Program Manager (Population Health Management Strategic Initiatives) Job Description Department(s): Population Health Management - Strategic Initiatives Reports to: Manager, Population Health Management - Strategic Initiatives FLSA status: Non-Exempt Salary Grade: L - $77,000 - $127,094 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 on Wednesday, February 28, 2024 at 11:59 PM. 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. About CalOptima Health Are you looking for a career that changes lives? As the single largest health plan in Orange County, CalOptima Health serves one in three residents with health insurance programs for low-income children, adults, seniors and people with disabilities. Our 1,500 employees are valued for their individual perspectives and contributions and benefit from flexible work schedules, recognition and opportunities to grow. If you're looking for a rewarding career supporting a meaningful mission, along with generous benefits and recognition, consider joining us at CalOptima Health! About the Position The Program Manager (PM) - Population Health Management (PHM) Strategic Initiatives plays a vital role in the program design, development, implementation and support of PHM initiatives, pilots and programs related to the National Committee for Quality Assurance (NCQA) Health Plan and Health Equity Accreditations, Department of Health Care Services (DHCS) PHM Strategy and Roadmap and CalOptima Health's Board of Directors' PHM priorities. Goals may include helping to close racial/ethnic disparities for identified populations, achieve greater health equity, improve care management and provider resources, as well as assisting with data collection, analysis and reporting. 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 manage cross-functional projects and other assignments in the PHM department, including 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, state and federal regulatory agencies and community stakeholders. The incumbent will also support other CalOptima Health staff on related projects. Duties & Responsibilities: 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. Leads program development, implementation of activities and oversight for various PHM programs and project plans including innovative pilots consistent with the DHCS PHM strategy and CalOptima Health's Board of Directors' priorities. Implements activities supporting the Health Equity enterprise-wide efforts for NCQA, DHCS, Centers for Medicare & Medicaid Services (CMS) and other regulatory agencies as they align with priorities set by leadership. This could include, but is not limited to, supporting CalOptima Health's Health Equity strategic priorities, collaborating with the Orange County Health Care Agency on their Community Health Assessment and Community Health Improvement Plan processes and supporting community stakeholders' health equity efforts that align with PHM priorities. Assists in the write up and bookmarking of documents used for NCQA Health Equity accreditation and other regulatory agency reporting submissions. Coordinates identification and management of data and works with Information Technology Services (ITS), Finance, Enterprise Analytics and Quality Analytics departments to obtain relevant data to strategize and plan. Keeps current on the local, state and federal health care environment, identifying issues that may impact CalOptima Health's medical management programs focused on health equity and social determinants of health. Assists with tracking and reporting of Health Equity and SDOH Strategic Plan priorities and tactics. Develops recommendations and proposals for leadership consideration. Completes other projects and duties as assigned. Experience and Education: Bachelor's degree in public health, healthcare administration or related field required. 3 years of experience in program development, including strategic planning for a start-up program, program implementation and evaluation of evidenced-based programs, preferably in the health care industry or a managed care environment, 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 and aptitude for working in a highly matrixed, mission-driven organization. Physical Demands & Work Environment: The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Physical demands: Employee must be able to sit for extended periods of time and work at the computer for long periods. Employee is required to use hands and fingers, especially for typing on the computer and using the mouse. Employee must be able to communicate, particularly for frequent phone use, in meetings and to conduct presentations. Employee must have means of transportation for offsite travel to a local meeting venue as needed. Work Environment: Typical office environment with moderate noise levels and controlled office temperatures. 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. Employees also have access to 457(b) retirement plans with pre/post-tax contribution options. 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 employment 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 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. Job Location: Orange, California Position Type: To apply, visit https://jobs.silkroad.com/CalOptima/Careers/jobs/4542 Copyright 2022 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-d8b24384402c134ba4b6f49f63077496
Mar 08, 2024
Full Time
Program Manager (Population Health Management Strategic Initiatives) Job Description Department(s): Population Health Management - Strategic Initiatives Reports to: Manager, Population Health Management - Strategic Initiatives FLSA status: Non-Exempt Salary Grade: L - $77,000 - $127,094 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 on Wednesday, February 28, 2024 at 11:59 PM. 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. About CalOptima Health Are you looking for a career that changes lives? As the single largest health plan in Orange County, CalOptima Health serves one in three residents with health insurance programs for low-income children, adults, seniors and people with disabilities. Our 1,500 employees are valued for their individual perspectives and contributions and benefit from flexible work schedules, recognition and opportunities to grow. If you're looking for a rewarding career supporting a meaningful mission, along with generous benefits and recognition, consider joining us at CalOptima Health! About the Position The Program Manager (PM) - Population Health Management (PHM) Strategic Initiatives plays a vital role in the program design, development, implementation and support of PHM initiatives, pilots and programs related to the National Committee for Quality Assurance (NCQA) Health Plan and Health Equity Accreditations, Department of Health Care Services (DHCS) PHM Strategy and Roadmap and CalOptima Health's Board of Directors' PHM priorities. Goals may include helping to close racial/ethnic disparities for identified populations, achieve greater health equity, improve care management and provider resources, as well as assisting with data collection, analysis and reporting. 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 manage cross-functional projects and other assignments in the PHM department, including 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, state and federal regulatory agencies and community stakeholders. The incumbent will also support other CalOptima Health staff on related projects. Duties & Responsibilities: 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. Leads program development, implementation of activities and oversight for various PHM programs and project plans including innovative pilots consistent with the DHCS PHM strategy and CalOptima Health's Board of Directors' priorities. Implements activities supporting the Health Equity enterprise-wide efforts for NCQA, DHCS, Centers for Medicare & Medicaid Services (CMS) and other regulatory agencies as they align with priorities set by leadership. This could include, but is not limited to, supporting CalOptima Health's Health Equity strategic priorities, collaborating with the Orange County Health Care Agency on their Community Health Assessment and Community Health Improvement Plan processes and supporting community stakeholders' health equity efforts that align with PHM priorities. Assists in the write up and bookmarking of documents used for NCQA Health Equity accreditation and other regulatory agency reporting submissions. Coordinates identification and management of data and works with Information Technology Services (ITS), Finance, Enterprise Analytics and Quality Analytics departments to obtain relevant data to strategize and plan. Keeps current on the local, state and federal health care environment, identifying issues that may impact CalOptima Health's medical management programs focused on health equity and social determinants of health. Assists with tracking and reporting of Health Equity and SDOH Strategic Plan priorities and tactics. Develops recommendations and proposals for leadership consideration. Completes other projects and duties as assigned. Experience and Education: Bachelor's degree in public health, healthcare administration or related field required. 3 years of experience in program development, including strategic planning for a start-up program, program implementation and evaluation of evidenced-based programs, preferably in the health care industry or a managed care environment, 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 and aptitude for working in a highly matrixed, mission-driven organization. Physical Demands & Work Environment: The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Physical demands: Employee must be able to sit for extended periods of time and work at the computer for long periods. Employee is required to use hands and fingers, especially for typing on the computer and using the mouse. Employee must be able to communicate, particularly for frequent phone use, in meetings and to conduct presentations. Employee must have means of transportation for offsite travel to a local meeting venue as needed. Work Environment: Typical office environment with moderate noise levels and controlled office temperatures. 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. Employees also have access to 457(b) retirement plans with pre/post-tax contribution options. 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 employment 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 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. Job Location: Orange, California Position Type: To apply, visit https://jobs.silkroad.com/CalOptima/Careers/jobs/4542 Copyright 2022 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-d8b24384402c134ba4b6f49f63077496
Program Manager (Clinical Strategic Programs) (Full Telework) Job Description Department(s): Medical Management Reports to: Sr Manager I FLSA status: Non-Exempt Salary Grade: L - $77,000 - $127,094 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 on Tuesday, January 16, 2023 at 11:59 PM. 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. **This position is eligible for full telework in California.** About CalOptima Health Are you looking for a career that changes lives? As the single largest health plan in Orange County, CalOptima Health serves one in three residents with health insurance programs for low-income children, adults, seniors and people with disabilities. Our 1,500 employees are valued for their individual perspectives and contributions and benefit from flexible work schedules, recognition and opportunities to grow. If you're looking for a rewarding career supporting a meaningful mission, along with generous benefits and recognition, consider joining us at CalOptima Health! About the Position Under the general direction of the Sr Manager I, the Program Manager (Clinical Strategic Programs) will collaborate and coordinate with leadership to design, implement and evaluate programs for the areas assigned by the Chief Medical Officer (CMO) or management. The incumbent will lead, coordinate, monitor and complete tasks supporting the development of new clinical programs. The incumbent will monitor cross functional clinical 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. The incumbent will also support CalOptima Health staff on related projects. Duties & Responsibilities: 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. Supports with program design, development and implementation of clinical strategic programs. Leads program development activities for various clinical programs, including innovation pilots. Assists management in the development of specifications and scope of work for Request for Proposal (RFP), Request for Quotes (RFQ) or Request for Inquiry (RFI) to support new clinical program development. Reviews evidence-based literature and other educational media for advancements and research in the health care field. Develops and oversees the process of written tools for programmatic use, including program plans, surveys and evaluation instruments. Identifies clinical team to develop user requirements of technological tools to enhance and improve the efficiency of existing or new clinical programs. Collaborates with other department analysts 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, identifies issues that may impact CalOptima Health's clinical programs. Reviews and helps update policies and procedures and ensures knowledge related to assigned programs and projects. Works with all CalOptima Health's departments in response to inquiries, problem-solving and promoting CalOptima Health's mission and message. Completes other projects and duties as assigned. Experience & Education: Bachelor's degree required. 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. Experience in developing sound and responsible business plans and financial models required. Experience and aptitude for working in a highly matrixed, mission-driven organization 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: Work independently and as an effective member of a team Master's degree in Health Administration or related field. Lean Six Sigma Green Belt. Physical Demands and Work Environment: The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Physical demands: While performing duties of job, employee may be required to move about the organization. Employee must be able to sit for extended periods of time, as well as work at the computer for long periods. Employee is required to use hands and fingers, especially for typing on the computer and using the mouse. Must also be able to reach with hands and arms and must occasionally lift office supply boxes or laptop, up to 25 pounds. Employee must be able to communicate, particularly for regular phone use, in meetings, face-to-face interaction and while presenting. Work Environment: Typical office environment with minimal to moderate noise levels and controlled office temperatures. 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. Employees also have access to 457(b) retirement plans with pre/post-tax contribution options. 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 employment 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 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. Job Location: Orange, California Position Type: To apply, visit https://jobs.silkroad.com/CalOptima/Careers/jobs/4494 Copyright 2022 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-06f466cc2a6b43498d95597d8ab915a1
Mar 08, 2024
Full Time
Program Manager (Clinical Strategic Programs) (Full Telework) Job Description Department(s): Medical Management Reports to: Sr Manager I FLSA status: Non-Exempt Salary Grade: L - $77,000 - $127,094 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 on Tuesday, January 16, 2023 at 11:59 PM. 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. **This position is eligible for full telework in California.** About CalOptima Health Are you looking for a career that changes lives? As the single largest health plan in Orange County, CalOptima Health serves one in three residents with health insurance programs for low-income children, adults, seniors and people with disabilities. Our 1,500 employees are valued for their individual perspectives and contributions and benefit from flexible work schedules, recognition and opportunities to grow. If you're looking for a rewarding career supporting a meaningful mission, along with generous benefits and recognition, consider joining us at CalOptima Health! About the Position Under the general direction of the Sr Manager I, the Program Manager (Clinical Strategic Programs) will collaborate and coordinate with leadership to design, implement and evaluate programs for the areas assigned by the Chief Medical Officer (CMO) or management. The incumbent will lead, coordinate, monitor and complete tasks supporting the development of new clinical programs. The incumbent will monitor cross functional clinical 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. The incumbent will also support CalOptima Health staff on related projects. Duties & Responsibilities: 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. Supports with program design, development and implementation of clinical strategic programs. Leads program development activities for various clinical programs, including innovation pilots. Assists management in the development of specifications and scope of work for Request for Proposal (RFP), Request for Quotes (RFQ) or Request for Inquiry (RFI) to support new clinical program development. Reviews evidence-based literature and other educational media for advancements and research in the health care field. Develops and oversees the process of written tools for programmatic use, including program plans, surveys and evaluation instruments. Identifies clinical team to develop user requirements of technological tools to enhance and improve the efficiency of existing or new clinical programs. Collaborates with other department analysts 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, identifies issues that may impact CalOptima Health's clinical programs. Reviews and helps update policies and procedures and ensures knowledge related to assigned programs and projects. Works with all CalOptima Health's departments in response to inquiries, problem-solving and promoting CalOptima Health's mission and message. Completes other projects and duties as assigned. Experience & Education: Bachelor's degree required. 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. Experience in developing sound and responsible business plans and financial models required. Experience and aptitude for working in a highly matrixed, mission-driven organization 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: Work independently and as an effective member of a team Master's degree in Health Administration or related field. Lean Six Sigma Green Belt. Physical Demands and Work Environment: The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Physical demands: While performing duties of job, employee may be required to move about the organization. Employee must be able to sit for extended periods of time, as well as work at the computer for long periods. Employee is required to use hands and fingers, especially for typing on the computer and using the mouse. Must also be able to reach with hands and arms and must occasionally lift office supply boxes or laptop, up to 25 pounds. Employee must be able to communicate, particularly for regular phone use, in meetings, face-to-face interaction and while presenting. Work Environment: Typical office environment with minimal to moderate noise levels and controlled office temperatures. 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. Employees also have access to 457(b) retirement plans with pre/post-tax contribution options. 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 employment 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 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. Job Location: Orange, California Position Type: To apply, visit https://jobs.silkroad.com/CalOptima/Careers/jobs/4494 Copyright 2022 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-06f466cc2a6b43498d95597d8ab915a1
Program Manager, Sr. (Provider Operation) Job Description Department(s): Provider Data Management Services Reports to: Director II FLSA status: Exempt Salary Grade: M - $85,000 - $141,086 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 on Monday, March 18, 2024 at 11:59 PM. 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. About CalOptima Health Are you looking for a career that changes lives? As the single largest health plan in Orange County, CalOptima Health serves one in three residents with health insurance programs for low-income children, adults, seniors and people with disabilities. Our 1,500 employees are valued for their individual perspectives and contributions and benefit from flexible work schedules, recognition and opportunities to grow. If you're looking for a rewarding career supporting a meaningful mission, along with generous benefits and recognition, consider joining us at CalOptima Health! About the Position Under the guidance and leadership of the Director of Provider Data Management Services, the Program Manager Sr (Provider Operation) will lead the program development and continuous operation within the Provider Data Management Services department, including the Network Adequacy, provider life cycle operations and regulatory programs impacting the department. The incumbent will be responsible for the end to end of development, implementation and monitoring of their assigned program. The incumbent will develop project work plans, research, organize, and synthesize critical data and information to support strategic decision-making. The incumbent will also be responsible for preparing presentations, briefing documents and data reports and presenting findings to management. The incumbent will facilitate meetings, workgroups and committees to communicate updates within the organization and issue resolution. The incumbent will be expected to work independently. Duties & Responsibilities: 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. Formulates and proposes recommendations and options to address new requirements and organization needs with moderate guidance. Ensures assigned programs meet regulatory requirements and operational needs, works with internal departments and external stakeholders to complete deliverables and meet program Key Performance Indicators. Participates in compliance and operational meetings and attends external info sessions to stay informed. Leads the planning, implementation and management of various initiatives and activities in collaboration with management and other CalOptima Health departments. Executes compliance and policy requirements as mandated, works within the department to ensure timely and accurate implementation. Owns assigned program, serves as subject matter expert and conducts ongoing review and analysis to ensure compliance, efficiency and overall success. Supports vendor management activities and works with vendors and leadership to ensure continuous alignment with business needs and strategies. Tracks and monitors the impact and success of programs. Produces documentation, summaries, impact analysis and reports for department operations, audits and responses to regulators. Coordinates workgroup and committee meetings as needed. Presents regular and organized program updates to all staff levels and regulators. Stays current on the local, state and federal health care environment to identify public policy and market trends that may impact CalOptima Health's provider programs and/or mission. Completes other projects or duties as assigned. Experience & Education: Bachelor's degree required. 5 years of experience in program development, including using data-driven decision making in program planning and implementation required. 2 years of experience working with policies/regulatory requirements (i.e. impact analysis, report submission, requirements documentation, etc.) required. 1 year of experience working with data analytics/reporting 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: Project Management certificate. 1 year of experience and aptitude for working in a highly matrixed, mission-driven organization. Experience working with vendors/vendor management. Physical Demands and Work Environment: The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Physical demands: While performing duties of job, employee may be required to move about the organization. Employee must be able to sit for extended periods of time, as well as work at the computer for long periods. Employee is required to use hands and fingers, especially for typing on the computer and using the mouse. Must also be able to reach with hands and arms and must occasionally lift office supply boxes or laptop case, up to 25 pounds. Employee must be able to communicate, particularly for regular phone use, in meetings, face-to-face interaction and while presenting. Work Environment: Typical office environment with minimal to moderate noise levels and controlled office temperatures. 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. Employees also have access to 457(b) retirement plans with pre/post-tax contribution options. 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 employment 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 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. Job Location: Orange, California Position Type: To apply, visit https://jobs.silkroad.com/CalOptima/Careers/jobs/4555 Copyright 2022 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-29200d6a98785d4998fc9574aace5fac
Mar 08, 2024
Full Time
Program Manager, Sr. (Provider Operation) Job Description Department(s): Provider Data Management Services Reports to: Director II FLSA status: Exempt Salary Grade: M - $85,000 - $141,086 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 on Monday, March 18, 2024 at 11:59 PM. 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. About CalOptima Health Are you looking for a career that changes lives? As the single largest health plan in Orange County, CalOptima Health serves one in three residents with health insurance programs for low-income children, adults, seniors and people with disabilities. Our 1,500 employees are valued for their individual perspectives and contributions and benefit from flexible work schedules, recognition and opportunities to grow. If you're looking for a rewarding career supporting a meaningful mission, along with generous benefits and recognition, consider joining us at CalOptima Health! About the Position Under the guidance and leadership of the Director of Provider Data Management Services, the Program Manager Sr (Provider Operation) will lead the program development and continuous operation within the Provider Data Management Services department, including the Network Adequacy, provider life cycle operations and regulatory programs impacting the department. The incumbent will be responsible for the end to end of development, implementation and monitoring of their assigned program. The incumbent will develop project work plans, research, organize, and synthesize critical data and information to support strategic decision-making. The incumbent will also be responsible for preparing presentations, briefing documents and data reports and presenting findings to management. The incumbent will facilitate meetings, workgroups and committees to communicate updates within the organization and issue resolution. The incumbent will be expected to work independently. Duties & Responsibilities: 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. Formulates and proposes recommendations and options to address new requirements and organization needs with moderate guidance. Ensures assigned programs meet regulatory requirements and operational needs, works with internal departments and external stakeholders to complete deliverables and meet program Key Performance Indicators. Participates in compliance and operational meetings and attends external info sessions to stay informed. Leads the planning, implementation and management of various initiatives and activities in collaboration with management and other CalOptima Health departments. Executes compliance and policy requirements as mandated, works within the department to ensure timely and accurate implementation. Owns assigned program, serves as subject matter expert and conducts ongoing review and analysis to ensure compliance, efficiency and overall success. Supports vendor management activities and works with vendors and leadership to ensure continuous alignment with business needs and strategies. Tracks and monitors the impact and success of programs. Produces documentation, summaries, impact analysis and reports for department operations, audits and responses to regulators. Coordinates workgroup and committee meetings as needed. Presents regular and organized program updates to all staff levels and regulators. Stays current on the local, state and federal health care environment to identify public policy and market trends that may impact CalOptima Health's provider programs and/or mission. Completes other projects or duties as assigned. Experience & Education: Bachelor's degree required. 5 years of experience in program development, including using data-driven decision making in program planning and implementation required. 2 years of experience working with policies/regulatory requirements (i.e. impact analysis, report submission, requirements documentation, etc.) required. 1 year of experience working with data analytics/reporting 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: Project Management certificate. 1 year of experience and aptitude for working in a highly matrixed, mission-driven organization. Experience working with vendors/vendor management. Physical Demands and Work Environment: The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Physical demands: While performing duties of job, employee may be required to move about the organization. Employee must be able to sit for extended periods of time, as well as work at the computer for long periods. Employee is required to use hands and fingers, especially for typing on the computer and using the mouse. Must also be able to reach with hands and arms and must occasionally lift office supply boxes or laptop case, up to 25 pounds. Employee must be able to communicate, particularly for regular phone use, in meetings, face-to-face interaction and while presenting. Work Environment: Typical office environment with minimal to moderate noise levels and controlled office temperatures. 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. Employees also have access to 457(b) retirement plans with pre/post-tax contribution options. 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 employment 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 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. Job Location: Orange, California Position Type: To apply, visit https://jobs.silkroad.com/CalOptima/Careers/jobs/4555 Copyright 2022 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-29200d6a98785d4998fc9574aace5fac
