qualifications: N/A Required Licensure / Certifications: ServSafe certification required. CPR and First-Aid Certification required or must be obtained within six (6) months of date of hire. Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 26 to 50 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is September 10, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/kitchen-assistant-pace-garden-grove-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-fd8b7e62c6d2144ab8959d5c5d8c6410
Kitchen Assistant CalOptima CalOptima Health is seeking a highly motivated an experienced Kitchen Assistant to join our team. Under the supervision of the Supervisor Dietary Services, the Kitchen Assistant will ensure adequate amounts of food are planned for, purchased and served in compliance with food safety standards and clinical indications. The incumbent will ensure appropriate preparation and flow of food service to participants at the Program for All-Inclusive Care for the Elderly (PACE) center. Position Information: Department: PACE Salary Grade: 301 - $47,840 - $64,584 ($23.00 - $31.0500) Work Arrangement: Full Office **This position is eligible for telework in California.** Duties & Responsibilities: 95% - Program Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Serves meals at the designated times, along with service recording after food service is accomplished. Plans and coordinates the service of breakfast, lunch and snack menus, per dietitian guidelines. Reviews menus with the supervisor and adjusts as instructed for clinical indication, including textures, portions and other considerations. Ensures daily clean-up of dishes and kitchen area. Participates in ordering food for planned menus and other kitchen-related goods within budget. Completes food service-related logs, food temperatures, food inventory and other paperwork, as necessary and reports any abnormal findings to the supervisor in a timely manner. Assists in planning food service for special events and activities in the social day area. Collaborates with the supervisor to ensure kitchen practices meet the standards of PACE regulations and the county health department. Assists in diet tag production and preparation for meal service. 5% - Completes other projects and duties as assigned. Minimum Qualifications: High school diploma or equivalent required PLUS 6 months of meal preparation service experience required, preferably in a health care setting; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above is also qualifying. Preferred Qualifications: N/A Required Licensure / Certifications: ServSafe certification required. CPR and First-Aid Certification required or must be obtained within six (6) months of date of hire. Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 26 to 50 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is September 10, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/kitchen-assistant-pace-garden-grove-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-fd8b7e62c6d2144ab8959d5c5d8c6410
CalOptima
Orange, CA, USA
Marketing Enrollment and Outreach Administrative Assistant (PACE) CalOptima CalOptima Health is seeking a highly motivated an experienced Marketing Enrollment and Outreach Administrative Assistant (PACE) to join our team. The Administrative Assistant will support the Manager, Marketing and Enrollment (PACE) by performing key clerical/administrative duties and organizing and coordinating on- and off-site activities for the Program of All-Inclusive Care for the Elderly (PACE). The incumbent will interact with other departments and coordinate work or processes with other staff within CalOptima Health. The incumbent will communicate with participants, family caregivers and external stakeholders. Position Information: Department: PACE Salary Grade: 302 - $49,754 - $69,655 ($23.92 - $33.4880) Work Arrangement: Partial Telework **This position is eligible for telework in California.** Duties & Responsibilities: 95% - Program Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Provides administrative support for specific and/or ongoing projects such as collecting data and generating reports, developing presentations, logging information, updating calendars, implementing program mailings and assisting with regulatory audits. Maintains and updates PACE policies and procedures. Coordinates calendars and schedules appointments, meetings and events. Serves as a liaison between PACE leadership and departmental staff and follows-up on the progress of projects and activities, as needed. Prepares and enhances presentations as requested by department manager. Assists with department expenses, budgeting and processes requisitions for payment. Coordinates travel arrangements in accordance with CalOptima Health's travel policy and registers staff for conferences and seminars. Determines priority of matters of attention for the manager, redirects matters to staff or handles matters accordingly. Maintains an inventory of supplies, monitors needs and orders as needed. Coordinates work with other staff and plays a key role in the coordination of staff efforts within the department. Prepares meeting materials, completes set-up and performs minute taking during meetings. Handles incoming and outgoing correspondence per administrative policy. Maintains confidential and sensitive information and files regarding participants, personnel, management projects and policies while ensuring appropriate follow-up. Assist team with answering inquiry calls and providing tours of PACE to interested family members and prospective participants. 5% - Completes other projects and duties as assigned Minimum Qualifications: High School diploma or equivalent required PLUS 1 year of experience as an administrative assistant required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above is also qualifying. Must take and successfully pass state administered marketing exam within first 90 days of being hired. Preferred Qualifications: 2 years of experience as an administrative assistant. Health care experience. Bilingual in English and in one of CalOptima Health's defined threshold language (Arabic, Chinese, Farsi, Korean, Spanish, Vietnamese). Required Licensure / Certifications: CPR and First-Aid Certification required or must be obtained within six (6) months of date of hire. Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 26 to 50 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is September 10, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/marketing-enrollment-and-outreach-administrative-assistant-pace-pace-garden-grove-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-c191ed860fce0c4886053f4e2de75edb
Marketing Enrollment and Outreach Administrative Assistant (PACE) CalOptima CalOptima Health is seeking a highly motivated an experienced Marketing Enrollment and Outreach Administrative Assistant (PACE) to join our team. The Administrative Assistant will support the Manager, Marketing and Enrollment (PACE) by performing key clerical/administrative duties and organizing and coordinating on- and off-site activities for the Program of All-Inclusive Care for the Elderly (PACE). The incumbent will interact with other departments and coordinate work or processes with other staff within CalOptima Health. The incumbent will communicate with participants, family caregivers and external stakeholders. Position Information: Department: PACE Salary Grade: 302 - $49,754 - $69,655 ($23.92 - $33.4880) Work Arrangement: Partial Telework **This position is eligible for telework in California.** Duties & Responsibilities: 95% - Program Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Provides administrative support for specific and/or ongoing projects such as collecting data and generating reports, developing presentations, logging information, updating calendars, implementing program mailings and assisting with regulatory audits. Maintains and updates PACE policies and procedures. Coordinates calendars and schedules appointments, meetings and events. Serves as a liaison between PACE leadership and departmental staff and follows-up on the progress of projects and activities, as needed. Prepares and enhances presentations as requested by department manager. Assists with department expenses, budgeting and processes requisitions for payment. Coordinates travel arrangements in accordance with CalOptima Health's travel policy and registers staff for conferences and seminars. Determines priority of matters of attention for the manager, redirects matters to staff or handles matters accordingly. Maintains an inventory of supplies, monitors needs and orders as needed. Coordinates work with other staff and plays a key role in the coordination of staff efforts within the department. Prepares meeting materials, completes set-up and performs minute taking during meetings. Handles incoming and outgoing correspondence per administrative policy. Maintains confidential and sensitive information and files regarding participants, personnel, management projects and policies while ensuring appropriate follow-up. Assist team with answering inquiry calls and providing tours of PACE to interested family members and prospective participants. 5% - Completes other projects and duties as assigned Minimum Qualifications: High School diploma or equivalent required PLUS 1 year of experience as an administrative assistant required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above is also qualifying. Must take and successfully pass state administered marketing exam within first 90 days of being hired. Preferred Qualifications: 2 years of experience as an administrative assistant. Health care experience. Bilingual in English and in one of CalOptima Health's defined threshold language (Arabic, Chinese, Farsi, Korean, Spanish, Vietnamese). Required Licensure / Certifications: CPR and First-Aid Certification required or must be obtained within six (6) months of date of hire. Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 26 to 50 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is September 10, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/marketing-enrollment-and-outreach-administrative-assistant-pace-pace-garden-grove-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-c191ed860fce0c4886053f4e2de75edb
CalOptima
Orange, CA, USA
Medical Case Manager (Long-Term Care) CalOptima CalOptima Health is seeking a highly motivated an experienced Medical Case Manager (Long-Term Care) to join our team. The Medical Case Manager for Long Term Care (LTC) is responsible for reviewing and processing requests for authorization and notification of LTC Skilled Nursing Facilities. The incumbent will be responsible for inpatient review and referral related processes which include on-line responsibilities as well as selected off-line tasks. The incumbent utilizes CalOptima Health's medical criteria, policies and procedures to authorize referral requests from medical professionals, clinical facilities and ancillary providers. The incumbent directly interacts with provider callers and serves as a resource for their needs. The incumbent will be part of an advanced specialty collaborative practice, responsible for case management, care coordination, authorization, utilization management and discharge planning of LTC members residing in Skilled Nursing Facilities under custodial care, including members living in the Intermediate Care Facilities under Regional Center guidelines. Position Information: Department: Long Term Care Salary Grade: 313 - $90,820 - $145,312 ($43.66 - $69.8615) Work Arrangement: Partial Telework **This position is eligible for telework in California.** Duties & Responsibilities: 95% - Program Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Reviews requests for medical appropriateness for inpatient services utilizing medical criteria and/or established policies and procedures. Performs and/or reviews clinical assessments by using CalOptima Health and California Department of Health Care Services (DHCS) approved standardized tools such as Pre-Admission Screening and Resident Review (PASRR), Minimum Data Set (MDS), Individual Plans of Care, etc. Verifies and processes specialty referrals, Hospice General Inpatient, durable medical equipment and supplies via telephone or fax by using established clinical protocols to determine medical necessity. Screens inpatient requests for Medical Director review, gathers pertinent medical information prior to submission to the Medical Director; follows up with the requester by communicating the Medical Director's decision; documents follow-up in the utilization management system. Completes all documentation accurately and appropriately for data entry into the utilization management or care management system, at the time of the telephone call or fax, to include any authorization updates. Reviews and evaluates proposed services utilizing medical criteria, established policies and procedures, Title 22, Medicare and/or Medi-Cal guidelines. This includes review of submitted medical documentation. Determines the appropriate action regarding the service being requested for approval, modification or denial, and refers to the Medical Director for review when necessary. Initiates contact with patient, family, skilled nursing facility and treating physicians as needed to obtain additional information. Analyzes all requests with the objective of monitoring utilization of services, which includes reviewing for medical appropriateness and identifying potentially high cost complex cases requiring high-level case management intervention. Applies utilization management, authorizations, case management/nursing processes that include assessment, care planning collaboration, advocacy, implementation/intervention, monitoring and evaluation of a member's status. Reports cost analysis, quality of care and/or quality of life improvements as measured against the case management goals. Establishes means of communication and collaboration with CalAIM providers, other team members, physicians, Community Based Adult Services (CBAS) centers, In-Home Support Services (IHSS) liaisons, community agencies, health networks, skilled nursing facilities and administrators. Acts as an advocate in the member's best interest for necessary funding, treatment alternatives, timelines, coordination of care and frequent evaluations of progress and goals. Works collaboratively with staff members from various disciplines involved in patient care with an emphasis on interpreting and problem-solving complex cases. Meets productivity and quality of work standards on an ongoing basis. 5% - Completes other projects and duties as assigned. Minimum Qualifications: Associate degree in nursing (ADN) required PLUS 3 years of clinical experience with the health needs of the population served required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. Preferred Qualifications: Bachelor of Science in Nursing (BSN) preferred. 3 years of experience in Title 22, Medi-Cal and/or Medicare programs. 1 year of authorization review (in-patient skilled nursing facility) experience. Active Commission for Case Manager (CCM) certification. Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Farsi, Chinese, Korean, Spanish, Vietnamese). Required Licensure / Certifications: Current, unrestricted Registered Nurse (RN) license to practice in the state of California required. Valid driver's license and vehicle, or other approved means of transportation, an acceptable driving record and current auto insurance will be required for work away from the primary office approximately 50% of the time. Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is September 6, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/medical-case-manager-long-term-care-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-722c046327063d4388a2d48500cb0777
Medical Case Manager (Long-Term Care) CalOptima CalOptima Health is seeking a highly motivated an experienced Medical Case Manager (Long-Term Care) to join our team. The Medical Case Manager for Long Term Care (LTC) is responsible for reviewing and processing requests for authorization and notification of LTC Skilled Nursing Facilities. The incumbent will be responsible for inpatient review and referral related processes which include on-line responsibilities as well as selected off-line tasks. The incumbent utilizes CalOptima Health's medical criteria, policies and procedures to authorize referral requests from medical professionals, clinical facilities and ancillary providers. The incumbent directly interacts with provider callers and serves as a resource for their needs. The incumbent will be part of an advanced specialty collaborative practice, responsible for case management, care coordination, authorization, utilization management and discharge planning of LTC members residing in Skilled Nursing Facilities under custodial care, including members living in the Intermediate Care Facilities under Regional Center guidelines. Position Information: Department: Long Term Care Salary Grade: 313 - $90,820 - $145,312 ($43.66 - $69.8615) Work Arrangement: Partial Telework **This position is eligible for telework in California.** Duties & Responsibilities: 95% - Program Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Reviews requests for medical appropriateness for inpatient services utilizing medical criteria and/or established policies and procedures. Performs and/or reviews clinical assessments by using CalOptima Health and California Department of Health Care Services (DHCS) approved standardized tools such as Pre-Admission Screening and Resident Review (PASRR), Minimum Data Set (MDS), Individual Plans of Care, etc. Verifies and processes specialty referrals, Hospice General Inpatient, durable medical equipment and supplies via telephone or fax by using established clinical protocols to determine medical necessity. Screens inpatient requests for Medical Director review, gathers pertinent medical information prior to submission to the Medical Director; follows up with the requester by communicating the Medical Director's decision; documents follow-up in the utilization management system. Completes all documentation accurately and appropriately for data entry into the utilization management or care management system, at the time of the telephone call or fax, to include any authorization updates. Reviews and evaluates proposed services utilizing medical criteria, established policies and procedures, Title 22, Medicare and/or Medi-Cal guidelines. This includes review of submitted medical documentation. Determines the appropriate action regarding the service being requested for approval, modification or denial, and refers to the Medical Director for review when necessary. Initiates contact with patient, family, skilled nursing facility and treating physicians as needed to obtain additional information. Analyzes all requests with the objective of monitoring utilization of services, which includes reviewing for medical appropriateness and identifying potentially high cost complex cases requiring high-level case management intervention. Applies utilization management, authorizations, case management/nursing processes that include assessment, care planning collaboration, advocacy, implementation/intervention, monitoring and evaluation of a member's status. Reports cost analysis, quality of care and/or quality of life improvements as measured against the case management goals. Establishes means of communication and collaboration with CalAIM providers, other team members, physicians, Community Based Adult Services (CBAS) centers, In-Home Support Services (IHSS) liaisons, community agencies, health networks, skilled nursing facilities and administrators. Acts as an advocate in the member's best interest for necessary funding, treatment alternatives, timelines, coordination of care and frequent evaluations of progress and goals. Works collaboratively with staff members from various disciplines involved in patient care with an emphasis on interpreting and problem-solving complex cases. Meets productivity and quality of work standards on an ongoing basis. 5% - Completes other projects and duties as assigned. Minimum Qualifications: Associate degree in nursing (ADN) required PLUS 3 years of clinical experience with the health needs of the population served required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. Preferred Qualifications: Bachelor of Science in Nursing (BSN) preferred. 3 years of experience in Title 22, Medi-Cal and/or Medicare programs. 1 year of authorization review (in-patient skilled nursing facility) experience. Active Commission for Case Manager (CCM) certification. Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Farsi, Chinese, Korean, Spanish, Vietnamese). Required Licensure / Certifications: Current, unrestricted Registered Nurse (RN) license to practice in the state of California required. Valid driver's license and vehicle, or other approved means of transportation, an acceptable driving record and current auto insurance will be required for work away from the primary office approximately 50% of the time. Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is September 6, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/medical-case-manager-long-term-care-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-722c046327063d4388a2d48500cb0777
CalOptima
Orange, CA, USA
Supervisor, Medical Assistant (PACE) CalOptima CalOptima Health is seeking a highly motivated an experienced Supervisor, Medical Assistant (PACE) to join our team. The Supervisor Medical Assistant will be responsible for the daily operations of the Program for All-Inclusive Care for the Elderly (PACE) clinic Medical Assistants (MA). The incumbent will lead the MA team, including the delivery of patient care within regulatory practice. The incumbent will maintain daily oversight and ensure coordination of care is completed by PACE MAs. The incumbent will work under the direct supervision of the PACE Manager of Clinic Operations or a designee. Position Information: Department: PACE Salary Grade: 306 - $58,205 - $90,217 ($27.98 - $43,3736) Work Arrangement: Partial Telework **This position is eligible for telework in California.** Duties & Responsibilities: 50% - Supervision Hires, develops, trains, supervises and evaluates performance of CalOptima Health's PACE MAs to ensure high quality patient services and standards are met. Directs and coordinates all care delivered by the MAs based on established clinical care standards and regulatory practice. Reviews and oversees documentation by staff to ensure compliance with industry and departmental standards. Works with the PACE administration, Manager of Clinic Operations, and direct care staff to develop and revise CalOptima Health's PACE policies and desktop references related to the PACE clinic. Organizes periodic and ongoing in-service training for direct reports. Maintains MA schedule and ensures daily staffing is adequate and sufficient for all appointments and providers. Provides guidance when handling complex direct and indirect patient care issues. 45% - Program Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Maintains knowledge of current regulatory requirements and industry trends. Assists the Manager of Clinic Operations with investigating and resolving any participant grievance's related to services as appropriate. Provides patient care within the MA scope of practice that includes but is not limited to, vital signs, height and weight, glucometer testing, urine dip tests, phlebotomy draws, ear lavage, injections, EKG's, setup and assist with minor procedures, pelvic exam setup and assistance, and data collection. Works directly with the PACE transportation service to support care coordination and ensure availability to meet the needs of the participant appointments. Monitors productivity of his/her constituents to assess patient load and distribution. Oversees and monitors all Quality Improvement goals related to the MAs and integrates creative direction (ideas) in achieving these goals. Works collaboratively with all members of the interdisciplinary team (IDT) by assisting with meeting the complex needs of the participant(s). 5% - Completes other projects and duties as assigned. Minimum Qualifications: High school diploma or equivalent required PLUS 1 year of experience working with the frail or elderly population; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. 3 years of supervisory experience or acting in a leadership role required. Preferred Qualifications: 3 years of work experience, with at least 1 year working with the elderly population. Relevant experience must be within the last 3 years. Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Farsi, Chinese, Korean, Spanish, Vietnamese). Required Licensure / Certifications: Medical Assistant certification from an accredited school required. CPR and First-Aid Certification required or must be obtained within six (6) months of date of hire. Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is September 6, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/supervisor-medical-assistant-pace-pace-garden-grove-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-362c950d727e3c4cb69a846c01ac69a0
