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RN I-Medicaid, Care, Case and Disease Management-logo
Horizon Healthcare ServicesHopewell, New Jersey
Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3.5 million people who place their trust in us. We pride ourselves on our best-in-class employees and strive to maintain an innovative and inclusive environment that allows them to thrive. When our employees bring their best and succeed, the Company succeeds. This position is responsible for performing RN duties using established guidelines to ensure appropriate level of care as well as planning for the transition to the continuum of care. Performs duties and types of care management as assigned by management. Responsibilities: Assesses patient's clinical need against established guidelines and/or standards to ensure that the level of care and length of stay of the patient are medically appropriate for inpatient stay. Evaluates the necessity, appropriateness and efficiency of medical services and procedures provided. Coordinates and assists in implementation of plan for members. Monitors and coordinates services rendered outside of the network, as well as outside the local area, and negotiate fees for such services as appropriate. Coordinates with patient, family, physician, hospital and other external customers with respect to the appropriateness of care from diagnosis to outcome. Coordinates the delivery of high quality, cost-effective care supported by clinical practice guidelines established by the plan addressing the entire continuum of care. Monitors patient's medical care activities, regardless of the site of service, and outcomes for appropriateness and effectiveness. Advocates for the member/family among various sites to coordinate resource utilization and evaluation of services provided. Encourages member participation and compliance in the case/disease management program efforts. Documents accurately and comprehensively based on the standards of practice and current organization policies. Interacts and communicates with multidisciplinary teams either telephonically and/or in person striving for continuity and efficiency as the member is managed along the continuum of care. Understands fiscal accountability and its impact on the utilization of resources, proceeding to self-care outcomes. Evaluates care by problem solving, analyzing variances and participating in the quality improvement program to enhance member outcomes. Completes other assigned functions as requested by management. Education/Experience: High School Diploma/GED required Bachelor degree preferred or relevant experience in lieu of degree Requires a minimum of two (2) years clinical experience. Active Unrestricted NJ RN License or active Compact License Required. Knowledge: Prefers proficiency in the use of personal computers and supporting software in a Windows based environment, including MS Office products (Word, Excel, PowerPoint and Outlook) prefers knowledge in the use of intranet and internet applications. Prefers working knowledge of case/care management principles. Prefers working knowledge of principles of utilization management. Prefers basic knowledge of health care contracts and benefit eligibility requirements. Prefers knowledge of hospital structures and payment systems. Skills and Abilities: Analytical Compassion Interpersonal & Client Relationship Skills Judgment Listening Planning/Priority Setting Problem Solving Team Player Time Management Written/Oral Communication & Organizational Skills Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware Salary Range: $69,500 - $93,030 ​This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. This range has been created in good faith based on information known to Horizon at the time of posting. Compensation decisions are dependent on the circumstances of each case. Horizon also provides a comprehensive compensation and benefits package which includes: Comprehensive health benefits (Medical/Dental/Vision) Retirement Plans Generous PTO Incentive Plans Wellness Programs Paid Volunteer Time Off Tuition Reimbursement Disclaimer: This job summary has been designed to indicate the general nature and level of work performed by colleagues within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of colleagues assigned to this job. Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or status as an individual with a disability and any other protected class as required by federal, state or local law. Horizon will consider reasonable accommodation requests as part of the recruiting and hiring process.

Posted 4 days ago

Care Management Clinician - Dual Special Needs Program (Monday - Friday)-logo
PacificSourceSalem, Oregon
Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person’s talents and strengths. Case management is a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates the options and services required to meet the client's health and human service needs. It is characterized by advocacy, communication, and resource management and promotes quality and cost-effective interventions and outcomes. Clinicians incorporate the essential functions of professional case management concepts to enhance patients’ quality of life and maximize health plan benefits. These functions include but are not limited to: coordination and delivery of healthcare services, consideration of physical, psychological, and cultural factors, assessment of the patient’s specific health plan benefits, and additional medical, community, or financial resources available. Qualified candidates must be acceptable to the following available work schedule: Monday - Friday 8:00am to 5:00pm Essential Responsibilities: Clinician Care Managers facilitate the achievement of client wellness and autonomy through advocacy, assessment, planning, communication, education, resource management, and service facilitation. Collect and assess patient information pertinent to patient’s history, condition, and functional abilities in order to develop a comprehensive, individualized care management plan that promotes appropriate utilization, and cost-effective care and services. Based on the needs and values of the client, and in collaboration with all service providers, the clinician links clients with appropriate providers and resources throughout the continuum of health and human services and care settings, while ensuring that the care provided is safe, effective, client-centered, timely, efficient, and equitable. Clinicians have direct communication among, the client, the payer, the primary care provider, and other service delivery professionals. The case manager is able to enhance these services by maintaining the client's privacy, confidentiality, health, and safety through advocacy and adherence to ethical, legal, accreditation, certification, and regulatory standards or guidelines. Interact with other PacificSource personnel to assure quality customer service is provided. Act as an internal resource by answering questions requiring medical or contract interpretation that are referred from other departments, as well as physicians and providers of medical services and supplies. Assist employers and agents with questions regarding healthcare resources and procedures for their employees and clients. Practice and model effective communication skills: both written and verbal. Utilize and promote use of evidence-based tools. Utilize lean methodologies for continuous improvement. Supporting Responsibilities: Meet department and company performance and attendance expectations. Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information. Perform other duties as assigned. SUCCESS PROFILE Work Experience: Minimum of three (3) years of clinical experience, including case management. Insurance industry experience preferred. Education, Certificates, Licenses: Clinical Social Worker, Licensed Professional Counselor, or Licensed Independent Clinical Social Worker with unrestricted license required in current state of residence. OR Registered Nurse with current appropriate unrestricted state license based on line of business: Commercial and Medicare: Oregon, Idaho or Montana, and Washington; Medicaid and DSNP: Oregon. Certified Case Manager Certification (CCM) as accredited by CCMC (The Commission for Case Management) strongly desired at time of hire. CCM certification required within two years of hire. Knowledge: Knowledge of health insurance and state mandated benefits. Experience and expertise in case management practice including advocacy, assessment, planning, communication, education, resource management and service facilitation. Ability to deal effectively with people who have various health issues and concerns. Knowledge and understanding of contractual benefits and options available outside contractual benefits. Knowledge of community services, providers, vendors and facilities available to assist members. Ability to use computerized systems for data recording and retrieval. Assures patient confidentiality, privacy, and health records security. Establishes and maintains relationships with community services and providers. Maintains current clinical knowledge base and certification. Ability to work independently with minimal supervision. Competencies Adaptability Building Customer Loyalty Building Strategic Work Relationships Building Trust Continuous Improvement Contributing to Team Success Planning and Organizing Work Standards Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 5% of the time. Skills: Accountability, Collaboration, Communication (written/verbal), Flexibility, Listening (active), Organizational skills/Planning and Organization, Problem Solving, Teamwork Our Values We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business: We are committed to doing the right thing. We are one team working toward a common goal. We are each responsible for customer service. We practice open communication at all levels of the company to foster individual, team and company growth. We actively participate in efforts to improve our many communities-internally and externally. We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community. We encourage creativity, innovation, and the pursuit of excellence. Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively. Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.