Program Manager (Real Estate Projects and Grant Management) Job Description Department(s): Facilities Reports to: Director I FLSA status: Non-Exempt Salary Grade: L - $77,000 - $127,094 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 on Tuesday, February 20, 2024 at 11:59 PM. 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. About CalOptima Health Are you looking for a career that changes lives? As the single largest health plan in Orange County, CalOptima Health serves one in three residents with health insurance programs for low-income children, adults, seniors and people with disabilities. Our 1,500 employees are valued for their individual perspectives and contributions and benefit from flexible work schedules, recognition and opportunities to grow. If you're looking for a rewarding career supporting a meaningful mission, along with generous benefits and recognition, consider joining us at CalOptima Health! About the Position The Program Manager (Real Estate Projects and Grant Management) will be responsible for supporting and providing oversight of CalOptima Health's real estate projects throughout the project lifecycle. The incumbent will monitor, track and report on all housing and building projects that are partially or fully funded by CalOptima Health through incentives or grants. Duties & Responsibilities: 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. Participates in CalOptima Health's real estate project management, including proposal review, site visit and other real estate related activities. Ensures that the quality and timeline of CalOptima Health's real estate projects meet organizational needs. Coordinates with project managers to ensure housing and building projects are completed with minimal disruption due to issues or risks and pursuant to agreed-upon timelines. Serves as a subject matter expert and provides oversight and support to ensure effective communication, development and implementation of housing and building projects in a cross-functional capacity. Oversees all housing and building projects that are partially or fully funded by either incentives or grants in accordance with CalOptima Health contracts or grant agreements. These duties include, but are not limited to, site visits, status updates and return on investment (ROI) review. Develops summary reports for review by management and the board of directors as requested. Manages multiple major housing and building projects simultaneously. Manages relationships with all stakeholders and ensures collaboration on projects. Completes other projects and duties as assigned. Experience & Education: Bachelor's degree in property management, real estate, business real estate or a related field required. 3 years in real estate asset management or property/facilities management with increasing levels of responsibility 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: Active California Real Estate Salesperson license. Physical Demands and Work Environment: The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Physical demands: While performing duties of job, employee may be required to move about the organization. Employee must be able to sit for extended periods of time, as well as work at the computer for long periods. Employee is required to use hands and fingers, especially for typing on the computer and using the mouse. Must also be able to reach with hands and arms and must occasionally lift office supply boxes or laptop case, up to 25 pounds. Employee must be able to communicate, particularly for regular phone use, in meetings, face-to-face interaction and while presenting. Work Environment: Typical office environment with minimal to moderate noise levels and controlled office temperatures. 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. Employees also have access to 457(b) retirement plans with pre/post-tax contribution options. 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 employment 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 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. 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. Employees also have access to 457(b) retirement plans with pre/post-tax contribution options. 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 employment 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 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. 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. Employees also have access to 457(b) retirement plans with pre/post-tax contribution options. 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 employment 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 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. Job Location: Orange, California Position Type: To apply, visit https://jobs.silkroad.com/CalOptima/Careers/jobs/4537 Copyright 2022 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-b31fa230b15cc949bf7f26e9514b51ac
Mar 08, 2024
Full Time
Program Manager (Real Estate Projects and Grant Management) Job Description Department(s): Facilities Reports to: Director I FLSA status: Non-Exempt Salary Grade: L - $77,000 - $127,094 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 on Tuesday, February 20, 2024 at 11:59 PM. 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. About CalOptima Health Are you looking for a career that changes lives? As the single largest health plan in Orange County, CalOptima Health serves one in three residents with health insurance programs for low-income children, adults, seniors and people with disabilities. Our 1,500 employees are valued for their individual perspectives and contributions and benefit from flexible work schedules, recognition and opportunities to grow. If you're looking for a rewarding career supporting a meaningful mission, along with generous benefits and recognition, consider joining us at CalOptima Health! About the Position The Program Manager (Real Estate Projects and Grant Management) will be responsible for supporting and providing oversight of CalOptima Health's real estate projects throughout the project lifecycle. The incumbent will monitor, track and report on all housing and building projects that are partially or fully funded by CalOptima Health through incentives or grants. Duties & Responsibilities: 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. Participates in CalOptima Health's real estate project management, including proposal review, site visit and other real estate related activities. Ensures that the quality and timeline of CalOptima Health's real estate projects meet organizational needs. Coordinates with project managers to ensure housing and building projects are completed with minimal disruption due to issues or risks and pursuant to agreed-upon timelines. Serves as a subject matter expert and provides oversight and support to ensure effective communication, development and implementation of housing and building projects in a cross-functional capacity. Oversees all housing and building projects that are partially or fully funded by either incentives or grants in accordance with CalOptima Health contracts or grant agreements. These duties include, but are not limited to, site visits, status updates and return on investment (ROI) review. Develops summary reports for review by management and the board of directors as requested. Manages multiple major housing and building projects simultaneously. Manages relationships with all stakeholders and ensures collaboration on projects. Completes other projects and duties as assigned. Experience & Education: Bachelor's degree in property management, real estate, business real estate or a related field required. 3 years in real estate asset management or property/facilities management with increasing levels of responsibility 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: Active California Real Estate Salesperson license. Physical Demands and Work Environment: The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Physical demands: While performing duties of job, employee may be required to move about the organization. Employee must be able to sit for extended periods of time, as well as work at the computer for long periods. Employee is required to use hands and fingers, especially for typing on the computer and using the mouse. Must also be able to reach with hands and arms and must occasionally lift office supply boxes or laptop case, up to 25 pounds. Employee must be able to communicate, particularly for regular phone use, in meetings, face-to-face interaction and while presenting. Work Environment: Typical office environment with minimal to moderate noise levels and controlled office temperatures. 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. Employees also have access to 457(b) retirement plans with pre/post-tax contribution options. 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 employment 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 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. 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. Employees also have access to 457(b) retirement plans with pre/post-tax contribution options. 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 employment 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 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. 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. Employees also have access to 457(b) retirement plans with pre/post-tax contribution options. 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 employment 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 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. Job Location: Orange, California Position Type: To apply, visit https://jobs.silkroad.com/CalOptima/Careers/jobs/4537 Copyright 2022 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-b31fa230b15cc949bf7f26e9514b51ac
Program Manager (Quality Improvement) Job Description Department(s): Quality Improvement Reports to: Director II FLSA status: Non-Exempt Salary Grade: L - $77,000 - $127,094 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 on Monday, December 11, 2023 at 11:59 PM. 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. About CalOptima Health Are you looking for a career that changes lives? As the single largest health plan in Orange County, CalOptima Health serves one in three residents with health insurance programs for low-income children, adults, seniors and people with disabilities. Our 1,500 employees are valued for their individual perspectives and contributions and benefit from flexible work schedules, recognition and opportunities to grow. If you're looking for a rewarding career supporting a meaningful mission, along with generous benefits and recognition, consider joining us at CalOptima Health! About the Position The Program Manager (Quality Improvement) will provide oversight, coordination and staff support to the Quality Improvement (QI) department in the areas of National Committee for Quality Assurance (NCQA) Accreditation, as well as quality requirements for the Department of Health Care Services (DHCS) and the Centers for Medicare & Medicaid Services (CMS). The incumbent will lead CalOptima Health's Health Plan and Health Equity accreditation efforts to ensure CalOptima Health achieves its renewal accreditation. Specifically, the incumbent will work to enhance and strengthen CalOptima Health's quality infrastructure, including program, policy, contract compliance and statutory and regulatory obligations with NCQA, DHCS and CMS. The incumbent will require the ability to complete a variety of detailed analyses, including the impact of accreditation and policy changes from the NCQA, the State of California and the federal government, communicating these changes with QI leadership and affected areas. The incumbent will lead and manage projects and other assignments in the QI department, including those relating to the quality program, workplan and evaluation. The incumbent will interact with CalOptima Health's leadership, state and federal regulatory agencies, as needed. Duties & Responsibilities: 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. Leads CalOptima Health through the NCQA Health Plan and Health Equity accreditation process and renewals and provides leadership to all business areas to ensure standards are known and met. Leads and facilitates NCQA regulatory audits and audit readiness activities for QI department. Stays current on NCQA accreditation standards as well as local, state and federal health care environment; identifies issues and communicates areas that may impact CalOptima Health's QI programs. Ensures all NCQA related policies are reviewed and updated, as needed, annually. Work directly with regulatory and compliance to ensure submissions are reviewed timely and with legal review. Engages and collaborates with all external NCQA and regulatory related vendors/organizations, including but not limited to NCQA and NCQA Consultants, to ensure standards are known and met and accreditation surveys are submitted accurately and timely. Initiates and maintains contact with key business owners to ensure proper submission of required documentation for the accreditation and renewal survey and regulatory audits. Designs and develops process improvements for the QI department to ensure annual QI program, workplan and evaluation is monitored and executed as planned. Represents QI at various CalOptima Health committee meetings such as the Quality Improvement Health Equity Committee (QIHEC) and its related subcommittees, as well as the Health Network Forum and the Joint Operation Meetings with health networks. Designs and develops process improvements for the QI department as the one-stop shop for regulatory information. Manages the accurate and timely submission of regulatory filings and reporting requirements on an ongoing basis. Works with all CalOptima Health departments in response to inquiries, problem-solving and promoting CalOptima Health's mission and message. Researches national, state and local health policy issues that may impact CalOptima Health's mission, vision and strategic goals. Leads and facilitates the NCQA Steering Committee Meeting. Represents QI department in various internal and external meetings. Provides QI program support to QI managers and other team members, assuring PQI, Credentialing, FSR and PARS processes are compliant with regulatory or audit and accreditation requirements. Completes other projects and duties as assigned. Experience & Education: Bachelor's degree in a Health Care or related field required. 3 years of experience working with health care delivery systems and/or in a public agency serving the related population or equivalent required. 3 years of experience successfully managing and achieving NCQA accreditation for a health plan or equivalent required. 2 years of experience within managed care and quality management or equivalent 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: 2 years of experience with outreach and public speaking/public relations. Physical Demands and Work Environment: The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Physical demands: While performing duties of job, employee may be required to move about the organization and to travel to offsite locations. Employee must be able to sit for extended periods of time, as well as work at the computer for long periods. Employee is required to use hands and fingers, especially for typing on the computer and using the mouse. Must also be able to reach with hands and arms and must occasionally lift office supply boxes or laptop case while traveling, up to 25 pounds. Employee must be able to communicate, particularly for regular phone use, in meetings, face-to-face interaction and while presenting. Occasional travel to off-site locations is required. Work Environment: Typical office environment with minimal to moderate noise levels and controlled office temperatures. 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. Employees also have access to 457(b) retirement plans with pre/post-tax contribution options. 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 employment 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 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. Job Location: Orange, California Position Type: To apply, visit https://jobs.silkroad.com/CalOptima/Careers/jobs/4457 Copyright 2022 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-0eb1f22ec0118a4689f8f80a770ed9b3
Mar 08, 2024
Full Time
Program Manager (Quality Improvement) Job Description Department(s): Quality Improvement Reports to: Director II FLSA status: Non-Exempt Salary Grade: L - $77,000 - $127,094 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 on Monday, December 11, 2023 at 11:59 PM. 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. About CalOptima Health Are you looking for a career that changes lives? As the single largest health plan in Orange County, CalOptima Health serves one in three residents with health insurance programs for low-income children, adults, seniors and people with disabilities. Our 1,500 employees are valued for their individual perspectives and contributions and benefit from flexible work schedules, recognition and opportunities to grow. If you're looking for a rewarding career supporting a meaningful mission, along with generous benefits and recognition, consider joining us at CalOptima Health! About the Position The Program Manager (Quality Improvement) will provide oversight, coordination and staff support to the Quality Improvement (QI) department in the areas of National Committee for Quality Assurance (NCQA) Accreditation, as well as quality requirements for the Department of Health Care Services (DHCS) and the Centers for Medicare & Medicaid Services (CMS). The incumbent will lead CalOptima Health's Health Plan and Health Equity accreditation efforts to ensure CalOptima Health achieves its renewal accreditation. Specifically, the incumbent will work to enhance and strengthen CalOptima Health's quality infrastructure, including program, policy, contract compliance and statutory and regulatory obligations with NCQA, DHCS and CMS. The incumbent will require the ability to complete a variety of detailed analyses, including the impact of accreditation and policy changes from the NCQA, the State of California and the federal government, communicating these changes with QI leadership and affected areas. The incumbent will lead and manage projects and other assignments in the QI department, including those relating to the quality program, workplan and evaluation. The incumbent will interact with CalOptima Health's leadership, state and federal regulatory agencies, as needed. Duties & Responsibilities: 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. Leads CalOptima Health through the NCQA Health Plan and Health Equity accreditation process and renewals and provides leadership to all business areas to ensure standards are known and met. Leads and facilitates NCQA regulatory audits and audit readiness activities for QI department. Stays current on NCQA accreditation standards as well as local, state and federal health care environment; identifies issues and communicates areas that may impact CalOptima Health's QI programs. Ensures all NCQA related policies are reviewed and updated, as needed, annually. Work directly with regulatory and compliance to ensure submissions are reviewed timely and with legal review. Engages and collaborates with all external NCQA and regulatory related vendors/organizations, including but not limited to NCQA and NCQA Consultants, to ensure standards are known and met and accreditation surveys are submitted accurately and timely. Initiates and maintains contact with key business owners to ensure proper submission of required documentation for the accreditation and renewal survey and regulatory audits. Designs and develops process improvements for the QI department to ensure annual QI program, workplan and evaluation is monitored and executed as planned. Represents QI at various CalOptima Health committee meetings such as the Quality Improvement Health Equity Committee (QIHEC) and its related subcommittees, as well as the Health Network Forum and the Joint Operation Meetings with health networks. Designs and develops process improvements for the QI department as the one-stop shop for regulatory information. Manages the accurate and timely submission of regulatory filings and reporting requirements on an ongoing basis. Works with all CalOptima Health departments in response to inquiries, problem-solving and promoting CalOptima Health's mission and message. Researches national, state and local health policy issues that may impact CalOptima Health's mission, vision and strategic goals. Leads and facilitates the NCQA Steering Committee Meeting. Represents QI department in various internal and external meetings. Provides QI program support to QI managers and other team members, assuring PQI, Credentialing, FSR and PARS processes are compliant with regulatory or audit and accreditation requirements. Completes other projects and duties as assigned. Experience & Education: Bachelor's degree in a Health Care or related field required. 3 years of experience working with health care delivery systems and/or in a public agency serving the related population or equivalent required. 3 years of experience successfully managing and achieving NCQA accreditation for a health plan or equivalent required. 2 years of experience within managed care and quality management or equivalent 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: 2 years of experience with outreach and public speaking/public relations. Physical Demands and Work Environment: The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Physical demands: While performing duties of job, employee may be required to move about the organization and to travel to offsite locations. Employee must be able to sit for extended periods of time, as well as work at the computer for long periods. Employee is required to use hands and fingers, especially for typing on the computer and using the mouse. Must also be able to reach with hands and arms and must occasionally lift office supply boxes or laptop case while traveling, up to 25 pounds. Employee must be able to communicate, particularly for regular phone use, in meetings, face-to-face interaction and while presenting. Occasional travel to off-site locations is required. Work Environment: Typical office environment with minimal to moderate noise levels and controlled office temperatures. 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. Employees also have access to 457(b) retirement plans with pre/post-tax contribution options. 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 employment 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 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. Job Location: Orange, California Position Type: To apply, visit https://jobs.silkroad.com/CalOptima/Careers/jobs/4457 Copyright 2022 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-0eb1f22ec0118a4689f8f80a770ed9b3
Santa Fe Springs, CA
CA 90670, California, United States
The City of Santa Fe Springs seeks applicants for the position of Community Services Program Leader I - Seasonal. This is a seasonal, hourly/non-benefited position. Incumbents are expected to be available to work approximately 20-25 hours per week beginning April 2024 through August 2024 on a flexible schedule including evenings, weekends, and holidays. Upcoming seasonal vacancies exist in the following divisions of the Community Services Department: Parks and Recreation Services (PRS) Division: The Parks and Recreation Services Division is responsible for development, planning, and implementation of recreation programs and events. Programming includes youth & adult sports, teen lounge & youth development programs. Family and Human Services (FHS) Division: The Family and Human Services Division is responsible for the development, implementation, and planning of Older Adults Services, Family services, and special events which include summer concerts, Pioneer Day, Dia de los Muertos event, Holiday programs, and other cultural events. SUMMER HIRING EXPO: Qualified Candidates will be invited to participate in the examination process which will consist of an oral panel interview. The interview will take place at the Summer Hiring Expo which is scheduled for Saturday, February 24, 2024 (9:00am - 1:00pm) and will take place at Town Center Plaza - 11740 Telegraph Rd, Santa Fe Springs, CA 90670. Candidates should expect to be at the Hiring Expo approximately 1 hour. Makeup/zoom interviews will be held following week - tentatively scheduled for March, 5, 2024 - for those Candidates unable to attend Hiring Expo. * Incumbents may be offered year-round employment dependent upon availability and/or departmental programming needs. Under general supervision of the Community Services Director, Recreation Manager, Supervisor, Coordinator, Community Services Specialist or Community Services Leader III, the Community Services Program Leader I provides support and assists with a variety of programs, projects, functions and events in the Community Services Department. Supports the Mission of the City and its Elected and Appointed Officials. Exhibits loyalty to the City and its representatives. Provides courteous and timely service to the public as the ultimate employer. Works cooperatively with other City employees. Exhibits integrity and displays ethical behavior. Plans, develops, conducts and oversees a wide variety of activities for children, teens, adults and older adults/seniors including sports, contests, tournaments, games, arts & crafts, day camps, special events and programs. Assists with facility rentals, oversee and provide coverage to a variety of community services facilities which includes parks; set up and take down tables, chairs, and equipment, for classes, activities, events and meetings. Assists in maintaining and cleaning facilities and/or parks. Assists with general office duties, including basic cashiering, answering phones, greeting patrons, typing, data entry, coping and filing. Assists with facility reservations, including phone and front counter contact, registering patrons for classes and programs, processing receipts and record keeping. Assists with coaching/instructing the basic and fundamental skills of football, basketball, volleyball and soccer. Assists patrons and other Community Services Department staff in routine and emergency situations including administering first aid. Attends staff meetings, trainings and workshops. Adhere to City and departmental policies and procedures. Performs related duties as required or assigned. REPRESENTATIVE COMPETENCIES AND QUALIFICATIONS: The requirements listed below are representative of the knowledge, skill and ability required to satisfactorily perform the jobs essential duties and responsibilities. Knowledge of: Policies, procedures, and regulations governing the conduct and safety of persons using equipment and facilities; English grammar, punctuation, spelling and composition. Ability to: Exhibit good judgment and problem solving skills; develop and maintain effective working relationships and exercise tact, courtesy, alertness in responding to internal and external customers; operate modern office equipment including computer equipment software programs, and audio visual equipment; ability to work well with the public, have strong leadership skills, team-oriented, oral and written communication skills; experience working with the public, children, teens and/or seniors is highly desirable; communicate clearly and concisely with program participants, community groups, the public, City officials and staff; lift up to 45 lbs. and work indoors and outdoors; work varied shifts, including nights, weekends, and holidays. EDUCATION AND EXPERIENCE: The following requirements generally demonstrate possession of the minimum requisite knowledge and ability necessary to perform the duties of the position. A typical way to obtain these would be: Must be at least 17 years of age. Some related community services, recreation or education is highly desirable. Excellent customer service skills. LICENSE OR CERTIFICATE: Possession of CPR, AED, and First Aid Certificates are required. *Certification training will be provided by the City. NEPOTISM POLICY: Relatives may be appointed regardless of the designation of full or part-time classification. Candidates with relatives employed by the City will be excluded from applying for a vacancy if one or more of the following criteria exist: 1) The appointment of a relative would place one in a supervisory capacity directly over the other 2) The appointment would create a situation in which it is conceivable personal gain for one could be obtained by the actions of the other 3) The appointment would create a situation where performance or non-performance of either would have a direct effect upon the performance of the other 4) The appointment would create a situation where the confidentiality of either could be compromised. Candidates with relatives employed by the City will be evaluated on a case-by-case basis. "Relative" shall be defined as: mother, father, son, daughter, brother, sister, grandmother, grandfather, grandchild, spouse, domestic partner, step mother, step-father, step-sister, step-brother, stepchild and step grandchild. WORKING CONDITIONS: The work environment characteristics described are representative of those an employee encounters in performing the essential functions of this job. Work is performed indoors and outdoors. Noise level is quiet to loud. Hazards are minimal. Occasional exposure to bodily fluids. PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable employees with disabilities to perform the essential duties. Stand, sit, walk, kneel, crouch, stoop, and bend. Push, pull, and reach overhead and above shoulders. Hear and speak both in person and on the telephone. Use hands and fingers to operate office equipment. See well enough to read documents and operate office equipment. Lift and move up to 45 pounds. HOW TO APPLY: Applicants are required to complete and submit a city application online. Resumes or faxed copies will not be accepted in lieu of the City online application. To apply, click on the link located at the top of this page. New users must first create an account. METHOD OF SELECTION: Selection may be based upon an application review, a performance examination and evaluation, and a structured interview. Appointment will be contingent upon a criminal record check and physical examination, including a drug screen. ACCOMMODATION: If you require special testing and/or interview accommodations due to a physical, mental, or learning disability, please call the Human Resources Office at (562) 409-7530 at least 5 days prior to the scheduled date. Non-Benefited Closing Date/Time: 4/7/2024 12:00 AM Pacific
Mar 07, 2024