Supervisor, Medical Assistant (PACE) CalOptima CalOptima Health is seeking a highly motivated an experienced Supervisor, Medical Assistant (PACE) to join our team. The Supervisor Medical Assistant will be responsible for the daily operations of the Program for All-Inclusive Care for the Elderly (PACE) clinic Medical Assistants (MA). The incumbent will lead the MA team, including the delivery of patient care within regulatory practice. The incumbent will maintain daily oversight and ensure coordination of care is completed by PACE MAs. The incumbent will work under the direct supervision of the PACE Manager of Clinic Operations or a designee. Position Information: Department: PACE Salary Grade: 306 - $58,205 - $90,217 ($27.98 - $43,3736) Work Arrangement: Partial Telework **This position is eligible for telework in California.** Duties & Responsibilities: 50% - Supervision Hires, develops, trains, supervises and evaluates performance of CalOptima Health's PACE MAs to ensure high quality patient services and standards are met. Directs and coordinates all care delivered by the MAs based on established clinical care standards and regulatory practice. Reviews and oversees documentation by staff to ensure compliance with industry and departmental standards. Works with the PACE administration, Manager of Clinic Operations, and direct care staff to develop and revise CalOptima Health's PACE policies and desktop references related to the PACE clinic. Organizes periodic and ongoing in-service training for direct reports. Maintains MA schedule and ensures daily staffing is adequate and sufficient for all appointments and providers. Provides guidance when handling complex direct and indirect patient care issues. 45% - Program Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Maintains knowledge of current regulatory requirements and industry trends. Assists the Manager of Clinic Operations with investigating and resolving any participant grievance's related to services as appropriate. Provides patient care within the MA scope of practice that includes but is not limited to, vital signs, height and weight, glucometer testing, urine dip tests, phlebotomy draws, ear lavage, injections, EKG's, setup and assist with minor procedures, pelvic exam setup and assistance, and data collection. Works directly with the PACE transportation service to support care coordination and ensure availability to meet the needs of the participant appointments. Monitors productivity of his/her constituents to assess patient load and distribution. Oversees and monitors all Quality Improvement goals related to the MAs and integrates creative direction (ideas) in achieving these goals. Works collaboratively with all members of the interdisciplinary team (IDT) by assisting with meeting the complex needs of the participant(s). 5% - Completes other projects and duties as assigned. Minimum Qualifications: High school diploma or equivalent required PLUS 1 year of experience working with the frail or elderly population; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. 3 years of supervisory experience or acting in a leadership role required. Preferred Qualifications: 3 years of work experience, with at least 1 year working with the elderly population. Relevant experience must be within the last 3 years. Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Farsi, Chinese, Korean, Spanish, Vietnamese). Required Licensure / Certifications: Medical Assistant certification from an accredited school required. CPR and First-Aid Certification required or must be obtained within six (6) months of date of hire. Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is September 6, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/supervisor-medical-assistant-pace-pace-garden-grove-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-362c950d727e3c4cb69a846c01ac69a0
CalOptima
Orange, CA, USA
Registered Dietitian (PACE) CalOptima CalOptima Health is seeking a highly motivated an experienced Registered Dietitian to join our team. The Registered Dietitian will be responsible for providing nutrition care, education and oversight of food services to CalOptima Health's Program for All-Inclusive Care for the Elderly (PACE) participants. The incumbent will evaluate the participant's nutritional status, develop and implement nutritional care plans, assess nutrient requirements and recommend nutritional prescriptions. The incumbent will be responsible for assessing the participant's nutritional care, communicating nutritional data and providing information to the primary care staff and other interdisciplinary team members. Position Information: Department: PACE Salary Grade: 310 - $72,096 - $115,353 ($34.66 - $55.4582) Work Arrangement: Full Office Duties & Responsibilities: 95% - Program Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Collects participant data and completes required forms with responses according to department and industry standards, identifies participant's overt nutritional problems/needs, including proper intake and diet texture and sets reasonable priorities. Identifies problems requiring further referral and/or follow-up, assesses participants' responses and satisfaction with nutrition services. Develops a plan of care based on the nutritional therapeutic process and Academy of Nutrition and Dietetics (AND) standards, which incorporates the plans of other disciplines and continuing care needs, including the participant/family in developing or revising the nutrition plan of care and makes referrals to interdisciplinary support services. Completes initial/annual and periodic assessments prior to the scheduled team meetings, communicates participant changes to team members and coordinates care with Registered Dietitians at outside dialysis centers and skilled nursing facilities as required for continuity of care. Provides in-services and group education classes to participants, families/caregivers, residential care facilities, PACE staff and contractors regarding nutritional requirements and special dietary regimens as prescribed by the physician or Registered Dietitian. Documents all nutrition interventions and recommendations accurately and within departmental time requirements into participant's charts. Reviews daily diet list as assigned and assists in meal service delivery to participants attending day health center. Monitors and records participant's nutritional intake as planned and recommends variation to nutritional plan with appropriate rationale. Monitors participant's weight and notes significant changes to recommend dietary changes as appropriate. Reviews diet orders in charts to ensure appropriateness and updates the supervisor with any changes. Recognizes department problems and takes responsibility for documentation, demonstrates active participation in Quality Initiative processes and proactively reports any deficiencies or issues with food service vendor(s), other contracted vendors or environmental health issues to the supervisor. Stays current with knowledge and expertise regarding industry standards in nutrition. Participates as an active member of the interdisciplinary team, attends staff meetings and takes part in participant care planning as assigned. 5% - Completes other projects and duties as assigned. Minimum Qualifications: Bachelor's degree in nutrition from an American Dietetic Association (ADA) accredited institution required PLUS 2 years of work experience as a Registered Dietitian required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above is also qualifying. Preferred Qualifications: Certified Diabetes Educator (CDE) status. 1 year of experience working with the frail or elderly population. Bilingual in English and one of CalOptima Health's defined threshold languages (Arabic, Farsi, Chinese, Korean, Spanish, Vietnamese). Required Licensure / Certifications: Registered Dietitian (RD) or Registered Dietitian Nutritionist (RDN) certification by the Commission on Dietetic Registration required. CPR and First-Aid Certification required or must be obtained within six (6) months of date of hire. Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is September 6, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/registered-dietitian-pace-pace-garden-grove-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-b62ddfcf5f473141a9db22da1ad0344e
Registered Dietitian (PACE) CalOptima CalOptima Health is seeking a highly motivated an experienced Registered Dietitian to join our team. The Registered Dietitian will be responsible for providing nutrition care, education and oversight of food services to CalOptima Health's Program for All-Inclusive Care for the Elderly (PACE) participants. The incumbent will evaluate the participant's nutritional status, develop and implement nutritional care plans, assess nutrient requirements and recommend nutritional prescriptions. The incumbent will be responsible for assessing the participant's nutritional care, communicating nutritional data and providing information to the primary care staff and other interdisciplinary team members. Position Information: Department: PACE Salary Grade: 310 - $72,096 - $115,353 ($34.66 - $55.4582) Work Arrangement: Full Office Duties & Responsibilities: 95% - Program Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Collects participant data and completes required forms with responses according to department and industry standards, identifies participant's overt nutritional problems/needs, including proper intake and diet texture and sets reasonable priorities. Identifies problems requiring further referral and/or follow-up, assesses participants' responses and satisfaction with nutrition services. Develops a plan of care based on the nutritional therapeutic process and Academy of Nutrition and Dietetics (AND) standards, which incorporates the plans of other disciplines and continuing care needs, including the participant/family in developing or revising the nutrition plan of care and makes referrals to interdisciplinary support services. Completes initial/annual and periodic assessments prior to the scheduled team meetings, communicates participant changes to team members and coordinates care with Registered Dietitians at outside dialysis centers and skilled nursing facilities as required for continuity of care. Provides in-services and group education classes to participants, families/caregivers, residential care facilities, PACE staff and contractors regarding nutritional requirements and special dietary regimens as prescribed by the physician or Registered Dietitian. Documents all nutrition interventions and recommendations accurately and within departmental time requirements into participant's charts. Reviews daily diet list as assigned and assists in meal service delivery to participants attending day health center. Monitors and records participant's nutritional intake as planned and recommends variation to nutritional plan with appropriate rationale. Monitors participant's weight and notes significant changes to recommend dietary changes as appropriate. Reviews diet orders in charts to ensure appropriateness and updates the supervisor with any changes. Recognizes department problems and takes responsibility for documentation, demonstrates active participation in Quality Initiative processes and proactively reports any deficiencies or issues with food service vendor(s), other contracted vendors or environmental health issues to the supervisor. Stays current with knowledge and expertise regarding industry standards in nutrition. Participates as an active member of the interdisciplinary team, attends staff meetings and takes part in participant care planning as assigned. 5% - Completes other projects and duties as assigned. Minimum Qualifications: Bachelor's degree in nutrition from an American Dietetic Association (ADA) accredited institution required PLUS 2 years of work experience as a Registered Dietitian required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above is also qualifying. Preferred Qualifications: Certified Diabetes Educator (CDE) status. 1 year of experience working with the frail or elderly population. Bilingual in English and one of CalOptima Health's defined threshold languages (Arabic, Farsi, Chinese, Korean, Spanish, Vietnamese). Required Licensure / Certifications: Registered Dietitian (RD) or Registered Dietitian Nutritionist (RDN) certification by the Commission on Dietetic Registration required. CPR and First-Aid Certification required or must be obtained within six (6) months of date of hire. Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is September 6, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/registered-dietitian-pace-pace-garden-grove-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-b62ddfcf5f473141a9db22da1ad0344e
Orange County, CA
Orange County, California, United States
CAREER DESCRIPTION HCA PROGRAM SUPERVISOR II In addition to performance-based merit increases, this position is scheduled to receive salary range increases on the following dates: Effective June 27, 2025 - 4.00% increase Salary may be negotiable within the range listed above, based on position requirements and successful candidate's qualifications, subject to appropriate authorization. This recruitment is open to the public for a minimum of five (5) business days and will remain open on a continuous basis until 11:59 p.m. (PST) on the day the needs of the County are met. Qualified applicants are encouraged to apply immediately. The open eligible list established by this recruitment will be used to fill current and future HCA Program Supervisor II positions within this specialty. This recruitment may also be used to fill positions in similar and/or lower classifications throughout the County. THE AGENCY The County of Orange , Health Care Agency (HCA) is a dynamic organization dedicated to creating and supporting an environment that promotes the achievement of optimal individual, family and community health. Under the direction of the Agency Director, a new and dynamic executive team with an organizational structure comprised of five (5) service areas - Administrative Services, Behavioral Health Services, Correctional Health Services, Specialized Medical Services and Public Health Services - is committed to meeting the health needs of the diverse Orange County community. THE DEPARTMENT AND PROGRAM Behavioral Health Services The Behavioral Health Services (BHS) Division consists of the following service areas Adult and Older Adult Behavioral Health, Children and Youth Services, Quality Management Services, Mental Health Services Act Office, Data Analytics and Evaluation, Crisis and Acute Care Services, Substance Use Services, BHS Navigation, and Forensics and Justice Involved. These service areas provide a culturally competent and client-centered system of behavioral health services for all eligible county residents in need of treatment for alcohol and other drug abuse and mental health care. The BHS Navigation’s OC Outreach and Engagement (OC O&E) serves individuals experiencing unsheltered homelessness in Orange County. The program's focus is on linking individuals to needed services including behavioral health, physical health care, emergency shelter, housing, and other supportive services. This is accomplished through developing and building trusting relationships with the unhoused community and collaborating with other service providers. Public Health Services Public Health Services (PHS) is a multi-dimensional department that includes Communicable Disease Control, Public Health Lab, Environmental Health, Community & Nursing Services, Clinical Services, Health Promotion & Community Planning. Through assessment, policy development and assurance, PHS provides a wide range of services aimed at reducing death and disability by reducing the transmission of communicable diseases, preventing and lessening the impact of chronic diseases, and ensuring healthy and safe environments. The Local Oral Health Program (LOHP) is a unit under Health Promotion that is funded by the State of California’s Office of Oral Health with funds from Prop. 56 Tobacco Tax. The mission of LOHP is focused on improving the oral health of community members by focusing on system changes that reduce barriers to care, increase access, and ultimately improve oral health outcomes. LOHP hopes to achieve these goals by implementing the strategies laid out in the Orange County Oral Health Strategic Plan which was locally developed and based on guidance from the State and Centers for Disease Control and Prevention (CDC) such as school- based/school-linked services, increasing utilization of dental services, and integration of medical and dental services. THE OPPORTUNITY There are two (2) immediate vacancies within HCA: one (1) with BHS and one (1) with PHS. The HCA Program Supervisor II (PS II) within BHS, O&E is responsible for supervising staff providing services in the community. The PS II will be out in the field 60% of their time conducting training for new outreach workers, role-modeling outreach techniques, leading priority projects, and working with staff on complex cases. The PS II acts as a liaison with community and service providers, including attending meetings and representing the program on planning committees, preparing correspondences, reports, and program documentation, conducting quality management activities, and advising staff on participant cases. The responsibilities of the PS II may include, but are not limited to, the following: Demonstrating best practices in the field to outreach staff to ensure quality of service Reviewing documentation for completeness, quality, and compliance with County standards Facilitating ongoing case conferencing and providing guidance on difficult cases to monitor delivery of program services Providing back-up coverage for the HCA Service Chief Supervising case management services, including the development of individualized action plans, monitoring outcome data, documentation, and appropriate referrals and linkages Assisting with triaging phone calls and assigning to staff for field response Participating in collaborative partner meetings to develop regional services and resources Answering community calls in a timely manner and ensuring information provided is accurate and reliable Completes staff performance evaluations; plans work schedules; communicates direction and expectations; troubleshoots concerns The HCA PS II position in PHS, LOHP is responsible for supervising and supporting a multidisciplinary team responsible for strategic planning, program implementation, grants and contract management, and quality management for state-funded services. Incumbents are also responsible for a highly visible, complex program with a broad impact on the community or target population, requiring liaison relationships of a significant and far-reaching nature. The duties and responsibilities for the HCA PS II position include but are not limited to the following: Leading Oral Health collaborative meetings including the development of meeting materials, presentations, and follow-up Overseeing the implementation of school-based services, oral health assessment data reporting, and outreach events Coordinating the compilation and submission of grant applications, budgets, reports, and other requirements Participating in local and statewide collaborative meetings Developing Agenda Staff Reports and grant reports for Board of Supervisor requirements. Assisting with recruiting, hiring and supervising staff, which includes assigning job duties, evaluating job performance and problem-solving program issues DESIRABLE QUALIFICATIONS & CORE COMPETENCIES For BHS, O&E, the ideal candidate will possess two (2) years of professional experience working with individuals experiencing homelessness or in a health setting for physical, behavioral health, or recovery, with at least one (1) of those years spent conducting fieldwork and handling crisis situations. Two (2) years of supervisory experience is highly preferred but not required. For PHS, LOHP, the ideal candidate will possess one (1) year of community planning experience. A master’s degree in Public Health, Public Administration, Social Work, or related field is preferred, but not required. In addition, the ideal candidate will possess extensive knowledge and/or experience in the following core competencies: Professional and Technical Expertise Providing clinical or case management Remedying issues and providing resources related to the unhoused community, mental illness, and/or substance use disorders Providing interventions and supportive services to achieve or maintain recovery for individuals Prioritizing and triaging requests and determining appropriate responses Proficient use of Microsoft Office suite programs Leadership | Managing Performance Applying County Policies and Procedures, Memorandum of Understanding, and HCA Code of Conduct when composing performance evaluations and performance incentive plans Analyzing situations accurately, developing reasonable alternatives, and taking effective action Leading and mentoring a multidisciplinary team Developing staff by providing opportunities for training and personal growth Working with Human Resources to resolve potential conflict between staff as well as performance management Leading confidently and taking personal responsibility for decisions and actions Building & Maintaining Relationships | Involving Others (Engaging Teams) Effectively engaging target population to build trust and provide support Representing the County in an effective and professional manner Facilitating meetings or making presentations to internal and external stakeholders Generating enthusiasm and motivating others to act in support of program objectives Handling high profile requests from the community with professionalism, tact, and diplomacy Collaborating with social services, County PHS contract agencies and other stakeholders as it relates to public health services Writing | Oral