Posted 30+ days ago

Care Management Clinician - Health Related Social Needs (Monday - Friday)-logo
PacificSourceSpringfield, Oregon
Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person’s talents and strengths. Case management is a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates the options and services required to meet the client's health and human service needs. It is characterized by advocacy, communication, and resource management and promotes quality and cost-effective interventions and outcomes. Clinicians incorporate the essential functions of professional case management concepts to enhance patients’ quality of life and maximize health plan benefits. These functions include but are not limited to: coordination and delivery of healthcare services, consideration of physical, psychological, and cultural factors, assessment of the patient’s specific health plan benefits, and additional medical, community, or financial resources available. Job Description Qualified candidates must be acceptable to the following available work schedule: Monday - Friday 8:00am to 5:00pm Essential Responsibilities: Clinician Care Managers facilitate the achievement of client wellness and autonomy through advocacy, assessment, planning, communication, education, resource management, and service facilitation. Collect and assess patient information pertinent to patient’s history, condition, and functional abilities in order to develop a comprehensive, individualized care management plan that promotes appropriate utilization, and cost-effective care and services. Based on the needs and values of the client, and in collaboration with all service providers, the clinician links clients with appropriate providers and resources throughout the continuum of health and human services and care settings, while ensuring that the care provided is safe, effective, client-centered, timely, efficient, and equitable. Clinicians have direct communication among, the client, the payer, the primary care provider, and other service delivery professionals. The case manager is able to enhance these services by maintaining the client's privacy, confidentiality, health, and safety through advocacy and adherence to ethical, legal, accreditation, certification, and regulatory standards or guidelines. Interact with other PacificSource personnel to assure quality customer service is provided. Act as an internal resource by answering questions requiring medical or contract interpretation that are referred from other departments, as well as physicians and providers of medical services and supplies. Assist employers and agents with questions regarding healthcare resources and procedures for their employees and clients. Practice and model effective communication skills: both written and verbal. Utilize and promote use of evidence-based tools. Utilize lean methodologies for continuous improvement. Supporting Responsibilities: Meet department and company performance and attendance expectations. Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information. Perform other duties as assigned. SUCCESS PROFILE Work Experience: Minimum of three (3) years of clinical experience, including case management. Insurance industry experience preferred. Education, Certificates, Licenses: Clinical Social Worker, Licensed Professional Counselor, or Licensed Independent Clinical Social Worker with unrestricted license required in current state of residence. OR Registered Nurse with current appropriate unrestricted state license based on line of business: Commercial and Medicare: Oregon, Idaho or Montana, and Washington; Medicaid and DSNP: Oregon. Certified Case Manager Certification (CCM) as accredited by CCMC (The Commission for Case Management) strongly desired at time of hire. CCM certification required within two years of hire. Knowledge: Knowledge of health insurance and state mandated benefits. Experience and expertise in case management practice including advocacy, assessment, planning, communication, education, resource management and service facilitation. Ability to deal effectively with people who have various health issues and concerns. Knowledge and understanding of contractual benefits and options available outside contractual benefits. Knowledge of community services, providers, vendors and facilities available to assist members. Ability to use computerized systems for data recording and retrieval. Assures patient confidentiality, privacy, and health records security. Establishes and maintains relationships with community services and providers. Maintains current clinical knowledge base and certification. Ability to work independently with minimal supervision. Competencies Adaptability Building Customer Loyalty Building Strategic Work Relationships Building Trust Continuous Improvement Contributing to Team Success Planning and Organizing Work Standards Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 5% of the time. Skills: Accountability, Collaboration, Communication (written/verbal), Flexibility, Listening (active), Organizational skills/Planning and Organization, Problem Solving, Teamwork Our Values We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business: We are committed to doing the right thing. We are one team working toward a common goal. We are each responsible for customer service. We practice open communication at all levels of the company to foster individual, team and company growth. We actively participate in efforts to improve our many communities-internally and externally. We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community. We encourage creativity, innovation, and the pursuit of excellence. Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively. Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.

Posted 30+ days ago

Entry Sales To Management (Remote)-logo
Global EliteBaltimore, Maryland
100% Remote. Incredible Growth Opportunities. World Class Mentors and Leaderships Teams. AO wants YOU to join the team. AO is looking for overachievers that pride themselves on developing incredible working and client relationships, have outstanding self determination and are looking to grow within their careers working full-time. With the role being commission based pay, YOU determine how much YOU are worth. Company Incentives: Incentive Trips with Top Leaders to destinations like Cabo, Tulum, Vegas, and Cancun Incredible Prizes - Jeep Wranglers, Macbook Pros, and Airbnb Getaways 100% Remote Work From Anywhere (no, really!) Weekly Training Calls Preferred Qualifications: Excellent communication skills, including active listening and problem-solving Ability to learn, adapt, and adjust on the go Works well with others and individually Possesses a strong work ethic and drive to succeed To be considered, please submit your contact information and an updated copy of your resume for review. *In the interest of community wellness, AO has adjusted our business operations. As such, all interviews will be conducted via Zoom video conferencing*

Posted 3 weeks ago

S
Sheppard Pratt CareersTowson, Maryland
General Summary : The Director of Infrastructure and Project Management is responsible for the management and execution of projects related to facilities, construction, and renovation. This role collaborates with internal stakeholders (finance, real estate, end users) and external partners (contractors, permitting bodies) to ensure the successful planning, execution, and delivery of projects. The director is responsible for budget oversight, on-time and on-budget delivery, strategic planning, and staff leadership. Will require travel to other sites as needed. Knowledge, Skills, and Abilities Required : Requires bachelor’s or advanced degree in business administration, engineering, public health, or a related field. Master’s degree is preferred. Seven to nine years of progressive experience in hospital/healthcare facilities or related field. Project Management Professional (PMP) preferred. Experience with AutoCAD preferred. Knowledge of building design, construction, and maintenance required. Work requires strong interpersonal skills to direct staff, conduct investigations and problem resolution, and represent Sheppard Pratt to a variety of contractors and agencies. Benefits: At Sheppard Pratt, you will work alongside a multi-disciplined team led by a bold vision to change lives. We offer: A commitment to professional development, including a comprehensive tuition reimbursement program to support ongoing education and licensure and/or certification preparation Comprehensive medical, dental and vision benefits for benefit eligible positions 403b retirement match Generous paid-time-off for benefit eligible positions Complimentary Employee Assistance Program (EAP) Generous mileage reimbursement program Pay for this position is determined on a number of factors, including but not limited to, years and level of related experience. #LI-EEDWARDS

Posted 1 week ago

Entry Sales To Management (Remote)-logo
Global EliteTempe, Arizona
100% Remote. Incredible Growth Opportunities. World Class Mentors and Leaderships Teams. AO wants YOU to join the team. AO is looking for overachievers that pride themselves on developing incredible working and client relationships, have outstanding self determination and are looking to grow within their careers working full-time. With the role being commission based pay, YOU determine how much YOU are worth. Company Incentives: Incentive Trips with Top Leaders to destinations like Cabo, Tulum, Vegas, and Cancun Incredible Prizes - Jeep Wranglers, Macbook Pros, and Airbnb Getaways 100% Remote Work From Anywhere (no, really!) Weekly Training Calls Preferred Qualifications: Excellent communication skills, including active listening and problem-solving Ability to learn, adapt, and adjust on the go Works well with others and individually Possesses a strong work ethic and drive to succeed To be considered, please submit your contact information and an updated copy of your resume for review. *In the interest of community wellness, AO has adjusted our business operations. As such, all interviews will be conducted via Zoom video conferencing*

