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<h4>Leasing Consultant&nbsp;&nbsp;</h4>Venue on Knox - Minneapolis, MN&nbsp; Schedule: Tuesday - Thursday 9:00am-6:00pm, Friday 9:00 - 5:00am, Saturday 10:00am - 4:00pmWhat's in it for you?The base salary range for this position is expected to start at $18.00/hour, with the actual base salary amount dependent on a number of factors, including but not limited to a candidate's credentials, relevant experience, and primary job location, with consideration given to internal equity.&nbsp;This position is also eligible for:<ul><li>Monthly Leasing Commissions and Quarterly Renewal Bonuses</li><li>Competitive PTO</li><li>Generous time off - 10 paid holidays, plus diversity day and your birthday</li><li>Paid Caregiver and Paid Parental Leave</li><li>20% Rent, Parking, and Storage Discount for Centerspace rents</li><li>32 Paid Hours of Volunteer Time Off</li><li>Medical/Dental/Vision Benefits – 1st of Month Following Start Date</li><li>Centerspace Stock Purchase Plan</li><li>401(k) match up to 5% per paycheck</li><li>Tuition Reimbursement &amp; Scholarship Program</li></ul>About CenterspaceCenterspace&nbsp;was founded in Minot, North Dakota, in 1970. You can find our corporate support offices located in Minneapolis, Minnesota and in Minot North Dakota, along with onsite operations in six states. From Denver, CO to Minneapolis, MN, our company continues to grow throughout the Midwest, proudly providing apartment homes to thousands of residents, extending our vision to be the premier provider of apartment homes in vibrant communities by focusing on integrity and serving others.&nbsp; Centerspace is built around our employees. Our Mission and Vision unites our employees as one team.ExpectationsFollows already established procedures. Complies with all internal leasing policies, Fair Housing requirements and all other applicable laws and regulations. Generally given substantial guidance, but expected to be self-directed once trained. Able to follow instructions, prioritize duties and comply with deadlines. Responsible for the rental of apartment units to ensure maximum occupancy at all times and high renewal rates by performing the following duties personally.Essential Duties &amp; Responsibilities&nbsp;To perform the job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions. Other duties may be assigned.Operational<ul><li>Evaluates and has expertise in competitor's offerings and pricing by conducting regular surveys and visits.</li><li>Prepares the office and tour path for business.</li><li>Prospect generation through creation of advertising on line, business outreach, and other various grass roots campaigns.&nbsp;</li><li>Provides service to new applicants to help get approval, coordinates leasing documents for move in and performs move in orientation for each new resident.</li><li>Provides excellent service to existing residents for their housing needs.&nbsp;</li><li>Focuses on resident retention and renewing leases.</li><li>Helps to address and resolve issues.</li><li>Assists with package handling.&nbsp;</li><li>Coordinates communication with residents.&nbsp;</li><li>Interact professionally with other employees, customers, vendors, and suppliers.</li><li>Work effectively as a team contributor on all assignments.</li><li>Work independently while understanding the necessity for communicating and coordinating work efforts with other team member and stakeholders.</li><li>Delivers high level resident satisfaction while maintaining Fair Housing Practices.</li><li>Encouraged/Expected to participate in industry appropriate networking groups.&nbsp; Encouraged/Expected to participate in service projects, and to establish and maintain contacts within the community to promote IRET.</li></ul>Financial<ul><li>May assist with administrative duties such as processing accounts receivable and payables.&nbsp;</li><li>Maintains accurate records in software and files.</li></ul>Education &amp; Experience&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Required: High School Diploma, or equivalent.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Preferred: Background in sales is preferred.Knowledge, Skills, &amp; Abilities<ul><li>Language Skills – Ability to read and interpret documents such as lease documents, safety rules, instructions, and procedural manuals.&nbsp; Ability to write routine reports and correspondence.&nbsp; Ability to speak effectively before groups of customers or employees of the organization.</li></ul><ul><li>Mathematical Skills – Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.&nbsp; Ability to compute rate, ratio, and percent.&nbsp;</li></ul><ul><li>Reasoning Ability – Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.&nbsp; Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.</li><li>Computer Skills – To perform this job successfully, an individual should be computer literate and have knowledge of Property Management software; MRI preferred; working knowledge of Outlook, Word, and Excel.&nbsp; Ability to use computer in professional manner is required.</li></ul>Physical RequirementsWhile performing the duties of this job, the employee is regularly required to talk or hear.&nbsp; The employee is frequently required to sit.&nbsp; The employee is occasionally required to stand; walk; use hands to finger, handle, or feel; and reach with arms and hands.&nbsp; The employee must occasionally lift and/or move up to 10 pounds.&nbsp; Specific vision abilities required by this job include close vision, distance vision, and depth perception.To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required.&nbsp; Additional details regarding competencies and other duties are available upon request.&nbsp; Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties of this position.“Centerspace is an Equal Opportunity Employer and Prohibits Discrimination and Harassment of Any Kind:&nbsp;Centerspace is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment.&nbsp;All employment decisions at&nbsp;Centerspace are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, family or parental status, or any other status protected by the laws or regulations in the locations where we operate.&nbsp;Centerspace will not tolerate discrimination or harassment based on any of these characteristics.&nbsp;Centerspace encourages applicants of all ages.”