Communication | Informing Composing clear, concise, and comprehensive reports and other written documents Listening effectively and presenting ideas and complex materials clearly, concisely, logically, and persuasively both orally and in writing Encouraging open and productive communication MINIMUM QUALIFICATIONS Please click here to learn more about the minimum qualifications for the HCA Program Supervisor II position. PHYSICAL AND MENTAL REQUIREMENTS AND ENVIRONMENTAL CONDITIONS Physical Requirements Vision sufficient to read standard text, read a computer monitor and to drive; speak and hear well enough to communicate clearly and understandably in person, over the telephone and in small groups; independent body mobility to stand, sit, walk, stoop, and bend to access a standard office environment; manual dexterity to use hands, arms and shoulders repetitively to operate a keyboard, to write, and drive a vehicle. Ability to stand and walk for long periods of time. Mental Requirements Possess the ability to independently reason logically to analyze data, reach conclusions and make recommendations; possess the ability to remain calm and appropriately focused in rapidly changing and difficult situations involving conflict, complex issues, controversy and diverse stakeholder groups and interests; possess the ability to deal calmly and effectively with emotional interactions. Environmental Conditions Will be required to interact with clients/patients in emotional and occasionally hostile situations; work in the field or in an office environment and/or a secure facility; drive to community sites and to meetings; occasionally work evenings/weekends to attend meetings/special events. RECRUITMENT PROCESS Human Resource Services (HRS) will screen all application materials to identify qualified applicants. After screening, qualified applicants will be referred to the next step in the recruitment process. All applicants will be notified via e-mail of their status in the process. Veterans Employment Preference The County is committed to providing a mechanism to give preferential consideration in the employment process to veterans and their eligible spouses and will provide eligible participants the opportunity to receive interviews in the selection process for employment and paid internship openings. Please click here to review the policy. Application Screening (Refer/Non-Refer) Applications and supplemental responses will be screened for qualifications that are highly desirable and most needed to successfully perform the duties of this job. Only those applicants that meet the qualifications as listed in the job bulletin will be referred to the next step. Structured Oral Interview | SOI (Weighted 100%) Applicants will be interviewed and rated by a panel of job knowledge experts. Each applicant's rating will be based on responses to a series of structured questions designed to elicit the applicant's qualifications for the job. Based on the Department's needs, the selection procedures listed above may be modified. All candidates will be notified of any changes in the selection procedure. Eligible List Once the assessment has been completed, HRS will establish an eligible list of candidates. Candidates placed on the eligible list may be referred to a selection interview to be considered for present and future vacancies. ADDITIONAL INFORMATION Please see below for important information regarding COVID-19 related requirements. Effective April 3, 2023, it is strongly recommended that County employees working in health care settings and correctional facilities follow vaccination and booster guidelines provided by the California Department of Public Health (CDPH) and the Centers for Disease Control and Prevention (CDC). Please click here to see the latest guidance for more details. Email Notification Email is the primary form of notification during the recruitment process. Please ensure your correct email address is included in our application and use only one email account. NOTE: User accounts are established for one person only and should not be shared with another person. Multiple applications with multiple users may jeopardize your status in the recruitment process for any positions for which you apply. Candidates will be notified regarding their status as the recruitment proceeds via email through the GovernmentJobs.com site. Please check your email folders, including spam/junk folders, and/or accept emails ending with "governmentjobs.com" and "ocgov.com." If your email address should change, please update your profile at www.governmentjobs.com . Frequently Asked Questions Click here for additional Frequently Asked Questions. For specific information pertaining to this recruitment, please contact Gabriela Torres at (714) 834-8991 or gabtorres@ochca.com . EEO INFORMATION Orange County, as an equal employment opportunity employer, encourages applicants from diverse backgrounds to apply. Non-Management Benefits In addition to the County's standard suite of benefits, such as a variety of health plan options, annual leave and paid holidays--we also offer an excellent array of benefits such as a Health Care Reimbursement Account, 457 Defined Contribution Plan and Annual Education and Professional Reimbursement. Employees are provided a Retirement Plan through the Orange County Employees Retirement System (OCERS). Please go to the following link to find out more about Defined Benefit Pensions and OCERS Plan Types/Benefits. http://www.ocers.org/active-member-information Click here for information about benefits offered to County of Orange employees. Closing Date/Time: Continuous
CAREER DESCRIPTION HCA PROGRAM SUPERVISOR II In addition to performance-based merit increases, this position is scheduled to receive salary range increases on the following dates: Effective June 27, 2025 - 4.00% increase Salary may be negotiable within the range listed above, based on position requirements and successful candidate's qualifications, subject to appropriate authorization. This recruitment is open to the public for a minimum of five (5) business days and will remain open on a continuous basis until 11:59 p.m. (PST) on the day the needs of the County are met. Qualified applicants are encouraged to apply immediately. The open eligible list established by this recruitment will be used to fill current and future HCA Program Supervisor II positions within this specialty. This recruitment may also be used to fill positions in similar and/or lower classifications throughout the County. THE AGENCY The County of Orange , Health Care Agency (HCA) is a dynamic organization dedicated to creating and supporting an environment that promotes the achievement of optimal individual, family and community health. Under the direction of the Agency Director, a new and dynamic executive team with an organizational structure comprised of five (5) service areas - Administrative Services, Behavioral Health Services, Correctional Health Services, Specialized Medical Services and Public Health Services - is committed to meeting the health needs of the diverse Orange County community. THE DEPARTMENT AND PROGRAM Behavioral Health Services The Behavioral Health Services (BHS) Division consists of the following service areas Adult and Older Adult Behavioral Health, Children and Youth Services, Quality Management Services, Mental Health Services Act Office, Data Analytics and Evaluation, Crisis and Acute Care Services, Substance Use Services, BHS Navigation, and Forensics and Justice Involved. These service areas provide a culturally competent and client-centered system of behavioral health services for all eligible county residents in need of treatment for alcohol and other drug abuse and mental health care. The BHS Navigation’s OC Outreach and Engagement (OC O&E) serves individuals experiencing unsheltered homelessness in Orange County. The program's focus is on linking individuals to needed services including behavioral health, physical health care, emergency shelter, housing, and other supportive services. This is accomplished through developing and building trusting relationships with the unhoused community and collaborating with other service providers. Public Health Services Public Health Services (PHS) is a multi-dimensional department that includes Communicable Disease Control, Public Health Lab, Environmental Health, Community & Nursing Services, Clinical Services, Health Promotion & Community Planning. Through assessment, policy development and assurance, PHS provides a wide range of services aimed at reducing death and disability by reducing the transmission of communicable diseases, preventing and lessening the impact of chronic diseases, and ensuring healthy and safe environments. The Local Oral Health Program (LOHP) is a unit under Health Promotion that is funded by the State of California’s Office of Oral Health with funds from Prop. 56 Tobacco Tax. The mission of LOHP is focused on improving the oral health of community members by focusing on system changes that reduce barriers to care, increase access, and ultimately improve oral health outcomes. LOHP hopes to achieve these goals by implementing the strategies laid out in the Orange County Oral Health Strategic Plan which was locally developed and based on guidance from the State and Centers for Disease Control and Prevention (CDC) such as school- based/school-linked services, increasing utilization of dental services, and integration of medical and dental services. THE OPPORTUNITY There are two (2) immediate vacancies within HCA: one (1) with BHS and one (1) with PHS. The HCA Program Supervisor II (PS II) within BHS, O&E is responsible for supervising staff providing services in the community. The PS II will be out in the field 60% of their time conducting training for new outreach workers, role-modeling outreach techniques, leading priority projects, and working with staff on complex cases. The PS II acts as a liaison with community and service providers, including attending meetings and representing the program on planning committees, preparing correspondences, reports, and program documentation, conducting quality management activities, and advising staff on participant cases. The responsibilities of the PS II may include, but are not limited to, the following: Demonstrating best practices in the field to outreach staff to ensure quality of service Reviewing documentation for completeness, quality, and compliance with County standards Facilitating ongoing case conferencing and providing guidance on difficult cases to monitor delivery of program services Providing back-up coverage for the HCA Service Chief Supervising case management services, including the development of individualized action plans, monitoring outcome data, documentation, and appropriate referrals and linkages Assisting with triaging phone calls and assigning to staff for field response Participating in collaborative partner meetings to develop regional services and resources Answering community calls in a timely manner and ensuring information provided is accurate and reliable Completes staff performance evaluations; plans work schedules; communicates direction and expectations; troubleshoots concerns The HCA PS II position in PHS, LOHP is responsible for supervising and supporting a multidisciplinary team responsible for strategic planning, program implementation, grants and contract management, and quality management for state-funded services. Incumbents are also responsible for a highly visible, complex program with a broad impact on the community or target population, requiring liaison relationships of a significant and far-reaching nature. The duties and responsibilities for the HCA PS II position include but are not limited to the following: Leading Oral Health collaborative meetings including the development of meeting materials, presentations, and follow-up Overseeing the implementation of school-based services, oral health assessment data reporting, and outreach events Coordinating the compilation and submission of grant applications, budgets, reports, and other requirements Participating in local and statewide collaborative meetings Developing Agenda Staff Reports and grant reports for Board of Supervisor requirements. Assisting with recruiting, hiring and supervising staff, which includes assigning job duties, evaluating job performance and problem-solving program issues DESIRABLE QUALIFICATIONS & CORE COMPETENCIES For BHS, O&E, the ideal candidate will possess two (2) years of professional experience working with individuals experiencing homelessness or in a health setting for physical, behavioral health, or recovery, with at least one (1) of those years spent conducting fieldwork and handling crisis situations. Two (2) years of supervisory experience is highly preferred but not required. For PHS, LOHP, the ideal candidate will possess one (1) year of community planning experience. A master’s degree in Public Health, Public Administration, Social Work, or related field is preferred, but not required. In addition, the ideal candidate will possess extensive knowledge and/or experience in the following core competencies: Professional and Technical Expertise Providing clinical or case management Remedying issues and providing resources related to the unhoused community, mental illness, and/or substance use disorders Providing interventions and supportive services to achieve or maintain recovery for individuals Prioritizing and triaging requests and determining appropriate responses Proficient use of Microsoft Office suite programs Leadership | Managing Performance Applying County Policies and Procedures, Memorandum of Understanding, and HCA Code of Conduct when composing performance evaluations and performance incentive plans Analyzing situations accurately, developing reasonable alternatives, and taking effective action Leading and mentoring a multidisciplinary team Developing staff by providing opportunities for training and personal growth Working with Human Resources to resolve potential conflict between staff as well as performance management Leading confidently and taking personal responsibility for decisions and actions Building & Maintaining Relationships | Involving Others (Engaging Teams) Effectively engaging target population to build trust and provide support Representing the County in an effective and professional manner Facilitating meetings or making presentations to internal and external stakeholders Generating enthusiasm and motivating others to act in support of program objectives Handling high profile requests from the community with professionalism, tact, and diplomacy Collaborating with social services, County PHS contract agencies and other stakeholders as it relates to public health services Writing | Oral Communication | Informing Composing clear, concise, and comprehensive reports and other written documents Listening effectively and presenting ideas and complex materials clearly, concisely, logically, and persuasively both orally and in writing Encouraging open and productive communication MINIMUM QUALIFICATIONS Please click here to learn more about the minimum qualifications for the HCA Program Supervisor II position. PHYSICAL AND MENTAL REQUIREMENTS AND ENVIRONMENTAL CONDITIONS Physical Requirements Vision sufficient to read standard text, read a computer monitor and to drive; speak and hear well enough to communicate clearly and understandably in person, over the telephone and in small groups; independent body mobility to stand, sit, walk, stoop, and bend to access a standard office environment; manual dexterity to use hands, arms and shoulders repetitively to operate a keyboard, to write, and drive a vehicle. Ability to stand and walk for long periods of time. Mental Requirements Possess the ability to independently reason logically to analyze data, reach conclusions and make recommendations; possess the ability to remain calm and appropriately focused in rapidly changing and difficult situations involving conflict, complex issues, controversy and diverse stakeholder groups and interests; possess the ability to deal calmly and effectively with emotional interactions. Environmental Conditions Will be required to interact with clients/patients in emotional and occasionally hostile situations; work in the field or in an office environment and/or a secure facility; drive to community sites and to meetings; occasionally work evenings/weekends to attend meetings/special events. RECRUITMENT PROCESS Human Resource Services (HRS) will screen all application materials to identify qualified applicants. After screening, qualified applicants will be referred to the next step in the recruitment process. All applicants will be notified via e-mail of their status in the process. Veterans Employment Preference The County is committed to providing a mechanism to give preferential consideration in the employment process to veterans and their eligible spouses and will provide eligible participants the opportunity to receive interviews in the selection process for employment and paid internship openings. Please click here to review the policy. Application Screening (Refer/Non-Refer) Applications and supplemental responses will be screened for qualifications that are highly desirable and most needed to successfully perform the duties of this job. Only those applicants that meet the qualifications as listed in the job bulletin will be referred to the next step. Structured Oral Interview | SOI (Weighted 100%) Applicants will be interviewed and rated by a panel of job knowledge experts. Each applicant's rating will be based on responses to a series of structured questions designed to elicit the applicant's qualifications for the job. Based on the Department's needs, the selection procedures listed above may be modified. All candidates will be notified of any changes in the selection procedure. Eligible List Once the assessment has been completed, HRS will establish an eligible list of candidates. Candidates placed on the eligible list may be referred to a selection interview to be considered for present and future vacancies. ADDITIONAL INFORMATION Please see below for important information regarding COVID-19 related requirements. Effective April 3, 2023, it is strongly recommended that County employees working in health care settings and correctional facilities follow vaccination and booster guidelines provided by the California Department of Public Health (CDPH) and the Centers for Disease Control and Prevention (CDC). Please click here to see the latest guidance for more details. Email Notification Email is the primary form of notification during the recruitment process. Please ensure your correct email address is included in our application and use only one email account. NOTE: User accounts are established for one person only and should not be shared with another person. Multiple applications with multiple users may jeopardize your status in the recruitment process for any positions for which you apply. Candidates will be notified regarding their status as the recruitment proceeds via email through the GovernmentJobs.com site. Please check your email folders, including spam/junk folders, and/or accept emails ending with "governmentjobs.com" and "ocgov.com." If your email address should change, please update your profile at www.governmentjobs.com . Frequently Asked Questions Click here for additional Frequently Asked Questions. For specific information pertaining to this recruitment, please contact Gabriela Torres at (714) 834-8991 or gabtorres@ochca.com . EEO INFORMATION Orange County, as an equal employment opportunity employer, encourages applicants from diverse backgrounds to apply. Non-Management Benefits In addition to the County's standard suite of benefits, such as a variety of health plan options, annual leave and paid holidays--we also offer an excellent array of benefits such as a Health Care Reimbursement Account, 457 Defined Contribution Plan and Annual Education and Professional Reimbursement. Employees are provided a Retirement Plan through the Orange County Employees Retirement System (OCERS). Please go to the following link to find out more about Defined Benefit Pensions and OCERS Plan Types/Benefits. http://www.ocers.org/active-member-information Click here for information about benefits offered to County of Orange employees. Closing Date/Time: Continuous
CalOptima
Orange, CA, USA
Data Analyst (Grievance and Appeals Resolution Services (GARS)) CalOptima CalOptima Health is seeking a highly motivated an experienced Data Analyst (Grievance and Appeals Resolution Services (GARS)) to join our team. The Data Analyst for Grievance and Appeals Resolution Services (GARS) supports the data management reporting requirements of the GARS department. The incumbent will be responsible for developing and designing GARS reports and maintaining internal systems to support the business requirements of the department. The incumbent will continually develop database reports including the design process, table building, maintaining data integrity and conditioning of data applications. The incumbent will assist with exception reports to ensure routine, timely and accurate case completion. The incumbent will provide input and data analysis to capture trends in GARS. Position Information: Department: Grievance & Appeals Salary Grade: 309 - $68,015 - $108,824 ($32.70 - $52.3192) Work Arrangement: Partial Telework **This position is eligible for telework in California.** Duties & Responsibilities: 95% - Program Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Designs reports from the GARS processing environment or the data warehouse. Provides expertise in data analysis, including member and provider GARS data. Maintains a thorough knowledge of CalOptima Health's GARS data reporting requirements, Department of Health Care Services data reporting requirements and Centers for Medicare & Medicaid Services data reporting requirements. Monitors and reports on any changes that affect CalOptima Health and/or health networks. Provides assistance and input to the Data Analyst/s in the GARS department to improve the process in evaluating data and meeting department specifications and business needs. Devises or modifies procedures to solve complex problems considering computer equipment capacity and limitations, operating time and form of desired results. Participates in progressively more complex projects. Assists in the design of provider dispute resolution claims reports from Facets, as needed. Provides feedback to management to resolve data integrity issues and provides support for new reporting requirements. Responsible for internal and external routine and ad-hoc reports or GARS related projects. Develops Structured Query Language (SQL) queries to analyze and report on GARS ad hoc requests. 5% - Completes other projects and duties as assigned. Minimum Qualifications: Bachelor's degree in a related field PLUS 3 years as a data analyst or in a similar role that would provide the knowledge and abilities listed required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. 3 years of experience with the following Microsoft Office tools: SQL Server, Word, Excel (MS Project and Visio a plus) required. 3 years using Microsoft Access and/or Excel to produce charts, spreadsheets, pivot tables and/or other information applicable to position assignment required. Preferred Qualifications: 1 year of experience with Grievance and Appeals strongly preferred. Health maintenance organization (HMO), Medi-Cal, Medicare and health services experience. 3 years of system testing, reporting requirements and documentation skills. Required Licensure / Certifications: n/a Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment less than 10 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is September 4, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/data-analyst-grievance-and-appeals-resolution-services-gars-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-96651d41e884ed49bbbdb2c943869f9b