The City of Santa Fe Springs seeks applicants for the position of Community Services Program Leader I - Seasonal. This is a seasonal, hourly/non-benefited position. Incumbents are expected to be available to work approximately 20-25 hours per week beginning April 2024 through August 2024 on a flexible schedule including evenings, weekends, and holidays. Upcoming seasonal vacancies exist in the following divisions of the Community Services Department: Parks and Recreation Services (PRS) Division: The Parks and Recreation Services Division is responsible for development, planning, and implementation of recreation programs and events. Programming includes youth & adult sports, teen lounge & youth development programs. Family and Human Services (FHS) Division: The Family and Human Services Division is responsible for the development, implementation, and planning of Older Adults Services, Family services, and special events which include summer concerts, Pioneer Day, Dia de los Muertos event, Holiday programs, and other cultural events. SUMMER HIRING EXPO: Qualified Candidates will be invited to participate in the examination process which will consist of an oral panel interview. The interview will take place at the Summer Hiring Expo which is scheduled for Saturday, February 24, 2024 (9:00am - 1:00pm) and will take place at Town Center Plaza - 11740 Telegraph Rd, Santa Fe Springs, CA 90670. Candidates should expect to be at the Hiring Expo approximately 1 hour. Makeup/zoom interviews will be held following week - tentatively scheduled for March, 5, 2024 - for those Candidates unable to attend Hiring Expo. * Incumbents may be offered year-round employment dependent upon availability and/or departmental programming needs. Under general supervision of the Community Services Director, Recreation Manager, Supervisor, Coordinator, Community Services Specialist or Community Services Leader III, the Community Services Program Leader I provides support and assists with a variety of programs, projects, functions and events in the Community Services Department. Supports the Mission of the City and its Elected and Appointed Officials. Exhibits loyalty to the City and its representatives. Provides courteous and timely service to the public as the ultimate employer. Works cooperatively with other City employees. Exhibits integrity and displays ethical behavior. Plans, develops, conducts and oversees a wide variety of activities for children, teens, adults and older adults/seniors including sports, contests, tournaments, games, arts & crafts, day camps, special events and programs. Assists with facility rentals, oversee and provide coverage to a variety of community services facilities which includes parks; set up and take down tables, chairs, and equipment, for classes, activities, events and meetings. Assists in maintaining and cleaning facilities and/or parks. Assists with general office duties, including basic cashiering, answering phones, greeting patrons, typing, data entry, coping and filing. Assists with facility reservations, including phone and front counter contact, registering patrons for classes and programs, processing receipts and record keeping. Assists with coaching/instructing the basic and fundamental skills of football, basketball, volleyball and soccer. Assists patrons and other Community Services Department staff in routine and emergency situations including administering first aid. Attends staff meetings, trainings and workshops. Adhere to City and departmental policies and procedures. Performs related duties as required or assigned. REPRESENTATIVE COMPETENCIES AND QUALIFICATIONS: The requirements listed below are representative of the knowledge, skill and ability required to satisfactorily perform the jobs essential duties and responsibilities. Knowledge of: Policies, procedures, and regulations governing the conduct and safety of persons using equipment and facilities; English grammar, punctuation, spelling and composition. Ability to: Exhibit good judgment and problem solving skills; develop and maintain effective working relationships and exercise tact, courtesy, alertness in responding to internal and external customers; operate modern office equipment including computer equipment software programs, and audio visual equipment; ability to work well with the public, have strong leadership skills, team-oriented, oral and written communication skills; experience working with the public, children, teens and/or seniors is highly desirable; communicate clearly and concisely with program participants, community groups, the public, City officials and staff; lift up to 45 lbs. and work indoors and outdoors; work varied shifts, including nights, weekends, and holidays. EDUCATION AND EXPERIENCE: The following requirements generally demonstrate possession of the minimum requisite knowledge and ability necessary to perform the duties of the position. A typical way to obtain these would be: Must be at least 17 years of age. Some related community services, recreation or education is highly desirable. Excellent customer service skills. LICENSE OR CERTIFICATE: Possession of CPR, AED, and First Aid Certificates are required. *Certification training will be provided by the City. NEPOTISM POLICY: Relatives may be appointed regardless of the designation of full or part-time classification. Candidates with relatives employed by the City will be excluded from applying for a vacancy if one or more of the following criteria exist: 1) The appointment of a relative would place one in a supervisory capacity directly over the other 2) The appointment would create a situation in which it is conceivable personal gain for one could be obtained by the actions of the other 3) The appointment would create a situation where performance or non-performance of either would have a direct effect upon the performance of the other 4) The appointment would create a situation where the confidentiality of either could be compromised. Candidates with relatives employed by the City will be evaluated on a case-by-case basis. "Relative" shall be defined as: mother, father, son, daughter, brother, sister, grandmother, grandfather, grandchild, spouse, domestic partner, step mother, step-father, step-sister, step-brother, stepchild and step grandchild. WORKING CONDITIONS: The work environment characteristics described are representative of those an employee encounters in performing the essential functions of this job. Work is performed indoors and outdoors. Noise level is quiet to loud. Hazards are minimal. Occasional exposure to bodily fluids. PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable employees with disabilities to perform the essential duties. Stand, sit, walk, kneel, crouch, stoop, and bend. Push, pull, and reach overhead and above shoulders. Hear and speak both in person and on the telephone. Use hands and fingers to operate office equipment. See well enough to read documents and operate office equipment. Lift and move up to 45 pounds. HOW TO APPLY: Applicants are required to complete and submit a city application online. Resumes or faxed copies will not be accepted in lieu of the City online application. To apply, click on the link located at the top of this page. New users must first create an account. METHOD OF SELECTION: Selection may be based upon an application review, a performance examination and evaluation, and a structured interview. Appointment will be contingent upon a criminal record check and physical examination, including a drug screen. ACCOMMODATION: If you require special testing and/or interview accommodations due to a physical, mental, or learning disability, please call the Human Resources Office at (562) 409-7530 at least 5 days prior to the scheduled date. Non-Benefited Closing Date/Time: 4/7/2024 12:00 AM Pacific
Medical Case Manager (LVN) (Pre-Authorization Nurse Reviewer) Job Description Department(s): Utilization Management (Prior Authorization) Reports to: Manager, Utilization Management FLSA status: Non-Exempt Salary Grade: K - $70,000 - $114,268 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 on Thursday, April 03, 2024 at 11:59 PM. 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. About CalOptima Health Are you looking for a career that changes lives? As the single largest health plan in Orange County, CalOptima Health serves one in three residents with health insurance programs for low-income children, adults, seniors and people with disabilities. Our 1,500 employees are valued for their individual perspectives and contributions and benefit from flexible work schedules, recognition and opportunities to grow. If you're looking for a rewarding career supporting a meaningful mission, along with generous benefits and recognition, consider joining us at CalOptima Health! About the Position The Medical Case Manager (LVN) (Pre-Authorization Nurse Reviewer) 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 will be responsible for prior authorization and referral related processes, including on-line responsibilities and select off-line tasks. The incumbent will utilize CalOptima Health's medical criteria, policies and procedures to authorize referral requests from medical professionals, clinical facilities and ancillary providers. The incumbent will directly interact with provider callers and serve as a resource for their needs. Duties & Responsibilities: Medical 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. Verifies and processes specialty referrals, diagnostic testing, outpatient procedures, home health care services and durable medical equipment and supplies via telephone or fax using established clinical protocols to determine medical necessity. Screens requests for the Medical Director's review, gathers pertinent medical information prior to submission to the Medical Director, follows up with the requester by communicating the Medical Director's decision and documents follow-ups in the utilization management system. Completes required documentation for data entry into the utilization management system at the time of the telephone call or fax to include any authorization updates. Reviews International Classification of Diseases (ICD-10), Current Procedural Terminology (CPT-4) and Healthcare Common Procedure Coding System (HCPCS) codes for accuracy and existence of coverage specific to the line of business. Contacts the health networks and/or CalOptima Health's Customer Service department regarding health network enrollments. Identifies and reports any complaints to the immediate supervisor utilizing the call tracking system or verbal communication if the issue is urgent. Refers cases of possible over/under utilization to the Medical Director for proper reporting. Meets productivity and quality of work standards on an ongoing basis. Administrative Support Assists the manager with identifying areas of staff training needs and maintains current data resources. Completes other projects and duties as assigned. Experience & Education: High School diploma or equivalent required. Current, unrestricted Licensed Vocational Nurse (LVN) license to practice in the state of California required. 3 years of nursing experience required, 1 year of which must be as a Nurse Reviewer. 1 year of utilization management/prior authorization review 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: Active Certified Case Manager (CCM) certification. Managed care experience. Physical Demands and Work Environment: The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Physical demands: While performing duties of job, employee may be required to move about the organization. Employee must be able to sit for extended periods of time, as well as work at the computer for long periods. Employee is required to use hands and fingers, especially for typing on the computer and using the mouse. Must also be able to reach with hands and arms and must occasionally lift office supply boxes or laptop case, up to 25 pounds. Employee must be able to communicate, particularly for regular phone use, in meetings, face-to-face interaction and while presenting. Work Environment: Typical office environment with minimal to moderate noise levels and controlled office temperatures. 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. Employees also have access to 457(b) retirement plans with pre/post-tax contribution options. 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 employment 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 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. 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. Employees also have access to 457(b) retirement plans with pre/post-tax contribution options. 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 employment 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 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. 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. Employees also have access to 457(b) retirement plans with pre/post-tax contribution options. 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 employment 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 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. Job Location: Orange, California Position Type: To apply, visit https://jobs.silkroad.com/CalOptima/Careers/jobs/4564 Copyright 2022 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-f0c20222ebb4944b855cfc1276172545
Mar 22, 2024
Full Time
Medical Case Manager (LVN) (Pre-Authorization Nurse Reviewer) Job Description Department(s): Utilization Management (Prior Authorization) Reports to: Manager, Utilization Management FLSA status: Non-Exempt Salary Grade: K - $70,000 - $114,268 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 on Thursday, April 03, 2024 at 11:59 PM. 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. About CalOptima Health Are you looking for a career that changes lives? As the single largest health plan in Orange County, CalOptima Health serves one in three residents with health insurance programs for low-income children, adults, seniors and people with disabilities. Our 1,500 employees are valued for their individual perspectives and contributions and benefit from flexible work schedules, recognition and opportunities to grow. If you're looking for a rewarding career supporting a meaningful mission, along with generous benefits and recognition, consider joining us at CalOptima Health! About the Position The Medical Case Manager (LVN) (Pre-Authorization Nurse Reviewer) 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 will be responsible for prior authorization and referral related processes, including on-line responsibilities and select off-line tasks. The incumbent will utilize CalOptima Health's medical criteria, policies and procedures to authorize referral requests from medical professionals, clinical facilities and ancillary providers. The incumbent will directly interact with provider callers and serve as a resource for their needs. Duties & Responsibilities: Medical 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. Verifies and processes specialty referrals, diagnostic testing, outpatient procedures, home health care services and durable medical equipment and supplies via telephone or fax using established clinical protocols to determine medical necessity. Screens requests for the Medical Director's review, gathers pertinent medical information prior to submission to the Medical Director, follows up with the requester by communicating the Medical Director's decision and documents follow-ups in the utilization management system. Completes required documentation for data entry into the utilization management system at the time of the telephone call or fax to include any authorization updates. Reviews International Classification of Diseases (ICD-10), Current Procedural Terminology (CPT-4) and Healthcare Common Procedure Coding System (HCPCS) codes for accuracy and existence of coverage specific to the line of business. Contacts the health networks and/or CalOptima Health's Customer Service department regarding health network enrollments. Identifies and reports any complaints to the immediate supervisor utilizing the call tracking system or verbal communication if the issue is urgent. Refers cases of possible over/under utilization to the Medical Director for proper reporting. Meets productivity and quality of work standards on an ongoing basis. Administrative Support Assists the manager with identifying areas of staff training needs and maintains current data resources. Completes other projects and duties as assigned. Experience & Education: High School diploma or equivalent required. Current, unrestricted Licensed Vocational Nurse (LVN) license to practice in the state of California required. 3 years of nursing experience required, 1 year of which must be as a Nurse Reviewer. 1 year of utilization management/prior authorization review 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: Active Certified Case Manager (CCM) certification. Managed care experience. Physical Demands and Work Environment: The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Physical demands: While performing duties of job, employee may be required to move about the organization. Employee must be able to sit for extended periods of time, as well as work at the computer for long periods. Employee is required to use hands and fingers, especially for typing on the computer and using the mouse. Must also be able to reach with hands and arms and must occasionally lift office supply boxes or laptop case, up to 25 pounds. Employee must be able to communicate, particularly for regular phone use, in meetings, face-to-face interaction and while presenting. Work Environment: Typical office environment with minimal to moderate noise levels and controlled office temperatures. 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. Employees also have access to 457(b) retirement plans with pre/post-tax contribution options. 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 employment 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 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. 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. Employees also have access to 457(b) retirement plans with pre/post-tax contribution options. 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 employment 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 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. 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. Employees also have access to 457(b) retirement plans with pre/post-tax contribution options. 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 employment 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 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. Job Location: Orange, California Position Type: To apply, visit https://jobs.silkroad.com/CalOptima/Careers/jobs/4564 Copyright 2022 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-f0c20222ebb4944b855cfc1276172545
Medical Case Manager (LTSS) Job Description Department(s): Long Term Care Reports to: Supervisor, Long Term Support Services FLSA status: Non-Exempt Salary Grade: L - $77,000 - $127,094 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 on Thursday , February 29, 2023 at 11:59 PM. 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. About CalOptima Health Are you looking for a career that changes lives? As the single largest health plan in Orange County, CalOptima Health serves one in three residents with health insurance programs for low-income children, adults, seniors and people with disabilities. Our 1,500 employees are valued for their individual perspectives and contributions and benefit from flexible work schedules, recognition and opportunities to grow. If you're looking for a rewarding career supporting a meaningful mission, along with generous benefits and recognition, consider joining us at CalOptima Health! About the Position The Medical Case Manager (LTSS) is part of an advanced specialty collaborative practice, responsible for case management, care coordination, authorization and utilization management of the assigned population of focus (Community Adult Based Services (CBAS), CalAIM, complex discharge and long term care (LTC) members residing in nursing facilities under custodial care) including members in the OneCare Programs, Medi-Cal only members or members living in the intermediate care facilities under regional center guidelines. The incumbent will perform utilization functions and authorizations, provide coordination of care and ongoing case management services for CalOptima Health members discharging from LTC facilities. Discharge planning may include services for CalAIM, LTC and CBAS. The incumbent will review and determine medical eligibility based on approved criteria/guidelines, National Committee for Quality Assurance (NCQA) standards, Medicare, Medi-Cal and CDA guidelines and will facilitate communication and coordination among all participants of the health care team and the member to ensure services are provided to promote quality cost-effective outcomes. The incumbent will provide intensive case management in a collaborative process that includes assessment, planning, implementation, coordination, monitoring and evaluation of the member's needs. The incumbent will be the subject matter expert and acts as a liaison to Orange County based community agencies, CalAIM program and providers, CBAS centers, In-Home Support Services (IHSS) liaisons, skilled nursing facilities, members and providers. Duties & Responsibilities: 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. Applies utilization management, authorizations and case management/nursing processes that include assessment, care planning collaboration, advocacy, implementation/intervention, monitoring and evaluation of a member's status. Performs and/or reviews clinical assessments by using CalAIM, CalOptima Health and DHCS approved standardized tools such as Pre-Admission Screening and Resident Review (PASRR), Minimum Data Set (MDS), CBAS Eligibility Determination Tool (CEDT), Health Risk Assessment (HRA), Individual Plans of Care, etc. Participates in hospital rounds. Collaborates with hospitals on complex discharges. Communicates timely with CalAIM providers and members to coordinate and initiate Community Support (CS) services and (ECM) Enhanced Case Management. 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 and treating physicians as needed to obtain additional information or to introduce the role of CalAIM and case management. Analyzes all requests with the objective of monitoring utilization of services, which includes medical appropriateness and identify potentially high cost, complex cases for high level case management intervention. For short-term cases, conducts a thorough and objective assessment of the member's current physical, psychosocial and environmental status and gathers all information pertinent to the case. Develops, implements and monitors a care plan through the interdisciplinary team process in conjunction with the individual member and family in internal and external settings across the continuum of care. Assesses member's status and progress routinely; if progress is static or regressive, determines reason and proactively encourages appropriate referrals to a higher level of case management or makes appropriate adjustments in the care plan, providers and/or services to promote better outcomes. 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, CBAS centers, IHSS liaisons, community agencies, health networks, skilled nursing facilities and administrators. Prepares and maintains appropriate documentation of patient care and progress within the care plan. Acts as an advocate in the member's best interest for necessary funding, treatment alternatives, timelines and 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. Documents case notes and rationale for all decisions in the Medical Management System (i.e., JIVA, CCMS system, Altruista Guiding Care, etc). Conducts assessments by collecting in-depth information about a member's situation, identifies high-risk needs, issues and resources and gathers all information pertinent to the case to write referrals for any gaps in services. Plans and determines specific objectives, goals and actions as identified through the assessment process and makes recommendations to nursing facilities for the care of the patients. Implements by conducting specific interventions, including referring members to outside resources and/or community agencies that will result in meeting the goals established in the care plan. Supports implementation of the care plan through an interdisciplinary team process in conjunction with the member, family and all participants of the health care team. Monitors established measurable goals and routinely assesses the member's status and progress to proactively make appropriate recommendations for adjustments in the care plan, providers and/or services to promote better outcomes. Performs utilization review of services requested for members in case management by reviewing all pertinent medical records for medical necessity, applying medical review protocols and criteria and meeting the timeframes per the Utilization Management policies and procedures. Assists the Manager, Long-Term Support Services in identifying areas of needed staff training and in maintaining current data resources. Maintains confidentiality of the member's medical information. Completes other projects and duties as assigned. Experience & Education: Associate degree in nursing (ADN) required. Current, unrestricted Registered Nurse (RN) license to practice in the state of California required. 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. A 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. Preferred Qualifications: Bachelor's degree in nursing (BSN). 2 years of experience in Long Term Care, Community Health, Managed Care Medi-Cal, Medicare programs. 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). Physical Demands and Work Environment: The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Physical demands: While performing duties of the job, employee may need to move about the organization. Employee is required to participate in provider workshops, CME events and conferences. Employee must be able to communicate, particularly for regular phone use, in meetings and face-to-face interaction. Employee must have means of transportation for offsite travel to nursing facilities approximately 95% of the time. Work Environment: Typical office environment with minimal to moderate noise levels and controlled office temperatures. Off-site locations are equivalent to a typical physician's office, hospital, or other ancillary provider. 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 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. Employees also have access to 457(b) retirement plans with pre/post-tax contribution options. 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 employment 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 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. Job Location: Orange, California Position Type: To apply, visit https://jobs.silkroad.com/CalOptima/Careers/jobs/4544 Copyright 2022 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-bf96b920096d6349b56d14901c0245fb
Mar 08, 2024
Full Time
Medical Case Manager (LTSS) Job Description Department(s): Long Term Care Reports to: Supervisor, Long Term Support Services FLSA status: Non-Exempt Salary Grade: L - $77,000 - $127,094 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 on Thursday , February 29, 2023 at 11:59 PM. 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. About CalOptima Health Are you looking for a career that changes lives? As the single largest health plan in Orange County, CalOptima Health serves one in three residents with health insurance programs for low-income children, adults, seniors and people with disabilities. Our 1,500 employees are valued for their individual perspectives and contributions and benefit from flexible work schedules, recognition and opportunities to grow. If you're looking for a rewarding career supporting a meaningful mission, along with generous benefits and recognition, consider joining us at CalOptima Health! About the Position The Medical Case Manager (LTSS) is part of an advanced specialty collaborative practice, responsible for case management, care coordination, authorization and utilization management of the assigned population of focus (Community Adult Based Services (CBAS), CalAIM, complex discharge and long term care (LTC) members residing in nursing facilities under custodial care) including members in the OneCare Programs, Medi-Cal only members or members living in the intermediate care facilities under regional center guidelines. The incumbent will perform utilization functions and authorizations, provide coordination of care and ongoing case management services for CalOptima Health members discharging from LTC facilities. Discharge planning may include services for CalAIM, LTC and CBAS. The incumbent will review and determine medical eligibility based on approved criteria/guidelines, National Committee for Quality Assurance (NCQA) standards, Medicare, Medi-Cal and CDA guidelines and will facilitate communication and coordination among all participants of the health care team and the member to ensure services are provided to promote quality cost-effective outcomes. The incumbent will provide intensive case management in a collaborative process that includes assessment, planning, implementation, coordination, monitoring and evaluation of the member's needs. The incumbent will be the subject matter expert and acts as a liaison to Orange County based community agencies, CalAIM program and providers, CBAS centers, In-Home Support Services (IHSS) liaisons, skilled nursing facilities, members and providers. Duties & Responsibilities: 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. Applies utilization management, authorizations and case management/nursing processes that include assessment, care planning collaboration, advocacy, implementation/intervention, monitoring and evaluation of a member's status. Performs and/or reviews clinical assessments by using CalAIM, CalOptima Health and DHCS approved standardized tools such as Pre-Admission Screening and Resident Review (PASRR), Minimum Data Set (MDS), CBAS Eligibility Determination Tool (CEDT), Health Risk Assessment (HRA), Individual Plans of Care, etc. Participates in hospital rounds. Collaborates with hospitals on complex discharges. Communicates timely with CalAIM providers and members to coordinate and initiate Community Support (CS) services and (ECM) Enhanced Case Management. 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 and treating physicians as needed to obtain additional information or to introduce the role of CalAIM and case management. Analyzes all requests with the objective of monitoring utilization of services, which includes medical appropriateness and identify potentially high cost, complex cases for high level case management intervention. For short-term cases, conducts a thorough and objective assessment of the member's current physical, psychosocial and environmental status and gathers all information pertinent to the case. Develops, implements and monitors a care plan through the interdisciplinary team process in conjunction with the individual member and family in internal and external settings across the continuum of care. Assesses member's status and progress routinely; if progress is static or regressive, determines reason and proactively encourages appropriate referrals to a higher level of case management or makes appropriate adjustments in the care plan, providers and/or services to promote better outcomes. 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, CBAS centers, IHSS liaisons, community agencies, health networks, skilled nursing facilities and administrators. Prepares and maintains appropriate documentation of patient care and progress within the care plan. Acts as an advocate in the member's best interest for necessary funding, treatment alternatives, timelines and 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. Documents case notes and rationale for all decisions in the Medical Management System (i.e., JIVA, CCMS system, Altruista Guiding Care, etc). Conducts assessments by collecting in-depth information about a member's situation, identifies high-risk needs, issues and resources and gathers all information pertinent to the case to write referrals for any gaps in services. Plans and determines specific objectives, goals and actions as identified through the assessment process and makes recommendations to nursing facilities for the care of the patients. Implements by conducting specific interventions, including referring members to outside resources and/or community agencies that will result in meeting the goals established in the care plan. Supports implementation of the care plan through an interdisciplinary team process in conjunction with the member, family and all participants of the health care team. Monitors established measurable goals and routinely assesses the member's status and progress to proactively make appropriate recommendations for adjustments in the care plan, providers and/or services to promote better outcomes. Performs utilization review of services requested for members in case management by reviewing all pertinent medical records for medical necessity, applying medical review protocols and criteria and meeting the timeframes per the Utilization Management policies and procedures. Assists the Manager, Long-Term Support Services in identifying areas of needed staff training and in maintaining current data resources. Maintains confidentiality of the member's medical information. Completes other projects and duties as assigned. Experience & Education: Associate degree in nursing (ADN) required. Current, unrestricted Registered Nurse (RN) license to practice in the state of California required. 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. A 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. Preferred Qualifications: Bachelor's degree in nursing (BSN). 2 years of experience in Long Term Care, Community Health, Managed Care Medi-Cal, Medicare programs. 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). Physical Demands and Work Environment: The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Physical demands: While performing duties of the job, employee may need to move about the organization. Employee is required to participate in provider workshops, CME events and conferences. Employee must be able to communicate, particularly for regular phone use, in meetings and face-to-face interaction. Employee must have means of transportation for offsite travel to nursing facilities approximately 95% of the time. Work Environment: Typical office environment with minimal to moderate noise levels and controlled office temperatures. Off-site locations are equivalent to a typical physician's office, hospital, or other ancillary provider. 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 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. Employees also have access to 457(b) retirement plans with pre/post-tax contribution options. 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 employment 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 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. Job Location: Orange, California Position Type: To apply, visit https://jobs.silkroad.com/CalOptima/Careers/jobs/4544 Copyright 2022 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-bf96b920096d6349b56d14901c0245fb