Posted 4 days ago

OPA Human Resources Management Program-logo
AcademyVarious, Florida
Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet . Current Employees: If you are a current Staff, Faculty, or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. Please use the Career worklet tip sheet to learn how to apply for a faculty or staff position. Transforming Lives The University of Miami is among the top research universities and academic medical centers in the nation, and one of the largest private employers in South Florida. With more than 16,000 faculty and staff, the University strives for excellence and is driven by a powerful mission to transform and impact the lives of its students, patients, members of the community, and people across the globe. The University is committed to fostering a culture of belonging, where everyone feels valued and has the opportunity to add value. Through values of Diversity, Integrity, Responsibility, Excellence, Compassion, Creativity, and Teamwork (DIRECCT) the U community works together to create an environment driven by purpose, excellence, community, and service. The Office of Professional Advancement is hiring part-time lecturers for the Human Resource Management Certificate Program. Applicants must have a Master's Degree in Human Resources or a related field, 10+ years of experience in the Human Resource field, and hold a current SHRM/PHR certification. Education and experience may be considered. Duties include developing curriculum and course instruction. Applicants must have reliable internet access and be available to teach via the internet. Excellent English skills, verbal and written, are required. These are part-time lecturer positions Applications for the OPA Human Resource Certificate Program and other human resources areas will be reviewed as received, and this pool will remain open throughout the academic year. An appointment/offer is contingent upon student demand (enrollments) and available funding, with the possibility that final confirmation will not be available until classes begin. Salary is competitive. Interested candidates should complete an online employment application form along with a cover letter and resume indicating their expertise and experience in the human resources field. For more information, please contact the Division of Continuing and International Education at opa@miami.edu . The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information. The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information. Job Status: Part time Employee Type: Faculty-Intermittent (Seasonal)

Posted 30+ days ago

Entry Sales To Management (Remote)-logo
Global EliteCedarburg, Wisconsin
100% Remote. Incredible Growth Opportunities. World Class Mentors and Leaderships Teams. AO wants YOU to join the team. AO is looking for overachievers that pride themselves on developing incredible working and client relationships, have outstanding self determination and are looking to grow within their careers working full-time. With the role being commission based pay, YOU determine how much YOU are worth. Company Incentives: Incentive Trips with Top Leaders to destinations like Cabo, Tulum, Vegas, and Cancun Incredible Prizes - Jeep Wranglers, Macbook Pros, and Airbnb Getaways 100% Remote Work From Anywhere (no, really!) Weekly Training Calls Preferred Qualifications: Excellent communication skills, including active listening and problem-solving Ability to learn, adapt, and adjust on the go Works well with others and individually Possesses a strong work ethic and drive to succeed To be considered, please submit your contact information and an updated copy of your resume for review. *In the interest of community wellness, AO has adjusted our business operations. As such, all interviews will be conducted via Zoom video conferencing*

Posted 1 week ago

U
UKH University of Kansas Hospital AuthorityKansas City, Kansas
Position Title Resource Management Center Manager Bell Hospital Position Summary / Career Interest: The Resource Management Center (RMC) Manager is responsible for overseeing scheduling policies and practices across the health system. This role leads the development and execution of staffing workflows and processes to ensure optimal staff placement—getting the right staff to the right location at the right time. Responsibilities and Essential Job Functions The RMC Manager supervises and supports frontline staff, monitors productivity, quality, and customer service, and ensures alignment with departmental and organizational standards. This includes conducting employee evaluations, managing performance improvement plans, and leading hiring efforts to ensure the team is staffed with skilled and mission-aligned professionals. In addition to operational oversight, the RMC Manager: • Manages and develops Resource Analyst, including coaching, mentoring, and performance evaluations. • Conducts staffing analysis to identify trends, gaps, and opportunities for improvement for all locations. • Leads recruitment and hiring processes for Resource Analyst positions. • Develops and delivers Smart Square education programs to ensure staff proficiency and system optimization. • Collaborates with leaders across the health system to present key staffing insights and predictive modeling to support strategic decision-making. Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department. These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required. Required Education and Experience High School Graduate or GED Bachelors Degree in related field OR 4 or more years of experience working with Smart Square OR 1 or more years of management experience Preferred Education and Experience 3 or more years of experience in a staffing or scheduling department Knowledge Requirements Proficiency in Microsoft Office Suite Strong analytical and computer skills Time Type: Full time Job Requisition ID: R-45625 We are an equal employment opportunity employer without regard to a person’s race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, ancestry, age (40 or older), disability, veteran status or genetic information. Need help finding the right job? We can recommend jobs specifically for you! Create a custom Job Alert by selecting criteria that suit your career interests.

Posted 1 week ago

Entry Sales To Management (Remote)-logo
Global EliteHartford, Connecticut
100% Remote. Incredible Growth Opportunities. World Class Mentors and Leaderships Teams. AO wants YOU to join the team. AO is looking for overachievers that pride themselves on developing incredible working and client relationships, have outstanding self determination and are looking to grow within their careers working full-time. With the role being commission based pay, YOU determine how much YOU are worth. Company Incentives: Incentive Trips with Top Leaders to destinations like Cabo, Tulum, Vegas, and Cancun Incredible Prizes - Jeep Wranglers, Macbook Pros, and Airbnb Getaways 100% Remote Work From Anywhere (no, really!) Weekly Training Calls Preferred Qualifications: Excellent communication skills, including active listening and problem-solving Ability to learn, adapt, and adjust on the go Works well with others and individually Possesses a strong work ethic and drive to succeed To be considered, please submit your contact information and an updated copy of your resume for review. *In the interest of community wellness, AO has adjusted our business operations. As such, all interviews will be conducted via Zoom video conferencing*

Posted 2 weeks ago

Care Management Clinician - Lane County Behavioral Health (Monday - Friday)-logo
PacificSourceHood River, Oregon
Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person’s talents and strengths. Case management is a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates the options and services required to meet the client's health and human service needs. It is characterized by advocacy, communication, and resource management and promotes quality and cost-effective interventions and outcomes. Clinicians incorporate the essential functions of professional case management concepts to enhance patients’ quality of life and maximize health plan benefits. These functions include but are not limited to: coordination and delivery of healthcare services, consideration of physical, psychological, and cultural factors, assessment of the patient’s specific health plan benefits, and additional medical, community, or financial resources available. Qualified candidates must be acceptable to the following available work schedule: Monday - Friday 8:00am to 5:00pm Essential Responsibilities: Clinician Care Managers facilitate the achievement of client wellness and autonomy through advocacy, assessment, planning, communication, education, resource management, and service facilitation. Collect and assess patient information pertinent to patient’s history, condition, and functional abilities in order to develop a comprehensive, individualized care management plan that promotes appropriate utilization, and cost-effective care and services. Based on the needs and values of the client, and in collaboration with all service providers, the clinician links clients with appropriate providers and resources throughout the continuum of health and human services and care settings, while ensuring that the care provided is safe, effective, client-centered, timely, efficient, and equitable. Clinicians have direct communication among, the client, the payer, the primary care provider, and other service delivery professionals. The case manager is able to enhance these services by maintaining the client's privacy, confidentiality, health, and safety through advocacy and adherence to ethical, legal, accreditation, certification, and regulatory standards or guidelines. Interact with other PacificSource personnel to assure quality customer service is provided. Act as an internal resource by answering questions requiring medical or contract interpretation that are referred from other departments, as well as physicians and providers of medical services and supplies. Assist employers and agents with questions regarding healthcare resources and procedures for their employees and clients. Practice and model effective communication skills: both written and verbal. Utilize and promote use of evidence-based tools. Utilize lean methodologies for continuous improvement. Supporting Responsibilities: Meet department and company performance and attendance expectations. Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information. Perform other duties as assigned. SUCCESS PROFILE Work Experience: Minimum of three (3) years of clinical experience, including case management. Insurance industry experience preferred. Education, Certificates, Licenses: Clinical Social Worker, Licensed Professional Counselor, or Licensed Independent Clinical Social Worker with unrestricted license required in current state of residence. OR Registered Nurse with current appropriate unrestricted state license based on line of business: Commercial and Medicare: Oregon, Idaho or Montana, and Washington; Medicaid and DSNP: Oregon. Certified Case Manager Certification (CCM) as accredited by CCMC (The Commission for Case Management) strongly desired at time of hire. CCM certification required within two years of hire. Knowledge: Knowledge of health insurance and state mandated benefits. Experience and expertise in case management practice including advocacy, assessment, planning, communication, education, resource management and service facilitation. Ability to deal effectively with people who have various health issues and concerns. Knowledge and understanding of contractual benefits and options available outside contractual benefits. Knowledge of community services, providers, vendors and facilities available to assist members. Ability to use computerized systems for data recording and retrieval. Assures patient confidentiality, privacy, and health records security. Establishes and maintains relationships with community services and providers. Maintains current clinical knowledge base and certification. Ability to work independently with minimal supervision. Competencies Adaptability Building Customer Loyalty Building Strategic Work Relationships Building Trust Continuous Improvement Contributing to Team Success Planning and Organizing Work Standards Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 5% of the time. Skills: Accountability, Collaboration, Communication (written/verbal), Flexibility, Listening (active), Organizational skills/Planning and Organization, Problem Solving, Teamwork Our Values We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business: We are committed to doing the right thing. We are one team working toward a common goal. We are each responsible for customer service. We practice open communication at all levels of the company to foster individual, team and company growth. We actively participate in efforts to improve our many communities-internally and externally. We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community. We encourage creativity, innovation, and the pursuit of excellence. Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively. Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.