Data Analyst (Grievance and Appeals Resolution Services (GARS)) CalOptima CalOptima Health is seeking a highly motivated an experienced Data Analyst (Grievance and Appeals Resolution Services (GARS)) to join our team. The Data Analyst for Grievance and Appeals Resolution Services (GARS) supports the data management reporting requirements of the GARS department. The incumbent will be responsible for developing and designing GARS reports and maintaining internal systems to support the business requirements of the department. The incumbent will continually develop database reports including the design process, table building, maintaining data integrity and conditioning of data applications. The incumbent will assist with exception reports to ensure routine, timely and accurate case completion. The incumbent will provide input and data analysis to capture trends in GARS. Position Information: Department: Grievance & Appeals Salary Grade: 309 - $68,015 - $108,824 ($32.70 - $52.3192) Work Arrangement: Partial Telework **This position is eligible for telework in California.** Duties & Responsibilities: 95% - Program Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Designs reports from the GARS processing environment or the data warehouse. Provides expertise in data analysis, including member and provider GARS data. Maintains a thorough knowledge of CalOptima Health's GARS data reporting requirements, Department of Health Care Services data reporting requirements and Centers for Medicare & Medicaid Services data reporting requirements. Monitors and reports on any changes that affect CalOptima Health and/or health networks. Provides assistance and input to the Data Analyst/s in the GARS department to improve the process in evaluating data and meeting department specifications and business needs. Devises or modifies procedures to solve complex problems considering computer equipment capacity and limitations, operating time and form of desired results. Participates in progressively more complex projects. Assists in the design of provider dispute resolution claims reports from Facets, as needed. Provides feedback to management to resolve data integrity issues and provides support for new reporting requirements. Responsible for internal and external routine and ad-hoc reports or GARS related projects. Develops Structured Query Language (SQL) queries to analyze and report on GARS ad hoc requests. 5% - Completes other projects and duties as assigned. Minimum Qualifications: Bachelor's degree in a related field PLUS 3 years as a data analyst or in a similar role that would provide the knowledge and abilities listed required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. 3 years of experience with the following Microsoft Office tools: SQL Server, Word, Excel (MS Project and Visio a plus) required. 3 years using Microsoft Access and/or Excel to produce charts, spreadsheets, pivot tables and/or other information applicable to position assignment required. Preferred Qualifications: 1 year of experience with Grievance and Appeals strongly preferred. Health maintenance organization (HMO), Medi-Cal, Medicare and health services experience. 3 years of system testing, reporting requirements and documentation skills. Required Licensure / Certifications: n/a Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment less than 10 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is September 4, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/data-analyst-grievance-and-appeals-resolution-services-gars-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-96651d41e884ed49bbbdb2c943869f9b
CalOptima
Orange, CA, USA
Manager, Grievance & Appeals (Intake) CalOptima CalOptima Health is seeking a highly motivated an experienced Manager, Grievance & Appeals (Intake) to join our team. The Manager, Grievance & Appeals for Intake will manage the day-to-day operations of the Grievance and Appeals Resolution Services (GARS) incoming departmental correspondence. The incumbent will ensure service standards and adherence to regulatory requirements, established policies and procedures regarding the appeals, disputes and grievance process for both members and providers are met. The incumbent may communicate with all levels of internal staff, regulatory agencies, health networks, providers, vendors, community-based organizations and medical groups. Position Information: Department: Grievance & Appeals Salary Grade: 315 - $109,892 - $175,827 ($52.83 - $84.5322) Work Arrangement: Partial Telework **This position is eligible for telework in California.** Duties & Responsibilities: 50% - Leadership Cultivates and promotes a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Directs and assists the team in carrying out department responsibilities and collaborates with the leadership team and staff to support short- and long-term goals/priorities for the department. Hires, trains and develops department staff. Manages and makes recommendations on development and maintenance of an effective appeals and grievance process and system consistent with CalOptima Health policy and stated goals, including, but not limited to mechanisms to monitor grievances and appeals involving Department of Managed Healthcare (DMHC), Department of Health Care Services (DHCS), Independent Medical Review, Medi-Cal State Hearings, Office of Administrative Hearings and Appeals, Centers for Medicare and Medicaid (CMS) and external review agencies for CMS. Develops, implements, maintains and reviews the adequacy of the CalOptima Health grievance systems, reporting, policies and functions to achieve stated goals, including, but not limited to, grievance resolution and timely responsiveness for all lines of business, provider and member or other stakeholders and applicable accreditation standards to ensure compliance with all relevant regulatory requirements pertaining to GARS. Collaborates with the Director of GARS in identifying and analyzing trends and makes recommendations for improvement. Creates and implements staff and departmental performance goals. 45% - Program Oversight Coordinates with the Director of GARS in providing trends to the team and internal and external departments. Works with department staff, internal business partners, health networks and outside vendors to coordinate and ensure timely receipt, entry and delivery of all incoming GARS documentation. Works with Audit and Oversight and key departments to ensure internal departments and external partners (e.g., health networks and delegates) are up to date with regulatory, departmental and organizational changes impacting the grievance and appeals processes Ensures timely and effective data collection, summarization, integration and reporting, including, but not limited to, productivity, status and trend reports for specific committees such as the Quality Improvement Committee, Grievance and Appeals Committee and Quality Assurance Committee of the Board of Directors; completes other ad hoc reporting as required. Serves as CalOptima Health's primary point of contact and subject matter expert related to the intake of all disputes, grievances and appeals. Assists in the development of policies, procedures and standards for all GARS activities and member or provider processes. Participates in DMHC, DHCS and CMS audits related to grievance and appeals for all CalOptima Health programs. Assures adequate and timely communication with GARS staff, other CalOptima Health departments and external customers on individual dispute, grievance and appeal issues or trends. Stays current on the local, state and federal health care environment, identifying issues that may impact CalOptima Health's programs as it relates to disputes, grievances and appeals. Represents the GARS department at various meetings as appropriate. Participates in interagency meetings; attends off-site meetings and training sessions. 5% - Completes other projects and duties as assigned. Minimum Qualifications: Bachelor's degree in a related field required PLUS 3 years of health care management experience in a managed care environment required, preferably in a related area of responsibility (e.g., provider disputes, grievances, appeals); an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. 2 years of supervisory experience. Preferred Qualifications: Health maintenance organization (HMO), Medi-Cal/Medicaid, Medicare and insurance experience or relevant government client or public service experience. Required Licensure / Certifications: n/a Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment less than 10 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is September 3, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/manager-grievance-appeals-intake-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-baf2016218c3af45afeff1199e81acea
Manager, Grievance & Appeals (Intake) CalOptima CalOptima Health is seeking a highly motivated an experienced Manager, Grievance & Appeals (Intake) to join our team. The Manager, Grievance & Appeals for Intake will manage the day-to-day operations of the Grievance and Appeals Resolution Services (GARS) incoming departmental correspondence. The incumbent will ensure service standards and adherence to regulatory requirements, established policies and procedures regarding the appeals, disputes and grievance process for both members and providers are met. The incumbent may communicate with all levels of internal staff, regulatory agencies, health networks, providers, vendors, community-based organizations and medical groups. Position Information: Department: Grievance & Appeals Salary Grade: 315 - $109,892 - $175,827 ($52.83 - $84.5322) Work Arrangement: Partial Telework **This position is eligible for telework in California.** Duties & Responsibilities: 50% - Leadership Cultivates and promotes a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Directs and assists the team in carrying out department responsibilities and collaborates with the leadership team and staff to support short- and long-term goals/priorities for the department. Hires, trains and develops department staff. Manages and makes recommendations on development and maintenance of an effective appeals and grievance process and system consistent with CalOptima Health policy and stated goals, including, but not limited to mechanisms to monitor grievances and appeals involving Department of Managed Healthcare (DMHC), Department of Health Care Services (DHCS), Independent Medical Review, Medi-Cal State Hearings, Office of Administrative Hearings and Appeals, Centers for Medicare and Medicaid (CMS) and external review agencies for CMS. Develops, implements, maintains and reviews the adequacy of the CalOptima Health grievance systems, reporting, policies and functions to achieve stated goals, including, but not limited to, grievance resolution and timely responsiveness for all lines of business, provider and member or other stakeholders and applicable accreditation standards to ensure compliance with all relevant regulatory requirements pertaining to GARS. Collaborates with the Director of GARS in identifying and analyzing trends and makes recommendations for improvement. Creates and implements staff and departmental performance goals. 45% - Program Oversight Coordinates with the Director of GARS in providing trends to the team and internal and external departments. Works with department staff, internal business partners, health networks and outside vendors to coordinate and ensure timely receipt, entry and delivery of all incoming GARS documentation. Works with Audit and Oversight and key departments to ensure internal departments and external partners (e.g., health networks and delegates) are up to date with regulatory, departmental and organizational changes impacting the grievance and appeals processes Ensures timely and effective data collection, summarization, integration and reporting, including, but not limited to, productivity, status and trend reports for specific committees such as the Quality Improvement Committee, Grievance and Appeals Committee and Quality Assurance Committee of the Board of Directors; completes other ad hoc reporting as required. Serves as CalOptima Health's primary point of contact and subject matter expert related to the intake of all disputes, grievances and appeals. Assists in the development of policies, procedures and standards for all GARS activities and member or provider processes. Participates in DMHC, DHCS and CMS audits related to grievance and appeals for all CalOptima Health programs. Assures adequate and timely communication with GARS staff, other CalOptima Health departments and external customers on individual dispute, grievance and appeal issues or trends. Stays current on the local, state and federal health care environment, identifying issues that may impact CalOptima Health's programs as it relates to disputes, grievances and appeals. Represents the GARS department at various meetings as appropriate. Participates in interagency meetings; attends off-site meetings and training sessions. 5% - Completes other projects and duties as assigned. Minimum Qualifications: Bachelor's degree in a related field required PLUS 3 years of health care management experience in a managed care environment required, preferably in a related area of responsibility (e.g., provider disputes, grievances, appeals); an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. 2 years of supervisory experience. Preferred Qualifications: Health maintenance organization (HMO), Medi-Cal/Medicaid, Medicare and insurance experience or relevant government client or public service experience. Required Licensure / Certifications: n/a Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment less than 10 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is September 3, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/manager-grievance-appeals-intake-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-baf2016218c3af45afeff1199e81acea
CalOptima
Orange, CA, USA
Program Manager, Sr. (Strategic Development) CalOptima CalOptima Health is seeking a highly motivated an experienced Program Manager, Sr. (Strategic Development) to join our team. The Program Manager (PM) Sr for Strategic Development plays a vital role in the program design, development, implementation and overall support of strategic initiatives, pilots and programs related to the department's priorities. The incumbent will work to achieve operational targets with significant impact on the departmental results. The incumbent will be responsible for coordination, implementation, execution and completion of tasks supporting new program development and the re-design of existing programs. The incumbent will assist in the overall day-to-day activities, cross-functional projects and other assignments in the department, including grants management, strategic planning, growth strategy and those related to department efficiency to ensure department strategic objectives and initiatives are met. The incumbent will interact with CalOptima Health's executives and department management, legal counsel and community stakeholders. The incumbent will also support other CalOptima Health staff on related projects. Position Information: Department: Strategic Development Salary Grade: 313 - $90,820 - $145,312 ($43.66 - $69.8615) Work Arrangement: Full Telework **This position is eligible for telework in California.** Duties & Responsibilities: 85% - Program Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Provides overall program leadership, recommendations, guidance, risk management and end-to-end operations and interdependencies. Ensures strategic direction of projects/program is in line with department goals and CalOptima Health's strategic priorities. Makes moderate to significant improvements of processes, systems or products to enhance performance of job area. Plans and implements multiple and complex projects/programs spanning across business areas. Monitors, analyzes and reports on health care marketplace conditions. Conducts analysis and assesses information from different sources focused on health care initiatives, new programs or focus areas as assigned. Partners with CalOptima Health departments (enterprise analytics, finance, government affairs, operations, etc.) and subject matter experts to review data sources, evaluate new health care initiatives, develop summary reports, formulate conclusions and recommendations for leadership consideration. Tracks, evaluates concurrent initiatives ensuring all projects meet success parameters and targets. Develops initial workplan for assigned projects and assignments, and manages the scope, schedule, budget, and quality of the project. Develops workflows, key performance indicator (KPI) dashboards, procedures and/or policies and recommends changes to ensure timely, efficient and effective outputs. Develops specifications and/or scopes of work for request for proposal (RFP), request for quotes (RFQ) or request for inquiry (RFI)'s to support new program development. Drafts presentations, board reports and memos to support senior management. Creates detailed reports for internal departments, external stakeholders, state agencies and community-based organizations. Supports strategic and business planning, including workgroup participation and presentations. 10% - Administrative Support Assists, shares knowledge and mentors CalOptima Health staff regarding standards, organizational understanding and relationship building to promote successful delivery of projects. Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Assists management with vendor support and purchasing activities related to strategic programs and pilots for the department. Supports the day-to-day administrative activities specific to grants management and related projects. 5% - Completes other projects and duties as assigned. Minimum Qualifications: Bachelor's degree in public health, business, health care administration or related field required PLUS 4 years of experience in health care programs, including cross-collaboration and coordination, and internal and external stakeholders engagement (e.g. member/patient, provider, community, health networks, contractor/vendor etc.) required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. Experience at a health plan, health system, health provider, public agency or hospital setting required. Preferred Qualifications: Master's degree strongly preferred. Experience in project/program management. Grants management or operations experience. 2 years of experience and aptitude for working in a highly matrixed, mission-driven organization. Required Licensure / Certifications: n/a Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is September 3, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/program-manager-sr-strategic-development-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-23bebb1ff2b49a4b9822e1d5015e7770
Program Manager, Sr. (Strategic Development) CalOptima CalOptima Health is seeking a highly motivated an experienced Program Manager, Sr. (Strategic Development) to join our team. The Program Manager (PM) Sr for Strategic Development plays a vital role in the program design, development, implementation and overall support of strategic initiatives, pilots and programs related to the department's priorities. The incumbent will work to achieve operational targets with significant impact on the departmental results. The incumbent will be responsible for coordination, implementation, execution and completion of tasks supporting new program development and the re-design of existing programs. The incumbent will assist in the overall day-to-day activities, cross-functional projects and other assignments in the department, including grants management, strategic planning, growth strategy and those related to department efficiency to ensure department strategic objectives and initiatives are met. The incumbent will interact with CalOptima Health's executives and department management, legal counsel and community stakeholders. The incumbent will also support other CalOptima Health staff on related projects. Position Information: Department: Strategic Development Salary Grade: 313 - $90,820 - $145,312 ($43.66 - $69.8615) Work Arrangement: Full Telework **This position is eligible for telework in California.** Duties & Responsibilities: 85% - Program Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Provides overall program leadership, recommendations, guidance, risk management and end-to-end operations and interdependencies. Ensures strategic direction of projects/program is in line with department goals and CalOptima Health's strategic priorities. Makes moderate to significant improvements of processes, systems or products to enhance performance of job area. Plans and implements multiple and complex projects/programs spanning across business areas. Monitors, analyzes and reports on health care marketplace conditions. Conducts analysis and assesses information from different sources focused on health care initiatives, new programs or focus areas as assigned. Partners with CalOptima Health departments (enterprise analytics, finance, government affairs, operations, etc.) and subject matter experts to review data sources, evaluate new health care initiatives, develop summary reports, formulate conclusions and recommendations for leadership consideration. Tracks, evaluates concurrent initiatives ensuring all projects meet success parameters and targets. Develops initial workplan for assigned projects and assignments, and manages the scope, schedule, budget, and quality of the project. Develops workflows, key performance indicator (KPI) dashboards, procedures and/or policies and recommends changes to ensure timely, efficient and effective outputs. Develops specifications and/or scopes of work for request for proposal (RFP), request for quotes (RFQ) or request for inquiry (RFI)'s to support new program development. Drafts presentations, board reports and memos to support senior management. Creates detailed reports for internal departments, external stakeholders, state agencies and community-based organizations. Supports strategic and business planning, including workgroup participation and presentations. 10% - Administrative Support Assists, shares knowledge and mentors CalOptima Health staff regarding standards, organizational understanding and relationship building to promote successful delivery of projects. Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Assists management with vendor support and purchasing activities related to strategic programs and pilots for the department. Supports the day-to-day administrative activities specific to grants management and related projects. 5% - Completes other projects and duties as assigned. Minimum Qualifications: Bachelor's degree in public health, business, health care administration or related field required PLUS 4 years of experience in health care programs, including cross-collaboration and coordination, and internal and external stakeholders engagement (e.g. member/patient, provider, community, health networks, contractor/vendor etc.) required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. Experience at a health plan, health system, health provider, public agency or hospital setting required. Preferred Qualifications: Master's degree strongly preferred. Experience in project/program management. Grants management or operations experience. 2 years of experience and aptitude for working in a highly matrixed, mission-driven organization. Required Licensure / Certifications: n/a Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is September 3, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/program-manager-sr-strategic-development-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-23bebb1ff2b49a4b9822e1d5015e7770