Centerspace

Leasing Consultant

What's next for you is the first priority for us! With over 45 programs from associate to doctoral degrees, South University is a private institution dedicated to providing educational opportunities that spark the intellectual, social and professional development of a diverse student population.&nbsp; Our 120-year story—past, present and future—is a history formed by the many individuals who have developed the education and spirit of community that have become our pledge to the students, faculty, staff, alumni and supporters of South University. Online and at our 8 locations and 2 learning sites, we take pride in our welcoming environment; one-on-one support and personalized attention that helps students define goals and identify the means to pursue them. Our small classes feature hands-on experiences that not only shape students’ skills and excellence in their chosen fields but also shape their characters through encouraging community involvement, volunteerism and the pursuit of life-long learning.&nbsp;&nbsp; Visit <a href="http://www.southuniversity.edu&nbsp;today" target="_blank">www.southuniversity.edu&nbsp;today</a> to learn more about what makes us stand apart as a place to Belong, Believe and Become, a place where you can make a difference in the lives of students eager to learn and grow. South University, the right direction for a brighter future.Benefits: *Medical *Dental *Vision FSA/HSA Tuition Assistant Program Long/Short Term Disability Life Insurance Employee Assistance Program401K Match&nbsp; &nbsp;Paid Time Off 12 Paid Holidays * includes domestic partner coverage SUMMARY:&nbsp;&nbsp;Under general supervision of the Campus Director and Dean for Academic Affairs and Operations perform, coordinate and oversee campus administrative duties in support of the campus academic programs, campus and general administrative needs as defined in the job elements below. This position requires the ability to act confidentially, handle sensitive information and exercise independent judgment.&nbsp; Some technical knowledge of the specific area of assignment may also be required.KEY JOB ELEMENTS:<ul><li>Performs academic, campus and limited general administrative and clerical duties as assigned by the Campus Director &amp; Dean of Academic Affairs and Operations. </li><li>Collaborate with Vice Chancellors, Assistant Vice Chancellors, University Directors, College Deans and Department Chairs in carrying out the priorities of the University including, but not limited to items pertaining to supporting programmatic accreditation and assessment reporting.</li><li>Maintains correspondence logs, files, information databases, and other tracking systems as necessary.&nbsp; Prepares Executive Committee, OPM, PACs, and other programmatic meeting minutes. Organizes programmatic meeting dates, meeting structure, and sends out agendas.&nbsp; Distributes Executive Committee weekly KPI updates to campus program leaders. </li><li>Ensure signage for classrooms, campus services and office spaces are clearly marked.</li><li>Create, distribute and collect faculty contracts, student files, and faculty files containing required programmatic documentation.</li><li>Assists with directing students with locating campus leaders, including directing them toward offices, phone, e-mail or classrooms.&nbsp; Ensure signage for classrooms, campus services and office spaces are clearly marked and accessible.&nbsp; </li><li>If requested by Campus Director, may provide new employees with on boarding information, such as tours and campus directories, office or cubicle accommodations, employee access badges; business cards, and ensure new hires have necessary equipment and accesses to assume assigned duties on day one.&nbsp; Maintain campus keys in coordination with the university Director of Facilities and Campus Director/Dean of Academic Affairs and Operations.</li><li>Ensure employee engagement and recognition activities are organized and occurring on a regular schedule, such as service awards, employee recognition and leading employee engagement committee work.</li><li>Responsible for onboarding of new hires.&nbsp; This includes I-9 completion and background check completion.&nbsp; Maintain all personnel files. </li><li>Responsible for all adjunct contracts and appointment letters.&nbsp; Ensures adjunct pay is calculated and submitted timely on the pay schedule.&nbsp; Responsible for all proctor scheduling, contracts and payments.</li><li>Responsible for monitoring all job postings for the campus and reviewing applicants for qualifications.&nbsp; Once qualified, responsible for sending to hiring managers and assisting with the scheduling of interviews. &nbsp;</li><li>Campus purchasing support for local service providers and suppliers. Includes ordering office or program related supplies and scheduling assistance as necessary.&nbsp; Maintains office equipment such as fax machines, postage meters, copy machines and printers.&nbsp; Responsible for mail distribution and receiving support.</li><li>A cell phone is required for use during work hours and after hours as needed.&nbsp;&nbsp; This position requires flexibility with schedule as needed to support the campus events.</li><li>Other duties as assigned. </li></ul>REQUIREMENTS:&nbsp;<ul><li>Bachelor’s Degree in a related discipline.</li><li>Minimum of four years’ progressively more responsible administrative experience in a&nbsp; corporate or academic environment supporting mid to upper level manager(s). </li><li>Excellent written and verbal communication skills.</li><li>Strong interpersonal skills.</li><li>Superior organizational and problem resolution skills.</li><li>Business computing skills (validated by testing where applicable) to include the following:</li><li>Advanced proficiency level for Word </li><li>Basic proficiency level for Excel </li><li>Advanced proficiency level for Power Point </li><li>Basic proficiency level for Outlook</li></ul>ENVIRONMENT:&nbsp;&nbsp;The duties and characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.&nbsp; The term "qualified individual with a disability" means an individual with a disability who, with or without reasonable accommodation, can perform the essential functions of the position.&nbsp; While performing the duties of this job, the employee is regularly required to communicate professionally in person, over the telephone, through email, video conference, and other electronic means, move about the office or school, handle various types of media and equipment, and visually or otherwise identify, observe and assess. The employee is occasionally required to lift up to 10 pounds unless otherwise specified in the job description.&nbsp;South&nbsp;University is an Equal Opportunity Employer and embraces diversity as a critical step in ensuring employee, student and graduate success. We are committed to building and developing a diverse environment where a variety of ideas, cultures and perspectives can thrive. Apply Now <h4>Other details</h4><ul><li> Job Family All Positions</li><li> Required Education Bachelor’s Degree</li></ul>