Medical Case Manager (Ambulatory) - Whole Child Model Job Description Department(s): Case Management Reports to: Manager, Case Management FLSA status: Non-Exempt Salary Grade: L - $77,000 - $127,094 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 on Tuesday , October 31, 2023 at 11:59 PM. 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. About CalOptima Health Are you looking for a career that changes lives? As the single largest health plan in Orange County, CalOptima Health serves one in three residents with health insurance programs for low-income children, adults, seniors and people with disabilities. Our 1,500 employees are valued for their individual perspectives and contributions and benefit from flexible work schedules, recognition and opportunities to grow. If you're looking for a rewarding career supporting a meaningful mission, along with generous benefits and recognition, consider joining us at CalOptima Health! About the Position Case Management is an advanced specialty collaborative practice, responsible for providing ongoing case management services for CalOptima Health's members. The Medical Case Manager facilitates 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. 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. Duties & Responsibilities: 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. 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. Develops and implements a member's specific care plan which includes prioritized goals. Schedules follow-up meetings with members and families to assess progress towards goals and identifies barriers to meeting goals. Communicates with member's physicians, specialists, community agencies and vendors to ensure coordination of services. Follows CalOptima Health's protocol for documenting all case interventions. Facilitates Interdisciplinary Team meetings as applicable. Collaborates with interdepartmental staff in case resolution as needed. Identifies cases needing manager, director or medical director review or input, routes accordingly and closes cases according to procedures and guidelines in a timely manner. Prepares and maintains appropriate documentation of patient care and progress within the care plan. Prepares and maintains appropriate documentation of patient care and progress within the care plan. Advocates in the member's best interest for necessary funding, treatment alternatives, timelines and coordination of care and frequent evaluations of progress and goals. Completes other projects and duties as assigned. Experience & Education: Associate's degree in Nursing (ADN) or related field required. Current unrestricted Registered Nurse (RN) license to practice in the state of California 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 is also 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 (Spanish, Vietnamese, Arabic, Farsi, Korean, Chinese). Physical Demands and Work Environment: The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Physical demands: Employee must be able to sit for extended periods of time, as well as work at the computer for long periods. Employee is required to use hands and fingers, especially for typing on the computer and using the mouse. Must be able to talk and hear, particularly for regular communication on the phone. Employee may at times be required to deal with significant time pressures if required to work on projects that have timeframes attached. Work Environment: Employee will have one-on-one contact with other employees in a quiet environment where hearing and listening is paramount. Employee is expected to use diplomacy and problem-solving skills to procure data and information from other sources, as well as handle incoming public inquiries. Office environment with controlled office temperatures. 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 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. Employees also have access to 457(b) retirement plans with pre/post-tax contribution options. 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 employment 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 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. Job Location: Orange, California Position Type: To apply, visit https://jobs.silkroad.com/CalOptima/Careers/jobs/4479 Copyright 2022 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-461113a61e1b4b48a08abe57b5af6275
Mar 14, 2024
Full Time
Medical Case Manager (Ambulatory) - Whole Child Model Job Description Department(s): Case Management Reports to: Manager, Case Management FLSA status: Non-Exempt Salary Grade: L - $77,000 - $127,094 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 on Tuesday , October 31, 2023 at 11:59 PM. 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. About CalOptima Health Are you looking for a career that changes lives? As the single largest health plan in Orange County, CalOptima Health serves one in three residents with health insurance programs for low-income children, adults, seniors and people with disabilities. Our 1,500 employees are valued for their individual perspectives and contributions and benefit from flexible work schedules, recognition and opportunities to grow. If you're looking for a rewarding career supporting a meaningful mission, along with generous benefits and recognition, consider joining us at CalOptima Health! About the Position Case Management is an advanced specialty collaborative practice, responsible for providing ongoing case management services for CalOptima Health's members. The Medical Case Manager facilitates 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. 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. Duties & Responsibilities: 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. 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. Develops and implements a member's specific care plan which includes prioritized goals. Schedules follow-up meetings with members and families to assess progress towards goals and identifies barriers to meeting goals. Communicates with member's physicians, specialists, community agencies and vendors to ensure coordination of services. Follows CalOptima Health's protocol for documenting all case interventions. Facilitates Interdisciplinary Team meetings as applicable. Collaborates with interdepartmental staff in case resolution as needed. Identifies cases needing manager, director or medical director review or input, routes accordingly and closes cases according to procedures and guidelines in a timely manner. Prepares and maintains appropriate documentation of patient care and progress within the care plan. Prepares and maintains appropriate documentation of patient care and progress within the care plan. Advocates in the member's best interest for necessary funding, treatment alternatives, timelines and coordination of care and frequent evaluations of progress and goals. Completes other projects and duties as assigned. Experience & Education: Associate's degree in Nursing (ADN) or related field required. Current unrestricted Registered Nurse (RN) license to practice in the state of California 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 is also 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 (Spanish, Vietnamese, Arabic, Farsi, Korean, Chinese). Physical Demands and Work Environment: The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Physical demands: Employee must be able to sit for extended periods of time, as well as work at the computer for long periods. Employee is required to use hands and fingers, especially for typing on the computer and using the mouse. Must be able to talk and hear, particularly for regular communication on the phone. Employee may at times be required to deal with significant time pressures if required to work on projects that have timeframes attached. Work Environment: Employee will have one-on-one contact with other employees in a quiet environment where hearing and listening is paramount. Employee is expected to use diplomacy and problem-solving skills to procure data and information from other sources, as well as handle incoming public inquiries. Office environment with controlled office temperatures. 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 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. Employees also have access to 457(b) retirement plans with pre/post-tax contribution options. 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 employment 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 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. Job Location: Orange, California Position Type: To apply, visit https://jobs.silkroad.com/CalOptima/Careers/jobs/4479 Copyright 2022 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-461113a61e1b4b48a08abe57b5af6275
Manager, Utilization Management (UM Oversight & Clinical Administration) Job Description Department(s): Utilization Management (Delegate Monitoring) Reports to: Director, Utilization Management FLSA status: Exempt Salary Grade: P - $117,000 - $192,390 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 on Tuesday , March 5, 2024 at 11:59 PM. 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. About CalOptima Health Are you looking for a career that changes lives? As the single largest health plan in Orange County, CalOptima Health serves one in three residents with health insurance programs for low-income children, adults, seniors and people with disabilities. Our 1,500 employees are valued for their individual perspectives and contributions and benefit from flexible work schedules, recognition and opportunities to grow. If you're looking for a rewarding career supporting a meaningful mission, along with generous benefits and recognition, consider joining us at CalOptima Health! About the Position The Manager, Utilization Management (UM Oversight & Clinical Administration) will provide direct management and coordination activities for Utilization Management (UM) program compliance and delegated health network oversight, to ensure that service and compliance standards are met, and operations are consistent with all regulatory requirements, accreditation standards and CalOptima Health's policies and procedures. The incumbent will be responsible for staying updated on regulatory requirements from All Plan Letters (APLs), CCS Number Letters (NLs) and regulatory changes for the management of and to ensure adherence to CalOptima Health's internal UM department and external health network's UM operations. The incumbent will work closely with key internal and external stakeholders relevant to the UM (outpatient and inpatient) program and delivery of care across CalOptima Health. Duties & Responsibilities: 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. Manages the day-to-day activities of the Clinical Administrative and Oversight team in UM to ensure compliance with regulatory requirements, accreditation standards and CalOptima Health's policies. Interviews, onboards, trains, manages, motivates, supports and evaluates staff. Develops clinical and documentation tools for education and oversight of the UM Operational team and sets performance standards for the Clinical Administrative and Oversight team. Establishes and maintains priorities and strategic approach to meet internal and external deadlines for regulatory and programmatic procedures to support UM team compliance. Collaborates with the Medical Director and Director of UM to ensure appropriate monitoring of the internal UM team and delegated health network performance and proactively educates the internal UM department and Health Network teams as new requirements and regulatory changes emerge. Researches and informs health network delegates and CalOptima Health's internal UM teams of any regulatory or programmatic changes in requirements. Participates in workgroups that address both clinical and non-clinical internal activities in which CalOptima Health must demonstrate improvement to meet its contractual requirements with the Center for Medicare and Medicaid (CMS), California Department of Health Care Services (DHCS), California Managed Risk Medical Insurance Board (MRMIB), Department of Managed Health Care (DMHC) and any other applicable entity. Facilitates improvement teams as assigned by the director and/or senior staff. Participates and attends CalOptima Health's Delegation Oversight Committee (DOC) meetings and Internal Audit meetings. Presents monitoring findings at the Utilization Management Committee (UMC) and other committees as requested. Ensures all reviews for medical appropriateness use the established criteria to determine the medical necessity of the request. Demonstrates support of CalOptima Health's goals and priorities with attention to managing department monitoring activities that are cost-effective in terms of resources, materials and time. Leads the annual review and revision of CalOptima Health's policies and procedures and UM department desktop procedures as required by benefit plan changes guidance from CMS and DHCS and department process improvement workflow updates. Assists the Director of Utilization Management in all areas of the department, as requested, to ensure department and organizational goals are met. Completes other projects and duties as assigned. Experience & Education: Current, unrestricted Registered Nurse (RN) or Licensed Vocational Nurse (LVN) license to practice in the state of California is required. 5 years in the health care industry required 5 years of varied clinical experience (e.g., acute care, home care) required. 3 years of supervisory/management experience in utilization management activities 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. 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 30% of the time or more. Preferred Qualifications: Bachelor's degree in health care administration or related field. Physical Demands and Work Environment: The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Physical demands: While performing duties of the job, employee must be able to sit for extended periods of time, as well as work at the computer for long periods. Employee is required to use hands and fingers for typing on the computer and using the mouse. Employee must be able to communicate, particularly for regular phone use, in meetings, and face-to-face interaction. This position is required to work to project timelines, and at times may deal with significant time pressures. Work Environment: Typical office environment with minimal noise levels and controlled office temperatures. 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. Employees also have access to 457(b) retirement plans with pre/post-tax contribution options. 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 employment 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 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. Job Location: Orange, California Position Type: To apply, visit https://jobs.silkroad.com/CalOptima/Careers/jobs/4548 Copyright 2022 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-3f28c313a237944ea9c85ba3c82ca07d
Mar 08, 2024
Full Time
Manager, Utilization Management (UM Oversight & Clinical Administration) Job Description Department(s): Utilization Management (Delegate Monitoring) Reports to: Director, Utilization Management FLSA status: Exempt Salary Grade: P - $117,000 - $192,390 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 on Tuesday , March 5, 2024 at 11:59 PM. 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. About CalOptima Health Are you looking for a career that changes lives? As the single largest health plan in Orange County, CalOptima Health serves one in three residents with health insurance programs for low-income children, adults, seniors and people with disabilities. Our 1,500 employees are valued for their individual perspectives and contributions and benefit from flexible work schedules, recognition and opportunities to grow. If you're looking for a rewarding career supporting a meaningful mission, along with generous benefits and recognition, consider joining us at CalOptima Health! About the Position The Manager, Utilization Management (UM Oversight & Clinical Administration) will provide direct management and coordination activities for Utilization Management (UM) program compliance and delegated health network oversight, to ensure that service and compliance standards are met, and operations are consistent with all regulatory requirements, accreditation standards and CalOptima Health's policies and procedures. The incumbent will be responsible for staying updated on regulatory requirements from All Plan Letters (APLs), CCS Number Letters (NLs) and regulatory changes for the management of and to ensure adherence to CalOptima Health's internal UM department and external health network's UM operations. The incumbent will work closely with key internal and external stakeholders relevant to the UM (outpatient and inpatient) program and delivery of care across CalOptima Health. Duties & Responsibilities: 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. Manages the day-to-day activities of the Clinical Administrative and Oversight team in UM to ensure compliance with regulatory requirements, accreditation standards and CalOptima Health's policies. Interviews, onboards, trains, manages, motivates, supports and evaluates staff. Develops clinical and documentation tools for education and oversight of the UM Operational team and sets performance standards for the Clinical Administrative and Oversight team. Establishes and maintains priorities and strategic approach to meet internal and external deadlines for regulatory and programmatic procedures to support UM team compliance. Collaborates with the Medical Director and Director of UM to ensure appropriate monitoring of the internal UM team and delegated health network performance and proactively educates the internal UM department and Health Network teams as new requirements and regulatory changes emerge. Researches and informs health network delegates and CalOptima Health's internal UM teams of any regulatory or programmatic changes in requirements. Participates in workgroups that address both clinical and non-clinical internal activities in which CalOptima Health must demonstrate improvement to meet its contractual requirements with the Center for Medicare and Medicaid (CMS), California Department of Health Care Services (DHCS), California Managed Risk Medical Insurance Board (MRMIB), Department of Managed Health Care (DMHC) and any other applicable entity. Facilitates improvement teams as assigned by the director and/or senior staff. Participates and attends CalOptima Health's Delegation Oversight Committee (DOC) meetings and Internal Audit meetings. Presents monitoring findings at the Utilization Management Committee (UMC) and other committees as requested. Ensures all reviews for medical appropriateness use the established criteria to determine the medical necessity of the request. Demonstrates support of CalOptima Health's goals and priorities with attention to managing department monitoring activities that are cost-effective in terms of resources, materials and time. Leads the annual review and revision of CalOptima Health's policies and procedures and UM department desktop procedures as required by benefit plan changes guidance from CMS and DHCS and department process improvement workflow updates. Assists the Director of Utilization Management in all areas of the department, as requested, to ensure department and organizational goals are met. Completes other projects and duties as assigned. Experience & Education: Current, unrestricted Registered Nurse (RN) or Licensed Vocational Nurse (LVN) license to practice in the state of California is required. 5 years in the health care industry required 5 years of varied clinical experience (e.g., acute care, home care) required. 3 years of supervisory/management experience in utilization management activities 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. 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 30% of the time or more. Preferred Qualifications: Bachelor's degree in health care administration or related field. Physical Demands and Work Environment: The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Physical demands: While performing duties of the job, employee must be able to sit for extended periods of time, as well as work at the computer for long periods. Employee is required to use hands and fingers for typing on the computer and using the mouse. Employee must be able to communicate, particularly for regular phone use, in meetings, and face-to-face interaction. This position is required to work to project timelines, and at times may deal with significant time pressures. Work Environment: Typical office environment with minimal noise levels and controlled office temperatures. 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. Employees also have access to 457(b) retirement plans with pre/post-tax contribution options. 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 employment 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 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. Job Location: Orange, California Position Type: To apply, visit https://jobs.silkroad.com/CalOptima/Careers/jobs/4548 Copyright 2022 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-3f28c313a237944ea9c85ba3c82ca07d
Medical Case Manager (LVN) (Concurrent Review) Job Description Department(s): Utilization Management (Concurrent Review) Reports to: Supervisor, Utilization Management (Concurrent Review) FLSA status: Non-Exempt Salary Grade: K - $70,000 - $114,268 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 on Thursday, February 15, 2024 at 11:59 PM. 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. About CalOptima Health Are you looking for a career that changes lives? As the single largest health plan in Orange County, CalOptima Health serves one in three residents with health insurance programs for low-income children, adults, seniors and people with disabilities. Our 1,500 employees are valued for their individual perspectives and contributions and benefit from flexible work schedules, recognition and opportunities to grow. If you're looking for a rewarding career supporting a meaningful mission, along with generous benefits and recognition, consider joining us at CalOptima Health! About the Position The Medical Case Manager (LVN) (Concurrent Review) will be responsible for providing case management intervention on behalf of members with short term, stable and predictable courses of illnesses. The incumbent will be responsible for answering the medical appropriateness, quality and cost effectiveness of proposed hospital/medical/surgical services in accordance with established criteria. Duties & Responsibilities: 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. Analyzes requests with the objective of monitoring utilization of services, this includes medical appropriateness and identifying potential high cost, complex cases for out-patient case management intervention. Reviews and evaluates proposed services utilizing medical criteria and/or established policies and procedures. Determines the appropriate action for the service being requested for approval, modification or denial and refers to the Medical Director for review when necessary. Reviews inpatient setting requests to determine if surgery and/or medical care is appropriate. Identifies diagnosis and determines the need for continuing hospitalizations, monitors the inpatient length of stay as per established guidelines and professional judgment. Initiates contact with patient, family and treating physicians to obtain additional information or to introduce the role of case management as needed. Reviews short-term cases and conducts a thorough and objective assessment of the member's status, including physical, psychosocial and environmental. Develops, implements and monitors a care plan through the interdisciplinary team process in conjunction with the individual member and family in internal and external settings across the continuum of care. Provides cost analysis, quality of care and/or quality of life improvements as measured against the case management goals. Assesses members' status and progress, if progress is static or regressive, determines reason and encourages appropriate referrals to out-patient case management or make appropriate adjustments in the care plan, providers and/or services to promote better outcomes. Establishes means of communication and collaboration with other team members, physicians, community agencies and administrators. Prepares and maintains appropriate documentation of patient care and progress within the care plan. Acts as an advocate in the client's best interest for necessary funding, treatment alternatives, timelines and coordination of care and frequent evaluations of progress and goals. Collaborates with staff members from various disciplines involved in patient care with an emphasis on interpreting and problem-solving complex cases. Documents clinical information into the case notes along with the rationale for all decisions in the Guiding Care system. Completes other projects and duties as assigned. Experience & Education: High School diploma or equivalent required. Current, unrestricted Licensed Vocational Nurse (LVN) to practice in the State of California required. 3 years of Nursing Experience, with 1 year experience in a 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: 1 year of Concurrent Review (in-patient) experience. Physical Demands and Work Environment The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Physical demands: While performing duties of job, employee may be required to move about the organization. Employee must be able to sit for extended periods of time, as well as work at the computer for long periods. Employee is required to use hands and fingers, especially for typing on the computer and using the mouse. Must also be able to reach with hands and arms and must occasionally lift office supply boxes or laptop case, up to 25 pounds. Employee must be able to communicate, particularly for regular phone use, in meetings, face-to-face interaction and while presenting. Work Environment: Typical office environment with minimal to moderate noise levels and controlled office temperatures. 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. Employees also have access to 457(b) retirement plans with pre/post-tax contribution options. 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 employment 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 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. Job Location: Orange, California Position Type: To apply, visit https://jobs.silkroad.com/CalOptima/Careers/jobs/4531 Copyright 2022 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-bcf5fa729ea813449f3821b8135499e1
Mar 08, 2024
Full Time
Medical Case Manager (LVN) (Concurrent Review) Job Description Department(s): Utilization Management (Concurrent Review) Reports to: Supervisor, Utilization Management (Concurrent Review) FLSA status: Non-Exempt Salary Grade: K - $70,000 - $114,268 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 on Thursday, February 15, 2024 at 11:59 PM. 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. About CalOptima Health Are you looking for a career that changes lives? As the single largest health plan in Orange County, CalOptima Health serves one in three residents with health insurance programs for low-income children, adults, seniors and people with disabilities. Our 1,500 employees are valued for their individual perspectives and contributions and benefit from flexible work schedules, recognition and opportunities to grow. If you're looking for a rewarding career supporting a meaningful mission, along with generous benefits and recognition, consider joining us at CalOptima Health! About the Position The Medical Case Manager (LVN) (Concurrent Review) will be responsible for providing case management intervention on behalf of members with short term, stable and predictable courses of illnesses. The incumbent will be responsible for answering the medical appropriateness, quality and cost effectiveness of proposed hospital/medical/surgical services in accordance with established criteria. Duties & Responsibilities: 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. Analyzes requests with the objective of monitoring utilization of services, this includes medical appropriateness and identifying potential high cost, complex cases for out-patient case management intervention. Reviews and evaluates proposed services utilizing medical criteria and/or established policies and procedures. Determines the appropriate action for the service being requested for approval, modification or denial and refers to the Medical Director for review when necessary. Reviews inpatient setting requests to determine if surgery and/or medical care is appropriate. Identifies diagnosis and determines the need for continuing hospitalizations, monitors the inpatient length of stay as per established guidelines and professional judgment. Initiates contact with patient, family and treating physicians to obtain additional information or to introduce the role of case management as needed. Reviews short-term cases and conducts a thorough and objective assessment of the member's status, including physical, psychosocial and environmental. Develops, implements and monitors a care plan through the interdisciplinary team process in conjunction with the individual member and family in internal and external settings across the continuum of care. Provides cost analysis, quality of care and/or quality of life improvements as measured against the case management goals. Assesses members' status and progress, if progress is static or regressive, determines reason and encourages appropriate referrals to out-patient case management or make appropriate adjustments in the care plan, providers and/or services to promote better outcomes. Establishes means of communication and collaboration with other team members, physicians, community agencies and administrators. Prepares and maintains appropriate documentation of patient care and progress within the care plan. Acts as an advocate in the client's best interest for necessary funding, treatment alternatives, timelines and coordination of care and frequent evaluations of progress and goals. Collaborates with staff members from various disciplines involved in patient care with an emphasis on interpreting and problem-solving complex cases. Documents clinical information into the case notes along with the rationale for all decisions in the Guiding Care system. Completes other projects and duties as assigned. Experience & Education: High School diploma or equivalent required. Current, unrestricted Licensed Vocational Nurse (LVN) to practice in the State of California required. 3 years of Nursing Experience, with 1 year experience in a 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: 1 year of Concurrent Review (in-patient) experience. Physical Demands and Work Environment The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Physical demands: While performing duties of job, employee may be required to move about the organization. Employee must be able to sit for extended periods of time, as well as work at the computer for long periods. Employee is required to use hands and fingers, especially for typing on the computer and using the mouse. Must also be able to reach with hands and arms and must occasionally lift office supply boxes or laptop case, up to 25 pounds. Employee must be able to communicate, particularly for regular phone use, in meetings, face-to-face interaction and while presenting. Work Environment: Typical office environment with minimal to moderate noise levels and controlled office temperatures. 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. Employees also have access to 457(b) retirement plans with pre/post-tax contribution options. 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 employment 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 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. Job Location: Orange, California Position Type: To apply, visit https://jobs.silkroad.com/CalOptima/Careers/jobs/4531 Copyright 2022 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-bcf5fa729ea813449f3821b8135499e1