CalOptima
Orange, CA, USA
Regulatory Affairs & Compliance Analyst CalOptima CalOptima Health is seeking a highly motivated an experienced Regulatory Affairs & Compliance Analyst to join our team. Under general direction, the Regulatory Affairs and Compliance Analyst for Fraud, Waste and Abuse (FWA) conducts investigations pertaining to allegations of FWA in required timeframes and with appropriate documentation. The incumbent will assist with projects that will improve or maintain compliance with the organization's policies and procedures relating to FWA. The incumbent works with CalOptima Health management staff, health network/physician groups, members, state regulators and others as required. Position Information: Department: Fraud Waste and Abuse Salary Grade: 309 - $68,015 - $108,824 ($32.70 - $52.3192) Work Arrangement: Partial Telework **This position is eligible for telework in California.** Duties & Responsibilities: 85% - Program Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Performs investigations from referrals by internal and external sources, including the Compliance hotline. Conducts risk assessments, maintains accurate documentation and completes investigations within required timeframes. Monitors CalOptima Health's and its delegates' compliance with applicable regulatory requirement. Issues corrective action plans (CAPs) when deficiencies are identified. Ensures full coordination cooperation under CalOptima Health's policies and procedures and legal requirements. Helps with developing and delivery of FWA related training materials. Aids in the maintenance of FWA related databases, tracking tools and auditing tools. Conducts research and provides guidance to internal departments relating to FWA issues. Utilizes data analytic software to identify abnormal billing and utilization patterns. Prepares claim information, reviews data and initiates recovery process for improperly paid claims. Prepares summaries and reports on FWA cases for referral to regulatory agencies and on investigations for Compliance committee and Board reports. 10% - Administrative Support Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Assists with the preparation efforts for regulatory audits. Assists with reviewing and revising CalOptima Health's FWA policies and procedures, templates and forms in coordination with management and administration. 5% - Completes other projects and duties as assigned. Minimum Qualifications: Bachelor's degree in health care administration, public health, public administration, public policy or related field required. 2 years of experience in managed care delivery systems required. An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above is also qualifying. Preferred Qualifications: Experience with conducting investigations, performing root cause analysis and performing strong data analysis. Experience with medical billing and coding, medical terminology and clinical documentation guidelines. Required Licensure / Certifications: N/A Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment less than 10 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is June 20, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/regulatory-affairs-compliance-analyst-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-8f67f035358c30479290fba09f61d930
Regulatory Affairs & Compliance Analyst CalOptima CalOptima Health is seeking a highly motivated an experienced Regulatory Affairs & Compliance Analyst to join our team. Under general direction, the Regulatory Affairs and Compliance Analyst for Fraud, Waste and Abuse (FWA) conducts investigations pertaining to allegations of FWA in required timeframes and with appropriate documentation. The incumbent will assist with projects that will improve or maintain compliance with the organization's policies and procedures relating to FWA. The incumbent works with CalOptima Health management staff, health network/physician groups, members, state regulators and others as required. Position Information: Department: Fraud Waste and Abuse Salary Grade: 309 - $68,015 - $108,824 ($32.70 - $52.3192) Work Arrangement: Partial Telework **This position is eligible for telework in California.** Duties & Responsibilities: 85% - Program Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Performs investigations from referrals by internal and external sources, including the Compliance hotline. Conducts risk assessments, maintains accurate documentation and completes investigations within required timeframes. Monitors CalOptima Health's and its delegates' compliance with applicable regulatory requirement. Issues corrective action plans (CAPs) when deficiencies are identified. Ensures full coordination cooperation under CalOptima Health's policies and procedures and legal requirements. Helps with developing and delivery of FWA related training materials. Aids in the maintenance of FWA related databases, tracking tools and auditing tools. Conducts research and provides guidance to internal departments relating to FWA issues. Utilizes data analytic software to identify abnormal billing and utilization patterns. Prepares claim information, reviews data and initiates recovery process for improperly paid claims. Prepares summaries and reports on FWA cases for referral to regulatory agencies and on investigations for Compliance committee and Board reports. 10% - Administrative Support Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Assists with the preparation efforts for regulatory audits. Assists with reviewing and revising CalOptima Health's FWA policies and procedures, templates and forms in coordination with management and administration. 5% - Completes other projects and duties as assigned. Minimum Qualifications: Bachelor's degree in health care administration, public health, public administration, public policy or related field required. 2 years of experience in managed care delivery systems required. An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above is also qualifying. Preferred Qualifications: Experience with conducting investigations, performing root cause analysis and performing strong data analysis. Experience with medical billing and coding, medical terminology and clinical documentation guidelines. Required Licensure / Certifications: N/A Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment less than 10 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is June 20, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/regulatory-affairs-compliance-analyst-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-8f67f035358c30479290fba09f61d930
CalOptima
Orange, CA, USA
Financial Analysis I (Decision Support) CalOptima CalOptima Health is seeking a highly motivated an experienced Financial Analysis I (Decision Support) to join our team. The Financial Analyst I will facilitate decision making by analyzing data, creating financial models, preparing reports and completing other financial analyses as needed. Position Information: Department: Financial Analysis Salary Grade: 309 - $68,015 - $108,824 ($32.70 - $52.3192) Work Arrangement: Full Office Duties & Responsibilities: 95% - Program Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Completes medical expense analysis, including production of cost and utilization reports. Develops medical expense, revenue and enrollment projections to support the budget process. Researches, assesses and develops advanced tools, models, reports and approaches to increase accuracy and timeliness of data-driven work projects. Develops financial models and reports to support provider contract negotiations. Provides clinical and utilization analysis to assist medical management with improving outcomes and quality of care for CalOptima Health members. 5% - Completes other projects and duties as assigned. Minimum Qualifications: Bachelor's degree in business administration, finance, economics, actuarial sciences or related field required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. Preferred Qualifications: Experience in finance with an emphasis in financial analyses. Experience in an Independent Physician Association (IPA), hospital or health plan setting. Experience with managed health care programs. Experience with Excel, SQL, Access or Tableau. Required Licensure / Certifications: n/a Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is August 28, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/financial-analysis-i-decision-support-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-077e7951de80d04e841c64e33c5bfaed
Financial Analysis I (Decision Support) CalOptima CalOptima Health is seeking a highly motivated an experienced Financial Analysis I (Decision Support) to join our team. The Financial Analyst I will facilitate decision making by analyzing data, creating financial models, preparing reports and completing other financial analyses as needed. Position Information: Department: Financial Analysis Salary Grade: 309 - $68,015 - $108,824 ($32.70 - $52.3192) Work Arrangement: Full Office Duties & Responsibilities: 95% - Program Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Completes medical expense analysis, including production of cost and utilization reports. Develops medical expense, revenue and enrollment projections to support the budget process. Researches, assesses and develops advanced tools, models, reports and approaches to increase accuracy and timeliness of data-driven work projects. Develops financial models and reports to support provider contract negotiations. Provides clinical and utilization analysis to assist medical management with improving outcomes and quality of care for CalOptima Health members. 5% - Completes other projects and duties as assigned. Minimum Qualifications: Bachelor's degree in business administration, finance, economics, actuarial sciences or related field required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. Preferred Qualifications: Experience in finance with an emphasis in financial analyses. Experience in an Independent Physician Association (IPA), hospital or health plan setting. Experience with managed health care programs. Experience with Excel, SQL, Access or Tableau. Required Licensure / Certifications: n/a Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is August 28, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/financial-analysis-i-decision-support-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-077e7951de80d04e841c64e33c5bfaed
Orange County, CA
Orange County, California, United States
CAREER DESCRIPTION Environmental Health Specialist III In addition to performance-based merit increases, this position is scheduled to receive salary range increases on the following date: Effective June 27, 2025 - 4.00% increase Salary may be negotiable within the range listed above, based on position requirements and successful candidate's qualifications, subject to appropriate authorization. OPEN TO THE PUBLIC This recruitment is open to the public for a minimum of five (5) business days and will remain open on a continuous basis until 11:59 p.m. (PST) on the day the County's needs are met. Qualified applicants are encouraged to apply immediately. This recruitment will establish an open eligible list and will be used to fill current and future Environmental Health Specialist III vacancies within the Health Care Agency. This eligible list may also be used to fill positions in similar and/or lower classifications within the County of Orange HEALTH CARE AGENCY The County of Orange , Health Care Agency (HCA) is a dynamic organization dedicated to creating and supporting an environment that promotes the achievement of optimal individual, family and community health. Under the direction of the Agency Director, a new and dynamic executive team with an organizational structure comprised of five (5) services areas - Administrative Services, , Behavioral Health Services, Correctional Health Services, Public Health Services, Specialized Medical Services - is committed to meeting the health needs of the diverse Orange County community. ENVIRONMENTAL HEALTH DIVISION The Environmental Health Division is comprised of various programs aimed toward protecting the health and safety of Orange County residents and visitors from harmful conditions in the environment. Staff enforce laws and regulations and emphasize education to assist businesses with providing healthy and safe communities. Services include retail and wholesale food protection, foodborne illness investigations, public pool inspections, childhood lead exposure prevention, water quality, ocean water protection, solid waste facility oversight, hazardous materials surveillance and mitigation oversight, underground and aboveground storage tank oversight, body art facility and practitioner oversight, medical waste management inspections and a used oil recycling education program. THE PROGRAMS Food and Pool Safety: Conducts inspections at retail food facilities, temporary food facilities, mobile food facilities, wholesale food facilities, public swimming pools, and at hotel/motels to promote safe and sanitary conditions and protect the public while enforcing public health regulations. Plan Check: Conduct plan review and construction inspection for all retail food facilities and public swimming pools undergoing new construction or remodels throughout the county. These programs work directly with members of the public including owners, architects, contractors, and consultants. Water Quality: The responsibilities for this position include activities related to well constructions and destructions, liquid waste hauler, ocean water protection and cross connection programs. Each of these water quality programs are related to monitoring/regulating/preventing potentially hazardous conditions in the environment that may impact public health. Examples of duties in this position include conducting inspections, investigating complaints, pursuing enforcement action, educating and assisting businesses and industries, water purveyors, and the general public as to the laws and regulations related to water quality. THE OPPORTUNITY The Environmental Health Specialist III will assume specialized tasks within the Food and Pool Safety, Plan Check, and Water Quality Sections. Additionally, the Environmental Health Specialist III will: Conduct specialized studies, investigations, regular routine field inspections and makes recommendations as to findings; compile information, evaluate present procedures and assist with drafting proposed ordinances, division policies, regulations and guidelines in the area of specialization; may review and make recommendations involving environmental impact reports, and new legislation Assist staff in resolving complex field investigation problems; assist with training new district staff; consult with Supervising Environmental Health Specialists and/or the Program Manager regarding key or emergency situations Plan and conduct in-service and public education training programs; recommend program goals and assist in the implementation of County-wide sanitation programs; attend and address public meetings, educational conferences and symposium Provide statistical data, including proper procedures of research methods, such as statistical sampling and analysis, data sources, and collection methods to obtain information on various public health and sanitation programs and problems Investigate complaints, research, and respond to citizen inquiries Provide environmental health database management issue identification, tracking, analysis, and independent resolution development Participate in outreach activities as well as providing educational material Prepare various reports and maintain manuals, forms, pamphlets, files and other material for division and other governmental agencies Coordinate work efforts with other Divisions or outside agencies Assist supervisor or carry out certain duties in the event of their absence DESIRABLE QUALIFICATIONS & CORE COMPETENCIES The ideal candidate will possess extensive background within the environmental health field. Under Food and Pool Safety and Plan Check programs, possession of a Food Safety Manager Certificate from an approved organization is highly desirable, but not required. Under Water Quality program, Backflow Prevention Assembly Tester Certification and Cross Connection Control Specialist Certification from American Water Works Association (AWWA) are highly desirable, but not required. Additionally, the ideal candidates will possess extensive knowledge, skills, and abilities that demonstrates the following competencies: Professional & Technical Expertise | Legal & Regulatory Navigation Understanding and applying new food safety training concepts, such as Oral Culture Learning, Active Managerial Control, and the Food Drug Administration Voluntary Program Standards as well as with the Model Food Code Performing difficult field inspections, including compliance and program enforcement work Coordinating investigations with internal and external departments, divisions, or organizations Managing a district route that consist of Food, Pool and Housing Inspections, and Citizen Complaints Knowledge of laws and regulations related to retail food and public swimming pools and spas Knowledge and familiarity of digital plan submission and plan review applications Knowledge of principals, regulations, research methods and interactions with other agencies related to Ocean Water Monitoring, Liquid Waste Haulers, California Well Standards, and Water Supply (including State Small Water Systems, Recycled Water and Cross-Connection) Leadership | Teamwork Leading, directing, and efficiently managing correspondences Applying knowledge from leadership courses, such as Masters of Public Health program Exemplifying a role as an approachable "educator" as opposed to a traditional "regulator" Collaborating and working well with others, specifically working with private industries in a team-like setting Innovative Problem Solving | Attention to Detail | Self-Management Staying apprised of new opportunities, techniques, and approaches related to inspections or environmental health Showing a high level of care and thoroughness for consistency and accuracy purposes Multi-tasking numerous assignments, following through and meeting deadlines Thinking logically, organizing thoughts, and establishing work priorities to accomplish work efficiently and independently Oral & Written Communication| Presentation | Listening Skills Strong oral communication skills for public speaking, group discussions, and individual interviews Listening attentively and understanding what is being communicated by staff, the public, and supervisors and management Strong written communication skills that effectively convey concepts or conclusions when preparing policies, ordinances, or guidelines and/or reports SPECIAL QUALIFICATIONS/REQUIREMENTS Applicants must have possession of A valid certificate of registration as a Registered Environmental Health Specialist (REHS) issued by the State of California. Applicants must have possession of a valid California Class C Driver License. Employees in this class will be required to use their own personal vehicle. MINIMUM QUALIFICATIONS Click here to learn more about the minimum qualifications as well as the physical, mental, environmental and working conditions for the Environmental Health Specialist III classification. RECRUITMENT PROCESS Human Resource Services (HRS) will screen all applications and supplemental responses for the minimum qualifications. After screening, qualified applicants will be referred to the next step of the selection process. All applicants will be notified via email of their status in the process. Veterans Employment Preference The County is committed to providing a mechanism to give preferential consideration in the employment process to veterans and their eligible spouses and will provide eligible participants the opportunity to receive interviews in the selection process for employment and paid internship openings. Please click here (Download PDF reader) to review the policy. Application Screening | (Refer/Non-Refer) Applications and supplemental responses will be screened for qualifications that are highly desirable and most needed to successfully perform the duties of this job. Only those applicants that meet the qualifications as listed in the job bulletin will be referred to the next step. Based on the Department's needs, the selection procedure listed above may be modified. All candidates will be notified of any changes in the selection procedure. Eligible List HRS will establish an eligible list of candidates. Candidates placed on the eligible list may be referred to a selection interview to be considered for present and future vacancies. ADDITIONAL INFORMATION Please see below for important information regarding COVID-19 related requirements. Effective April 3, 2023, it is strongly recommended that County employees working in health care settings and correctional facilities follow vaccination and booster guidelines provided by the California Department of Public Health (CDPH) and the Centers for Disease Control and Prevention (CDC). Please click here to see the latest guidance for more details. EMAIL NOTIFICATION: Email is the primary form of notification during the recruitment process. Please ensure your correct email address is included in our application and use only one email account. NOTE: User accounts are established for one person only and should not be shared with another person. Multiple applications with multiple users may jeopardize your status in the recruitment process for any positions for which you apply. Candidates will be notified regarding their status as the recruitment proceeds via email through the GovernmentJobs.com site. Please check your email folders, including spam/junk folders, and/or accept emails ending with "governmentjobs.com" and "ocgov.com." If your email address should change, please update your profile at www.governmentjobs.com . FREQUENTLY ASKED QUESTIONS: Click here for additional Frequently Asked Questions. For specific information pertaining to this recruitment, please contact Mariah Cuellar at (714) 834-3179 or mcuellar@ochca.com . EEO INFORMATION Orange County, as an equal employment opportunity employer, encourages applicants from diverse backgrounds to apply. Non-Management Benefits In addition to the County's standard suite of benefits, such as a variety of health plan options, annual leave and paid holidays--we also offer an excellent array of benefits such as a Health Care Reimbursement Account, 457 Defined Contribution Plan and Annual Education and Professional Reimbursement. Employees are provided a Retirement Plan through the Orange County Employees Retirement System (OCERS). Please go to the following link to find out more about Defined Benefit Pensions and OCERS Plan Types/Benefits. http://www.ocers.org/active-member-information Click here for information about benefits offered to County of Orange employees.