Posted 2 weeks ago

Store Management - QUAIL SPRINGS | Oklahoma City, OK-logo
Shoe PalaceOklahoma City, Oklahoma
AT SHOE PALACE WE RUN. WE SELL. WE HAVE FUN. DO YOU HAVE WHAT IT TAKES? The Role Do you usually find yourself leading the way, being an integral member of the team, keeping the team working together and reaching goals? Are you looking for a career in a challenging and exciting environment? The ideal candidate will be goal-oriented, data-savvy, and open to constant growth! You are the person making all the business decisions and taking on full responsibility to ensure the store is successful at all times. If you are not sales driven and don’t like fast-paced work this is probably not for you. Here’s what a day at work may look like… Hire, manage and motivate your team to operate at a high level Drive and create sales by delivering exceptional customer service and meeting sales goals. Make sure customers are receiving the ultimate experience from your team Lead by example; Follow all policies and procedures at all times. About you… High School or equivalent 1-3 years of retail management. Make sure you understand Shoe Palace is full of opportunities and changes You have the people skills to grow your team A desire to work hard and be successful Computer savvy Honesty and loyalty, we have a strong team so we need someone even stronger to lead it It would be great but not completely necessary to have… Experience in selling Athletic Shoes a plus. Experience working with a growing company What we bring to the table... Growth! Benefits You like discounts? We got you! An open mind for new ideas Exciting work environment WE ARE LOOKING FOR ASSISTANT MANAGERS AND MANAGERS Shoe Palace is one of the most-trusted athletic footwear and apparel retail chains in the United States. What began as a small, family business in 1993 has now grown into an extremely popular chain of stores and an online retail site — shoepalace.com. We are seeking self-motivated individuals who are dynamic thinkers and outstanding communicators who will thrive in an entrepreneurial environment and want to grow with Shoe Palace Corporation. Our team members are bright, professional, enthusiastic, and able to quickly apply their skills to diverse situations

Posted 30+ days ago

Entry Sales To Management (Remote)-logo
Global EliteOak Creek, Wisconsin
100% Remote. Incredible Growth Opportunities. World Class Mentors and Leaderships Teams. AO wants YOU to join the team. AO is looking for overachievers that pride themselves on developing incredible working and client relationships, have outstanding self determination and are looking to grow within their careers working full-time. With the role being commission based pay, YOU determine how much YOU are worth. Company Incentives: Incentive Trips with Top Leaders to destinations like Cabo, Tulum, Vegas, and Cancun Incredible Prizes - Jeep Wranglers, Macbook Pros, and Airbnb Getaways 100% Remote Work From Anywhere (no, really!) Weekly Training Calls Preferred Qualifications: Excellent communication skills, including active listening and problem-solving Ability to learn, adapt, and adjust on the go Works well with others and individually Possesses a strong work ethic and drive to succeed To be considered, please submit your contact information and an updated copy of your resume for review. *In the interest of community wellness, AO has adjusted our business operations. As such, all interviews will be conducted via Zoom video conferencing*

Posted 1 week ago

Entry Sales To Management (Remote)-logo
Global EliteGresham, Oregon
100% Remote. Incredible Growth Opportunities. World Class Mentors and Leaderships Teams. AO wants YOU to join the team. AO is looking for overachievers that pride themselves on developing incredible working and client relationships, have outstanding self determination and are looking to grow within their careers working full-time. With the role being commission based pay, YOU determine how much YOU are worth. Company Incentives: Incentive Trips with Top Leaders to destinations like Cabo, Tulum, Vegas, and Cancun Incredible Prizes - Jeep Wranglers, Macbook Pros, and Airbnb Getaways 100% Remote Work From Anywhere (no, really!) Weekly Training Calls Preferred Qualifications: Excellent communication skills, including active listening and problem-solving Ability to learn, adapt, and adjust on the go Works well with others and individually Possesses a strong work ethic and drive to succeed To be considered, please submit your contact information and an updated copy of your resume for review. *In the interest of community wellness, AO has adjusted our business operations. As such, all interviews will be conducted via Zoom video conferencing*