Program Specialist (BHI) Job Description Department(s): Behavioral Health Integration Reports to: Manager Behavioral Health FLSA status: Non-Exempt Salary Grade: E - $48,000 - $72,292 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 on Thursday, March 14, 2024 at 11:59 PM. 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. About CalOptima Health Are you looking for a career that changes lives? As the single largest health plan in Orange County, CalOptima Health serves one in three residents with health insurance programs for low-income children, adults, seniors and people with disabilities. Our 1,500 employees are valued for their individual perspectives and contributions and benefit from flexible work schedules, recognition and opportunities to grow. If you're looking for a rewarding career supporting a meaningful mission, along with generous benefits and recognition, consider joining us at CalOptima Health! About the Position The Program Specialist (Behavioral Health) will support various projects and initiatives, as well as assist in the coordination of key strategies to effectively enhance the delivery of behavioral health (BH) services. Primary responsibilities include, but are not limited to, participating in and supporting BH workgroups, activities and projects focused on implementing targeted quality initiatives designed to improve access to care, awareness and understanding of BH services. Duties & Responsibilities: 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, monitors and tracks quality performance data related to, but not limited to, Healthcare Effectiveness Data and Information Set (HEDIS) and member and provider experience and access to care against internal and external benchmarks to identify performance gaps and identify opportunities for improvement in a timely manner. Assists with creating and updating project plans, develops and maintains process flows, maintains project related materials (ex., action plans, intervention logs, tracking and trending) and completes other project related tasks as needed. Creates, develops and edits member and provider communication pieces. Prepares and provides coverage for health fairs, continuing education events, material requests and educational sessions. Attends and supports cross-functional quality improvement work teams responsible for the identification, implementation and evaluation of BH quality improvement projects, activities and reports. Conducts comprehensive research on BH topics, interventions and best practices. Completes other projects and duties as assigned. Experience & Education: Bachelor's degree in public health, health policy, health care, public policy administration or related field required. 2 years of experience in a managed care organization required; preferably in behavioral health, quality, population health and/or health equity. 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. Have access to means of transportation for work away from the primary office approximately 20% of the time required. Preferred Qualifications: Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Farsi, Chinese, Korean, Spanish, Vietnamese). Physical Demands and Work Environment: The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Physical demands: While performing duties of job, employee may be required to move about the organization and to travel to offsite locations. Employee must be able to sit for extended periods of time, as well as work at the computer for long periods. Employee is required to use hands and fingers, especially for typing on the computer and using the mouse. Must also be able to reach with hands and arms and must occasionally lift office supply boxes or laptop case while traveling, up to 25 pounds. Employee must be able to communicate, particularly for regular phone use, in meetings, face-to-face interaction and while presenting. Occasional travel to off-site locations is required. Work Environment: Typical office environment with minimal to moderate noise levels and controlled office temperatures. Job Location: Orange, California Position Type: To apply, visit https://jobs.silkroad.com/CalOptima/Careers/jobs/4552 Copyright 2022 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-8f4137bf44c1ac429f2ec81cfec34f79
Mar 08, 2024
Full Time
Program Specialist (BHI) Job Description Department(s): Behavioral Health Integration Reports to: Manager Behavioral Health FLSA status: Non-Exempt Salary Grade: E - $48,000 - $72,292 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 on Thursday, March 14, 2024 at 11:59 PM. 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. About CalOptima Health Are you looking for a career that changes lives? As the single largest health plan in Orange County, CalOptima Health serves one in three residents with health insurance programs for low-income children, adults, seniors and people with disabilities. Our 1,500 employees are valued for their individual perspectives and contributions and benefit from flexible work schedules, recognition and opportunities to grow. If you're looking for a rewarding career supporting a meaningful mission, along with generous benefits and recognition, consider joining us at CalOptima Health! About the Position The Program Specialist (Behavioral Health) will support various projects and initiatives, as well as assist in the coordination of key strategies to effectively enhance the delivery of behavioral health (BH) services. Primary responsibilities include, but are not limited to, participating in and supporting BH workgroups, activities and projects focused on implementing targeted quality initiatives designed to improve access to care, awareness and understanding of BH services. Duties & Responsibilities: 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, monitors and tracks quality performance data related to, but not limited to, Healthcare Effectiveness Data and Information Set (HEDIS) and member and provider experience and access to care against internal and external benchmarks to identify performance gaps and identify opportunities for improvement in a timely manner. Assists with creating and updating project plans, develops and maintains process flows, maintains project related materials (ex., action plans, intervention logs, tracking and trending) and completes other project related tasks as needed. Creates, develops and edits member and provider communication pieces. Prepares and provides coverage for health fairs, continuing education events, material requests and educational sessions. Attends and supports cross-functional quality improvement work teams responsible for the identification, implementation and evaluation of BH quality improvement projects, activities and reports. Conducts comprehensive research on BH topics, interventions and best practices. Completes other projects and duties as assigned. Experience & Education: Bachelor's degree in public health, health policy, health care, public policy administration or related field required. 2 years of experience in a managed care organization required; preferably in behavioral health, quality, population health and/or health equity. 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. Have access to means of transportation for work away from the primary office approximately 20% of the time required. Preferred Qualifications: Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Farsi, Chinese, Korean, Spanish, Vietnamese). Physical Demands and Work Environment: The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Physical demands: While performing duties of job, employee may be required to move about the organization and to travel to offsite locations. Employee must be able to sit for extended periods of time, as well as work at the computer for long periods. Employee is required to use hands and fingers, especially for typing on the computer and using the mouse. Must also be able to reach with hands and arms and must occasionally lift office supply boxes or laptop case while traveling, up to 25 pounds. Employee must be able to communicate, particularly for regular phone use, in meetings, face-to-face interaction and while presenting. Occasional travel to off-site locations is required. Work Environment: Typical office environment with minimal to moderate noise levels and controlled office temperatures. Job Location: Orange, California Position Type: To apply, visit https://jobs.silkroad.com/CalOptima/Careers/jobs/4552 Copyright 2022 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-8f4137bf44c1ac429f2ec81cfec34f79
Do you have the desire to make a meaningful impact in a vibrant and diverse community? Join a collaborative workforce of Interns committed to serving the Irvine City Council. The City of Irvine seeks motivated high school juniors and seniors, and current college students for the 2024 City Council Summer Internship Program. This is an excellent opportunity for civic-minded students to work with City Councilmembers, perform research and analysis on a wide range of topics, and observe the efforts of local government. Interns are expected to work 10 hours a week during the program period, June 24 - August 2. The ideal candidates are self-motivated, professional, creative, with strong communication and writing skills. Candidates must be either a high school student entering the 11th or 12th grade, or a college student enrolled in an Associate's, Bachelor's or Master's degree program, in Fall, 2024. A minimum grade point average of 3.3 is preferred. Candidates will be evaluated on current area of study, work experience, interest in city government, and availability. Interviews for qualified candidates are tentatively scheduled the week of April 8. For more information, please see the City Council Summer Internship Program flier . Your Team Irvine is recognized as one of America's Best Places to Live, according to Money Magazine . The City of Irvine has the distinction of being one of the safest cities in the United States with a population of more than 100,000, based upon FBI statistics on violent crime. The City of Irvine is a Charter City governed as a Council/Manager form of government. The City Council , as the elected body, adopts legislation, sets policy, adjudicates issues and establishes the budget of the City. The Process The selection process will include an interview and a background check prior to appointment. Equal Opportunity Employer The City of Irvine is an Equal Opportunity Employer and provides reasonable accommodations to qualified individuals with disabilities. We encourage you to inform Human Resources at least two business days prior to the first phase of the selection process if you have a disability that may require an accommodation. Closing Date/Time: 3/28/2024 5:00 PM Pacific
Mar 13, 2024
Intern
Do you have the desire to make a meaningful impact in a vibrant and diverse community? Join a collaborative workforce of Interns committed to serving the Irvine City Council. The City of Irvine seeks motivated high school juniors and seniors, and current college students for the 2024 City Council Summer Internship Program. This is an excellent opportunity for civic-minded students to work with City Councilmembers, perform research and analysis on a wide range of topics, and observe the efforts of local government. Interns are expected to work 10 hours a week during the program period, June 24 - August 2. The ideal candidates are self-motivated, professional, creative, with strong communication and writing skills. Candidates must be either a high school student entering the 11th or 12th grade, or a college student enrolled in an Associate's, Bachelor's or Master's degree program, in Fall, 2024. A minimum grade point average of 3.3 is preferred. Candidates will be evaluated on current area of study, work experience, interest in city government, and availability. Interviews for qualified candidates are tentatively scheduled the week of April 8. For more information, please see the City Council Summer Internship Program flier . Your Team Irvine is recognized as one of America's Best Places to Live, according to Money Magazine . The City of Irvine has the distinction of being one of the safest cities in the United States with a population of more than 100,000, based upon FBI statistics on violent crime. The City of Irvine is a Charter City governed as a Council/Manager form of government. The City Council , as the elected body, adopts legislation, sets policy, adjudicates issues and establishes the budget of the City. The Process The selection process will include an interview and a background check prior to appointment. Equal Opportunity Employer The City of Irvine is an Equal Opportunity Employer and provides reasonable accommodations to qualified individuals with disabilities. We encourage you to inform Human Resources at least two business days prior to the first phase of the selection process if you have a disability that may require an accommodation. Closing Date/Time: 3/28/2024 5:00 PM Pacific
CITY OF SUNNYVALE, CA
Sunnyvale, California, United States
Description CARE MANAGER, TEMPORARY (Level 2-5) (Case Manager Job Code: 9584 Casual non-benefited employees are limited to working no more than twenty-five (25) hours per week and no more than 900 hours in a fiscal year (July 1-June 30). The City of Sunnyvale is seeking a Care Manager (Level 2-5) to perform professional social work with older adults and/or families to obtain health, financial, and social services to provide assessments, develop and implement case management plans, and perform related duties as required. This position reports to the Recreation Services Manager and receives occasional instruction or assistance as new or unusual situations arise and are fully aware of operating procedures and policies within the department. What is the Senior Center Care Management Program? A care management program prepares individualized care plans and manages the coordination, procurement, and monitoring of services. In addition, the program provides professional Care Managers to advocate and support older adults (seniors) in their efforts to maintain independence, age successfully, and age with dignity. Essential Job Functions May include, but are not limited to, the following: Support seniors' welfare by connecting them and their families to services and resources available from nonprofits and privately funded organizations; Provide a comprehensive assessment of culturally diverse clients to collect functional, environmental, psychosocial, economic, and health status to determine their needs and create a cost effective care plan; Conduct in-office or in-home visits; Provide comprehensive information and referral services; Provide comprehensive assessment to collect (psycho-social, functional, health, financial, and housing) care planning, service arrangement, and care monitoring; Prepare and present training programs and workshops; Develop support systems to meet client needs by identifying and coordinating a variety of available services; Intermittently interpret and explain simple or complex laws and regulations and elder service programs to clients and the general public; Organize and accomplish all tasks related to assessing the client, developing the care plan, implementing the service plan, conduct follow up, and monitoring of the plan. Maintain a professional relationship with each client; Maintain accurate records and documents. Maintain professional charting and documentation of client progress in a timely fashion. Prepare written reports for City and cooperating agencies. Carry a caseload of 30-45; The position requires good time management skills, organization, oral and written communication skills, and basic computer skills. The ability to work with diverse populations is needed; fluency in a second language is a plus. Familiarity with social services and community resources for older adults is needed; Analyze situations and determine proper course of action by making decisions and utilizing independent judgment, problem solve to assess needs of clients, observe seniors for assessment purposes, and explain regulations and findings to clients and families; Serve as an advocate and a community resource. Process referrals and consults to and from community sources and other Care Managers. Develop and coordinate promotional information for seminars and social service programs; Work with various cultural and ethnic groups in a tactful and effective manner; obtain information through questioning; establish and maintain effective casework relationships with clients; Professional Development: Participate in workshops, seminars, and meetings which help increase understanding and growth in Care Management (continuing education); Assist in the recruitment, training, supervision, and support of volunteers and part-time staff; Function as a member of the Senior Center staff team. Participate in meetings and related activities as required. Ensure compliance with City policies and procedures; Provide on-going communication with the Recreation Services Manager regarding significant occurrences, problems, or potential problems affecting clients or staff; Establish and maintain knowledge of community resources. Establish a rapport with community agencies and representatives. WORKING CONDITIONS Position requires regular sitting, standing, walking, reaching, kneeling, bending, squatting, and stooping in the performance of activities. The position also requires grasping, repetitive hand movement, and fine coordination. Additionally, the position requires near and far vision in reading reports and work-related documents and using a computer. Acute hearing is required when providing personal customer service. The need to lift, drag and push, pull objects weighing up to 10 pounds is also required. Some of these requirements may be accommodated for otherwise qualified individuals requiring and requesting such accommodation. Minimum Qualifications The minimum qualifications for education and experience can be met in the following way: Care Manager Level 1: Must be at least 18 years old. High School Diploma, GED or equivalent; Possession of or able to obtain a valid CPR and First Aid certification (course may be taken after hire); College/University student enrolled in an accredited program in Social Work, Gerontology, Psychology, Sociology, Counseling, Rehabilitation or other related field; Able to use a computer, calculator, telephone, and photocopy machine; Communicate clearly and concisely, both orally and in writing; Establish and maintain effective working relationships with those contacted in the course of work. Knowledge of: Principles and practices of social work as applied to senior populations; Principles and techniques of interviewing, mental health, diagnostic assessment, and a variety of counseling methods; Medical, psychological, educational, social service, legal, and community resources; Local, state, and national social service programs for older adults including but not limited to: Medicare, Medi-Cal, Social Security, State Disability Insurance, Supplemental Security Income, Housing Assistance Programs, Immigration & Naturalization Services, US Citizenship Procedures, Food Programs, Low-Income Assistance Programs, In Home Supportive Services, and Transportation Services; Signs and symptoms of mental illness and diseases which cause memory loss; understand cultural influences on behavior; identify need for services; analyze and assess elders and caregivers by active listening and direct observation. Family dynamics and human behavior related to the aging process; Cultural influences on behavior in a multicultural community; Laws and regulations regarding elder abuse and functions of public assistance and social service systems. Care Managers Level 2-3: The above, plus A Bachelor's Degree in Social Work, Gerontology, Psychology, Sociology, Counseling, Rehabilitation or other related field; Two (2) years of Care Management experience will be considered. OR A Master's Degree in Social Work, Gerontology, Psychology, Sociology, Counseling, Rehabilitation or other related field; One (1) year of Care Management experience with the older adult population. Care Managers Level 4-5: The above, plus A Bachelor's Degree in Social Work, Gerontology, Psychology, Sociology, Counseling, Rehabilitation or other related field; Four (4) years of Care Management experience will be considered. OR A Master's Degree in Social Work, Gerontology, Psychology, Sociology, Counseling, Rehabilitation or other related field; Two (2) year of Care Management experience with the older adult population. Licenses/Certificates Possession at time of hire and continued maintenance of a valid California Class C Drivers' License and a safe driving record. DESIRABLE QUALIFICATIONS Bilingual in Spanish, Mandarin or Farsi. Application and Selection Process If you are interested in this opportunity, please submit a completed application and responses to the supplemental questions to the Department of Human Resources. City application forms, completed in full and responses to the supplemental questions are required. Candidates are asked to fully describe any training, education, experience and/or skills relevant to this position. Resumes are not accepted in lieu of the application, please do not indicate "see resume." Applications may be submitted online through the City's employment page; go to Sunnyvale.ca.gov, Search: Jobs. Late or incomplete applications will also not be accepted. Please submit application materials as soon as possible to be considered for this position as this job posting may close without notice. SELECTION PROCESS Applications competitively screened based on the minimum qualifications of this position. Based upon a review of the application materials, qualified candidate applications will be forwarded to the hiring department for review. Application materials will be evaluated for job-related skills, experience and education.Qualified applicants will be invited to participate in an interview. Applications are reviewed on an ongoing basis and information regarding next steps in the recruitment process will be sent via email. Please check your email regularly for status updates . You may contact Faye Brand, HR Technician at: fbrand@sunnyvale.ca.gov or 408-730-3015 for recruitment updates. Any candidate that is selected by the hiring department will be required to successfully complete a pre-employment process, which may consist of a background history check, as well as medical exam(s) administered by a City-selected physician(s) before hire. Prior to starting work, all newly- hired employees will be fingerprinted to check conviction history. A conviction history will not necessarily disqualify an applicant from appointment; however, failure to disclose conviction history will result in refusal of employment or termination. Positions which are covered by the Department of Transportation regulations are required to submit to a pre-employment drug test and to random drug and alcohol testing. INFORMATION ABOUT PROOF OF EDUCATION Any successful candidate selected by the hiring department will be required to submit proof of education (original copy of the diploma or college/university transcripts). Documents may be attached to the online application or emailed to fbrand@sunnyvale.ca.gov. A valid California Class C driver's license and a safe driving record is required for this position at the time of appointment. Should you move forward to be hired for this position, you will be required to turn in a current copy of your DMV driving record. ADDITIONAL INFORMATION For more information regarding this employment opportunity, contact Trenton Hill, Recreation Manager, at 408-730-7378 or by email to thill@sunnyvale.ca.gov .For information relating to the application process contact Faye Brand, Human Resources Technician at 408-730-3015 or email: fbrand@sunnyvale.ca.gov . The information contained within this announcement may be modified or revoked without notice and does not constitute either an expressed or implied contract. The City of Sunnyvale is an Equal Opportunity Employer. It is the policy of the City of Sunnyvale not to discriminate against all qualified applicants or employees on the basis of actual or perceived race, religion (including religious dress or grooming practice), color, sex (includes gender, pregnancy, childbirth, medical conditions related to pregnancy or childbirth, breastfeeding or medical conditions related to breastfeeding), gender identity and/or gender expression, sexual orientation (including heterosexuality, homosexuality and bisexuality), ethnic or national origin, ancestry, citizenship status, uniformed service member status, marital status, family relationship, age, cancer or HIV/AIDS related medical condition, genetic characteristics and/or genetic information, and physical or mental disability. Applicants needing special accommodations for testing should submit a request to the Department of Human Resources at time of application. No City benefits are offered with this Temporary Position. Closing Date/Time: Continuous
Mar 05, 2024
Full Time
Description CARE MANAGER, TEMPORARY (Level 2-5) (Case Manager Job Code: 9584 Casual non-benefited employees are limited to working no more than twenty-five (25) hours per week and no more than 900 hours in a fiscal year (July 1-June 30). The City of Sunnyvale is seeking a Care Manager (Level 2-5) to perform professional social work with older adults and/or families to obtain health, financial, and social services to provide assessments, develop and implement case management plans, and perform related duties as required. This position reports to the Recreation Services Manager and receives occasional instruction or assistance as new or unusual situations arise and are fully aware of operating procedures and policies within the department. What is the Senior Center Care Management Program? A care management program prepares individualized care plans and manages the coordination, procurement, and monitoring of services. In addition, the program provides professional Care Managers to advocate and support older adults (seniors) in their efforts to maintain independence, age successfully, and age with dignity. Essential Job Functions May include, but are not limited to, the following: Support seniors' welfare by connecting them and their families to services and resources available from nonprofits and privately funded organizations; Provide a comprehensive assessment of culturally diverse clients to collect functional, environmental, psychosocial, economic, and health status to determine their needs and create a cost effective care plan; Conduct in-office or in-home visits; Provide comprehensive information and referral services; Provide comprehensive assessment to collect (psycho-social, functional, health, financial, and housing) care planning, service arrangement, and care monitoring; Prepare and present training programs and workshops; Develop support systems to meet client needs by identifying and coordinating a variety of available services; Intermittently interpret and explain simple or complex laws and regulations and elder service programs to clients and the general public; Organize and accomplish all tasks related to assessing the client, developing the care plan, implementing the service plan, conduct follow up, and monitoring of the plan. Maintain a professional relationship with each client; Maintain accurate records and documents. Maintain professional charting and documentation of client progress in a timely fashion. Prepare written reports for City and cooperating agencies. Carry a caseload of 30-45; The position requires good time management skills, organization, oral and written communication skills, and basic computer skills. The ability to work with diverse populations is needed; fluency in a second language is a plus. Familiarity with social services and community resources for older adults is needed; Analyze situations and determine proper course of action by making decisions and utilizing independent judgment, problem solve to assess needs of clients, observe seniors for assessment purposes, and explain regulations and findings to clients and families; Serve as an advocate and a community resource. Process referrals and consults to and from community sources and other Care Managers. Develop and coordinate promotional information for seminars and social service programs; Work with various cultural and ethnic groups in a tactful and effective manner; obtain information through questioning; establish and maintain effective casework relationships with clients; Professional Development: Participate in workshops, seminars, and meetings which help increase understanding and growth in Care Management (continuing education); Assist in the recruitment, training, supervision, and support of volunteers and part-time staff; Function as a member of the Senior Center staff team. Participate in meetings and related activities as required. Ensure compliance with City policies and procedures; Provide on-going communication with the Recreation Services Manager regarding significant occurrences, problems, or potential problems affecting clients or staff; Establish and maintain knowledge of community resources. Establish a rapport with community agencies and representatives. WORKING CONDITIONS Position requires regular sitting, standing, walking, reaching, kneeling, bending, squatting, and stooping in the performance of activities. The position also requires grasping, repetitive hand movement, and fine coordination. Additionally, the position requires near and far vision in reading reports and work-related documents and using a computer. Acute hearing is required when providing personal customer service. The need to lift, drag and push, pull objects weighing up to 10 pounds is also required. Some of these requirements may be accommodated for otherwise qualified individuals requiring and requesting such accommodation. Minimum Qualifications The minimum qualifications for education and experience can be met in the following way: Care Manager Level 1: Must be at least 18 years old. High School Diploma, GED or equivalent; Possession of or able to obtain a valid CPR and First Aid certification (course may be taken after hire); College/University student enrolled in an accredited program in Social Work, Gerontology, Psychology, Sociology, Counseling, Rehabilitation or other related field; Able to use a computer, calculator, telephone, and photocopy machine; Communicate clearly and concisely, both orally and in writing; Establish and maintain effective working relationships with those contacted in the course of work. Knowledge of: Principles and practices of social work as applied to senior populations; Principles and techniques of interviewing, mental health, diagnostic assessment, and a variety of counseling methods; Medical, psychological, educational, social service, legal, and community resources; Local, state, and national social service programs for older adults including but not limited to: Medicare, Medi-Cal, Social Security, State Disability Insurance, Supplemental Security Income, Housing Assistance Programs, Immigration & Naturalization Services, US Citizenship Procedures, Food Programs, Low-Income Assistance Programs, In Home Supportive Services, and Transportation Services; Signs and symptoms of mental illness and diseases which cause memory loss; understand cultural influences on behavior; identify need for services; analyze and assess elders and caregivers by active listening and direct observation. Family dynamics and human behavior related to the aging process; Cultural influences on behavior in a multicultural community; Laws and regulations regarding elder abuse and functions of public assistance and social service systems. Care Managers Level 2-3: The above, plus A Bachelor's Degree in Social Work, Gerontology, Psychology, Sociology, Counseling, Rehabilitation or other related field; Two (2) years of Care Management experience will be considered. OR A Master's Degree in Social Work, Gerontology, Psychology, Sociology, Counseling, Rehabilitation or other related field; One (1) year of Care Management experience with the older adult population. Care Managers Level 4-5: The above, plus A Bachelor's Degree in Social Work, Gerontology, Psychology, Sociology, Counseling, Rehabilitation or other related field; Four (4) years of Care Management experience will be considered. OR A Master's Degree in Social Work, Gerontology, Psychology, Sociology, Counseling, Rehabilitation or other related field; Two (2) year of Care Management experience with the older adult population. Licenses/Certificates Possession at time of hire and continued maintenance of a valid California Class C Drivers' License and a safe driving record. DESIRABLE QUALIFICATIONS Bilingual in Spanish, Mandarin or Farsi. Application and Selection Process If you are interested in this opportunity, please submit a completed application and responses to the supplemental questions to the Department of Human Resources. City application forms, completed in full and responses to the supplemental questions are required. Candidates are asked to fully describe any training, education, experience and/or skills relevant to this position. Resumes are not accepted in lieu of the application, please do not indicate "see resume." Applications may be submitted online through the City's employment page; go to Sunnyvale.ca.gov, Search: Jobs. Late or incomplete applications will also not be accepted. Please submit application materials as soon as possible to be considered for this position as this job posting may close without notice. SELECTION PROCESS Applications competitively screened based on the minimum qualifications of this position. Based upon a review of the application materials, qualified candidate applications will be forwarded to the hiring department for review. Application materials will be evaluated for job-related skills, experience and education.Qualified applicants will be invited to participate in an interview. Applications are reviewed on an ongoing basis and information regarding next steps in the recruitment process will be sent via email. Please check your email regularly for status updates . You may contact Faye Brand, HR Technician at: fbrand@sunnyvale.ca.gov or 408-730-3015 for recruitment updates. Any candidate that is selected by the hiring department will be required to successfully complete a pre-employment process, which may consist of a background history check, as well as medical exam(s) administered by a City-selected physician(s) before hire. Prior to starting work, all newly- hired employees will be fingerprinted to check conviction history. A conviction history will not necessarily disqualify an applicant from appointment; however, failure to disclose conviction history will result in refusal of employment or termination. Positions which are covered by the Department of Transportation regulations are required to submit to a pre-employment drug test and to random drug and alcohol testing. INFORMATION ABOUT PROOF OF EDUCATION Any successful candidate selected by the hiring department will be required to submit proof of education (original copy of the diploma or college/university transcripts). Documents may be attached to the online application or emailed to fbrand@sunnyvale.ca.gov. A valid California Class C driver's license and a safe driving record is required for this position at the time of appointment. Should you move forward to be hired for this position, you will be required to turn in a current copy of your DMV driving record. ADDITIONAL INFORMATION For more information regarding this employment opportunity, contact Trenton Hill, Recreation Manager, at 408-730-7378 or by email to thill@sunnyvale.ca.gov .For information relating to the application process contact Faye Brand, Human Resources Technician at 408-730-3015 or email: fbrand@sunnyvale.ca.gov . The information contained within this announcement may be modified or revoked without notice and does not constitute either an expressed or implied contract. The City of Sunnyvale is an Equal Opportunity Employer. It is the policy of the City of Sunnyvale not to discriminate against all qualified applicants or employees on the basis of actual or perceived race, religion (including religious dress or grooming practice), color, sex (includes gender, pregnancy, childbirth, medical conditions related to pregnancy or childbirth, breastfeeding or medical conditions related to breastfeeding), gender identity and/or gender expression, sexual orientation (including heterosexuality, homosexuality and bisexuality), ethnic or national origin, ancestry, citizenship status, uniformed service member status, marital status, family relationship, age, cancer or HIV/AIDS related medical condition, genetic characteristics and/or genetic information, and physical or mental disability. Applicants needing special accommodations for testing should submit a request to the Department of Human Resources at time of application. No City benefits are offered with this Temporary Position. Closing Date/Time: Continuous