South University

Executive Assistant /HR Coordinator

Position SummaryProliance Surgery Center at Valley is seeking professional registered nurses (RN) or new-graduate nurses interested in applying for our Perioperative Nursing Residency Program, which prepares the RN to work in the operating room as a circulating and scrub nurse at our outpatient orthopedic surgery center.&nbsp; This residency program consists of an initial structured 12 - 14 week educational course using AORN’s Periop 101: A Core Curriculum™ supplemented with interactive learning labs, peer discussions, and precepted clinical experiences.&nbsp; Course administration and successful transition to practice is guided by an in-center perioperative nurse educator where individual learner needs are addressed.Key Duties and ResponsibilitiesThe key duties and responsibilities of the RN include, but are not limited to:<ul><li>Work with all members of the health care team to provide optimal care to the patient throughout their surgical experience.</li><li>Maintain a friendly, positive and caring attitude with all patients, physicians and staff.</li><li>Assist in patient education during all phases of their surgical experience at the Center.</li><li>Assist in assuring that equipment is functioning properly.</li><li>Monitor use of all supplies. Assist with inventory control by proper count of supplies/time used.</li><li>Document appropriately the care that is given to the patient</li><li>Continuing education to meet State requirements and keep current with health care changes</li><li>Display professionalism at work and in the community as a representative of the Center</li><li>Take an active role on committees within the department</li><li>Identifies actual and potential risk to patients and others and takes action to minimize or eliminate risk and maximize safety</li><li>Performs charge nurse responsibilities as staffing demands and as requested</li></ul>Education/Experience<ul><li>Graduation from an accredited school of nursing</li><li>Current State licensure and BLS, ACLS and PALS accreditation within 6mo of hire</li><li>Two years of OR (on-the-job training), Recovery Room, Intensive Care or Emergency Room experience is desired. New RN graduates with an interest in the operating room will be considered.&nbsp; &nbsp; &nbsp; &nbsp;</li></ul>Knowledge, Skills and Abilities<ul><li>Problem solving skills</li><li>Skill in using a computer</li><li>Knowledge of applicable specialties</li><li>Outpatient clinical organizational ability</li><li>Ability to remove oneself personally from given situations, remaining objective</li><li>Ability to exhibit cooperation, flexibility, and provide assistance when interfacing with patients, physician and staff</li><li>Ability to multi-task</li><li>Skill in organizing and reporting information that is accurate and complete</li><li>Understanding of the need for and evidence of consistent respect for confidentiality/HIPAA</li><li>Ability to maintain composure in stressful situations</li><li>Skill in establishing and maintaining effective working relationships with all staff</li><li>Ability to prepare records in accordance with detailed instructions</li><li>Ability to communicate clearly</li><li>Consistency and timeliness in attendance</li></ul>Work Environment/Physical DemandsThe work environment/physical demands described here are representative of those that must be met by a teammate to successfully perform the essential functions of this job.&nbsp; Reasonable accommodations may be made to enable differently abled persons to perform the essential functions.Work may be performed in an office and clinical environment. Requires corrected vision and hearing to normal range. While performing the duties of this job, the associate is regularly required to talk or hear. The associate is required to sit for long periods of time, stand and walk, bend and stretch. Use of telephone and computer is required. Manual dexterity required for use of computer keyboard. Occasionally lifts and carries items weighing up to 40 pounds. May requires working under stressful conditions or working irregular hours.

Proliance Surgeons

New Grad / Registered Nurse (RN) - Perioperative Nursing Residency Program

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.&nbsp; We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. &nbsp;JOB SUMMARY:Corro Clinical, a division of CorroHealth, is an innovative, rapidly growing physician-led organization that helps hospitals improve financial performance by benchmarking hospital performance by payer and functional area, identifying sources of lost revenue or risk, creating, and implementing operational solutions to address the issues uncovered, and monitoring ongoing results. The company has a vibrant culture that strives to promote a positive work-life balance while allowing professionals to utilize their skills in an environment that positively impacts healthcare.ESSENTIAL DUTIES AND RESPONSIBILITIES:&nbsp; Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.Essential Functions: <ul><li>You will be on the phone approximately 60% of the day.</li><li>Call payers to schedule Peer to Peer calls with CorroHealth Medical Directors&nbsp;</li><li>Call payers on cases that are past Peer to Peer scheduled time frame.&nbsp;</li><li>Document information from payer call in CorroHealth proprietary system.&nbsp;</li><li>Enter account status into multiple databases.&nbsp;</li><li>Support various functions within the department such as case entry support, Peer to Peer support, and appeals support.&nbsp;</li><li>You will work independently but must also be able to collaborate and work within a team setting.</li><li>Perform other duties as assigned.&nbsp;</li></ul>Skills Required: <ul><li>Must love communicating with others over the phone.</li><li>Strong verbal and written communication skills. Will need to articulate to payors what is needed and be able to quickly document any relevant information that is obtained.</li><li>Detail-oriented. This position requires the ability to multi-task, work on multiple screens and programs at a time, so must be able to toggle back and forth and keep everything organized.</li><li>You will be working to solve issues, so someone who likes to problem solve, seeks resolution and likes to take initiative will be a great fit!</li><li>Works independently but is a team player.&nbsp;</li><li>Able to work in a fast-paced environment.</li><li>Required to keep all client and sensitive information confidential.&nbsp;</li><li>Strict adherence to HIPAA/HITECH compliance&nbsp;</li></ul>Education/Experience Required: &nbsp;<ul><li>High School Diploma or equivalent required. Bachelor’s degree preferred.</li><li>Call center experienced preferred.</li><li>Understanding of denials processes for Medicare, Medicaid, and Commercial/Managed Care product lines, a plus&nbsp;</li><li>Prior experience of accessing hospital EMR’s and Payer Portals preferred.&nbsp;</li><li>Proficient in MS Word and Excel.</li><li>In excel you must be able to open a spreadsheet, utilize formulas such as adding, subtracting, multiplying. You should be able to copy in past in cells as well as create multiple worksheets within a workbook.</li><li>Accurate keyboard skills. You should be able to type a minimum of 30wpm.</li></ul>PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