Posted 2 weeks ago

Case Manager II (Contingency Management)-logo
GlideSan Francisco, California
About Glide GLIDE is a nationally recognized center for social justice, dedicated to fighting systemic injustices, creating pathways out of poverty and crisis, and transforming lives. Through its integrated comprehensive services, advocacy initiatives, and inclusive community, GLIDE empowers individuals, families, and children to achieve stability and to thrive. GLIDE is on the forefront of addressing some of society’s most pressing issues, including poverty, housing and homelessness, and racial and social justice. GLIDE’s mission is to create a radically inclusive, just, and loving community mobilized to alleviate suffering and break the cycles of poverty and marginalization. Position Summary The Contingency Management (CM) Case Manager provides comprehensive coverage to clients participating in GLIDE’s Contingency Management program, which is an evidence-based treatment that uses incentives to encourage positive behavioral changes related to substance use. GLIDE’s CM Program will focus on clients who use stimulants and are interested in managing and/or changing their relationship to stimulant use. This program will offer three groups weekly, individual check-in’s, drop-in hours available for clients and clients will receive financial incentives for UAs negative for stimulant use as well as other psychosocial goals as defined by the client in collaboration with GLIDE. Through outreach, health education, counseling, and case management, this position will support a client case load of 20 to 30 clients to maintain program adherence and achieve progressive, positive health and wellness outcomes. The Case Manager should understand the social determinants of health and will support assistance with housing, benefits, critical identification documentation obtainment, health care engagement, access to behavioral health supports, and any other needs identified by the client, and any other. This position involves direct in-person client contact with diverse, high-risk individuals, many of whom are active substance users, substantial community outreach, and group facilitation. Essential Duties & Responsibilities: Provides health education to CM clients for enrollment, including completing initial intake and assessment documentation for enrollment, facilitating program orientation and guide clients on the benefits, expectations, and requirements of the CM program including communicating program rules, expectations and incentive structures. Facilitate CM health and wellness education groups, process groups, and drop-in groups for active client cases and program alumni. Assist with coordinating and implementing CM programming activities that promote outreach, education, engagement, and positive health outcomes for clients (i.e. orientations, partner presentations, graduations, and celebrations, etc.). Conduct rapid urinary analysis (UA) tests for CM cohort members, in accordance with regulations and professional standards, maintaining chain of custody, and ensuring accurate and timely documentation of all results per workflow and data systems requirements Develop professional and trusting relationships with clients and provide motivational counseling to assist clients in managing their substance use using harm reduction principles. Provide drop-in support and one-on-one counseling, including crisis intervention, advocacy, and referral services. Develop and maintain effective care coordination with internal GLIDE programs and external resources for client access to ensure a holistic approach to client care. Refer and link clients to other providers where needed to support the clients’ goals, health and wellness and document progress to maintain accurate records of service delivery. Monitor and document client outcomes, especially the targeted behaviors and goals that are eligible for incentives. Work with the program manager/director to release incentives to clients in a timely manner per program protocols, and document receipt according to program guidelines. Maintain complete and updated intake, assessments, case management notes, group attendance logs, referrals and other required data captures in a timely and accurate manner in accordance with program standards, organization policy, and applicable local, state, and federal laws for CM services. Submit monthly activity and data reports that capture contract deliverables in required database workflows and systems. Assist with evaluation and surveying activities to ensure continuous quality improvement for client experience and outcomes, program operations, and program impact. Adhere to professional boundaries and standards. Understands and follows basic ethics, values and principles of case management in regulatory practices. Adhere to all laws and requirements regarding HIPPA, confidentiality, child and adult protective services, contractual agreements, etc; Meet professional obligations through efficient work habits such as collaborating with co-workers, meeting deadlines, honoring schedules, attending and actively participating in staff and individual meetings, supervision, case conferences, client conferences and in-service trainings. Minimum Qualifications: Strong verbal and written communication skills needed to communicate professionally and empathetically with a variety of stakeholders (i.e. clients, community partners, GLIDE colleagues) to support client care, and to accurately and timely document client progress notes and program documentation. Experience with group facilitation, peer counseling, individual counseling, and case management for client’s experience substance use issues using harm reduction principles, trauma-informed counseling, and motivational interviewing techniques. Can effectively apply therapeutic strategies for clients experiencing crises and/or with multiple diagnoses. Knowledge of human behavior including human growth and development, dynamics of interpersonal relationships; knowledge of cultural and subcultural values and patterns of behavior. Knowledge of the principles and techniques of achieving change in individuals and groups, and an ability to demonstrate successful application. Ability to plan, prioritize and organize tasks and meet deadlines. Strong attention to detail, particularly in documentation in case files and updating database. Proficiency in spelling, grammar, and writing is needed to draft detailed instructions, case care plans, client progress notes, UA test results, and other required documentation. Possesses basic mathematical skills to guide client expectations pertaining to incentive structure and participation. Proficient in the use of MS Office Suite, experience with databases helpful (e.g. Salesforce) Adheres to professional boundaries and standards. Understands and follows basic ethics, values and principles of case management regulatory practices. Able to handle difficult situations (e.g., angry, loud and/or verbally abusive clients). Must demonstrate the ability to de-escalate oneself and defuse potentially volatile situations with patience and tact. Works well under pressure and manages stress effectively in a demanding and fast paced environment. Demonstrates Cultural Competency. Demonstrates a commitment to learning, communicating and working respectfully with people different from themselves. Commitment to the mission, values, and philosophy of GLIDE. Education & Experience Requirements: A minimum of 4+ years of case management experience with similar adult target populations experiencing homelessness, substance use, and/or behavioral health challenges. Bachelor's degree in Social Work or related field (e.g. public health, counseling, psychology) preferred. Knowledge and experience with harm reduction program practices and intervention techniques. Experience providing direct social services to homeless and/or very low-income clients who are dual diagnosed and/or have experienced involvement in the criminal justice system and/or have been incarcerated with knowledge of available community resources in the San Francisco Bay Area to support target populations. Experience and knowledge of issues related to LGBTQIA populations, BIPOC populations, particularly around trauma, substance use, and mental health Certificates, License and Registration: SUD Registered or Certified and in good standing with a certified agency in CA (e.g. BBS) preferred Work Environment: GLIDE’s buildings are located in the Tenderloin neighborhood. GLIDE maintains an "open door" policy to the community and its clients, who frequently enter and leave the building. Physical Requirements: Ability to work on a computer and see details of objects at close range. Ability to hear within normal range, and communicate effectively (in person, telephone or Zoom). Finger dexterity and the ability to use all standard office equipment. Sit or stand comfortably, and the ability to navigate throughout office spaces (via elevator or stairs). Activities that occur infrequently are bending, squatting, twisting, reaching straight above and below shoulder level, carrying and lifting up to 40 pounds. $31 - $31.50 an hour This is a full-time (40-hour/week) non-exempt position This role is covered by the collective bargaining agreement.

Posted 5 days ago

G
Gold's Gym Richmond-Westend, Arb, Midlo, GaytonFredericksburg, Virginia
Location: Gold's Gym, Fredericksburg Must have an active Personal Trainer Certification Day to Day Expectations: Good Listening, Organizational and Follow-Up Skills Practice Honesty and Personal Integrity Personal Training Experience is required Be Optimistic, Passionate, Enthusiastic, Energetic, Personable, and Friendly Express Confidence Excel in Time Management As a member of the Gold's Gym Personal Training Team you will receive: A competitive compensation structure with base salary and bonus opportunities Insurance options after 90 days of employment Opportunities for continuing education Alternative Management opportunities as they arise Compensation: Base Pay: PLUS commission and bonuses. Health Ins. Benefits What started out in 1965 as a small gym in Venice Beach, California has since become the most well-known and traditional fitness company in the world - - Gold's Gym. Over the last 55 years, Gold's Gym has developed into a global brand with over 600 locations spanning 6 continents. Bodybuilding greats such as Arnold Schwarzenegger, Lou Ferrigno and Franco Columbu worked out at the original Gold's Gym, which went on to become the most legendary gym in the world. In the fitness industry, the brand enjoys cult status and universal appeal with 96% aided brand awareness. We attribute much of our success to our company culture. We're down-to-earth, reliable, and entrepreneurial - - but also enthusiastic, collaborative, and creative. If this feels like you, we can't wait to get your application!