Program/Policy Analyst (Government Affairs) Job Description Department(s): Government Affairs Reports to: Sr Manager III FLSA status: Non-Exempt Salary Grade: I - $61,000 - $99,110 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 on Monday, November 27, 2023 at 11:59 PM. 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. About CalOptima Health Are you looking for a career that changes lives? As the single largest health plan in Orange County, CalOptima Health serves one in three residents with health insurance programs for low-income children, adults, seniors and people with disabilities. Our 1,500 employees are valued for their individual perspectives and contributions and benefit from flexible work schedules, recognition and opportunities to grow. If you're looking for a rewarding career supporting a meaningful mission, along with generous benefits and recognition, consider joining us at CalOptima Health! About the Position The Program/Policy Analyst (Government Affairs) will be responsible for identifying, monitoring and analyzing state and federal legislation and recommending appropriate actions to advance CalOptima Health's legislative, regulatory and budgetary agenda. The incumbent will interact with CalOptima Health's staff and leadership to assess potential policy impacts. The incumbent will help ensure that CalOptima Health's strategic goals and objectives are communicated to legislative offices and that CalOptima Health's strong reputation is upheld. The incumbent serves on projects and other assignments in the Government Affairs department relating to policy initiatives and priorities. The incumbent will be responsible for coordinating and communicating advocacy opportunities, policy positions, meetings and events related to CalOptima Health's industry associations. Duties & Responsibilities: 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. Tracks, analyzes and reports on key bills and budget developments throughout the federal and state legislative sessions, including maintaining a legislative tracking matrix and drafting legislative memos. Compiles programmatic and policy updates and briefs for internal and external communication to CalOptima Health's Board of Directors, executives and elected officials. Supports Government Affairs leadership in crafting and executing CalOptima Health's legislative and regulatory agenda. Interacts with and assists in managing CalOptima Health's relationships with health care industry associations. Recognizes the top challenges facing the organization, providers, members and the community. Completes other projects and duties as assigned. Experience & Education: Bachelor's degree in Political Science, Public Policy, Health Administration or related field required. 2 years of work experience in legislative analysis in public policy, public administration, health care or managed care policy 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. Have access to means of transportation for work away from the primary office approximately 10% of the time. Physical Demands & Work Environment: The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Physical demands: While performing duties of job, employee may be required to move about the organization and to travel to offsite locations. Employee must be able to sit for extended periods of time, as well as work at the computer for long periods. Employee is required to use hands and fingers, especially for typing on the computer and using the mouse. Must also be able to reach with hands and arms and must occasionally lift office supply boxes or laptop case while traveling, up to 25 pounds. Employee must be able to communicate, particularly for regular phone use, in meetings, face-to-face interaction and while presenting. Occasional travel to off-site locations is required. Work Environment: Typical office environment with minimal to moderate noise levels and controlled office temperatures. 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. Employees also have access to 457(b) retirement plans with pre/post-tax contribution options. 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 employment 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 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. 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. Employees also have access to 457(b) retirement plans with pre/post-tax contribution options. 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 employment 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 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. 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. Employees also have access to 457(b) retirement plans with pre/post-tax contribution options. 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 employment 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 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. Job Location: Orange, California Position Type: To apply, visit https://jobs.silkroad.com/CalOptima/Careers/jobs/4440 Copyright 2022 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-e716bf9c5181294193ecf07edae94d20
Mar 08, 2024
Full Time
Program/Policy Analyst (Government Affairs) Job Description Department(s): Government Affairs Reports to: Sr Manager III FLSA status: Non-Exempt Salary Grade: I - $61,000 - $99,110 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 on Monday, November 27, 2023 at 11:59 PM. 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. About CalOptima Health Are you looking for a career that changes lives? As the single largest health plan in Orange County, CalOptima Health serves one in three residents with health insurance programs for low-income children, adults, seniors and people with disabilities. Our 1,500 employees are valued for their individual perspectives and contributions and benefit from flexible work schedules, recognition and opportunities to grow. If you're looking for a rewarding career supporting a meaningful mission, along with generous benefits and recognition, consider joining us at CalOptima Health! About the Position The Program/Policy Analyst (Government Affairs) will be responsible for identifying, monitoring and analyzing state and federal legislation and recommending appropriate actions to advance CalOptima Health's legislative, regulatory and budgetary agenda. The incumbent will interact with CalOptima Health's staff and leadership to assess potential policy impacts. The incumbent will help ensure that CalOptima Health's strategic goals and objectives are communicated to legislative offices and that CalOptima Health's strong reputation is upheld. The incumbent serves on projects and other assignments in the Government Affairs department relating to policy initiatives and priorities. The incumbent will be responsible for coordinating and communicating advocacy opportunities, policy positions, meetings and events related to CalOptima Health's industry associations. Duties & Responsibilities: 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. Tracks, analyzes and reports on key bills and budget developments throughout the federal and state legislative sessions, including maintaining a legislative tracking matrix and drafting legislative memos. Compiles programmatic and policy updates and briefs for internal and external communication to CalOptima Health's Board of Directors, executives and elected officials. Supports Government Affairs leadership in crafting and executing CalOptima Health's legislative and regulatory agenda. Interacts with and assists in managing CalOptima Health's relationships with health care industry associations. Recognizes the top challenges facing the organization, providers, members and the community. Completes other projects and duties as assigned. Experience & Education: Bachelor's degree in Political Science, Public Policy, Health Administration or related field required. 2 years of work experience in legislative analysis in public policy, public administration, health care or managed care policy 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. Have access to means of transportation for work away from the primary office approximately 10% of the time. Physical Demands & Work Environment: The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Physical demands: While performing duties of job, employee may be required to move about the organization and to travel to offsite locations. Employee must be able to sit for extended periods of time, as well as work at the computer for long periods. Employee is required to use hands and fingers, especially for typing on the computer and using the mouse. Must also be able to reach with hands and arms and must occasionally lift office supply boxes or laptop case while traveling, up to 25 pounds. Employee must be able to communicate, particularly for regular phone use, in meetings, face-to-face interaction and while presenting. Occasional travel to off-site locations is required. Work Environment: Typical office environment with minimal to moderate noise levels and controlled office temperatures. 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. Employees also have access to 457(b) retirement plans with pre/post-tax contribution options. 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 employment 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 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. 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. Employees also have access to 457(b) retirement plans with pre/post-tax contribution options. 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 employment 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 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. 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. Employees also have access to 457(b) retirement plans with pre/post-tax contribution options. 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 employment 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 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. Job Location: Orange, California Position Type: To apply, visit https://jobs.silkroad.com/CalOptima/Careers/jobs/4440 Copyright 2022 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-e716bf9c5181294193ecf07edae94d20
CITY OF ORLANDO, FL
Orlando, Florida, United States
Description THIS IS A PART-TIME POSITION WITH NO GUARANTEE OF A CERTAIN NUMBER OF HOURS AND NO BENEFITS. WORKING ON A TEMP/SEASONAL CONTRACT WHICH CAN BE RENEWED ANNUALLY BASED ON PERFORMANCE AND BUSINESS NEED. Who We Are Orlando, The City Beautiful For most of Orlando’s history we’ve been the place everyone wants to visit. Today, we’re also the place where everyone wants to live and do business. List after list has Orlando as one of the fastest growing cities in America. We’re transitioning from our role as the young upstart to a more mature, global city. This didn’t happen by accident. Together as a community, we developed a shared vision for our city focused on creating partnerships and we’ve transformed Orlando from a place that was packed with potential into a city on the rise. Our vision ensures we are an inclusive, compassionate community that is generating jobs, becoming the most sustainable city in the nation, keeping our community safe, making it easier to get around, and increasing the quality of life. Together, we can continue realizing all our city’s potential. Come be part of our community with the City of Orlando. NATURE OF WORK: Assist the Center Manager in the delivery of services for the Families Parks and Recreation senior program, to ensure that the safety, enrichment and financial objectives of the program and the needs of the staff, seniors, families and public are met. An employee in this classification performs specialized work in the area of enrichment and athletic programming under the direction of the FPR and or Recreation Center Manager. Work is reviewed for results obtained through reports, observation, performance evaluations and conferences. Responsibilities include leading and/or supervising a variety of educational and athletic activities, while ensuring the safety senior program and facility. Assist Manager with daily operations such as opening and closing procedures and administrative paperwork. Work is sometimes performed outdoors and employee’s are exposed to extreme heat, insects and weather conditions. Employee may be required to work evenings, weekends and holiday. Active Net Training Desired. Transport seniors to and from destinations, perform vehicle inspections, which may require bending, climbing or lifting. Operating and handling of motorized lifts, motorized scooters or walking aids. Minimum Requirements High School Diploma or equivalent, plus some knowledge or experience in an organized educational, recreation or leisure services field working in various activities such as educational programs, youth sports, aquatics, cultural and therapeutic arts, health and fitness, community centers, etc. required ; or an equivalent combination of related training and experience. Applicant must possess a valid Florida Driver’s License or state ID. First Aid/CPR certification preferred. Certification by the Florida Recreation and Park Association desired, but not required. VALID DRIVER'S LICENSE OR STATE ID FROM ANY STATE MUST BY PRESENTED AT TIME OF INTERVIEW. VALID FLORIDA DRIVER'S LICENSE OR ID MUST BE PRESENTED WITHIN 30 DAYS OF HIRE. IMPORTANT: To be eligible to proceed forward in the application process, applicants must meet the minimum qualifications listed in the position description. Please ensure your application provides details of all relevant experience related to the position. If you have questions or need clarification concerning the position or application process, please contact Human Resources at jobs@orlando.gov or 407.246.2062. Supplemental Information City of Orlando Benefits If this posting indicates a degree is required, the following experience will apply in lieu of any degree as follows: Two (2) years of direct experience for an associate degree; Four (4) years of direct experience for a bachelor's degree; Six (6) years of direct experience for a master's degree; or Nine (9) years of direct experience for a doctoral degree Closing Date/Time: Continuous
Mar 08, 2024
Temporary
Description THIS IS A PART-TIME POSITION WITH NO GUARANTEE OF A CERTAIN NUMBER OF HOURS AND NO BENEFITS. WORKING ON A TEMP/SEASONAL CONTRACT WHICH CAN BE RENEWED ANNUALLY BASED ON PERFORMANCE AND BUSINESS NEED. Who We Are Orlando, The City Beautiful For most of Orlando’s history we’ve been the place everyone wants to visit. Today, we’re also the place where everyone wants to live and do business. List after list has Orlando as one of the fastest growing cities in America. We’re transitioning from our role as the young upstart to a more mature, global city. This didn’t happen by accident. Together as a community, we developed a shared vision for our city focused on creating partnerships and we’ve transformed Orlando from a place that was packed with potential into a city on the rise. Our vision ensures we are an inclusive, compassionate community that is generating jobs, becoming the most sustainable city in the nation, keeping our community safe, making it easier to get around, and increasing the quality of life. Together, we can continue realizing all our city’s potential. Come be part of our community with the City of Orlando. NATURE OF WORK: Assist the Center Manager in the delivery of services for the Families Parks and Recreation senior program, to ensure that the safety, enrichment and financial objectives of the program and the needs of the staff, seniors, families and public are met. An employee in this classification performs specialized work in the area of enrichment and athletic programming under the direction of the FPR and or Recreation Center Manager. Work is reviewed for results obtained through reports, observation, performance evaluations and conferences. Responsibilities include leading and/or supervising a variety of educational and athletic activities, while ensuring the safety senior program and facility. Assist Manager with daily operations such as opening and closing procedures and administrative paperwork. Work is sometimes performed outdoors and employee’s are exposed to extreme heat, insects and weather conditions. Employee may be required to work evenings, weekends and holiday. Active Net Training Desired. Transport seniors to and from destinations, perform vehicle inspections, which may require bending, climbing or lifting. Operating and handling of motorized lifts, motorized scooters or walking aids. Minimum Requirements High School Diploma or equivalent, plus some knowledge or experience in an organized educational, recreation or leisure services field working in various activities such as educational programs, youth sports, aquatics, cultural and therapeutic arts, health and fitness, community centers, etc. required ; or an equivalent combination of related training and experience. Applicant must possess a valid Florida Driver’s License or state ID. First Aid/CPR certification preferred. Certification by the Florida Recreation and Park Association desired, but not required. VALID DRIVER'S LICENSE OR STATE ID FROM ANY STATE MUST BY PRESENTED AT TIME OF INTERVIEW. VALID FLORIDA DRIVER'S LICENSE OR ID MUST BE PRESENTED WITHIN 30 DAYS OF HIRE. IMPORTANT: To be eligible to proceed forward in the application process, applicants must meet the minimum qualifications listed in the position description. Please ensure your application provides details of all relevant experience related to the position. If you have questions or need clarification concerning the position or application process, please contact Human Resources at jobs@orlando.gov or 407.246.2062. Supplemental Information City of Orlando Benefits If this posting indicates a degree is required, the following experience will apply in lieu of any degree as follows: Two (2) years of direct experience for an associate degree; Four (4) years of direct experience for a bachelor's degree; Six (6) years of direct experience for a master's degree; or Nine (9) years of direct experience for a doctoral degree Closing Date/Time: Continuous
Medical Authorization Assistant (LTC) Job Description Department(s): Long Term Care (LTC) Reports to: Manager Long Term Support Services FLSA status: Non-Exempt Salary Grade: C - $43,281 - $61,798 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 on Monday, December 18, 2023 at 11:59 PM. 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. About CalOptima Health Are you looking for a career that changes lives? As the single largest health plan in Orange County, CalOptima Health serves one in three residents with health insurance programs for low-income children, adults, seniors and people with disabilities. Our 1,500 employees are valued for their individual perspectives and contributions and benefit from flexible work schedules, recognition and opportunities to grow. If you're looking for a rewarding career supporting a meaningful mission, along with generous benefits and recognition, consider joining us at CalOptima Health! About the Position The Medical Authorization Assistant will provide office and case management support services by serving as a contact between members, physicians, nursing home facilities, community-based organizations, providers and CalOptima Health staff. The incumbent will complete initial intake of information, assist with authorization functions and gather information. The incumbent will perform under the direction of the licensed Medical Case Managers, Social Workers, Program Mangers and department managers. The incumbent will perform medical administrative and/or routine tasks specific to the assigned program and may also perform office support functions. The incumbent will provide effective and efficient communication with the utmost courtesy in every interaction with our CalOptima Health members, employees and other customers. Duties & Responsibilities: 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. Receives cases via mail, fax, phone or electronically and enters data for new case information into the medical management systems. Conducts individual interviews with CalOptima Health members and/or providers to obtain intake information and gather data. Works with the Medical Case Manager to authorize requested services according to department guidelines and verifies eligibility through the state systems. Contacts the health networks and/or CalOptima Health's Customer Service department regarding health network enrollments, changes in address and primary care provider. Assists in gathering medical records, obtaining appropriate coding for diagnosis and procedures and follows up on phone calls. Documents all contacts and case information in the appropriate medical management system using the standard charting format. Performs data entry into the appropriate databases for monitoring and tracking, trending of cases and other relevant databases as needed. Generates monthly and other required reports from the databases as requested by the Medical Case Manager and/or health networks. Sends letters to providers and members. Answers calls and provides customer service to providers and members, provides care coordination and refers the callers to the correct department. Completes other projects and duties as assigned. Experience & Education: 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 is also qualifying. Preferred Qualifications: Certified Medical Assistant (CMA) certification. Experience working with the needs of seniors or persons with disabilities (SPD) in a customer/member service capacity. Previous medical billing or coding experience. Utilization management experience. Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Chinese, Farsi, Korean, Spanish, Vietnamese). Physical Demands and Work Environment: The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Physical demands: While performing duties of job, employee may be required to move about the organization. Employee must be able to sit for extended periods of time, as well as and work at the computer for long periods. Employee is required to use hands and fingers, especially for typing on the computer and using the mouse. Must also be able to reach with hands and arms and must occasionally lift office supply boxes or laptop case, up to 25 pounds. Employee must be able to communicate, particularly for regular phone use, in meetings, face-to-face interaction. Work Environment: Typical office environment with minimal to moderate noise levels and controlled office temperatures. 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 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. Employees also have access to 457(b) retirement plans with pre/post-tax contribution options. 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 employment 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 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. Job Location: Orange, California Position Type: To apply, visit https://jobs.silkroad.com/CalOptima/Careers/jobs/4465 Copyright 2022 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-2a95d2052f5c664587deda91b35af312
Mar 08, 2024
Full Time
Medical Authorization Assistant (LTC) Job Description Department(s): Long Term Care (LTC) Reports to: Manager Long Term Support Services FLSA status: Non-Exempt Salary Grade: C - $43,281 - $61,798 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 on Monday, December 18, 2023 at 11:59 PM. 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. About CalOptima Health Are you looking for a career that changes lives? As the single largest health plan in Orange County, CalOptima Health serves one in three residents with health insurance programs for low-income children, adults, seniors and people with disabilities. Our 1,500 employees are valued for their individual perspectives and contributions and benefit from flexible work schedules, recognition and opportunities to grow. If you're looking for a rewarding career supporting a meaningful mission, along with generous benefits and recognition, consider joining us at CalOptima Health! About the Position The Medical Authorization Assistant will provide office and case management support services by serving as a contact between members, physicians, nursing home facilities, community-based organizations, providers and CalOptima Health staff. The incumbent will complete initial intake of information, assist with authorization functions and gather information. The incumbent will perform under the direction of the licensed Medical Case Managers, Social Workers, Program Mangers and department managers. The incumbent will perform medical administrative and/or routine tasks specific to the assigned program and may also perform office support functions. The incumbent will provide effective and efficient communication with the utmost courtesy in every interaction with our CalOptima Health members, employees and other customers. Duties & Responsibilities: 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. Receives cases via mail, fax, phone or electronically and enters data for new case information into the medical management systems. Conducts individual interviews with CalOptima Health members and/or providers to obtain intake information and gather data. Works with the Medical Case Manager to authorize requested services according to department guidelines and verifies eligibility through the state systems. Contacts the health networks and/or CalOptima Health's Customer Service department regarding health network enrollments, changes in address and primary care provider. Assists in gathering medical records, obtaining appropriate coding for diagnosis and procedures and follows up on phone calls. Documents all contacts and case information in the appropriate medical management system using the standard charting format. Performs data entry into the appropriate databases for monitoring and tracking, trending of cases and other relevant databases as needed. Generates monthly and other required reports from the databases as requested by the Medical Case Manager and/or health networks. Sends letters to providers and members. Answers calls and provides customer service to providers and members, provides care coordination and refers the callers to the correct department. Completes other projects and duties as assigned. Experience & Education: 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 is also qualifying. Preferred Qualifications: Certified Medical Assistant (CMA) certification. Experience working with the needs of seniors or persons with disabilities (SPD) in a customer/member service capacity. Previous medical billing or coding experience. Utilization management experience. Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Chinese, Farsi, Korean, Spanish, Vietnamese). Physical Demands and Work Environment: The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Physical demands: While performing duties of job, employee may be required to move about the organization. Employee must be able to sit for extended periods of time, as well as and work at the computer for long periods. Employee is required to use hands and fingers, especially for typing on the computer and using the mouse. Must also be able to reach with hands and arms and must occasionally lift office supply boxes or laptop case, up to 25 pounds. Employee must be able to communicate, particularly for regular phone use, in meetings, face-to-face interaction. Work Environment: Typical office environment with minimal to moderate noise levels and controlled office temperatures. 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 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. Employees also have access to 457(b) retirement plans with pre/post-tax contribution options. 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 employment 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 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. Job Location: Orange, California Position Type: To apply, visit https://jobs.silkroad.com/CalOptima/Careers/jobs/4465 Copyright 2022 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-2a95d2052f5c664587deda91b35af312