CAREER DESCRIPTION Environmental Health Specialist III In addition to performance-based merit increases, this position is scheduled to receive salary range increases on the following date: Effective June 27, 2025 - 4.00% increase Salary may be negotiable within the range listed above, based on position requirements and successful candidate's qualifications, subject to appropriate authorization. OPEN TO THE PUBLIC This recruitment is open to the public for a minimum of five (5) business days and will remain open on a continuous basis until 11:59 p.m. (PST) on the day the County's needs are met. Qualified applicants are encouraged to apply immediately. This recruitment will establish an open eligible list and will be used to fill current and future Environmental Health Specialist III vacancies within the Health Care Agency. This eligible list may also be used to fill positions in similar and/or lower classifications within the County of Orange HEALTH CARE AGENCY The County of Orange , Health Care Agency (HCA) is a dynamic organization dedicated to creating and supporting an environment that promotes the achievement of optimal individual, family and community health. Under the direction of the Agency Director, a new and dynamic executive team with an organizational structure comprised of five (5) services areas - Administrative Services, , Behavioral Health Services, Correctional Health Services, Public Health Services, Specialized Medical Services - is committed to meeting the health needs of the diverse Orange County community. ENVIRONMENTAL HEALTH DIVISION The Environmental Health Division is comprised of various programs aimed toward protecting the health and safety of Orange County residents and visitors from harmful conditions in the environment. Staff enforce laws and regulations and emphasize education to assist businesses with providing healthy and safe communities. Services include retail and wholesale food protection, foodborne illness investigations, public pool inspections, childhood lead exposure prevention, water quality, ocean water protection, solid waste facility oversight, hazardous materials surveillance and mitigation oversight, underground and aboveground storage tank oversight, body art facility and practitioner oversight, medical waste management inspections and a used oil recycling education program. THE PROGRAMS Food and Pool Safety: Conducts inspections at retail food facilities, temporary food facilities, mobile food facilities, wholesale food facilities, public swimming pools, and at hotel/motels to promote safe and sanitary conditions and protect the public while enforcing public health regulations. Plan Check: Conduct plan review and construction inspection for all retail food facilities and public swimming pools undergoing new construction or remodels throughout the county. These programs work directly with members of the public including owners, architects, contractors, and consultants. Water Quality: The responsibilities for this position include activities related to well constructions and destructions, liquid waste hauler, ocean water protection and cross connection programs. Each of these water quality programs are related to monitoring/regulating/preventing potentially hazardous conditions in the environment that may impact public health. Examples of duties in this position include conducting inspections, investigating complaints, pursuing enforcement action, educating and assisting businesses and industries, water purveyors, and the general public as to the laws and regulations related to water quality. THE OPPORTUNITY The Environmental Health Specialist III will assume specialized tasks within the Food and Pool Safety, Plan Check, and Water Quality Sections. Additionally, the Environmental Health Specialist III will: Conduct specialized studies, investigations, regular routine field inspections and makes recommendations as to findings; compile information, evaluate present procedures and assist with drafting proposed ordinances, division policies, regulations and guidelines in the area of specialization; may review and make recommendations involving environmental impact reports, and new legislation Assist staff in resolving complex field investigation problems; assist with training new district staff; consult with Supervising Environmental Health Specialists and/or the Program Manager regarding key or emergency situations Plan and conduct in-service and public education training programs; recommend program goals and assist in the implementation of County-wide sanitation programs; attend and address public meetings, educational conferences and symposium Provide statistical data, including proper procedures of research methods, such as statistical sampling and analysis, data sources, and collection methods to obtain information on various public health and sanitation programs and problems Investigate complaints, research, and respond to citizen inquiries Provide environmental health database management issue identification, tracking, analysis, and independent resolution development Participate in outreach activities as well as providing educational material Prepare various reports and maintain manuals, forms, pamphlets, files and other material for division and other governmental agencies Coordinate work efforts with other Divisions or outside agencies Assist supervisor or carry out certain duties in the event of their absence DESIRABLE QUALIFICATIONS & CORE COMPETENCIES The ideal candidate will possess extensive background within the environmental health field. Under Food and Pool Safety and Plan Check programs, possession of a Food Safety Manager Certificate from an approved organization is highly desirable, but not required. Under Water Quality program, Backflow Prevention Assembly Tester Certification and Cross Connection Control Specialist Certification from American Water Works Association (AWWA) are highly desirable, but not required. Additionally, the ideal candidates will possess extensive knowledge, skills, and abilities that demonstrates the following competencies: Professional & Technical Expertise | Legal & Regulatory Navigation Understanding and applying new food safety training concepts, such as Oral Culture Learning, Active Managerial Control, and the Food Drug Administration Voluntary Program Standards as well as with the Model Food Code Performing difficult field inspections, including compliance and program enforcement work Coordinating investigations with internal and external departments, divisions, or organizations Managing a district route that consist of Food, Pool and Housing Inspections, and Citizen Complaints Knowledge of laws and regulations related to retail food and public swimming pools and spas Knowledge and familiarity of digital plan submission and plan review applications Knowledge of principals, regulations, research methods and interactions with other agencies related to Ocean Water Monitoring, Liquid Waste Haulers, California Well Standards, and Water Supply (including State Small Water Systems, Recycled Water and Cross-Connection) Leadership | Teamwork Leading, directing, and efficiently managing correspondences Applying knowledge from leadership courses, such as Masters of Public Health program Exemplifying a role as an approachable "educator" as opposed to a traditional "regulator" Collaborating and working well with others, specifically working with private industries in a team-like setting Innovative Problem Solving | Attention to Detail | Self-Management Staying apprised of new opportunities, techniques, and approaches related to inspections or environmental health Showing a high level of care and thoroughness for consistency and accuracy purposes Multi-tasking numerous assignments, following through and meeting deadlines Thinking logically, organizing thoughts, and establishing work priorities to accomplish work efficiently and independently Oral & Written Communication| Presentation | Listening Skills Strong oral communication skills for public speaking, group discussions, and individual interviews Listening attentively and understanding what is being communicated by staff, the public, and supervisors and management Strong written communication skills that effectively convey concepts or conclusions when preparing policies, ordinances, or guidelines and/or reports SPECIAL QUALIFICATIONS/REQUIREMENTS Applicants must have possession of A valid certificate of registration as a Registered Environmental Health Specialist (REHS) issued by the State of California. Applicants must have possession of a valid California Class C Driver License. Employees in this class will be required to use their own personal vehicle. MINIMUM QUALIFICATIONS Click here to learn more about the minimum qualifications as well as the physical, mental, environmental and working conditions for the Environmental Health Specialist III classification. RECRUITMENT PROCESS Human Resource Services (HRS) will screen all applications and supplemental responses for the minimum qualifications. After screening, qualified applicants will be referred to the next step of the selection process. All applicants will be notified via email of their status in the process. Veterans Employment Preference The County is committed to providing a mechanism to give preferential consideration in the employment process to veterans and their eligible spouses and will provide eligible participants the opportunity to receive interviews in the selection process for employment and paid internship openings. Please click here (Download PDF reader) to review the policy. Application Screening | (Refer/Non-Refer) Applications and supplemental responses will be screened for qualifications that are highly desirable and most needed to successfully perform the duties of this job. Only those applicants that meet the qualifications as listed in the job bulletin will be referred to the next step. Based on the Department's needs, the selection procedure listed above may be modified. All candidates will be notified of any changes in the selection procedure. Eligible List HRS will establish an eligible list of candidates. Candidates placed on the eligible list may be referred to a selection interview to be considered for present and future vacancies. ADDITIONAL INFORMATION Please see below for important information regarding COVID-19 related requirements. Effective April 3, 2023, it is strongly recommended that County employees working in health care settings and correctional facilities follow vaccination and booster guidelines provided by the California Department of Public Health (CDPH) and the Centers for Disease Control and Prevention (CDC). Please click here to see the latest guidance for more details. EMAIL NOTIFICATION: Email is the primary form of notification during the recruitment process. Please ensure your correct email address is included in our application and use only one email account. NOTE: User accounts are established for one person only and should not be shared with another person. Multiple applications with multiple users may jeopardize your status in the recruitment process for any positions for which you apply. Candidates will be notified regarding their status as the recruitment proceeds via email through the GovernmentJobs.com site. Please check your email folders, including spam/junk folders, and/or accept emails ending with "governmentjobs.com" and "ocgov.com." If your email address should change, please update your profile at www.governmentjobs.com . FREQUENTLY ASKED QUESTIONS: Click here for additional Frequently Asked Questions. For specific information pertaining to this recruitment, please contact Mariah Cuellar at (714) 834-3179 or mcuellar@ochca.com . EEO INFORMATION Orange County, as an equal employment opportunity employer, encourages applicants from diverse backgrounds to apply. Non-Management Benefits In addition to the County's standard suite of benefits, such as a variety of health plan options, annual leave and paid holidays--we also offer an excellent array of benefits such as a Health Care Reimbursement Account, 457 Defined Contribution Plan and Annual Education and Professional Reimbursement. Employees are provided a Retirement Plan through the Orange County Employees Retirement System (OCERS). Please go to the following link to find out more about Defined Benefit Pensions and OCERS Plan Types/Benefits. http://www.ocers.org/active-member-information Click here for information about benefits offered to County of Orange employees.
Orange County, CA
Orange County, California, United States
CAREER DESCRIPTION ENVIRONMENTAL HEALTH SPECIALIST II In addition to performance-based merit increases, this position is scheduled to receive salary range increases on the following date: Effective June 27, 2025 - 4.00% increase Salary may be negotiable within the range listed above, based on position requirements and successful candidate's qualifications, subject to appropriate authorization. OPEN TO THE PUBLIC This recruitment is open to the public for a minimum of five (5) business days and will remain open on a continuous basis until 11:59 p.m. (PST) on the day the needs of the County are met. Qualified applicants are encouraged to apply immediately. This recruitment will establish an openeligible list and will be used to fill current and future Environmental Health Specialist II vacancies within the Health Care Agency. This eligible list may also be used to fill positions in similar and/or lower classifications within the County of Orange. THE HEALTH CARE AGENCY The County of Orange , Health Care Agency (HCA) is a dynamic organization dedicated to creating and supporting an environment that promotes the achievement of optimal individual, family and community health. Under the direction of the Agency Director, a new and dynamic executive team with an organizational structure comprised of five (5) services areas - Administrative Services, Behavioral Health Services, Correctional Health Services, Public Health Services, Specialized Medical Services - is committed to meeting the health needs of the diverse Orange County community. ENVIRONMENTAL HEALTH DIVISION The Environmental Health Division is comprised of various programs aimed toward protecting the health and safety of Orange County residents and visitors from harmful conditions in the environment. Staff enforce laws and regulations and emphasize education to assist businesses with providing healthy and safe communities. Services include retail and wholesale food protection, foodborne illness investigations, public pool inspections, childhood lead exposure prevention, water quality, ocean water protection, solid waste facility oversight, hazardous materials surveillance and mitigation oversight, underground and aboveground storage tank oversight, body art facility and practitioner oversight, medical waste management inspections and a used oil recycling education program. THE PROGRAM Plan Check: Conduct plan review and construction inspection for all retail food facilities and public swimming pools undergoing new construction or remodels throughout the county. These programs work directly with members of the public including owners, architects, and consultants. THE OPPORTUNITY: This position will assume specialized tasks within the Plan Check Section. The Environmental Health Specialist II will be assigned the tasks of reviewing and approving construction plans and conducting field inspections for food and pool facilities for compliance with sanitation and public health laws. Other duties and responsibilities include, but are not limited to: Conducting specialized studies, investigations, inspections, and making recommendations as to findings Compiling information, evaluating current procedures, and drafting proposed ordinances, division policies, regulations, and guidelines in the area of specialization Preparing various reports Planning and conducting in-service and public education training programs Recommending program goals and assisting in the implementation of County-wide environmental health programs Attending and addressing public meetings, educational conferences, and symposiums Reviewing and making recommendations involving environmental impact Coordinating work efforts with other divisions or outside agencies and assisting supervisors as needed DESIRABLE QUALIFICATIONS: The ideal candidate will possess extensive knowledge and/or experience in the following competencies: Professional & Technical Expertise | Legal & Regulatory Navigation Understanding and applying new food safety training concepts, such as Oral Culture Learning, Active Managerial Control, and the Food Drug Administration Voluntary Program Standards as well as the Model Food Code Knowledge of laws and regulations related to retail food and public swimming pools and spas Knowledge and familiarity of digital plan submission and plan review applications Applying analytical skills and consistency for accuracy purposes Conducting routine field inspections Building & Maintaining Relationships Developing, collaborating, and maintaining working relationships and continuously works to improve relationships, contacts, and networks Applying knowledge of building rapport, conflict resolution, and de-escalation techniques Using diplomacy when dealing with challenging situations and/or people Leadership | Teamwork Leading, directing, and efficiently managing correspondences Exemplifying a role as an approachable "educator" as opposed to a traditional "regulator" Sharing responsibility and ownership for group accomplishments and shortcomings Facilitating, motivating, and supporting others to achieve a common goal or outcome Willingness to learn and adapt to feedback, change, and new information Adaptability | Attention to Detail Staying apprised of new opportunities, techniques, and approaches related to inspections or environmental health Ability to multi-task several assignments and effectively prioritizing projects and assignments Maintaining adequate preparation time for scheduled meetings/deadlines Achieving goals in a timely manner, despite obstacles encountered, by organizing, re-prioritizing and re-planning if needed Responding to changing circumstances with a positive attitude Oral & Written Communication Communicating effectively and professionally both orally and in writing with internal and external partners and during public speaking engagements Communicating accurately to convey both substance and intent Presenting ideas and complex materials clearly, concisely, logically, and persuasively SPECIAL QUALIFICATIONS/REQUIREMENTS Applicants must have possession of A valid certificate of registration as a Registered Environmental Health Specialist (REHS) issued by the State of California. Applicants must have possession of a valid California Class C Driver License. Employees in this class will be required to use their own personal vehicle. MINIMUM QUALIFICATIONS Click here to learn more about the minimum qualifications and physical, mental, and environmental conditions for the Environmental Health Specialist II. RECRUITMENT PROCESS Human Resource Services (HRS) will screen all application materials to identify qualified candidates. After screening, qualified candidates will be referred to the next step and notified of all further procedures applicable to their status in the competition. Veterans Employment Preference The County is committed to providing a mechanism to give preferential consideration in the employment process to veterans and their eligible spouses and will provide eligible participants the opportunity to receive interviews in the selection process for employment and paid internship openings. Please click here (Download PDF reader) to review the policy. Application Screening | (Refer/Non-Refer): Applications and supplemental responses will be screened for qualifications that are highly desirable and most needed to successfully perform the duties of this job. Only those applicants that meet the qualifications as listed in the job bulletin will be referred to the next step. Based on the Department's needs, the selection procedure listed above may be modified. All candidates will be notified of any changes in the selection procedure. Eligible List HRS will establish an eligible list of candidates. Candidates placed on the eligible list may be referred to a selection interview to be considered for present and future vacancies. ADDITIONAL INFORMATION Please see below for important information regarding COVID-19 related requirements. Effective April 3, 2023, it is strongly recommended that County employees working in health care settings and correctional facilities follow vaccination and booster guidelines provided by the California Department of Public Health (CDPH) and the Centers for Disease Control and Prevention (CDC). Please click here to see the latest guidance for more details. EMAIL NOTIFICATION: Email is the primary form of notification during the recruitment process. Please ensure your correct email address is included in our application and use only one email account. NOTE: User accounts are established for one person only and should not be shared with another person. Multiple applications with multiple users may jeopardize your status in the recruitment process for any positions for which you apply. Candidates will be notified regarding their status as the recruitment proceeds via email through the GovernmentJobs.com site. Please check your email folders, including spam/junk folders, and/or accept emails ending with "governmentjobs.com" and "ocgov.com." If your email address should change, please update your profile at www.governmentjobs.com . FREQUENTLY ASKED QUESTIONS: Click here for additional Frequently Asked Questions. For specific information pertaining to this recruitment, please contact Mariah Cuellar at (714) 834-3179 or mcuellar@ochca.com . EEO INFORMATION Orange County, as an equal employment opportunity employer, encourages applicants from diverse backgrounds to apply. Non-Management Benefits In addition to the County's standard suite of benefits, such as a variety of health plan options, annual leave and paid holidays--we also offer an excellent array of benefits such as a Health Care Reimbursement Account, 457 Defined Contribution Plan and Annual Education and Professional Reimbursement. Employees are provided a Retirement Plan through the Orange County Employees Retirement System (OCERS). Please go to the following link to find out more about Defined Benefit Pensions and OCERS Plan Types/Benefits. http://www.ocers.org/active-member-information Click here for information about benefits offered to County of Orange employees. Closing Date/Time: Continuous