Posted 30+ days ago

Network Event Management Quality Assurance Analyst-logo
CACISpringfield, Virginia
Network Event Management Quality Assurance Analyst Job Category: Information Technology Time Type: Full time Minimum Clearance Required to Start: TS/SCI with Polygraph Employee Type: Regular Percentage of Travel Required: Up to 10% Type of Travel: Local * * * The Opportunity : We are seeking an experienced and detail-oriented ITIL Network Event Management Quality Assurance Analyst to ensure the highest standards of quality in our IT event management processes. The ideal candidate will develop and implement quality assurance processes aligned with ITIL best practices, focusing on the effective monitoring and management of IT events to prevent service disruptions and maintain optimal system performance . Responsibilities: Monitor network events, incidents, and alerts to ensure timely identification and resolution of network issues. Utilize ITIL frameworks to ensure that network event management aligns with industry best practices. Conduct regular audits of event monitoring systems, event correlation processes, and response procedures to ensure compliance with ITIL standards Analyze event logs, metrics, and trends to identify areas for improvement in event detection, classification, and response. Train and mentor IT staff on ITIL event management practices and quality assurance procedures. Collaborate with IT operations teams to resolve event-related issues and enhance overall service quality. Create and maintain documentation for event management best practices, standard operating procedures, and quality control measures. Participate in the implementation and optimization of event management tools and systems. Prepare and present regular quality assurance reports on event management performance to senior IT management. Stay updated on ITIL best practices and innovations in event management to continuously improve quality standards Qualifications: Bachelor's degree in Computer Science, Information Technology, or equivalent work experience 5+ years of related work experience TS/SCI with Poly required Strong analytical and problem-solving skills Proficiency in data analysis tools and techniques (e.g., Excel, Tableau, Power BI) Previous experience with network monitoring tools (e.g., Riverbed, Network Node Manager, SolarWinds, etc.) and incident management systems (e.g., ServiceNow, Remedy, etc.) is highly preferred. Familiarity with ITIL framework and capacity management best practices Excellent communication and presentation skills Ability to work independently and as part of a team Desired: ITIL certification - ________________________________________________________________________________________ What You Can Expect: A culture of integrity. At CACI, we place character and innovation at the center of everything we do. As a valued team member, you’ll be part of a high-performing group dedicated to our customer’s missions and driven by a higher purpose – to ensure the safety of our nation. An environment of trust. CACI values the unique contributions that every employee brings to our company and our customers - every day. You’ll have the autonomy to take the time you need through a unique flexible time off benefit and have access to robust learning resources to make your ambitions a reality. A focus on continuous growth. Together, we will advance our nation's most critical missions, build on our lengthy track record of business success, and find opportunities to break new ground — in your career and in our legacy. Your potential is limitless. So is ours. Learn more about CACI here. ________________________________________________________________________________________ Pay Range : There are a host of factors that can influence final salary including, but not limited to, geographic location, Federal Government contract labor categories and contract wage rates, relevant prior work experience, specific skills and competencies, education, and certifications. Our employees value the flexibility at CACI that allows them to balance quality work and their personal lives. We offer competitive compensation, benefits and learning and development opportunities. Our broad and competitive mix of benefits options is designed to support and protect employees and their families. At CACI, you will receive comprehensive benefits such as; healthcare, wellness, financial, retirement, family support, continuing education, and time off benefits. Learn more here . The proposed salary range for this position is: $86,600 - $181,800 CACI is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, age, national origin, disability, status as a protected veteran, or any other protected characteristic.

Posted 3 weeks ago

Director, Product Management Silicon Photonics-logo
IntelHillsboro, California
Job Details: Job Description: Job Description: Intel® Integrated Photonics Solutions (IPS) is at the forefront of silicon photonics integration. Since announcing the world’s first on-chip silicon photonics laser nearly a decade ago, our team continues to lead the industry with cutting-edge technology and efficient, scalable high-volume manufacturing. Our dedication to advanced development ensures that Intel Silicon Photonics continues to drive future bandwidth growth in data center networks and AI infrastructure, with higher density, better power efficiency, and faster speeds. In the future we will deploy co-packaged silicon photonics optical I/O chiplets to enable higher performance, larger-scale and more power efficient AI systems. We are looking for great talent to accelerate this journey so if you are interested in joining our organization we want to hear from you. The Director of Product Management will join the leadership of the Photonics group and contribute to our mission to transform and lead optical connectivity for datacenters and AI systems. The group works with a broad customer base, as well as Intel internal system platform teams. In this role, the successful candidate will assume product management responsibility for both our main product lines: Chipsets for Datacenter Networking, and optical I/O chiplets for co-packaging. The position reports to the General Manager of the Photonics business. Responsibilities Lead product strategy and roadmap Product definition and requirements; product development project kick-off and business case, including product cost targets Own product requirements through entire lifecycle; manages priority calls and trade-offs, derivative products, and product changes through End-of-Life Build strong customer relationships with key customers’ commercial and technical teams; understand customer requirements and value drivers Lead and support Business Development and design-win efforts Revenue and demand forecasting for financial and operational planning, including ramp and eol planning Market and competitive analysis Contribute to long-term IP roadmap and investment strategies Develop value-add relationships with eco-system partners and strategic vendors Represent Intel Silicon Photonics in industry events as speaker or panelist; primary interface to Market Research organizations The ideal candidate should exhibit excellent oral and written communication skills, and experience presenting to customer technical and commercial teams and executives, as well as conferences and other industry events. The successful candidate has a proven track record as Product Line Manager Broad technical understanding of photonics and interconnect technologies Demonstrated leadership and ability to rally cross-functional project teams Solid business acumen and customer-first mindset Understanding of data center networking market Familiarity with applicable standards and MSAs for optical networking Excellent oral and written communication skills; experience presenting to customer technical and commercial teams and executives Experience leading a team of Product Managers Qualifications: MS degree in Photonics or related field Minimum -10 years experience in optical components or networking Job Type: Experienced Hire Shift: Shift 1 (United States of America) Primary Location: US, California, Santa Clara Additional Locations: US, Arizona, Phoenix, US, California, Folsom, US, Oregon, Hillsboro Business group: The Data Center & Artificial Intelligence Group (DCAI) is at the heart of Intel’s transformation from a PC company to a company that runs the cloud and billions of smart, connected computing devices. The data center is the underpinning for every data-driven service, from artificial intelligence to 5G to high-performance computing, and DCG delivers the products and technologies—spanning software, processors, storage, I/O, and networking solutions—that fuel cloud, communications, enterprise, and government data centers around the world. Posting Statement: All qualified applicants will receive consideration for employment without regard to race, color, religion, religious creed, sex, national origin, ancestry, age, physical or mental disability, medical condition, genetic information, military and veteran status, marital status, pregnancy, gender, gender expression, gender identity, sexual orientation, or any other characteristic protected by local law, regulation, or ordinance. Position of Trust This role is a Position of Trust. Should you accept this position, you must consent to and pass an extended Background Investigation, which includes (subject to country law), extended education, SEC sanctions, and additional criminal and civil checks. For internals, this investigation may or may not be completed prior to starting the position. For additional questions, please contact your Recruiter. Benefits: We offer a total compensation package that ranks among the best in the industry. It consists of competitive pay, stock, bonuses, as well as, benefit programs which include health, retirement, and vacation. Find more information about all of our Amazing Benefits here: https://intel.wd1.myworkdayjobs.com/External/page/1025c144664a100150b4b1665c750003 Annual Salary Range for jobs which could be performed in the US: $204,650.00-$288,910.00 S al ary range dependent on a number of factors including location and experience. Work Model for this Role This role will require an on-site presence. * Job posting details (such as work model, location or time type) are subject to change.