CorroHealth

Coordinator, P2P Appeals

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.&nbsp; We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. &nbsp;JOB SUMMARY:CorroHealth is the partner of choice to healthcare providers in support of their Revenue Cycle challenges. We solve problems through a customized mix of services, consulting and technology that can change over time to meet any client’s evolving needs. The Jr. Denial Coordinator role is an entry level position and an excellent way to start your career at a growing company in a fast-paced industry. Learn the ins and outs of healthcare Revenue Cycle Services, with a specialty in Denials Management.ESSENTIAL DUTIES AND RESPONSIBILITIES:&nbsp; Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.Responsibilities include, but are not limited:<ul><li>Scanning, faxing and filing highly confidential documents</li><li>Downloading and printing medical records</li><li>Generating appeal letter templates</li><li>Packaging certified mail</li><li>Logging events on accounts in workflow system</li><li>Adding notes to accounts in hospital patient accounting systems</li></ul>Minimum Qualification<ul><li>HS Diploma or equivalent requiredFour-year degree preferred, or equivalent years of work experience.</li><li>Healthcare experience a plus.</li><li>Strong multi-tasking skills.</li><li>MUST possess strong computer skills.</li><li>Proficiency with MS Office.</li><li>Excellent oral and written communication skills.&nbsp;</li></ul>PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Jr Coordinator, Denials Management

As a coordinator for the chief marketing officer (CMO), you will provide administrative support in a department and university-wide capacity. Your efficient management of the CMO’s workflow, communications, and calendar will directly contribute to the smooth operation of the CMO's office. You will work to appropriately prioritize appointments, resolve conflicts, and organize office operating procedures. Your responsibilities will include serving as the primary point of contact for the CMO and coordinating travel arrangements for conferences. You will also prepare meeting materials and attend to take notes.In this position, you will conduct research for reports, field high-level requests for documents, and coordinate meetings with confidentiality. You will also approve purchase, travel, and reimbursement requests. You will be responsible for the management of time-off requests and approvals, general office duties — including work order submissions, supply orders, and office machine maintenance requests — and communication with internal and external stakeholders. You will inform the CMO of project statuses while they are out of the office and maintain excellent working relationships with colleagues. You will also run official errands in support of university functions to assist the CMO with special projects.The successful candidate demonstrates outstanding communication, customer service, and organizational skills. A keen attention to detail and ability to manage multiple high-priority tasks concurrently is essential. The candidate must also thrive in independent work and team-oriented environments.Minimum Qualifications: &nbsp;<ul><li>Bachelor’s degree</li><li>Proficiency in Microsoft Office Suite</li><li>At least two years of related professional experience</li><li>Professional experience in managing confidential matters</li></ul>Certificates, licenses, and registrations: <ul><li>Valid driver’s license</li></ul>Travel required: <ul><li>Less than 10%</li></ul>Work Hours: The university work week is Sunday through Saturday. Most offices are open Monday through Friday from 8:30 a.m. to 5:30 p.m. To accommodate business needs, employees may be assigned to other workdays and/or hours, including weekends and evenings.&nbsp;ADA Tag: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements and minimum qualifications listed represent the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions and/or meet the minimum qualifications.&nbsp;