CAREER DESCRIPTION ENVIRONMENTAL HEALTH SPECIALIST II In addition to performance-based merit increases, this position is scheduled to receive salary range increases on the following date: Effective June 27, 2025 - 4.00% increase Salary may be negotiable within the range listed above, based on position requirements and successful candidate's qualifications, subject to appropriate authorization. OPEN TO THE PUBLIC This recruitment is open to the public for a minimum of five (5) business days and will remain open on a continuous basis until 11:59 p.m. (PST) on the day the needs of the County are met. Qualified applicants are encouraged to apply immediately. This recruitment will establish an openeligible list and will be used to fill current and future Environmental Health Specialist II vacancies within the Health Care Agency. This eligible list may also be used to fill positions in similar and/or lower classifications within the County of Orange. THE HEALTH CARE AGENCY The County of Orange , Health Care Agency (HCA) is a dynamic organization dedicated to creating and supporting an environment that promotes the achievement of optimal individual, family and community health. Under the direction of the Agency Director, a new and dynamic executive team with an organizational structure comprised of five (5) services areas - Administrative Services, Behavioral Health Services, Correctional Health Services, Public Health Services, Specialized Medical Services - is committed to meeting the health needs of the diverse Orange County community. ENVIRONMENTAL HEALTH DIVISION The Environmental Health Division is comprised of various programs aimed toward protecting the health and safety of Orange County residents and visitors from harmful conditions in the environment. Staff enforce laws and regulations and emphasize education to assist businesses with providing healthy and safe communities. Services include retail and wholesale food protection, foodborne illness investigations, public pool inspections, childhood lead exposure prevention, water quality, ocean water protection, solid waste facility oversight, hazardous materials surveillance and mitigation oversight, underground and aboveground storage tank oversight, body art facility and practitioner oversight, medical waste management inspections and a used oil recycling education program. THE PROGRAM Plan Check: Conduct plan review and construction inspection for all retail food facilities and public swimming pools undergoing new construction or remodels throughout the county. These programs work directly with members of the public including owners, architects, and consultants. THE OPPORTUNITY: This position will assume specialized tasks within the Plan Check Section. The Environmental Health Specialist II will be assigned the tasks of reviewing and approving construction plans and conducting field inspections for food and pool facilities for compliance with sanitation and public health laws. Other duties and responsibilities include, but are not limited to: Conducting specialized studies, investigations, inspections, and making recommendations as to findings Compiling information, evaluating current procedures, and drafting proposed ordinances, division policies, regulations, and guidelines in the area of specialization Preparing various reports Planning and conducting in-service and public education training programs Recommending program goals and assisting in the implementation of County-wide environmental health programs Attending and addressing public meetings, educational conferences, and symposiums Reviewing and making recommendations involving environmental impact Coordinating work efforts with other divisions or outside agencies and assisting supervisors as needed DESIRABLE QUALIFICATIONS: The ideal candidate will possess extensive knowledge and/or experience in the following competencies: Professional & Technical Expertise | Legal & Regulatory Navigation Understanding and applying new food safety training concepts, such as Oral Culture Learning, Active Managerial Control, and the Food Drug Administration Voluntary Program Standards as well as the Model Food Code Knowledge of laws and regulations related to retail food and public swimming pools and spas Knowledge and familiarity of digital plan submission and plan review applications Applying analytical skills and consistency for accuracy purposes Conducting routine field inspections Building & Maintaining Relationships Developing, collaborating, and maintaining working relationships and continuously works to improve relationships, contacts, and networks Applying knowledge of building rapport, conflict resolution, and de-escalation techniques Using diplomacy when dealing with challenging situations and/or people Leadership | Teamwork Leading, directing, and efficiently managing correspondences Exemplifying a role as an approachable "educator" as opposed to a traditional "regulator" Sharing responsibility and ownership for group accomplishments and shortcomings Facilitating, motivating, and supporting others to achieve a common goal or outcome Willingness to learn and adapt to feedback, change, and new information Adaptability | Attention to Detail Staying apprised of new opportunities, techniques, and approaches related to inspections or environmental health Ability to multi-task several assignments and effectively prioritizing projects and assignments Maintaining adequate preparation time for scheduled meetings/deadlines Achieving goals in a timely manner, despite obstacles encountered, by organizing, re-prioritizing and re-planning if needed Responding to changing circumstances with a positive attitude Oral & Written Communication Communicating effectively and professionally both orally and in writing with internal and external partners and during public speaking engagements Communicating accurately to convey both substance and intent Presenting ideas and complex materials clearly, concisely, logically, and persuasively SPECIAL QUALIFICATIONS/REQUIREMENTS Applicants must have possession of A valid certificate of registration as a Registered Environmental Health Specialist (REHS) issued by the State of California. Applicants must have possession of a valid California Class C Driver License. Employees in this class will be required to use their own personal vehicle. MINIMUM QUALIFICATIONS Click here to learn more about the minimum qualifications and physical, mental, and environmental conditions for the Environmental Health Specialist II. RECRUITMENT PROCESS Human Resource Services (HRS) will screen all application materials to identify qualified candidates. After screening, qualified candidates will be referred to the next step and notified of all further procedures applicable to their status in the competition. Veterans Employment Preference The County is committed to providing a mechanism to give preferential consideration in the employment process to veterans and their eligible spouses and will provide eligible participants the opportunity to receive interviews in the selection process for employment and paid internship openings. Please click here (Download PDF reader) to review the policy. Application Screening | (Refer/Non-Refer): Applications and supplemental responses will be screened for qualifications that are highly desirable and most needed to successfully perform the duties of this job. Only those applicants that meet the qualifications as listed in the job bulletin will be referred to the next step. Based on the Department's needs, the selection procedure listed above may be modified. All candidates will be notified of any changes in the selection procedure. Eligible List HRS will establish an eligible list of candidates. Candidates placed on the eligible list may be referred to a selection interview to be considered for present and future vacancies. ADDITIONAL INFORMATION Please see below for important information regarding COVID-19 related requirements. Effective April 3, 2023, it is strongly recommended that County employees working in health care settings and correctional facilities follow vaccination and booster guidelines provided by the California Department of Public Health (CDPH) and the Centers for Disease Control and Prevention (CDC). Please click here to see the latest guidance for more details. EMAIL NOTIFICATION: Email is the primary form of notification during the recruitment process. Please ensure your correct email address is included in our application and use only one email account. NOTE: User accounts are established for one person only and should not be shared with another person. Multiple applications with multiple users may jeopardize your status in the recruitment process for any positions for which you apply. Candidates will be notified regarding their status as the recruitment proceeds via email through the GovernmentJobs.com site. Please check your email folders, including spam/junk folders, and/or accept emails ending with "governmentjobs.com" and "ocgov.com." If your email address should change, please update your profile at www.governmentjobs.com . FREQUENTLY ASKED QUESTIONS: Click here for additional Frequently Asked Questions. For specific information pertaining to this recruitment, please contact Mariah Cuellar at (714) 834-3179 or mcuellar@ochca.com . EEO INFORMATION Orange County, as an equal employment opportunity employer, encourages applicants from diverse backgrounds to apply. Non-Management Benefits In addition to the County's standard suite of benefits, such as a variety of health plan options, annual leave and paid holidays--we also offer an excellent array of benefits such as a Health Care Reimbursement Account, 457 Defined Contribution Plan and Annual Education and Professional Reimbursement. Employees are provided a Retirement Plan through the Orange County Employees Retirement System (OCERS). Please go to the following link to find out more about Defined Benefit Pensions and OCERS Plan Types/Benefits. http://www.ocers.org/active-member-information Click here for information about benefits offered to County of Orange employees. Closing Date/Time: Continuous
CalOptima
Orange, CA, USA
Intern (Talent Acquisition) CalOptima CalOptima Health is seeking a highly motivated an experienced Intern (Talent Acquisition) to join our team. The overall purpose and objective of the Intern for Human Resources (HR) is to gain work experience in the field prior to graduating from college/university. This is an opportunity to utilize and apply the skills and knowledge learned in the classroom setting and apply it in the workforce. The incumbent will have the primary responsibility of handling department assigned projects, given a moderate degree of independence. The incumbent will frequently meet with supervisors to go over the status and progress of assignments. Under the general oversight of HR department management, the incumbent will assist staff with administrative tasks for the Recruitment team, including screening resumes, scheduling interviews, posting jobs, employee onboarding, running and auditing HR-related reports and other administrative duties. The incumbent may assist in addressing employee queries, distributing company policies and participating in organizing company events. Additionally, the incumbent will review and/or edit HR policies and procedures and will gain exposure to different facets of HR management. The incumbent may also support the HR department with the planning, development and implementation of organization-wide strategic goals and objectives. Position Information: Department: Recruitment Salary Grade: 301 - $47,840 - $64,584 ($23.00 - $31.0500) Work Arrangement: Full Office Duties & Responsibilities: 95% - HR Department Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Assists with department related projects as assigned. Meets deadlines and completes sub-tasks of projects assigned. Participates in meetings with the supervisor to go over status and progress of work assigned. 5% - Completes other projects and duties as assigned. Minimum Qualifications: High School diploma or equivalent required. Enrolled in a college or university two- or four-year degree program, an accredited vocational institution or a graduate program with coursework in Business Administration, Human Services, Human Resources Management and/or related studies required. A statement of interest for this internship (2 pages maximum). One academic letter of recommendation. Preferred Qualifications: One professional letter of recommendation. Required Licensure / Certifications: n/a Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is August 11, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/intern-talent-acquisition-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-7b216847c8140344bbb1397d965dbc6c
Intern (Talent Acquisition) CalOptima CalOptima Health is seeking a highly motivated an experienced Intern (Talent Acquisition) to join our team. The overall purpose and objective of the Intern for Human Resources (HR) is to gain work experience in the field prior to graduating from college/university. This is an opportunity to utilize and apply the skills and knowledge learned in the classroom setting and apply it in the workforce. The incumbent will have the primary responsibility of handling department assigned projects, given a moderate degree of independence. The incumbent will frequently meet with supervisors to go over the status and progress of assignments. Under the general oversight of HR department management, the incumbent will assist staff with administrative tasks for the Recruitment team, including screening resumes, scheduling interviews, posting jobs, employee onboarding, running and auditing HR-related reports and other administrative duties. The incumbent may assist in addressing employee queries, distributing company policies and participating in organizing company events. Additionally, the incumbent will review and/or edit HR policies and procedures and will gain exposure to different facets of HR management. The incumbent may also support the HR department with the planning, development and implementation of organization-wide strategic goals and objectives. Position Information: Department: Recruitment Salary Grade: 301 - $47,840 - $64,584 ($23.00 - $31.0500) Work Arrangement: Full Office Duties & Responsibilities: 95% - HR Department Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Assists with department related projects as assigned. Meets deadlines and completes sub-tasks of projects assigned. Participates in meetings with the supervisor to go over status and progress of work assigned. 5% - Completes other projects and duties as assigned. Minimum Qualifications: High School diploma or equivalent required. Enrolled in a college or university two- or four-year degree program, an accredited vocational institution or a graduate program with coursework in Business Administration, Human Services, Human Resources Management and/or related studies required. A statement of interest for this internship (2 pages maximum). One academic letter of recommendation. Preferred Qualifications: One professional letter of recommendation. Required Licensure / Certifications: n/a Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is August 11, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/intern-talent-acquisition-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-7b216847c8140344bbb1397d965dbc6c
CalOptima
Orange, CA, USA
Data and Reporting Analyst Lead (Claims) CalOptima CalOptima Health is seeking a highly motivated an experienced Data and Reporting Analyst - Lead (Claims) to join our team. The Data and Reporting Analyst - Lead is responsible for designing, developing and maintaining databases to support business requirements of the team and continually improve data acquisition and reporting methods, which includes periodically reviewing the databases to enhance the processes and functionalities. The incumbent will assist with the development of internal systems and exception reports to ensure timely and accurate claims adjudication. The incumbent will develop and design report, create and maintain databases to support the business requirements of the team, and continually improve data acquisition and reporting methods. The incumbent will assist with the development of internal systems and exception reporting to ensure routine, timely and accurate data submissions from the health networks and to the Department of HealthCare Services (DHCS) and Centers for Medicare & Medicaid Services (CMS). Position Information: Department: Claims Administration Salary Grade: 314 - $99,902 - $159,843 ($48.03 - $76.8476) Work Arrangement: Partial Telework **This position is eligible for telework in California.** Duties & Responsibilities: 25% - Program Support Participates in a mission driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Designs reports from the claims processing environment or the data warehouse; responsible for ensuring data integrity. Serves as back-up to the supervisor in their absence. Participates in progressively more complex projects and perform progressively more complex analyses. 70% - Data & Reporting Provides expertise in data analysis, including member, provider, encounters and claims data. Maintains a thorough knowledge of CalOptima Health's encounter data reporting requirements, DHCS data reporting requirements and CMS data reporting requirements. Monitors and reports on any changes that affect CalOptima Health and/or health networks. Provides guidance/development and training to other Data Analysts in the Claims department to improve the process in evaluating data and meeting customer specifications and business needs. Acts as the point of contact for data requests, assigns requests to other Data Analysts and monitors timelines and outcomes. Maintains databases to support business requirements and periodically reviews the databases to enhance the process and functionalities. Prepares ad-hoc analyses as needed. Devises and/or modifies procedures to solve complex problems considering computer equipment capacity and limitations, operating time and form of desired results. Writes detailed business requirements for which technical requirements and programs will be developed. Prepares quality analytics (QA) methods to verify program and data integrity. 5% - Completes other projects and duties as assigned. Minimum Qualifications: Bachelor's degree in health care administration, business administration or related field required. 5 years of experience as a Data Analyst in designing, developing and maintaining databases required. 3 years of experience with structured query language (SQL) required. An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. Preferred Qualifications: 3 years of experience in Information Services related to health services. Experience in an independent physician association (IPA), hospital or health plan setting. Experience with managed health care programs. Required Licensure / Certifications: n/a Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is July 25, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/data-and-reporting-analyst-lead-claims-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-68876bd30202a845aed3e5778abe9693