Posted 3 weeks ago

Senior Supplier Base Management Specialist (Global Field Operations) Level 4-logo
BoeingBoston, Massachusetts
Senior Supplier Base Management Specialist (Global Field Operations) Level 4 Company: The Boeing Company The Boeing Company is seeking a Supplier Base Management Specialist (Level 4) to join our BDS Global Field Operations (GFO) team in Massachusetts. The selected individual will be joining a highly skilled and motivated team in working supplier performance management in the BDS GFO Northeast Region of the United States. Our Global Field Operations representatives monitor emergent offload/overload suppliers including processors, philanthropic, machine and sheet metal shop and provide technical assistance in areas like manufacturing, planning and requirements interpretation to ensure delivery schedule compliance and product conformity. Global Field Operations (GFO) is the presence of Boeing at its suppliers and sub-tiers, and are responsible for being the integrators for driving communication and resolutions in our supply base. It is the responsibility of Field Representatives to proactively problem-solve and drive overall supplier recovery to ensure delivery and quality compliance. This position will primarily engage with suppliers located in the state of Massachusetts. Position Responsibilities: Manages and measures supplier performance Develop and generate supplier performance metrics Provides direction to suppliers to improve their quality and delivery performance Leads supplier performance reviews Evaluate risks and opportunities Communicates performance to plan Leads cross functional team efforts to assess supplier processes and systems Works with internal and external resources, utilizing tools, processes and methods to enhance Supplier performance to meet customer and program requirements Establishes and maintains relationships with suppliers and supply chain personnel Develops and utilizes communication tools and plans Identifies, establishes and maintains priorities for deliveries of products, services and data Communicates supplier performance status to programs, internal business partners, customers and all other stakeholders, with excellent reading and writing skills Basic Qualifications (Required Skills/Experience): 8+ years of experience managing suppliers/vendors to deliver products and service Experience in root cause analysis and corrective action Experience in a role that required Project Management skills Ability to travel up to 50% - 75% of the time Preferred Qualifications (Desired Skills/Experience): Bachelor’s degree or higher Experience with Microsoft Office Products like Outlook, PowerPoint, Excel, and Word Drug Free Workplace: Boeing is a Drug Free Workplace where post offer applicants and employees are subject to testing for marijuana, cocaine, opioids, amphetamines, PCP, and alcohol when criteria is met as outlined in our policies . This position is hybrid. This means that the selected candidate will be required to perform some work onsite at one of the listed location options. This is at the hiring team’s discretion and could potentially change in the future. Total Rewards: At Boeing, we strive to deliver a Total Rewards package that will attract, engage and retain the top talent. Elements of the Total Rewards package include competitive base pay and variable compensation opportunities. The Boeing Company also provides eligible employees with an opportunity to enroll in a variety of benefit programs, generally including health insurance, flexible spending accounts, health savings accounts, retirement savings plans, life and disability insurance programs, and a number of programs that provide for both paid and unpaid time away from work. The specific programs and options available to any given employee may vary depending on eligibility factors such as geographic location, date of hire, and the applicability of collective bargaining agreements. Pay is based upon candidate experience and qualifications, as well as market and business considerations. Summary pay range: $109,650 - $135,450 Language Requirements: Not Applicable Education: Not Applicable Relocation: Relocation assistance is not a negotiable benefit for this position. Export Control Requirement: This position must meet export control compliance requirements. To meet export control compliance requirements, a “U.S. Person” as defined by 22 C.F.R. §120.15 is required. “U.S. Person” includes U.S. Citizen, lawful permanent resident, refugee, or asylee. Safety Sensitive: This is not a Safety Sensitive Position. Security Clearance: This position does not require a Security Clearance. Visa Sponsorship: Employer will not sponsor applicants for employment visa status. Contingent Upon Award Program This position is not contingent upon program award Shift: Shift 1 (United States of America) Stay safe from recruitment fraud! The only way to apply for a position at Boeing is via our Careers website. Learn how to protect yourself from recruitment fraud - Recruitment Fraud Warning Boeing is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national origin, gender, sexual orientation, gender identity, age, physical or mental disability, genetic factors, military/veteran status or other characteristics protected by law. EEO is the law Boeing EEO Policy Request an Accommodation Applicant Privacy Boeing Participates in E – Verify E-Verify (English) E-Verify (Spanish) Right to Work Statement Right to Work (English) Right to Work (Spanish)

Posted 4 days ago

T
The Kennedy CenterWashington, District of Columbia
About The Kennedy Center “I am certain that after the dust of centuries has passed over our cities, we, too, will be remembered not for victories or defeats in battle or in politics, but for our contribution to the human spirit.” – President John F. Kennedy The Kennedy Center is the nation’s cultural center and living memorial to President John F. Kennedy. Located on the banks of the Potomac River in Washington, D.C., the Center presents performances across all genres, and is also home to artistic affiliates Washington National Opera and National Symphony Orchestra. At the Kennedy Center, we strive to foster belonging and empowerment at work. We are able to advance our mission because of our committed and passionate employees. We are fortunate to be able to leverage their diverse perspectives, life experiences and skills to inform how our workplace can be a safe, transparent, and replenishing community. The Kennedy Center is an equal opportunity employer and does not discriminate against any employee or applicant based on race, religion, gender identity, sexual orientation, disability, veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Mission Statement: As America's performing arts center, and a living memorial to President John F. Kennedy, we are a leader for the arts across the United States and around the world, connecting the greatest living artists with audiences of every stripe, no matter their background. We welcome all Americans and creators and visitors from across the globe to discover, experience, learn about, be inspired by, and engage with the arts. Why Join Us We offer a total rewards package to all full-time employees to include: Staff offers for discount tickets Retirement plan with organization matching (after 1 year of employment) Qualifying employer for the Public Student Loan Forgiveness Program (PSLF) Commuter programs including pre-tax options for discounted parking and SmartBenefits (WMATA) Annual Leave, Sick Leave, and Personal Days available immediately upon hire 11 paid holidays per year Medical, Dental, and Vision benefits with FSA and HSA options, and paid FMLA We like to have fun! Check out the Kennedy Center National Dance Day 2024 staff video! Pay Details The Kennedy Center strives to design equitable compensation programs. The projected salary range for this position is $80,800 - $105,000, commensurate with experience, and includes a comprehensive benefits package. This is the targeted range of possible compensation for this role at the time of posting. This range may be modified in the future. Base pay within the range is ultimately determined by a candidate’s skills, expertise, and experience as it relates to the position qualifications and responsibilities. Job Description This is a full-time, benefits eligible limited term position with a 4 year contract. The position is located at the John F. Kennedy Center for the Performing Arts within the Facilities Management Organization (FMO). The FMO is comprised of the Facilities Services Division, Auxiliary Services Division, Project Management Office, Security, Fire & Life Safety Division, and Immediate Office of the Vice President of Facilities. The Facilities Management Organization's mission is to facilitate the memorialization of John F. Kennedy and the promotion of performing arts by maintaining, modifying, and upgrading the Center's public and non-public spaces to make them safe, accessible, comfortable, and presentable for visitors, patrons, artists, and employees. The position will be tasked with working primarily with the Project Management Office (PMO). PMO is responsible for the management of all design, engineering, and construction projects supporting the Presidential monument. The Director of PMO supervises a team of project managers with different technical discipline in the design and construction industry. The manager works collaboratively with the stakeholders, end users and other Facility Management department as required to successfully complete capital projects. This position will act as a principle financial advisor to the PMO Director and VP of Facilities, work in conjunction with the Federal Financial Management Analyst on the effectiveness of budgetary financial plans and programs, and maintains the components of the budget that supports the ongoing mission of the capital improvement activities within the Center. Key Responsibilities Performs a wide variety of administrative and analytical duties connected with the financial management and budgeting, expenditure, contract management, formulation, execution, and justification functions for federally funded capital improvement projects including: Maintaining the financial budget tracking sheet for capital projects Completing end of year budget reconciliation in conjunction with Center Finance Department Working with project managers to maintain and update individual project budget sheets Assist in the financial update of the Kennedy Center Comprehensive Building Plan Analyzes and resolves issues related to the financial aspects of programs where the resolution of problems requires an integrated financial approach. Analyzes and provides recommendations for financial planning, policy formulation and implementation, and decision making. Project complex program data to provide program managers with an overall financial status of spending plans and readjusts spending plans as unforeseen circumstances and changes in funding occur. Advises of the status of fiscal resources and future requirements. Uses available financial resources, contract administration and financial analysis operating principles and concepts to develop new approaches, procedures and techniques for accomplishing the organizational mission. Prepares reports that identify problems and present conclusions and recommendations based on the findings. Recommendations include expert level assessments and proffering of optimal solutions to include those that significantly change/affect important policy decisions in the federal arena; i. e. programmatic milestone decisions. Serves as organizational expert in analyzing and resolving complex issues related to the financial aspects of programs. Prepares recommendations for program managers. Coordinates and develops financial reports and provides program analysis on a broad spectrum of functions within the federal John F. Kennedy Center for the Performing Arts. Analyzes appropriation legislation for impact on assigned programs and funds. Makes recommendations on funding levels of programs for the reallocation of funds between funded programs and program development. This includes detailed financial direction to ensure compliance with The John F. Kennedy Center for the Performing Arts strategic guidance. Provides advice and recommendations on all aspects of the financial budget process to program officials and senior managers and in resolving program funding issues. Performs intensive analysis and evaluation of proposed program requirements and project control schedules to assure compatibility, realism, program balance, proper time phasing, etc. Relates assigned phases to prior year accomplishments, future plans, and overall assigned programs. Consults with management officials to clarify questionable areas and, as necessary, makes adjustments in program plans. Maintains liaison with Trust employees to assure timely approval of programs and receipt of appropriate program authorization. Manages and oversees a variety of internal review activities to ensure accuracy and validity of budgets. Routinely required to analyze and evaluate changes in program plans and funding and their effect on financial and budgetary milestones. Analyzes, develops and executes current or long-range operating plans within assigned areas of responsibility to provide technical specialists with evaluative material for effective direction of the programs. Identifies essential critical points, time frames, action sources and milestones in these plans. Works closely with the Director in the development of Federal budget requests to the Office of Management and Budget (OMB) and budget justifications to the Congress. Responsible for compliance with budget execution limits as imposed by the Continuing Resolutions. Works closely with the Director and project managers for the financial presentation of mission requirements and in the development of preparing the fiscal year annual budget request. Assists the Director in developing the financial profiles of anticipated expenses of projects and activities identified in the budget call report. Establishes, justifies, and reviews budget execution plans, monitors commitments, and obligations of the funds, to ensure disciplined financial management complaints for financial control as well as changes to the ongoing mission of The John F. Kennedy Center for the Performing Arts. Other duties as assigned. Key Qualifications 5+ years of experience in managing complex multi-million dollar budget analysis. Experience with federal financial processes and reporting. Degree requirement: Bachelor's degree in finance, economics, or a related field. Mastery of a professional knowledge of the concepts, principles, practices, laws, and regulations of budgeting and financing, and the financial and budgetary relationships between subordinate and most senior levels of financial management within the Center, and/or between the organization and programs of other Federal, State and local government and private industry sufficient to analyze national level programs, and exceptionally large and complex programs. Mastery of professional knowledge to develop, recommend and implement budgetary and financial policies; interpret and assess the impact of new and revised Congressional legislation on the formulation and execution of budgets, and develops and render authoritative interpretation of laws, rules, and regulations, OMB guidelines and directives. Mastery of financial analysis principles and technical or program requirements to make decisions and or recommendations that significantly affect the content of complex, long-range, and interrelated agency contracting programs. Knowledge of and skill in business strategy and program and technical requirements sufficient to perform in-depth evaluations of the financial and technical capabilities. Skill in and working knowledge of the federal fiscal field in order to carry out financial assessment and risk analysis duties. Knowledge and skill in the use of negotiation and communication techniques in order to interact with management officials in order to provide/issue financial assessment advisory evaluation reports both orally and in writing. Such include historical production and statistical cost, price and financial data covering fiscal capabilities. Knowledge of regulations and requirements governing accounting standards, a working knowledge of accounting practices, and knowledge of statistical, analytical, and financial analysis principles, including finance operations. Skill in and knowledge of technical and advanced proficiency with spreadsheets, word processors, accounting software platforms, and presentation software. Candidate must be local or willing to relocate to the DMV area. Relocation assistance is not provided. Candidate must be willing to work onsite. Additional Information The Employee usually works in well lighted, heated and ventilated spaces. The work may require regular moderate physical exertion such as walking, climbing stairs, and standing.