City of Costa Mesa, CA
Costa Mesa, California, United States
Description SALARY RANGE: Current: $62,748 - $84,084 annually ($30.17 - $40.43 per hour) Effective July 2024: $64,620 - $86,604 annually ($31.07 - $41.64 per hour) CURRENT VACANCY: Community Outreach Workers are assigned to either the Network for Homeless Solutions Division of the City Manager's Office or the Senior Center in the Parks & Community Services Department. The current vacancy will be assigned to the Network for Homeless Solutions in the City Manager's Office. THE POSITION: Under general supervision, to perform daily outreach and case management to individuals including senior citizens or those deemed as homeless residents of Costa Mesa, provide intervention services and constant care as an incentive to assist senior citizens or homeless residents in obtaining services from community organizations and government agencies. CLASS CHARACTERISTICS: An incumbent of this classification performs case management and intervention services to Costa Mesa senior citizens or homeless residents. The incumbent exercises independent judgment and skillful application of para-professional counseling and intervention services. The Community Outreach Worker works under general supervision of the Neighborhood Improvement Manager or supervisory staff of the Senior Center. APPLICATION AND SELECTION PROCESS: The first application review date is November 17, 2023. Applications must be completed and submitted online and a copy of unofficial college transcripts and/or a copy of college degree must be attached. This recruitment will remain open until filled and may close without prior notice, therefore prompt application is encouraged. Candidates are requested to provide specific information regarding their education and experience as it relates to the position by completing all fields of the application. Applications may be rejected if incomplete. If desired, candidates may upload a resume into their application in the “Attachments” field of the application. However, applicants may not submit a resume in lieu of completing the online application. Based upon the information presented on the application, a limited number of candidates who possess qualifications most pertinent to the position will be invited to participate in the selection process. The selection process may include, but is not limited to, the following components: application review and evaluation, written examination or exercise, physical examination, practical exercise and interview evaluation. Please notify the Human Resources Division 72 hours in advance of the test date if you have a disability which requires accommodation for the testing process. The eligibility list will be in effect for one (1) year, unless exhausted sooner. The eligibility list established from this recruitment may be utilized to fill future full-time and part-time and lower-level vacancies which occur during the life of the list. Notifications during this recruitment will be sent by email only (regardless of the notification preference selected during the online application process). Notifications will be sent to the email address that is listed on your online application. All employment offers made by the City are contingent upon establishing proof of a prospective candidate's legal authorization to work in the United States and successfully passing all components of the pre-employment process which may include, but is not limited to: comprehensive background check, criminal history check (Live Scan fingerprint check), polygraph examination, post-offer psychological evaluation and post-offer medical evaluation (may include drug screen). Note: The provisions of this job bulletin do not constitute an expressed or implied contract. Any provisions contained within may be modified or revoked without notice. Essential Functions These functions may not be present in all positions in this class. When a position is to be filled, the essential functions will be noted in the announcement of position availability. Management reserves the right to add, modify, change or rescind work assignments as needed. Serve as a liaison and advocate for assigned clientele as appropriate and needed. Establish and maintain effective and positive working relationships with clientele to provide para-professional counseling and case management services. Develop and maintain relationships with various public and private service agencies, community groups, and the faith-based community to obtain services for clients and stay abreast of new trends and practices in community outreach. Assess client needs and characteristics; identify short-term and long-term needs, provide resources and referrals based on client needs and coordinate service delivery plans. Identify and provide recommendations to clients, personnel and partnering agencies regarding ongoing support services to meet client needs and ensure that clients are receiving the most appropriate form of care and/or support; assist in accessing and obtaining services; instruct clients how to self-assess and access services. Assist in developing and maintaining computer database or manual reports of ongoing services to clients; complete weekly or daily field notes and logs to track case management efforts; complete client interview forms to gather relevant data and statistics of clients served; electronically document contact and progress of current and former Costa Mesa clients. When assigned to the City Manager’s Office (Network for Homeless Solutions) Conduct and document client follow up checks on success of client/agency linkages; conduct post relocation follow-up on all clients that participated in project reconnect; maintain appropriate contact with former homeless clients who received services and no longer reside in Costa Mesa to conduct and document client progress checks. Assist police and fire safety personnel in non-enforcement situations involving homeless clients and obtain appropriate care for clients; assist safety personnel with non-psychiatric emergencies such as transporting clients to substance abuse treatment; may interface with hospital personnel regarding emergency services and recuperative care for homeless clients. Assist Code Enforcement with business related issues in providing resources to the clients in need. Accompany clients to court to advocate for criminal resolutions to enable them to obtain social services and/or return to family members. Attend weekly Network for Homeless Solutions meetings or other community meetings, project updates, and case management meetings as needed. When assigned to the Parks and Community Services Department (Senior Center) Provide case management support to third party agencies on an as needed basis such as Orange County Meals on Wheels. Conduct and document client follow-up checks on success of client/agency linkages; perform client evaluations and follow-up checks by phone or in person on a quarterly basis and submit reports as needed. Facilitate support group meetings. Provide individual support and counseling to seniors. Create, develop, and implement support groups/programs that support senior demographics as needed. Collaborate with community partners to provide in-kind services to enrich lives of seniors. Apply for and maintain data for CDBG funding. Stay up to date on current trends of senior services and community resources. Maintain current resource list and client information. Prepare and execute community outreach efforts by presenting available services at the Costa Mesa Senior to local senior living facilities and other local partnering agencies. Qualification Guidelines A typical way to obtain the requisite knowledge and abilities to perform the duties and responsibilities of this classification is as follows: EDUCATION, TRAINING AND/OR EXPERIENCE: Bachelor’s degree or equivalent in psychology, counseling, human services, social science, social work or a related field and two years experience in providing case management, counseling, social services or working with the homeless. The equivalent to a maximum of two full years of applicable paid work experience may be substituted on a year for year basis for the Bachelor’s degree requirement (i.e. Associates Degree, plus four years of experience). Bilingual Spanish/English skills are desirable. An equivalent combination of education and relevant experience that provides the desired knowledge, skills and abilities to successfully perform essential functions may also be considered. LICENSE AND/OR CERTIFICATE: Possession of a valid California Driver’s License by date of appointment. Revocation of license during employment may result in disciplinary action or reassignment. REQUISITE KNOWLEDGE AND SKILL LEVELS: Knowledge of the principles and techniques of interviewing and para-professional counseling. Knowledge of social services programs and providers available; networking approaches to identify client relevant support services. Knowledge of Microsoft Word, Excel and PowerPoint programs. Knowledge of Microsoft Publisher is required when assigned to the Parks and Community Services Department. Skill in communicating effectively with persons of diverse ethnic, social and economic backgrounds. Skill in social perceptiveness and service orientation. Skill in communicating effectively both orally and in writing. Skill in critical thinking, problem solving and conflict management. When assigned to the Parks and Community Services Department (Senior Center): California Licensed Social Worker (LCSW) License preferred. Bilingual in English/Spanish preferred. When assigned to the Office of the City Manager (Network for Homeless Solutions): Knowledge of the County of Orange Homeless Management Information System (HMIS) for data reporting. Knowledge of Continuum of Care program with the County of Orange. REQUISITE ABILITIES: Ability to communicate professionally with City Council, City leadership, City departments, community partners, non-profits and other organizations. Ability to establish and maintain positive working relationships and work effectively with persons of diverse ethnic, social and economic backgrounds. Ability to communicate effectively with persons displaying psychological and substance-induced behaviors such as depression, anger and confusion. Ability to communicate orally and sufficiently to secure information from clients, convey information on services available and to make effective referrals to services needed. Ability to operate a computer; document and record information electronically and in written format; maintain reports, logs and files and databases; write clear and concise reports. Supplemental Information PUBLIC EMPLOYEE DISASTER SERVICE WORKER: In accordance with Government Code Section 3100 - all City of Costa Mesa employees are required to perform assigned disaster service worker duties in the event of an emergency or a disaster. PHYSICAL TASKS AND ENVIRONMENTAL CONDITIONS : Please contact Human Resources for a summary of the essential tasks and environmental factors for this classification. Employee accommodations for physical or mental disabilities will be considered on a case-by-case basis. To view benefit information for all groups, Click Here New Full-Time employees contribute 9% of their salary on a pre-tax basis towards the 2%@60 or 2%@62 CalPERS retirement formula depending on eligibility. Full-Time employeesreceive the following health insurance flexible benefits contribution: Current: $1,600monthly Effective January 2025: $1,650monthly New Part-Time employees are appointed by and serve at the will of the Department Director. They are reviewed for merit salary advancement on a periodic basis. Generally, part-time employees are limited to no more than 1,000 hours of work per fiscal year (July 1 - June 30). Certain part-time employees, however, are permitted to exceed this limit.Part-time employees participate in either the Public Agency Retirement System (PARS) or the California Public Employees Retirement System (CalPERS) depending on eligibility. Employees enrolled in PARS contribute 3.75% of salary with a matching City contribution. Employees enrolled in CalPERS contribute 7% - 9% of salary depending on eligibility. Part-time positions are eligible to receive general leave benefits. General leave can be used for sick, vacation, or holiday time. The City does not participate in the Social Security system; however, federal mandate requires all new employees to contribute 1.45% of wages to Medicare. As a condition of employment, all new employees are required to enroll and participate in the direct deposit program. Closing Date/Time: Continuous
Mar 08, 2024
Full Time
Description SALARY RANGE: Current: $62,748 - $84,084 annually ($30.17 - $40.43 per hour) Effective July 2024: $64,620 - $86,604 annually ($31.07 - $41.64 per hour) CURRENT VACANCY: Community Outreach Workers are assigned to either the Network for Homeless Solutions Division of the City Manager's Office or the Senior Center in the Parks & Community Services Department. The current vacancy will be assigned to the Network for Homeless Solutions in the City Manager's Office. THE POSITION: Under general supervision, to perform daily outreach and case management to individuals including senior citizens or those deemed as homeless residents of Costa Mesa, provide intervention services and constant care as an incentive to assist senior citizens or homeless residents in obtaining services from community organizations and government agencies. CLASS CHARACTERISTICS: An incumbent of this classification performs case management and intervention services to Costa Mesa senior citizens or homeless residents. The incumbent exercises independent judgment and skillful application of para-professional counseling and intervention services. The Community Outreach Worker works under general supervision of the Neighborhood Improvement Manager or supervisory staff of the Senior Center. APPLICATION AND SELECTION PROCESS: The first application review date is November 17, 2023. Applications must be completed and submitted online and a copy of unofficial college transcripts and/or a copy of college degree must be attached. This recruitment will remain open until filled and may close without prior notice, therefore prompt application is encouraged. Candidates are requested to provide specific information regarding their education and experience as it relates to the position by completing all fields of the application. Applications may be rejected if incomplete. If desired, candidates may upload a resume into their application in the “Attachments” field of the application. However, applicants may not submit a resume in lieu of completing the online application. Based upon the information presented on the application, a limited number of candidates who possess qualifications most pertinent to the position will be invited to participate in the selection process. The selection process may include, but is not limited to, the following components: application review and evaluation, written examination or exercise, physical examination, practical exercise and interview evaluation. Please notify the Human Resources Division 72 hours in advance of the test date if you have a disability which requires accommodation for the testing process. The eligibility list will be in effect for one (1) year, unless exhausted sooner. The eligibility list established from this recruitment may be utilized to fill future full-time and part-time and lower-level vacancies which occur during the life of the list. Notifications during this recruitment will be sent by email only (regardless of the notification preference selected during the online application process). Notifications will be sent to the email address that is listed on your online application. All employment offers made by the City are contingent upon establishing proof of a prospective candidate's legal authorization to work in the United States and successfully passing all components of the pre-employment process which may include, but is not limited to: comprehensive background check, criminal history check (Live Scan fingerprint check), polygraph examination, post-offer psychological evaluation and post-offer medical evaluation (may include drug screen). Note: The provisions of this job bulletin do not constitute an expressed or implied contract. Any provisions contained within may be modified or revoked without notice. Essential Functions These functions may not be present in all positions in this class. When a position is to be filled, the essential functions will be noted in the announcement of position availability. Management reserves the right to add, modify, change or rescind work assignments as needed. Serve as a liaison and advocate for assigned clientele as appropriate and needed. Establish and maintain effective and positive working relationships with clientele to provide para-professional counseling and case management services. Develop and maintain relationships with various public and private service agencies, community groups, and the faith-based community to obtain services for clients and stay abreast of new trends and practices in community outreach. Assess client needs and characteristics; identify short-term and long-term needs, provide resources and referrals based on client needs and coordinate service delivery plans. Identify and provide recommendations to clients, personnel and partnering agencies regarding ongoing support services to meet client needs and ensure that clients are receiving the most appropriate form of care and/or support; assist in accessing and obtaining services; instruct clients how to self-assess and access services. Assist in developing and maintaining computer database or manual reports of ongoing services to clients; complete weekly or daily field notes and logs to track case management efforts; complete client interview forms to gather relevant data and statistics of clients served; electronically document contact and progress of current and former Costa Mesa clients. When assigned to the City Manager’s Office (Network for Homeless Solutions) Conduct and document client follow up checks on success of client/agency linkages; conduct post relocation follow-up on all clients that participated in project reconnect; maintain appropriate contact with former homeless clients who received services and no longer reside in Costa Mesa to conduct and document client progress checks. Assist police and fire safety personnel in non-enforcement situations involving homeless clients and obtain appropriate care for clients; assist safety personnel with non-psychiatric emergencies such as transporting clients to substance abuse treatment; may interface with hospital personnel regarding emergency services and recuperative care for homeless clients. Assist Code Enforcement with business related issues in providing resources to the clients in need. Accompany clients to court to advocate for criminal resolutions to enable them to obtain social services and/or return to family members. Attend weekly Network for Homeless Solutions meetings or other community meetings, project updates, and case management meetings as needed. When assigned to the Parks and Community Services Department (Senior Center) Provide case management support to third party agencies on an as needed basis such as Orange County Meals on Wheels. Conduct and document client follow-up checks on success of client/agency linkages; perform client evaluations and follow-up checks by phone or in person on a quarterly basis and submit reports as needed. Facilitate support group meetings. Provide individual support and counseling to seniors. Create, develop, and implement support groups/programs that support senior demographics as needed. Collaborate with community partners to provide in-kind services to enrich lives of seniors. Apply for and maintain data for CDBG funding. Stay up to date on current trends of senior services and community resources. Maintain current resource list and client information. Prepare and execute community outreach efforts by presenting available services at the Costa Mesa Senior to local senior living facilities and other local partnering agencies. Qualification Guidelines A typical way to obtain the requisite knowledge and abilities to perform the duties and responsibilities of this classification is as follows: EDUCATION, TRAINING AND/OR EXPERIENCE: Bachelor’s degree or equivalent in psychology, counseling, human services, social science, social work or a related field and two years experience in providing case management, counseling, social services or working with the homeless. The equivalent to a maximum of two full years of applicable paid work experience may be substituted on a year for year basis for the Bachelor’s degree requirement (i.e. Associates Degree, plus four years of experience). Bilingual Spanish/English skills are desirable. An equivalent combination of education and relevant experience that provides the desired knowledge, skills and abilities to successfully perform essential functions may also be considered. LICENSE AND/OR CERTIFICATE: Possession of a valid California Driver’s License by date of appointment. Revocation of license during employment may result in disciplinary action or reassignment. REQUISITE KNOWLEDGE AND SKILL LEVELS: Knowledge of the principles and techniques of interviewing and para-professional counseling. Knowledge of social services programs and providers available; networking approaches to identify client relevant support services. Knowledge of Microsoft Word, Excel and PowerPoint programs. Knowledge of Microsoft Publisher is required when assigned to the Parks and Community Services Department. Skill in communicating effectively with persons of diverse ethnic, social and economic backgrounds. Skill in social perceptiveness and service orientation. Skill in communicating effectively both orally and in writing. Skill in critical thinking, problem solving and conflict management. When assigned to the Parks and Community Services Department (Senior Center): California Licensed Social Worker (LCSW) License preferred. Bilingual in English/Spanish preferred. When assigned to the Office of the City Manager (Network for Homeless Solutions): Knowledge of the County of Orange Homeless Management Information System (HMIS) for data reporting. Knowledge of Continuum of Care program with the County of Orange. REQUISITE ABILITIES: Ability to communicate professionally with City Council, City leadership, City departments, community partners, non-profits and other organizations. Ability to establish and maintain positive working relationships and work effectively with persons of diverse ethnic, social and economic backgrounds. Ability to communicate effectively with persons displaying psychological and substance-induced behaviors such as depression, anger and confusion. Ability to communicate orally and sufficiently to secure information from clients, convey information on services available and to make effective referrals to services needed. Ability to operate a computer; document and record information electronically and in written format; maintain reports, logs and files and databases; write clear and concise reports. Supplemental Information PUBLIC EMPLOYEE DISASTER SERVICE WORKER: In accordance with Government Code Section 3100 - all City of Costa Mesa employees are required to perform assigned disaster service worker duties in the event of an emergency or a disaster. PHYSICAL TASKS AND ENVIRONMENTAL CONDITIONS : Please contact Human Resources for a summary of the essential tasks and environmental factors for this classification. Employee accommodations for physical or mental disabilities will be considered on a case-by-case basis. To view benefit information for all groups, Click Here New Full-Time employees contribute 9% of their salary on a pre-tax basis towards the 2%@60 or 2%@62 CalPERS retirement formula depending on eligibility. Full-Time employeesreceive the following health insurance flexible benefits contribution: Current: $1,600monthly Effective January 2025: $1,650monthly New Part-Time employees are appointed by and serve at the will of the Department Director. They are reviewed for merit salary advancement on a periodic basis. Generally, part-time employees are limited to no more than 1,000 hours of work per fiscal year (July 1 - June 30). Certain part-time employees, however, are permitted to exceed this limit.Part-time employees participate in either the Public Agency Retirement System (PARS) or the California Public Employees Retirement System (CalPERS) depending on eligibility. Employees enrolled in PARS contribute 3.75% of salary with a matching City contribution. Employees enrolled in CalPERS contribute 7% - 9% of salary depending on eligibility. Part-time positions are eligible to receive general leave benefits. General leave can be used for sick, vacation, or holiday time. The City does not participate in the Social Security system; however, federal mandate requires all new employees to contribute 1.45% of wages to Medicare. As a condition of employment, all new employees are required to enroll and participate in the direct deposit program. Closing Date/Time: Continuous
Member Liaison Specialist (Bilingual, Customer Service) Job Description Department(s): Member Liaison Program Reports to: Supervisor, Member Liaison Program FLSA status: Non-Exempt Salary Grade: D - $21.15 - $32.51 ($44,000 - $67,628) 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 on Tuesday, March 05, 2024 at 11:59 PM. 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. About CalOptima Health Are you looking for a career that changes lives? As the single largest health plan in Orange County, CalOptima Health serves one in three residents with health insurance programs for low-income children, adults, seniors and people with disabilities. Our 1,500 employees are valued for their individual perspectives and contributions and benefit from flexible work schedules, recognition and opportunities to grow. If you're looking for a rewarding career supporting a meaningful mission, along with generous benefits and recognition, consider joining us at CalOptima Health! About the Position The Member Liaison Specialist (Customer Service) will provide member service to seniors, persons with disabilities or chronic conditions, persons without housing and persons under the age of 21 who participate in the Whole-Child Model program. The incumbent will serve as a liaison between members, health networks, providers and community-based organizations to facilitate access to services and help resolve health care and psychosocial issues. Duties & Responsibilities: 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. Assesses members' concerns to identify psychosocial or health care issues and facilitate an appropriate resolution. Intakes information from members, both over the phone and/or in person, to complete requests for assistance cases, grievances and appeals, per departmental guidelines. Coordinates members' health care and social service needs both within and outside the health network and CalOptima Health during the original interaction. Addresses member and provider inquiries, questions and concerns in all areas, including enrollment, claims, benefit interpretation, coordination of care and referrals/authorizations for medical care related to services covered under the Whole-Child Model program. Guides members in understanding and accessing the benefits under the Whole-Child Model program. Maintains documentation of member cases within the FACETS system. Initiates referrals to internal and external care management departments and government agencies. Communicates with community-based organizations, health networks, providers and vendors on behalf of members to resolve disputes and helps coordinate access to care and investigates issues preventing members from receiving medical benefits and services. Collaborates with interdepartmental staff in call resolution as needed. Identifies calls needing case management or escalation to a supervisor, manager or director and routes them according to established guidelines. Meets all regulatory key performance indicators, first call resolution requirements and business objectives of CalOptima Health. Completes other projects and duties as assigned. Experience & Education: High School diploma or equivalent required. 2 years of experience as a call center agent or customer/member services representative in health care 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. Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Chinese, Farsi, Korean, Spanish, Vietnamese) required. Preferred Qualifications: 2 years of experience working with the needs of persons with disabilities and chronic medical conditions in a customer/member service capacity. Health maintenance organization (HMO), Medi-Cal/Medicaid and health services experience. Physical Demands and Work Environment: The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Physical demands: While performing duties of job, employee may be required to move about the organization. Employee must be able to sit for extended periods of time, as well as work at the computer for long periods. Employee is required to use hands and fingers, especially for typing on the computer and using the mouse. Must also be able to reach with hands and arms and must occasionally lift office supply boxes or laptop case, up to 25 pounds. Employee must be able to communicate, particularly for regular phone use, in meetings, face-to-face interaction and while presenting. Work Environment: Must be able to focus and function in a high pace, moderate noise level work environment. Office temperatures are controlled and comfortable. 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. Employees also have access to 457(b) retirement plans with pre/post-tax contribution options. 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 employment 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 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. . Job Location: Orange, California Position Type: To apply, visit https://jobs.silkroad.com/CalOptima/Careers/jobs/4547 Copyright 2022 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-53ffdd17646a1547bdd359b106fa95e7
Mar 08, 2024
Full Time