Savannah College of Art and Design

Coordinator for the Chief Marketing Officer

Salary Range:&nbsp;&nbsp;$88,854.00&nbsp;(Min.) -&nbsp;$115,509.00&nbsp;(Mid.) -&nbsp;$142,166.00&nbsp;(Max.)Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. <h4>Job Summary</h4>The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves medically necessary referrals that meet established criteria. Assures timely and accurate determination and notification of referrals and reconsiderations based on the referral determination status. Generates approval, modification and denial communications, to include member and provider notification of referral determination. Actively monitors for admissions in any inpatient setting. Performs telephonic and/or onsite admission and concurrent review, and collaborates with onsite staff, physicians, providers, member/family interaction to develop and implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews for pre-service, concurrent, post-service and retrospective claims medical review. Monitors and oversees the collection and transfer of data (medical records) and referral requests by Providers. Acts as a department resource for medical service requests /referral management and processes. Receives incoming calls from providers, professionally handles complex calls, researches to identify timely and accurate resolution steps. Follows up with caller to provide response or resolution steps. Answers all inquiries in a professional and courteous manner.<h4>Duties</h4>Promote and support team engagements, programs and activities to create and ensure a positive and productive workplace environment.Perform telephonic and/or onsite admission and concurrent review, and collaborates with onsite staff, physicians, providers, the member and significant others to develop and implement a successful discharge plan. Process, finalize and facilitate inbound requests that are received from providers. Generate appropriate member and provider communication for all determinations within the required timelines as defined by the most current department policy.Facilitate/review requests for Higher level of care or skilled nursing/discharge planning needs. Research for appropriate facilities, specialty providers and ancillary providers to utilize for all lines of business. Identification of potential areas of improvement within the provider network.Identify and initiate referrals for appropriate members to the various L.A. Care programs/processes and external community based programs or Linked and Carve Out Services (e.g. DDS/CCS/MH). Potential quality of care/potential fraud issues are identified and documented per L.A. Care policy. High risk/high cost cases and reports are maintained and referred to the Physician Advisor/UM Director. Document in platform/system of record. Utilize designated software system to document reviews and/or notes. Receive incoming calls from providers, professionally handle complex calls, research to identify timely and accurate resolution steps. Follow up with caller to provide response or resolution steps. Answer all inquiries in a professional and courteous manner.<h4>Perform other duties as assigned. </h4><h4>Duties Continued</h4><h4>Education Required</h4>Associate's Degree in Nursing<h4>Education Preferred</h4>Bachelor's Degree in Nursing<h4>Experience</h4>Required: At least 5 years of varied clinical experience in an acute hospital setting. At least 2 years of Utilization Management/Case Management experience in a hospital or HMO setting .&nbsp;Preferred: Managed Care experience performing UM and CM at a medical group or management services organization.Experience with Managed Medi-Cal, Medicare, and commercial lines of business.<h4>Skills</h4>Required: Must be computer literate, with expertise in Outlook, Word, Excel, PowerPoint. &nbsp;Effectively utilizes computer and appropriate software and interacts as needed with L.A. Care Information System. Knowledge of personal computer, keyboarding, and appropriate &nbsp;software to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Prepare clear, comprehensive written and oral reports and materials.&nbsp;Provision of excellent customer service required due to frequent communication with providers and other members of the interdisciplinary team &nbsp; Excellent time management and priority-setting skills.Maintains strict member confidentiality and complies with all HIPAA requirements.Strong verbal and written communication skills. &nbsp; &nbsp;Preferred: Knowledge of National Committee for Quality Assurance (NCQA) requirements for Utilization Management or Care Management (CM).&nbsp;Knowledge of Department of Health Care Services (DHCS) or Centers for Medicare and Medicaid Services(CMS) requirements for health plan compliance with UM or CM.<h4>Licenses/Certifications Required</h4>Registered Nurse (RN) - Active, current and unrestricted California License<h4>Licenses/Certifications Preferred</h4>Certified Case Manager (CCM)<h4>Required Training</h4><h4>Physical Requirements</h4>Light<h4>Additional Information</h4>May work on occasional weekends and some holidays depending on business needs.Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market.&nbsp; The range is subject to change.L.A. Care offers&nbsp;a wide range of benefits including<ul><li>Paid Time Off (PTO)</li><li>Tuition Reimbursement</li><li>Retirement Plans</li><li>Medical, Dental and Vision</li><li>Wellness Program</li><li>Volunteer Time Off (VTO)</li></ul> Nearest Major Market: Los Angeles Job Segment: Nursing, Registered Nurse, Medicare, Medicaid, Claims, Healthcare, Insurance

L.A. Care Health Plan

Utilization Management Nurse Specialist RN II