Data and Reporting Analyst Lead (Claims) CalOptima CalOptima Health is seeking a highly motivated an experienced Data and Reporting Analyst - Lead (Claims) to join our team. The Data and Reporting Analyst - Lead is responsible for designing, developing and maintaining databases to support business requirements of the team and continually improve data acquisition and reporting methods, which includes periodically reviewing the databases to enhance the processes and functionalities. The incumbent will assist with the development of internal systems and exception reports to ensure timely and accurate claims adjudication. The incumbent will develop and design report, create and maintain databases to support the business requirements of the team, and continually improve data acquisition and reporting methods. The incumbent will assist with the development of internal systems and exception reporting to ensure routine, timely and accurate data submissions from the health networks and to the Department of HealthCare Services (DHCS) and Centers for Medicare & Medicaid Services (CMS). Position Information: Department: Claims Administration Salary Grade: 314 - $99,902 - $159,843 ($48.03 - $76.8476) Work Arrangement: Partial Telework **This position is eligible for telework in California.** Duties & Responsibilities: 25% - Program Support Participates in a mission driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Designs reports from the claims processing environment or the data warehouse; responsible for ensuring data integrity. Serves as back-up to the supervisor in their absence. Participates in progressively more complex projects and perform progressively more complex analyses. 70% - Data & Reporting Provides expertise in data analysis, including member, provider, encounters and claims data. Maintains a thorough knowledge of CalOptima Health's encounter data reporting requirements, DHCS data reporting requirements and CMS data reporting requirements. Monitors and reports on any changes that affect CalOptima Health and/or health networks. Provides guidance/development and training to other Data Analysts in the Claims department to improve the process in evaluating data and meeting customer specifications and business needs. Acts as the point of contact for data requests, assigns requests to other Data Analysts and monitors timelines and outcomes. Maintains databases to support business requirements and periodically reviews the databases to enhance the process and functionalities. Prepares ad-hoc analyses as needed. Devises and/or modifies procedures to solve complex problems considering computer equipment capacity and limitations, operating time and form of desired results. Writes detailed business requirements for which technical requirements and programs will be developed. Prepares quality analytics (QA) methods to verify program and data integrity. 5% - Completes other projects and duties as assigned. Minimum Qualifications: Bachelor's degree in health care administration, business administration or related field required. 5 years of experience as a Data Analyst in designing, developing and maintaining databases required. 3 years of experience with structured query language (SQL) required. An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. Preferred Qualifications: 3 years of experience in Information Services related to health services. Experience in an independent physician association (IPA), hospital or health plan setting. Experience with managed health care programs. Required Licensure / Certifications: n/a Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is July 25, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/data-and-reporting-analyst-lead-claims-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-68876bd30202a845aed3e5778abe9693
CalOptima
Orange, CA, USA
Medical Case Manager (Whole Child Model) (Case Management) CalOptima CalOptima Health is seeking a highly motivated an experienced Medical Case Manager (Whole Child Model) (Case Management) to join our team. Case Management is an advanced specialty collaborative practice, responsible for providing ongoing case management services for CalOptima Health's members. The Medical Case Manager will facilitate communication and coordination among all participants of the health care team and the member to ensure the services provided promote quality and cost-effective outcomes for all members along with focus on members under 21 years of age. The incumbent will be responsible for providing intensive case management primarily to a pediatric population, which includes assessment, planning, implementation, coordination, monitoring and evaluation of the member's needs. Position Information: Department: Case Management Salary Grade: 313 - $90,820 - $145,312 ($43.66 - $69.8615) Work Arrangement: Full Telework **This position is eligible for telework in California.** Duties & Responsibilities: 85% - Care Management Assesses member needs using a standardized health needs assessment or health risk assessment. Performs comprehensive, disease specific, clinical assessments of all identified cases, which includes but is not limited to, assessment of: Member's physical, functional, social and psychological status Member's cultural and linguistic needs Caregiver resources and available benefits Performs post-discharge assessments to identify member's post-hospital or post-emergency department discharge needs including but not limited to: Member's physical, functional, social and psychological status Member's cultural and linguistic needs Caregiver resources and available benefits Follow-up provider care and ensuring scheduled appointments Durable medical equipment and supplies Community resources Develops and implements a member's specific care plan which includes prioritized Specific, Measurable, Achievable, Relevant, and Time-Bound (SMART) goals. Reviews, modifies and updates care plans continuously to reflect the member's needs, at minimum, annually or upon change in condition. Schedules follow-ups to assess progress towards goals and identifies barriers to meeting goal. Provides regular outreach to assigned members along with members from a worklist and evaluates quality of service given to members according to department contact standards. Coordinates care and services with members, members' family members/representatives and other providers, as appropriate, including community supports and Long-Term Services and Supports (LTSS). Communicates with Member's physicians, specialists, community agencies and vendors to ensure coordination of services. Facilitates referrals to behavioral health/substance use disorder services and identifies and makes referrals to LTSS department, community supports and community resources. Facilitates and participates in Interdisciplinary Team meetings as applicable. Collaborates with interdepartmental staff in case resolution as needed. Identifies cases needing supervisor, manager, director or medical director review or input, routes accordingly and closes cases according to procedures and guidelines in a timely manner. Advocates in the member's best interest for necessary funding, treatment alternatives, timelines and coordination of care and frequent evaluations of progress and goals. 10% - Administrative Support Participates in a mission driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Follows CalOptima Health's protocol for documenting all case interventions. Prepares and maintains appropriate documentation of patient care and progress within the care plan. 5% - Other Completes other projects and duties as assigned. Minimum Qualifications: Associate's degree in Nursing (ADN) or related field required. 5 years of clinical experience and/or managed care experience required. An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. Preferred Qualifications: Bachelor of Science in Nursing (BSN) degree or related field. 2 years of pediatric experience. Certified Case Manager (CCM) certificate. Bilingual in English and one of CalOptima Health's defined threshold languages (Arabic, Chinese, Farsi, Korean, Spanish, Vietnamese). Required Licensure / Certifications: Current, unrestricted Registered Nurse (RN) license to practice in the state of California required. Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is June 25, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/medical-case-manager-whole-child-model-case-management-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-8727ee184ef22a45b087d3537defe5ae
Medical Case Manager (Whole Child Model) (Case Management) CalOptima CalOptima Health is seeking a highly motivated an experienced Medical Case Manager (Whole Child Model) (Case Management) to join our team. Case Management is an advanced specialty collaborative practice, responsible for providing ongoing case management services for CalOptima Health's members. The Medical Case Manager will facilitate communication and coordination among all participants of the health care team and the member to ensure the services provided promote quality and cost-effective outcomes for all members along with focus on members under 21 years of age. The incumbent will be responsible for providing intensive case management primarily to a pediatric population, which includes assessment, planning, implementation, coordination, monitoring and evaluation of the member's needs. Position Information: Department: Case Management Salary Grade: 313 - $90,820 - $145,312 ($43.66 - $69.8615) Work Arrangement: Full Telework **This position is eligible for telework in California.** Duties & Responsibilities: 85% - Care Management Assesses member needs using a standardized health needs assessment or health risk assessment. Performs comprehensive, disease specific, clinical assessments of all identified cases, which includes but is not limited to, assessment of: Member's physical, functional, social and psychological status Member's cultural and linguistic needs Caregiver resources and available benefits Performs post-discharge assessments to identify member's post-hospital or post-emergency department discharge needs including but not limited to: Member's physical, functional, social and psychological status Member's cultural and linguistic needs Caregiver resources and available benefits Follow-up provider care and ensuring scheduled appointments Durable medical equipment and supplies Community resources Develops and implements a member's specific care plan which includes prioritized Specific, Measurable, Achievable, Relevant, and Time-Bound (SMART) goals. Reviews, modifies and updates care plans continuously to reflect the member's needs, at minimum, annually or upon change in condition. Schedules follow-ups to assess progress towards goals and identifies barriers to meeting goal. Provides regular outreach to assigned members along with members from a worklist and evaluates quality of service given to members according to department contact standards. Coordinates care and services with members, members' family members/representatives and other providers, as appropriate, including community supports and Long-Term Services and Supports (LTSS). Communicates with Member's physicians, specialists, community agencies and vendors to ensure coordination of services. Facilitates referrals to behavioral health/substance use disorder services and identifies and makes referrals to LTSS department, community supports and community resources. Facilitates and participates in Interdisciplinary Team meetings as applicable. Collaborates with interdepartmental staff in case resolution as needed. Identifies cases needing supervisor, manager, director or medical director review or input, routes accordingly and closes cases according to procedures and guidelines in a timely manner. Advocates in the member's best interest for necessary funding, treatment alternatives, timelines and coordination of care and frequent evaluations of progress and goals. 10% - Administrative Support Participates in a mission driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Follows CalOptima Health's protocol for documenting all case interventions. Prepares and maintains appropriate documentation of patient care and progress within the care plan. 5% - Other Completes other projects and duties as assigned. Minimum Qualifications: Associate's degree in Nursing (ADN) or related field required. 5 years of clinical experience and/or managed care experience required. An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. Preferred Qualifications: Bachelor of Science in Nursing (BSN) degree or related field. 2 years of pediatric experience. Certified Case Manager (CCM) certificate. Bilingual in English and one of CalOptima Health's defined threshold languages (Arabic, Chinese, Farsi, Korean, Spanish, Vietnamese). Required Licensure / Certifications: Current, unrestricted Registered Nurse (RN) license to practice in the state of California required. Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is June 25, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/medical-case-manager-whole-child-model-case-management-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-8727ee184ef22a45b087d3537defe5ae
Orange County, CA
Orange County, California, United States
CAREER DESCRIPTION SUPERVISING DEPUTY PUBLIC ADMINISTRATOR In addition to performance-based merit increases, this position is scheduled to receive salary range increases on the following date: Effective June 27, 2025 - 4.00% increase THIS RECRUITMENT IS OPEN TO THE PUBLIC The eligible list established through this recruitment will be used to fill a current vacancy within the Orange County Public Administrator and may also be used to fill positions in similar and/or lower classifications throughout the County of Orange . DEADLINE TO APPLY Online applications will be accepted beginning July 30, 2024, and will remain open on a continuous basis until 11:59 P.M. PST on the day the needs of the department are met. Interested applications are encouraged to apply immediately for priority consideration. First round of consideration deadline is August 20, 2024, at 11:59 P.M. (PST) ORANGE COUNTY PUBLIC ADMINISTRATOR : The Orange County Public Administrator provides full-service estate administration, including an in-house real estate broker, property management, personal property storage, auction services, accounting, investment liquidation, and dedicated legal counsel. As a part of the Orange County District Attorney's office, the Public Administrator protects, manages and acts as a fiduciary for decedent estates throughout the probate process for deceased residents of Orange County, who at the time of their death, left no identifiable person(s) qualified to be named executor/administrator of their estate. In addition, heirs or family members of decedents may nominate the Public Administrator to act on their behalf to probate their loved one's estate. Once the Court appoints the Public Administrator to act, the office handles a variety of functions from cleaning out the residence of decedent, paying the decedent's creditors, contacting heirs and selling or distributing the assets of the decedent including real and personal property. County Counsel acts as the representative of the Public Administrator in court throughout the probate process. THE OPPORTUNITY: The Supervising Deputy Public Administrator is responsible for performing a wide variety of activities and services to fulfill the legal mandates of the Public Administrator. They are responsible for reviewing and assigning referrals and Orders to Show Cause that are issued from the court to the Deputy Public Administrators under their supervision. Incumbents will assist in creating policies, training and mentoring deputies under their supervision, and the management of some of the more complex estates of deceased persons determined by the courts to fall within the jurisdiction of the Public Administrator. Please note: The Supervising Deputy Public Administrator position is not an Attorney position nor part of the Attorney series. This position is not related to the educational Public Administration major (such as bachelor's in public administration or master's in public administration). DESIRABLE QUALIFICATIONS AND CORE COMPETENCIES: In addition to the minimum experience and education requirements, the ideal candidate will possess a degree in Business Administration, Communications, Management, Finance, Legal Studies or a related field from an accredited college or university. The ideal candidate will also possess the knowledge, skills and abilities listed below: • Ability to work well with others and to supervise and develop staff under their supervision. • Fluency and experience in utilizing Microsoft Office products including the creation and use of spreadsheets and ability to learn and use electronic tools to undertake online research or investigation when required • Exceptional judgment and common sense • Detail-oriented approach to investigative work • Excellent interpersonal and collaborative skills • Superior interviewing, interrogation and listening skills • Superior report writing skills • Strong research and analytical skills • Ability to speak clearly and testify in court regarding estates in litigation • Ability to draw conclusions and make appropriate decisions • Ability to apply forward thinking and creative thought with high ethical standards • Ability to maintain confidentiality MINIMUM QUALIFICATIONS: Click here to learn more about the minimum qualifications and the physical, mental, environmental, and working conditions for the Supervising Deputy Public-Administrator classification. RECRUITMENT PROCESS: District Attorney Human Resources will screen all application materials to identify qualified applicants based on the minimum and/or desirable qualifications. After screening, applicants who meet the minimum and/or desirable qualifications will be referred to the next step in the recruitment process. All applicants will be notified via email of their status in the process. Application Appraisal Panel: (Refer/Non-Refer) Application materials will be rated by a panel of job knowledge experts for those qualifications most needed to perform the duties of the job. The more qualified candidates will be referred to the next step. This is a competitive process; therefore, be thorough in your responses. Eligible List Once the assessment has been completed, District Attorney Human Resources will establish an eligible list of candidates. Candidates placed on the eligible list may be referred to a selection interview to be considered for present and future vacancies. Based on the Department's needs, the selection procedures listed above may be modified. Candidates will be notified of any changes in the selection procedures. ADDITIONAL INFORMATION VETERANS EMPLOYMENT PREFERENCE: The County is committed to providing a mechanism to give preferential consideration in the employment process to veterans and their eligible spouses and will provide eligible participants the opportunity to receive interviews in the selection process for employment and paid internship openings. Please click here (Download PDF reader) to review the policy. BACKGROUND SCREENING: Candidates under consideration for hire by the District Attorney will be required to pass an extensive investigation to the satisfaction of the department. EMAIL NOTIFICATION: Email is the primary form of notification during the recruitment process. Please ensure your correct email address is included in our application and use only one email account. NOTE: User accounts are established for one person only and should not be shared with another person. Multiple applications with multiple users may jeopardize your status in the recruitment process for any positions for which you apply. Candidates will be notified regarding their status as the recruitment proceeds via email through the GovernmentJobs.com website. Please check your email folders, including spam/junk folders, and/or accept emails ending with "governmentjobs.com" and "ocgov.com." If your email address should change, please update your profile at www.governmentjobs.com. FREQUENTLY ASKED QUESTIONS: Click here for additional Frequently Asked Questions. For specific information pertaining to this recruitment, please contact Alissa Quintero at (714) 347-8805 or Alissa.Quintero@ocdapa.org EEO INFORMATION Orange County, as an equal employment opportunity employer, encourages applicants from diverse backgrounds to apply. Non-Management Benefits In addition to the County's standard suite of benefits, such as a variety of health plan options, annual leave and paid holidays--we also offer an excellent array of benefits such as a Health Care Reimbursement Account, 457 Defined Contribution Plan and Annual Education and Professional Reimbursement. Employees are provided a Retirement Plan through the Orange County Employees Retirement System (OCERS). Please go to the following link to find out more about Defined Benefit Pensions and OCERS Plan Types/Benefits. http://www.ocers.org/active-member-information Click here for information about benefits offered to County of Orange employees. Closing Date/Time: Continuous
CAREER DESCRIPTION SUPERVISING DEPUTY PUBLIC ADMINISTRATOR In addition to performance-based merit increases, this position is scheduled to receive salary range increases on the following date: Effective June 27, 2025 - 4.00% increase THIS RECRUITMENT IS OPEN TO THE PUBLIC The eligible list established through this recruitment will be used to fill a current vacancy within the Orange County Public Administrator and may also be used to fill positions in similar and/or lower classifications throughout the County of Orange . DEADLINE TO APPLY Online applications will be accepted beginning July 30, 2024, and will remain open on a continuous basis until 11:59 P.M. PST on the day the needs of the department are met. Interested applications are encouraged to apply immediately for priority consideration. First round of consideration deadline is August 20, 2024, at 11:59 P.M. (PST) ORANGE COUNTY PUBLIC ADMINISTRATOR : The Orange County Public Administrator provides full-service estate administration, including an in-house real estate broker, property management, personal property storage, auction services, accounting, investment liquidation, and dedicated legal counsel. As a part of the Orange County District Attorney's office, the Public Administrator protects, manages and acts as a fiduciary for decedent estates throughout the probate process for deceased residents of Orange County, who at the time of their death, left no identifiable person(s) qualified to be named executor/administrator of their estate. In addition, heirs or family members of decedents may nominate the Public Admin