Member Liaison Specialist (Bilingual, Customer Service) Job Description Department(s): Member Liaison Program Reports to: Supervisor, Member Liaison Program FLSA status: Non-Exempt Salary Grade: D - $21.15 - $32.51 ($44,000 - $67,628) 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 on Tuesday, March 05, 2024 at 11:59 PM. 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. About CalOptima Health Are you looking for a career that changes lives? As the single largest health plan in Orange County, CalOptima Health serves one in three residents with health insurance programs for low-income children, adults, seniors and people with disabilities. Our 1,500 employees are valued for their individual perspectives and contributions and benefit from flexible work schedules, recognition and opportunities to grow. If you're looking for a rewarding career supporting a meaningful mission, along with generous benefits and recognition, consider joining us at CalOptima Health! About the Position The Member Liaison Specialist (Customer Service) will provide member service to seniors, persons with disabilities or chronic conditions, persons without housing and persons under the age of 21 who participate in the Whole-Child Model program. The incumbent will serve as a liaison between members, health networks, providers and community-based organizations to facilitate access to services and help resolve health care and psychosocial issues. Duties & Responsibilities: 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. Assesses members' concerns to identify psychosocial or health care issues and facilitate an appropriate resolution. Intakes information from members, both over the phone and/or in person, to complete requests for assistance cases, grievances and appeals, per departmental guidelines. Coordinates members' health care and social service needs both within and outside the health network and CalOptima Health during the original interaction. Addresses member and provider inquiries, questions and concerns in all areas, including enrollment, claims, benefit interpretation, coordination of care and referrals/authorizations for medical care related to services covered under the Whole-Child Model program. Guides members in understanding and accessing the benefits under the Whole-Child Model program. Maintains documentation of member cases within the FACETS system. Initiates referrals to internal and external care management departments and government agencies. Communicates with community-based organizations, health networks, providers and vendors on behalf of members to resolve disputes and helps coordinate access to care and investigates issues preventing members from receiving medical benefits and services. Collaborates with interdepartmental staff in call resolution as needed. Identifies calls needing case management or escalation to a supervisor, manager or director and routes them according to established guidelines. Meets all regulatory key performance indicators, first call resolution requirements and business objectives of CalOptima Health. Completes other projects and duties as assigned. Experience & Education: High School diploma or equivalent required. 2 years of experience as a call center agent or customer/member services representative in health care 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. Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Chinese, Farsi, Korean, Spanish, Vietnamese) required. Preferred Qualifications: 2 years of experience working with the needs of persons with disabilities and chronic medical conditions in a customer/member service capacity. Health maintenance organization (HMO), Medi-Cal/Medicaid and health services experience. Physical Demands and Work Environment: The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Physical demands: While performing duties of job, employee may be required to move about the organization. Employee must be able to sit for extended periods of time, as well as work at the computer for long periods. Employee is required to use hands and fingers, especially for typing on the computer and using the mouse. Must also be able to reach with hands and arms and must occasionally lift office supply boxes or laptop case, up to 25 pounds. Employee must be able to communicate, particularly for regular phone use, in meetings, face-to-face interaction and while presenting. Work Environment: Must be able to focus and function in a high pace, moderate noise level work environment. Office temperatures are controlled and comfortable. 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. Employees also have access to 457(b) retirement plans with pre/post-tax contribution options. 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 employment 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 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. . Job Location: Orange, California Position Type: To apply, visit https://jobs.silkroad.com/CalOptima/Careers/jobs/4547 Copyright 2022 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-53ffdd17646a1547bdd359b106fa95e7
CITY OF VENTURA, CA
501 Poli Street, Ventura, California 93001, USA
THE POSITION The City of Ventura is hiring! The City of Ventura's Parks and Recreation Department is actively hiring for part-time, extra-help Recreation Leader I/II and Recreation Specialist positions. Recreation Leader I/II and Recreation Specialists work under general supervision and may provide on-sight supervision, oversight, instruction, and support for a variety of programs, tours, and recreation activities in the areas of sports, cultural arts, interpretive and adaptive services, and other related parks, recreation, senior, youth, and community programs and services. The ideal candidate has the following attributes: Enjoys working with people of different backgrounds and ages, Enjoys working outdoors, in all types of weather, Enjoys physical fitness and can perform physical activities for several hours at a time Is organized and able to communicate clearly both verbally and in writing, to people of all ages and backgrounds Depending on your level of experience and the operational needs of each program, vacancies may be filled at any an appropriate level. Recreation Leader I/II : Provides task-oriented support to recreation and cultural programs, operations, activities, services, and events. Recreation Specialist : Plans, organizes, and coordinates a community program in a specialized area requiring advanced knowledge, skills or ability related to that area; trains support staff and may work on projects within a given field. May provide transportation for participants, driving a city vehicle. These are temporary, extra-help positions, working up to 20 hours per week and paid on an hourly basis. Assignments may include working at night, weekends, holidays, and include travel to game or tour locations. --------------------------------------------------------------------------------------------------------------------------- Depending on assignment, duties may include, but are not limited to, the following: SPORTS LEAGUE PROGRAMS (year-round) - $16.00 - $18.85 per hour Provide site supervision or act as an attendant monitoring and overseeing a variety of youth and adult sporting events, including basketball, softball, volleyball, soccer, and flag football. Duties may include scorekeeping, scheduling, communicating with staff and participants, cash management (making deposits), and completing related reports. Must have some experience in team sports or outdoor recreation. SAILING CENTER PROGRAMS (year-round) - $16.00 - $18.85 per hour Provide on-site supervision, instruction, and support with special events and activities in the areas of sailing, kayaking, and stand-up paddle boarding. May assist with maintenance and upkeep of necessary equipment. Must possess CPR and First Aid certifications. YOUTH AFTER SCHOOL & CAMP PROGRAMS (year-round) - $16.00 - $18.85 per hour Depending on assignment, may provide support and/or oversight with the following programs: PEAK After School Programs : Coordinate after school youth enrichment activities at school sites, provide homework assistance, and organize day-to-day activities including sports, games, and special programs. May develop curriculum and provide instruction related to sports, enrichment, music, or dance. Westpark Community Center : Coordinate after school enrichment activities at Westpark Community Center, provide homework assistance, and organize day-to-day activities including sports, games, and special programs. May develop curriculum and provide instruction related to sports, enrichment, music, or dance. May support youth soccer, basketball, and flag football sports leagues. School Break Camp Programs : Coordinate and organize school break activities at indoor and outdoor program sites throughout the city. Lead activities, sports, games, and special programs. May develop curriculum and provide instruction related to sports, enrichment, music, or dance. ARTS & CULTURE PROGRAMS (year-round) - $16.00 - $21.00 per hour Depending on assignment, may provide program and facility support including customer service, data entry, clerical duties, special projects, facility rental oversight, and/or support with the following programs: Historic Programs : Teach hands-on education programs to preschool through 6th grade students at the historic Olivas Adobe. Facilitate educational tours and activities to individuals of all ages at the city's historic sites with a focus on local history. Public Art : Schedule, coordinate, and conduct tours of the city's Municipal Art Collection for individuals of all ages. Support Public Art program operations and activities including training program volunteers. Special Events : Provide event support including set-up and breakdown of city-sponsored events such as the Music Under the Stars summer concert series and 4th of July Street Fair. Requires weekend availability. Cultural Arts Classes : Teach creative and performing arts classes for participants of all ages. Arts & Culture Tour Program : Assist in tour planning, coordination, billing, reporting, marketing, and computer record maintenance. Support the coordination of tour escorts, vendors, and bus charters. Tour Bus Driver : Provide tour transportation, assist participants, and complete travel documentation. A valid California DMV Class B Driver license with passenger endorsement, current medical certificate, and completed DOT training is required. General knowledge of wheelchairs and mechanical lifts is desirable. SENIORS & COMMUNITY SERVICE PROGRAMS (year-round) - $16.00 - $21.00 per hour Depending on assignment, duties may include, but are not limited to, the following: Facility Attendant: Provide site supervision or act as an attendant monitoring and assisting with set-up and break-down of tables, equipment or other materials used during rental period. Duties may include ensuring permit policies are followed, meeting with prospective renters to explain site policies, overseeing opening and closing procedures and supporting annual Parks & Recreation events and programs. Community Gardens : Provide care and maintenance of community garden common areas, pathways, vacant plots, and garden supplies. May facilitate tours and orientations to prospective gardeners and host classes and volunteer workdays on weekends. Volunteer Programs : Support volunteer program operations including hosting onsite volunteer projects, maintaining the volunteer program database, and assisting with volunteer outreach and social media. Requires weekend availability. Senior Nutrition Program : Under the supervision of the Senior Nutrition Program Specialist, assist with the preparation and serving of meals to program participants, train and oversee program volunteers, and support program data entry, cash handling, filing, clerical duties, and special projects. Customer Service Representative : Assist customers over the phone, in-person, and by email with class registrations and information; support the Department with data entry, cash handling, filing, clerical duties, and on special projects. --------------------------------------------------------------------------------------------------------------------------- Additional Information To be considered for this part-time extra-help position, please complete an online City Job Application and supplemental questionnaire. Applications are reviewed on a continuous basis. Open until filled. Applications will be accepted until all current extra-help positions have been filled. For additional information on the duties and responsibilities of the position, refer to the job descriptions located on the City's Career Page at www.cityofventura.ca.gov/jobs or by clicking here Recreation Leader I/II and Recreation Specialist . If you have questions about the recruitment process, please contact Human Resources at recruitment@cityofventura.ca.gov . POSITION QUALIFICATIONS Recreation Leader I/II A combination of education, training and experience which provides the required skills, knowledge and abilities is required. License: Depending on assignment, possession of a valid California Class C driver's license may be required. If the position requires driving a mini-bus or van, a valid California Class B license, with passenger endorsement and the allowable auto transmission and air brake restrictions, must be obtained within six months of employment. If the position requires driving a mini-bus or van, drug-testing is required, according to the Department of Transportation (DOT). When assigned to Sailing/Kayaking/Stand-up Paddle Boarding programs, CPR and First Aid certifications are required. Recreation Specialist A combination of training, education, and experience equivalent to graduation from high school and sufficient work experience in the specialty area to acquire the knowledge, skills and abilities necessary to perform independently without close supervision are required. License: Depending on assignment, possession of a valid California Class C driver's license may be required. If the position requires driving a mini-bus or van, a valid California Class B license, with passenger endorsement and the allowable auto transmission and air brake restrictions, must be obtained within six months of employment. If the position requires driving a mini-bus or van, drug-testing is required, according to the Department of Transportation (DOT). APPLICATION AND INTERVIEW PROCESS Submit a City application and supplemental questionnaire. Applications are reviewed on a continuous basis. Candidates are encouraged to apply promptly. Open until filled. It is important that your City job application show all the relevant education, training, and experience you possess. Resumes, CVs and cover letters may be attached to your application but will not be accepted in lieu of a completed job application or supplemental questionnaire. Submitting an incomplete application or supplemental questionnaire, may disqualify you from further consideration in the recruitment process. Application Filing Deadline : Applications and supplemental questions are reviewed on a continuous basis. For initial consideration, applicants are encouraged to apply promptly. Please note, the recruitment may close without notice. Application Review Process : All applications and supplemental questionnaires submitted will be screened in relation to the criteria outlined in this job announcement. Candidates will be reviewed and only those candidates determined to be most qualified on the basis of experience, training and education, as submitted, will be invited to participate further in the selection process. Department Selection Interview : A select number of candidates will be invited to participate in an interview process that will be scheduled once a sufficient number of qualified applications have been received for this position. Selected candidates will be notified if selected for an interview. Please note, given the current COVID-19 situation, initial panel interviews may be conducted via video teleconference. Selected applicants will be notified of specifics at the appropriate time. The Eligibility List established for this classification may be used to fill other regular and temporary vacancies at the discretion of the City. --------------------------------------------------------------------------------------------------------------------------- In compliance with the Americans with Disabilities Act (ADA), if you need an accommodation in a selection process, please notify the Human Resources Department in writing by the final filing date of the position you are interested in. The Human Resources address is: 501 Poli Street, Room 210, Ventura, CA 93001, (805) 654-7853, e-mail: recruitment@cityofventura.ca.gov. THE ORGANIZATION The City of Ventura operates under the Council/ Manager form of government under a charter adopted by voters in 1934, with an elected seven-member City Council. This full-service municipality is supported by 11 major City departments: City Manager, City Attorney, Finance, Information Technology, Human Resources, Community Development, Parks & Recreation, Fire, Police, Public Works, and Ventura Water. The City's Adopted FY 2021/2022 Budget totals approximately $303.4 million. The City Council and the City Manager are dedicated to the highest standards of integrity, public service, and innovative approaches to governing. To learn more about the City of Ventura, please visit www.cityofventura.ca.gov and view the current FY Adopted Budget. CITY OF VENTURA The City of Ventura is located just north of Los Angeles County and south of Santa Barbara County and is frequently considered one of America's most desirable places to live. The City is a full-service municipality that was founded in 1782, incorporated in 1866, and serves nearly 110,000 residents within its 32 square miles. With nearly 700 employees, the City is dedicated to delivering key services to our businesses, residents, and visitors to ensure Ventura remains a fiscally stable, economically vibrant, safe, clean, and desirable community. Locals and visitors enjoy Ventura's impressive park system that includes 32 parks and historic sites, and more than 800 acres of open green space. The City offers a remarkable year-round climate, friendly people, and a spectacular coastline. Ventura is an exciting location for a variety of outdoor activities such as biking, hiking, kayaking, paddle-boarding, sailing, surfing, whale watching and windsurfing. Other activities include the Channel Islands National Park, championship golf, world-class shopping, wine tours, and more. Learn more about the City of Ventura at www.CityofVentura.ca.gov . DIVERSITY, EQUITY AND INCLUSION The City of Ventura values human rights, goodwill, respect, inclusivity, equality, and recognizes that the City derives its strength from a rich diversity of thoughts, ideas, and contributions. As leaders in public service, we aspire to be an employer of choice by promoting an organizational culture that reflects these core values. We seek to attract, develop, and retain a talented and dedicated workforce where people of diverse races, genders, religions, cultures, political affiliations, and lifestyles thrive. Our goal is to create a welcoming and inclusive environment that empowers our employees to provide the highest level of service to our community of residents and businesses; they're counting on us. The City is an equal opportunity employer and strives to attract qualified applicants from all walks of life without regard to race, color, ethnicity, religion, national origin, age, sex, sexual orientation, gender identity, gender expression, marital status, ancestry, physical disability, mental disability, medical condition, genetic information, military and veteran status, or any other status protected under federal, state and/or local law. We aim to create an environment that celebrates and embraces the diversity of our workforce. We welcome you to join our team! Closing Date/Time: Continuous
Mar 08, 2024
Temporary
THE POSITION The City of Ventura is hiring! The City of Ventura's Parks and Recreation Department is actively hiring for part-time, extra-help Recreation Leader I/II and Recreation Specialist positions. Recreation Leader I/II and Recreation Specialists work under general supervision and may provide on-sight supervision, oversight, instruction, and support for a variety of programs, tours, and recreation activities in the areas of sports, cultural arts, interpretive and adaptive services, and other related parks, recreation, senior, youth, and community programs and services. The ideal candidate has the following attributes: Enjoys working with people of different backgrounds and ages, Enjoys working outdoors, in all types of weather, Enjoys physical fitness and can perform physical activities for several hours at a time Is organized and able to communicate clearly both verbally and in writing, to people of all ages and backgrounds Depending on your level of experience and the operational needs of each program, vacancies may be filled at any an appropriate level. Recreation Leader I/II : Provides task-oriented support to recreation and cultural programs, operations, activities, services, and events. Recreation Specialist : Plans, organizes, and coordinates a community program in a specialized area requiring advanced knowledge, skills or ability related to that area; trains support staff and may work on projects within a given field. May provide transportation for participants, driving a city vehicle. These are temporary, extra-help positions, working up to 20 hours per week and paid on an hourly basis. Assignments may include working at night, weekends, holidays, and include travel to game or tour locations. --------------------------------------------------------------------------------------------------------------------------- Depending on assignment, duties may include, but are not limited to, the following: SPORTS LEAGUE PROGRAMS (year-round) - $16.00 - $18.85 per hour Provide site supervision or act as an attendant monitoring and overseeing a variety of youth and adult sporting events, including basketball, softball, volleyball, soccer, and flag football. Duties may include scorekeeping, scheduling, communicating with staff and participants, cash management (making deposits), and completing related reports. Must have some experience in team sports or outdoor recreation. SAILING CENTER PROGRAMS (year-round) - $16.00 - $18.85 per hour Provide on-site supervision, instruction, and support with special events and activities in the areas of sailing, kayaking, and stand-up paddle boarding. May assist with maintenance and upkeep of necessary equipment. Must possess CPR and First Aid certifications. YOUTH AFTER SCHOOL & CAMP PROGRAMS (year-round) - $16.00 - $18.85 per hour Depending on assignment, may provide support and/or oversight with the following programs: PEAK After School Programs : Coordinate after school youth enrichment activities at school sites, provide homework assistance, and organize day-to-day activities including sports, games, and special programs. May develop curriculum and provide instruction related to sports, enrichment, music, or dance. Westpark Community Center : Coordinate after school enrichment activities at Westpark Community Center, provide homework assistance, and organize day-to-day activities including sports, games, and special programs. May develop curriculum and provide instruction related to sports, enrichment, music, or dance. May support youth soccer, basketball, and flag football sports leagues. School Break Camp Programs : Coordinate and organize school break activities at indoor and outdoor program sites throughout the city. Lead activities, sports, games, and special programs. May develop curriculum and provide instruction related to sports, enrichment, music, or dance. ARTS & CULTURE PROGRAMS (year-round) - $16.00 - $21.00 per hour Depending on assignment, may provide program and facility support including customer service, data entry, clerical duties, special projects, facility rental oversight, and/or support with the following programs: Historic Programs : Teach hands-on education programs to preschool through 6th grade students at the historic Olivas Adobe. Facilitate educational tours and activities to individuals of all ages at the city's historic sites with a focus on local history. Public Art : Schedule, coordinate, and conduct tours of the city's Municipal Art Collection for individuals of all ages. Support Public Art program operations and activities including training program volunteers. Special Events : Provide event support including set-up and breakdown of city-sponsored events such as the Music Under the Stars summer concert series and 4th of July Street Fair. Requires weekend availability. Cultural Arts Classes : Teach creative and performing arts classes for participants of all ages. Arts & Culture Tour Program : Assist in tour planning, coordination, billing, reporting, marketing, and computer record maintenance. Support the coordination of tour escorts, vendors, and bus charters. Tour Bus Driver : Provide tour transportation, assist participants, and complete travel documentation. A valid California DMV Class B Driver license with passenger endorsement, current medical certificate, and completed DOT training is required. General knowledge of wheelchairs and mechanical lifts is desirable. SENIORS & COMMUNITY SERVICE PROGRAMS (year-round) - $16.00 - $21.00 per hour Depending on assignment, duties may include, but are not limited to, the following: Facility Attendant: Provide site supervision or act as an attendant monitoring and assisting with set-up and break-down of tables, equipment or other materials used during rental period. Duties may include ensuring permit policies are followed, meeting with prospective renters to explain site policies, overseeing opening and closing procedures and supporting annual Parks & Recreation events and programs. Community Gardens : Provide care and maintenance of community garden common areas, pathways, vacant plots, and garden supplies. May facilitate tours and orientations to prospective gardeners and host classes and volunteer workdays on weekends. Volunteer Programs : Support volunteer program operations including hosting onsite volunteer projects, maintaining the volunteer program database, and assisting with volunteer outreach and social media. Requires weekend availability. Senior Nutrition Program : Under the supervision of the Senior Nutrition Program Specialist, assist with the preparation and serving of meals to program participants, train and oversee program volunteers, and support program data entry, cash handling, filing, clerical duties, and special projects. Customer Service Representative : Assist customers over the phone, in-person, and by email with class registrations and information; support the Department with data entry, cash handling, filing, clerical duties, and on special projects. --------------------------------------------------------------------------------------------------------------------------- Additional Information To be considered for this part-time extra-help position, please complete an online City Job Application and supplemental questionnaire. Applications are reviewed on a continuous basis. Open until filled. Applications will be accepted until all current extra-help positions have been filled. For additional information on the duties and responsibilities of the position, refer to the job descriptions located on the City's Career Page at www.cityofventura.ca.gov/jobs or by clicking here Recreation Leader I/II and Recreation Specialist . If you have questions about the recruitment process, please contact Human Resources at recruitment@cityofventura.ca.gov . POSITION QUALIFICATIONS Recreation Leader I/II A combination of education, training and experience which provides the required skills, knowledge and abilities is required. License: Depending on assignment, possession of a valid California Class C driver's license may be required. If the position requires driving a mini-bus or van, a valid California Class B license, with passenger endorsement and the allowable auto transmission and air brake restrictions, must be obtained within six months of employment. If the position requires driving a mini-bus or van, drug-testing is required, according to the Department of Transportation (DOT). When assigned to Sailing/Kayaking/Stand-up Paddle Boarding programs, CPR and First Aid certifications are required. Recreation Specialist A combination of training, education, and experience equivalent to graduation from high school and sufficient work experience in the specialty area to acquire the knowledge, skills and abilities necessary to perform independently without close supervision are required. License: Depending on assignment, possession of a valid California Class C driver's license may be required. If the position requires driving a mini-bus or van, a valid California Class B license, with passenger endorsement and the allowable auto transmission and air brake restrictions, must be obtained within six months of employment. If the position requires driving a mini-bus or van, drug-testing is required, according to the Department of Transportation (DOT). APPLICATION AND INTERVIEW PROCESS Submit a City application and supplemental questionnaire. Applications are reviewed on a continuous basis. Candidates are encouraged to apply promptly. Open until filled. It is important that your City job application show all the relevant education, training, and experience you possess. Resumes, CVs and cover letters may be attached to your application but will not be accepted in lieu of a completed job application or supplemental questionnaire. Submitting an incomplete application or supplemental questionnaire, may disqualify you from further consideration in the recruitment process. Application Filing Deadline : Applications and supplemental questions are reviewed on a continuous basis. For initial consideration, applicants are encouraged to apply promptly. Please note, the recruitment may close without notice. Application Review Process : All applications and supplemental questionnaires submitted will be screened in relation to the criteria outlined in this job announcement. Candidates will be reviewed and only those candidates determined to be most qualified on the basis of experience, training and education, as submitted, will be invited to participate further in the selection process. Department Selection Interview : A select number of candidates will be invited to participate in an interview process that will be scheduled once a sufficient number of qualified applications have been received for this position. Selected candidates will be notified if selected for an interview. Please note, given the current COVID-19 situation, initial panel interviews may be conducted via video teleconference. Selected applicants will be notified of specifics at the appropriate time. The Eligibility List established for this classification may be used to fill other regular and temporary vacancies at the discretion of the City. --------------------------------------------------------------------------------------------------------------------------- In compliance with the Americans with Disabilities Act (ADA), if you need an accommodation in a selection process, please notify the Human Resources Department in writing by the final filing date of the position you are interested in. The Human Resources address is: 501 Poli Street, Room 210, Ventura, CA 93001, (805) 654-7853, e-mail: recruitment@cityofventura.ca.gov. THE ORGANIZATION The City of Ventura operates under the Council/ Manager form of government under a charter adopted by voters in 1934, with an elected seven-member City Council. This full-service municipality is supported by 11 major City departments: City Manager, City Attorney, Finance, Information Technology, Human Resources, Community Development, Parks & Recreation, Fire, Police, Public Works, and Ventura Water. The City's Adopted FY 2021/2022 Budget totals approximately $303.4 million. The City Council and the City Manager are dedicated to the highest standards of integrity, public service, and innovative approaches to governing. To learn more about the City of Ventura, please visit www.cityofventura.ca.gov and view the current FY Adopted Budget. CITY OF VENTURA The City of Ventura is located just north of Los Angeles County and south of Santa Barbara County and is frequently considered one of America's most desirable places to live. The City is a full-service municipality that was founded in 1782, incorporated in 1866, and serves nearly 110,000 residents within its 32 square miles. With nearly 700 employees, the City is dedicated to delivering key services to our businesses, residents, and visitors to ensure Ventura remains a fiscally stable, economically vibrant, safe, clean, and desirable community. Locals and visitors enjoy Ventura's impressive park system that includes 32 parks and historic sites, and more than 800 acres of open green space. The City offers a remarkable year-round climate, friendly people, and a spectacular coastline. Ventura is an exciting location for a variety of outdoor activities such as biking, hiking, kayaking, paddle-boarding, sailing, surfing, whale watching and windsurfing. Other activities include the Channel Islands National Park, championship golf, world-class shopping, wine tours, and more. Learn more about the City of Ventura at www.CityofVentura.ca.gov . DIVERSITY, EQUITY AND INCLUSION The City of Ventura values human rights, goodwill, respect, inclusivity, equality, and recognizes that the City derives its strength from a rich diversity of thoughts, ideas, and contributions. As leaders in public service, we aspire to be an employer of choice by promoting an organizational culture that reflects these core values. We seek to attract, develop, and retain a talented and dedicated workforce where people of diverse races, genders, religions, cultures, political affiliations, and lifestyles thrive. Our goal is to create a welcoming and inclusive environment that empowers our employees to provide the highest level of service to our community of residents and businesses; they're counting on us. The City is an equal opportunity employer and strives to attract qualified applicants from all walks of life without regard to race, color, ethnicity, religion, national origin, age, sex, sexual orientation, gender identity, gender expression, marital status, ancestry, physical disability, mental disability, medical condition, genetic information, military and veteran status, or any other status protected under federal, state and/or local law. We aim to create an environment that celebrates and embraces the diversity of our workforce. We welcome you to join our team! Closing Date/Time: Continuous