Salary Range:&nbsp;&nbsp;$88,854.00&nbsp;(Min.) -&nbsp;$115,509.00&nbsp;(Mid.) -&nbsp;$142,166.00&nbsp;(Max.)Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. <h4>Job Summary</h4>The Utilization Management (UM) Admissions Liaison RN II is primarily responsible for receiving/reviewing admission requests and higher level of care (HLOC) transfer requests from inpatient facilities within regular timelines. Reviews clinical data in real-time and post admission to issue a determination based on clinical criteria for medical necessity. Assures timely, accurate determination and notification of admission and inter-facility transfer requests. Generates approval, modification, and denial communications for inpatient admission requests. Actively monitors for appropriate level of care (inpatient vs. observation) admission in the acute setting. Works with UM leadership, including the Utilization Management Medical Director, on requests where determination requires extended review. Collaborates with the inpatient care team for facilitation/coordination of patient transfers between acute care facilities. Acts as a department resource for medical service requests/referral management and processes. Actively participates in the discharge planning process, including providing clinical review and authorization for alternate levels of care, home health, durable medical equipment, and other discharge needs. Provides support to the inpatient review team as necessary to ensure timely processing of concurrent reviews.<h4>Duties</h4> Provides the primary clinical point of contact for inpatient acute care hospitals requesting Inpatient care/post-stabilization admission requests, Higher level of care transfers and other emergent transfers or needs. Ensures appropriate determination for admission requests/HLOC transfers based on clinical data presented and established criteria/guidelines, escalating to the medical director if needed. &nbsp;Triages and assesses members for admission needs, including, but not limited to, bed and accepting physician availability. (40%)Establishes and maintains ongoing communication with internal stakeholders and external customers while securing the L.A. Care member's admission or inter-facility transfer. &nbsp;Interfaces with physicians, house supervisors, and other hospital delegates to ensure that telephone triage results in appropriate patient placement. (10%)Applies clinical expertise and the nursing process to triage and prioritize admission acuity, servicing as an expert clinical resource for patient placement while utilizing medical knowledge and experience to facilitate consensus-building and development of satisfactory outcomes (10%)Continually seeks new ways to improve processes and increase efficiencies. Takes the initiative to communicate recommendations to UM Leadership. (5%)Completes all inpatient and discharge planning requests appropriately and timely including, but not limited to: &nbsp;Skilled nursing facility, outpatient needs (home health, physical therapy, infusion), and case management referrals (5%) Performs prospective, concurrent, post-service, and retrospective claim medical review processes. Utilizes clinical judgement, independent analysis, critical-thinking skills, detailed knowledge of medical policies, clinical guidelines and benefit plans to complete reviews and determinations within required turnaround times specific to the case type. Identifies requests needing medical director review or input and presents for second level review (20%)Performs other duties as assigned. (10%)<h4>Duties Continued</h4><h4>Education Required</h4>Associate's Degree in Nursing<h4>Education Preferred</h4>Bachelor's Degree in Nursing<h4>Experience</h4>Required: Minimum of 7 years of clinical experience in an acute hospital setting.&nbsp;Previous experience to have a strong understanding of Utilization Management/Case Management practices including, but not limited to, placement (with level of care) criteria (MCG, InterQual), concurrent review, and discharge planning.Preferred: Consistent Critical Care experience (Emergency Department, Intensive Care, Labor &amp; Delivery) background highly desirable.Experience in bed placement decision-making highly desirable.<h4>Skills</h4>Required: Must be computer literate, with expertise in Outlook, Word, Excel, PowerPoint. &nbsp;Provision of excellent customer service required due to frequent communication with providers and other members of the interdisciplinary team &nbsp;Knowledge of personal computer, keyboarding, and appropriate software to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Prepare clear, comprehensive written and oral reports and materials.&nbsp;Excellent time management and priority-setting skills.Maintains strict member confidentiality and complies with all HIPAA requirements.Strong verbal and written communication skills. &nbsp; &nbsp;Preferred: Knowledge of National Committee for Quality Assurance (NCQA) requirements for Utilization Management or CM.&nbsp;Knowledge of Department of Health Care Services (DHCS) or Centers for Medicare and Medicaid Services(CMS) requirements for health plan compliance with UM or CM.<h4>Licenses/Certifications Required</h4>Registered Nurse (RN) - Active, current and unrestricted California License<h4>Licenses/Certifications Preferred</h4>Certified Case Manager (CCM)American Case Management Association (ACM)<h4>Required Training</h4><h4>Physical Requirements</h4>Light<h4>Additional Information</h4>Required: Attend mandatory department trainings as scheduledFinancial Impact: Management of all medical services has a tremendous potential impact on the cost of health care and budget. This position manages determinations to ensure services requested are medically appropriate and provided in the most cost effective manner without compromising quality healthcare delivery.Types of Shift: &nbsp;Day (7:00am - 3:30pm), Evening (3:00pm -11:30 pm), Night (11:00pm -7:30am).&nbsp; Float (Varies)* *All possible shifts.Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market.&nbsp; The range is subject to change.L.A. Care offers&nbsp;a wide range of benefits including<ul><li>Paid Time Off (PTO)</li><li>Tuition Reimbursement</li><li>Retirement Plans</li><li>Medical, Dental and Vision</li><li>Wellness Program</li><li>Volunteer Time Off (VTO)</li></ul> Job Segment: Nursing, Emergency Medicine, Registered Nurse, Rehabilitation, Physical Therapy, Healthcare