Posted 1 week ago

Horizon Healthcare Services logo

RN I-Medicaid, Care, Case and Disease Management

Horizon Healthcare ServicesHopewell, New Jersey

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Job Description

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health.  For over 90 years, we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, and member experience.  Our members are our neighbors, our friends, and our families.  It is this understanding that drives us to better serve and care for the 3.5 million people who place their trust in us. We pride ourselves on our best-in-class employees and strive to maintain an innovative and inclusive environment that allows them to thrive. When our employees bring their best and succeed, the Company succeeds. 

This position is responsible for performing RN duties using established guidelines to ensure appropriate level of care as well as planning for the transition to the continuum of care. Performs duties and types of care management as assigned by management.

Responsibilities:

  • Assesses patient's clinical need against established guidelines and/or standards to ensure that the level of care and length of stay of the patient are medically appropriate for inpatient stay.
  • Evaluates the necessity, appropriateness and efficiency of medical services and procedures provided.
  • Coordinates and assists in implementation of plan for members.
  • Monitors and coordinates services rendered outside of the network, as well as outside the local area, and negotiate fees for such services as appropriate. Coordinates with patient, family, physician, hospital and other external customers with respect to the appropriateness of care from diagnosis to outcome.
  • Coordinates the delivery of high quality, cost-effective care supported by clinical practice guidelines established by the plan addressing the entire continuum of care.
  • Monitors patient's medical care activities, regardless of the site of service, and outcomes for appropriateness and effectiveness.
  • Advocates for the member/family among various sites to coordinate resource utilization and evaluation of services provided.
  • Encourages member participation and compliance in the case/disease management program efforts.
  • Documents accurately and comprehensively based on the standards of practice and current organization policies.
  • Interacts and communicates with multidisciplinary teams either telephonically and/or in person striving for continuity and efficiency as the member is managed along the continuum of care.
  • Understands fiscal accountability and its impact on the utilization of resources, proceeding to self-care outcomes.
  • Evaluates care by problem solving, analyzing variances and participating in the quality improvement program to enhance member outcomes.
  • Completes other assigned functions as requested by management.
     

Education/Experience:

  • High School Diploma/GED required
  • Bachelor degree preferred or relevant experience in lieu of degree
  • Requires a minimum of two (2) years clinical experience.
  • Active Unrestricted NJ RN License or active Compact License Required.


Knowledge:

  • Prefers proficiency in the use of personal computers and supporting software in a Windows based environment, including MS Office products (Word, Excel, PowerPoint and Outlook)  prefers knowledge in the use of intranet and internet applications.
  • Prefers working knowledge of case/care management principles.
  • Prefers working knowledge of principles of utilization management.
  • Prefers basic knowledge of health care contracts and benefit eligibility requirements.
  • Prefers knowledge of hospital structures and payment systems.


Skills and Abilities:

  • Analytical
  • Compassion
  • Interpersonal & Client Relationship Skills
  • Judgment
  • Listening
  • Planning/Priority Setting
  • Problem Solving
  • Team Player
  • Time Management
  • Written/Oral Communication & Organizational Skills
     

Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware

Salary Range:

$69,500 - $93,030

​This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity.  This range has been created in good faith based on information known to Horizon at the time of posting.  Compensation decisions are dependent on the circumstances of each case. Horizon also provides a comprehensive compensation and benefits package which includes:

  • Comprehensive health benefits (Medical/Dental/Vision)

  • Retirement Plans

  • Generous PTO

  • Incentive Plans

  • Wellness Programs

  • Paid Volunteer Time Off

  • Tuition Reimbursement

Disclaimer:
This job summary has been designed to indicate the general nature and level of work performed by colleagues within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of colleagues assigned to this job.

Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or status as an individual with a disability and any other protected class as required by federal, state or local law.  Horizon will consider reasonable accommodation requests as part of the recruiting and hiring process.

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