Utilization Management Admissions Liaison RN II (After Hours Evening)

Salary Range:&nbsp;&nbsp;$135,136.00&nbsp;(Min.) -&nbsp;$175,676.00&nbsp;(Mid.) -&nbsp;$216,218.00&nbsp;(Max.)Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. <h4>Job Summary</h4> The Director, Care Management &nbsp;will mainly be responsible for the operational component of the Care Management (CM) Department with the main goal of improving key L.A. Care members healthy and access appropriate services. The Director will also work with the CM Medical Directors and key staff in designing, enhancing and implementing programs, plan strategically and report on regulatory requirements. &nbsp;&nbsp;One of the key initiatives is to increase our community CM presence. The Director is also responsible for providing evidence of ongoing compliance with all regulatory and accreditation requirements (i.e. health risk assessments and interdisciplinary care plan and care team programs, population health management. The Director is also responsible for outreaching and working with key stakeholders and provide subject matter expertise in support of the oversight, outreach and training of our Plan Partner Health Plans and Delegated Provider Groups.This position will direct all aspects of running an efficient &nbsp;team, including hiring, supervising, coaching, training, disciplining, and motivating direct-reports.<h4>Duties</h4>General Essential functions:&nbsp; Collaborating with the Medical Director, responsible for the operations, programming and oversight of internal L.A. Care’s Care Management Department, collaborates with internal and external delegates and any operations associated with the Care Management department. &nbsp;Functions currently include all care management programs (Complex Care Management, Care Coordination and Disease Management). &nbsp;Ensures the CM department performs the following: &nbsp;All contracts [(i.e. Centers for Medicare and Medicaid Service (CMS), California Department of Health Care Services (DHCS)], California Department of Managed Health Care (DMHC) regulations, applicable state and federal regulations, National Committee on Quality Assurance (NCQA) CM Certification, Management Services Agreements &amp; Other Contracts. &nbsp;Oversees and monitors operational compliance with organizational standards, policies and procedures and regulatory requirements. &nbsp;Assures department meets all regulatory time frames on CM.Develops and implements departmental policies and procedures. &nbsp;Develops and maintains departmental statistical and performance reports. &nbsp;Develops, implements and monitors performance standards.Develops and maintains effective communication mechanisms at various levels of the organization and with external organizations.Develop and maintain departmental budgets in line with organizational goals. &nbsp;Assure operational effectiveness to meet MCR targets and optimize health care resource utilization.&nbsp;Assures appropriate staff support of Utilization Management and other relevant committees. &nbsp;Supports the maintenance of positive relationships between L.A. Care and external groups.Identifies and implements, with approval, programs that improve the provision of services to members. &nbsp;Supports Clinical Assurance/Delegation Oversight in the measurement and analysis of delegated Participating Physician Group (PPG) functions.<h4>Duties Continued</h4>Internal Health Plan Operational Management:&nbsp; Proactively identifies and implements operational modifications to enhance departmental performance. &nbsp;Develops and implements operational business plans and departmental objectives to support organization strategies and tactics. &nbsp;Interfaces with and collaborates with other service areas to assure optimal service delivery to members, compliance, and efficiency. Maintain compliance with all internal audits.Human Resource Management:&nbsp; Develops goals, objectives and actions plans for assigned staff which includes full management responsibility for the hiring, performance reviews, salary reviews and disciplinary matters for direct reporting employees.Develops and maintains a culturally sensitive work environment that promotes staff growth and education.&nbsp; Completes performance appraisals in accordance with established policies and based upon achievement of the L.A. Care mission, value, objectives and management expectations.&nbsp;Assures staff have access to appropriate training and educational opportunities.Oversees development of staff planning, including recruitment and retention.Data System Development and Data Analysis: Directs oversight and responsible for identifying and developing business needs for complex ongoing data projects and communicating with I.T. team on business needs.&nbsp;Assesses and revises program goals and staff training based on data analysis and review.&nbsp;Responsible for the Policies, Procedures, Budget and Program Documentation.Develops and regularly reviews and maintains Care Management program documents to be in compliance with all regulatory and accreditation requirements and to be in line with current program activities. Prepares briefings, reports, consultation documents and presentations that clearly articulate L.A. Care's &nbsp;regulatory position and policy. &nbsp;Develop regulatory position and policy based on research and evidence.Vendor Management and Oversight: Oversees existing contracts invoice processing, budget maintenance and compliance with contract’s scope of work.Assesses and evaluates contract extensions and development of new vendor contract partnerships in alliance with enterprise–wide and departmental goals, objectives and members’ needs to achieve quality healthcare services and improves members’ quality of life.Performs other duties as assigned.<h4>Education Required</h4>Bachelor's Degree in Nursing<h4>Education Preferred</h4>Master's Degree in NursingIn lieu of degree, equivalent education and/or experience may be considered.<h4>Experience</h4>Required:Minimum of 7 years of Care Management experience including progressively responsible leadership experience facilitating quality/process improvement, updating policies/procedures with the latest regulatory and accreditation standards.&nbsp; At least 5 years of leading staff or supervisory/management experienceMinimum of 3 years of relevant Health Plan experience.<h4>Skills</h4>Required: Excellent verbal, written and presentation skills.Critical thinking skills.Ability to efficiently and effectively assimilate information and communicate clearly and promptly to key stakeholders.Ability to analyze and identify trends in reports to facilitate decision for enhancements to program.Proven effective leadership skills.Proficient with MS Office (Word, Excel, Outlook, PowerPoint, etc.)Motivational interviewing skills.Knowledge of compliance standards in the operational function.<h4>Licenses/Certifications Required</h4><h4>Licenses/Certifications Preferred</h4>Licensed Master of Social Worker (LMSW) - Active, current and unrestricted California LicenseRegistered Nurse (RN) - Active, current and unrestricted California License<h4>Required Training</h4><h4>Physical Requirements</h4>Light<h4>Additional Information</h4>Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market.&nbsp; The range is subject to change.L.A. Care offers&nbsp;a wide range of benefits including<ul><li>Paid Time Off (PTO)</li><li>Tuition Reimbursement</li><li>Retirement Plans</li><li>Medical, Dental and Vision</li><li>Wellness Program</li><li>Volunteer Time Off (VTO)</li></ul> Nearest Major Market: Los Angeles Job Segment: Nursing, Registered Nurse, Social Worker, Medicaid, Medicare, Service, Healthcare

Director, Care Management

Initial Posting Date: 01/03/2025Application Deadline:01/19/2025Agency:Oregon Health AuthoritySalary Range:$6,348 - $9,370Position Type:EmployeePosition Title:Plans Examiner (Health Facilities Consultant) - HYBRIDJob Description:The Oregon Health Authority (OHA), Public Health Division (PHD), Center for Health Protection, Facilities Planning and Safety Program &nbsp;in Portland, Oregon has a fantastic career opportunity for a Plans Examiner (Health Facilities Consultant). The Plans Examiner will conduct reviews of schematic design (architectural) plans for health care facilities regulated by the Health Care Regulation and Quality Improvement Section.This is a full-time, management service position, not represented by a union. This recruitment may be used to establish a list of qualified candidates to fill current or future vacancies.OHA values service excellence, leadership, integrity, health equity and partnership and has a strategic goal to end all health inequities by 2030.The OHA mission is helping people and communities achieve optimum physical, mental, and social well-being through partnership, prevention and access to quality, affordable health care. OHA’s work is organized into three broad goals: Improve the lifelong health of all Oregonians, increase the quality, reliability, and availability of care for all Oregonians and lower or contain the cost of care so it is affordable to everyone.What will you do? The primary purpose of this position is to ensure that newly constructed or remodeled health care facilities provide safe and adequate care and lodging for persons who receive medical services therein.To this end, program Plans Examiners will:<ul><li>Conduct architectural reviews of submitted projects.</li><li>Manage the coordination of engineering and Fire Life Safety plan reviews.</li><li>Support project sponsors and architects of record in their efforts to comply with applicable regulations.</li><li>Assist licensing agencies to ensure that completed projects comply with applicable regulations.</li></ul>What's in it for you? The public health division is a team of passionate individuals working to promote health across the lifespan of individuals, families, and communities. We value and support unique perspectives using a trauma-informed approach and aim to reflect these values in our hiring practices, professional development, and workplace. We are committed to racial equity as a driving factor to improve health outcomes for all communities that experience inequities.<ul><li>We offer exceptional medical, vision and dental benefit packages for you and your qualified family members with minimal out-of-pocket costs (member cost share is as low as 1% - 5%). Try this free virtual benefits counselor by clicking here: <a href="https://www.oregon.gov/oha/pebb/pages/alex.aspx&amp;nbsp" target="_blank">https://www.oregon.gov/oha/pebb/pages/alex.aspx&amp;nbsp</a>;</li><li>Paid Leave Days:<ul><li>11 paid holidays each year.</li><li>3 additional paid personal business days each year.</li><li>8 hours of paid sick leave accrued each month.</li><li>8 hours of vacation leave accrued each month with increases every 5 years.</li></ul></li><li>Pension and Retirement plans. After six months of service, you may qualify for the Public Employee Retirement System (PERS). New employees may be enrolled in the Oregon Public Service Retirement Plan (OPSRP).</li><li>Student Loan Forgiveness; Public Service Loan Forgiveness (PSLF) opportunity. The PSLF program may forgive student loan balances after you’ve made the equivalent of 120 qualifying monthly payments.&nbsp;</li><li>Optional benefits include short-term disability, long-term disability, deferred compensation savings program, and flexible spending accounts for health care and childcare expenses.</li><li>Continuous growth and development opportunities.</li><li>Click here to learn more and access a summary of State of Oregon benefits.</li></ul>The Oregon Health Authority is committed to:<ul><li>Eliminating health inequities in Oregon by 2030</li><li>Becoming an anti-racist organization</li><li>Developing and promoting culturally and linguistically appropriate programs, and</li><li>Developing and retaining a diverse, inclusive, and equitable workforce that represents the diversity, cultures, strengths, and values of the people of Oregon.</li></ul>Minimum Qualifications: Two years of experience in the research, development, design, construction, alteration, or repair of Oregon health and residential care facilities.ANDBachelor's degree in Architecture or three more years of pertinent architecture experience.Desired Attributes: The position requires skills necessary to manage various often unrelated tasks concurrently. The ability to demonstrate competence in application of rules and codes is essential. In addition, the ability to productively interact with diverse partners and facilitate the development of draft rule language is required.Experience in the research, development, design, construction, alteration, or repair of Oregon health and residential care facilities; AND a bachelor’s degree in architecture or three or more years of pertinent design and construction industry experience.Working Conditions: Regular travel throughout the state to complete construction project inspections. At least 75% of the work of this role may be conducted remotely with full access to the needed operating systems and technology. There are times that work will need to be conducted onsite. On site work occurs in a standard office environment or at construction sites with no unusual physical demands or exposures.Directions to Apply:Please fill out the online application and submit a resume and cover letter telling us about yourself and how your personal (lived), educational, and/or professional experience qualifies you for this position.<ul><li>External Applicants: Click the “Apply” button and submit your application. Click this link for the External Candidate job aid, and view this video for additional information.</li><li>Current State of Oregon employees: Apply through your employee Workday account. View this job aid for assistance.</li></ul>Resources:<ul><li>Workday will timeout after 20 minutes of inactivity.</li><li>Workday performs best in Google Chrome.</li><li>Check both your e-mail and Workday account for updates regarding this recruitment.</li><li>Oregon Health Authority (OHA)<ul><li>Oregon Health Authority Website</li><li>Mission, Vision and Core Values</li><li>Programs and Divisions</li></ul></li><li>Career Resources<ul><li>State of Oregon Career Resources Page</li><li>Get Your Application and Resume Noticed</li><li>Ace the Interview</li><li>Search for State of Oregon jobs</li><li>How to Set Job Alerts</li></ul></li></ul>Additional Information:<ul><li>Visa Sponsorships: Oregon Health Authority (OHA) does not offer VISA sponsorship. Within three days of hire, you will be required to complete the US Department of Homeland Security’s I-9 form confirming authorization to work in the United States.&nbsp; OHA is an E-Verify employer and will use E-Verify to confirm that hires are authorized to work in the United States.</li><li>Pay Scale: Upon receiving a salary offer, we will conduct a pay equity assessment using the information provided in your application to determine your salary placement upon hire. To ensure a comprehensive evaluation, please make certain your application materials are up-to-date and thorough. Include relevant details such as your work history, education, volunteer work, lived experiences, and any other pertinent information related to the position you are applying for. Please visit the Pay Equity Project homepage to learn more.</li><li>Background Check: If you are offered employment, your offer will be contingent upon the positive outcome of an abuse check, criminal records check, and driving records check. The information will be shared with the Oregon Health Authority (OHA), Office of Human Resources (OHR). Any criminal or founded abuse history will be reviewed and could result in the withdrawal of the offer or termination of employment.</li><li>Veterans: If you are a veteran, you may receive veterans’ preference points. Click here for more information about veterans’ preference. If you checked that you are a veteran, you will receive a notice in your Workday inbox and will be required to provide your documents at that time. Veterans | Oregon Department of Veterans Affairs: 1-800-692-9666</li><li>This recruitment may be used to establish a list of qualified applicants to fill current or future vacancies.</li></ul>Questions?If you have questions or would like assistance, including an accommodation request under the Americans with Disabilities Act, please contact Juan McGruder, HR Analyst, at <a href="mailto:juan.a.mcgruder@oha.oregon.gov" target="_blank">juan.a.mcgruder@oha.oregon.gov</a>.TTY users, please use the Oregon Telecommunications Relay Service: 1-800-735-2900. For technical support, please call toll-free 1-855-524-5627, for customer service assistance.Affirmative Action, Equal Opportunity, and Pay Equity:The Oregon Health Authority is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, national origin, age, protected veteran or disabled status, genetic information, or any other protected class under state or federal law. In addition, we do not discriminate, or screen applicants based on current or past compensation. To learn more about OHA’s mission, vision, and core values, click here.The Oregon Health Authority is an equal opportunity, affirmative action employer committed to workforce diversity and anti-racism.

636 Project Management / Professional Services Jobs