Additional InformationJob Number24215953Job CategoryHousekeeping & LaundryLocationMarriott's Timber Lodge, 4100 Lake Tahoe Boulevard, South Lake Tahoe, California, United States, 96150VIEW ON MAPScheduleFull TimeLocated Remotely NPosition Type ManagementAdditional Information: This hotel is owned and operated by an independent franchisee, Marriott Vacations Worldwide. The franchisee is a separate company and a separate employer from Marriott International, Inc. The franchisee solely controls all aspects of the hotel’s employment policies and practices, including hiring, firing, discipline, staffing, compensation, benefits, and all other terms and conditions of employment. If you accept a position at this hotel, you will be employed by a franchisee and not by Marriott International, Inc.This is a non-exempt position and will be paid on an hourly basis with overtime paid in accordance with state and federal law.JOB SUMMARYResponsible for the daily shift operations of Housekeeping, Recreation/Health Club and, if applicable, Laundry. Directs and works with employees to ensure property guestrooms, public space and employee areas are clean and well maintained. Completes inspections and holds people accountable for corrective action. Position assists in ensuring guest and employee satisfaction while maintaining the operating budget.CORE WORK ACTIVITIESManaging Housekeeping Operations and BudgetsEnsures guest room status is communicated to the Front Desk in a timely and efficient manner.Inspects guestrooms on a daily basis. Obtains list of rooms to be cleaned immediately and list of prospective check-outs or discharges to prepare work assignments. Inventories stock to ensure adequate supplies.Supports and supervises an effective inspection program for all guestrooms and public space.Understands the impact of department’s operations on the overall property financial goals and objectives and manages to achieve or exceed budgeted goals. Ensures all employees have proper supplies, equipment and uniforms.Communicates areas that need attention to staff and follows up to ensure understanding.Supervises daily Housekeeping shift operations and ensures compliance with all housekeeping policies, standards and procedures. Participates in departmental meetings and continually communicates a clear and consistent message regarding the departmental goals to produce desired results. Conducting Human Resources ActivitiesUses all available on the job training tools to train new room attendants and provide follow-up training as necessary. Establishes and maintains open, collaborative relationships with employees and ensures employees do the same with them. Schedules employees to business demands and for tracks employee time and attendance. Ensures employees understand expectations and parameters. Ensures property policies are administered fairly and consistently, disciplinary procedures and documentation are completed according to Standard and Local Operating Procedures (SOPs and LSOPs) and support the Peer Review Process.Supervises staffing levels to ensure that guest service, operational needs, and financial objectives are met. Observes service behaviors of employees and provides feedback to individuals. Ensures employee recognition is taking place on all shifts. Participates in an on-going employee recognition program. Solicits employee feedback, utilizes an --open door-- policy, and reviews employee satisfaction results to identify and address employee problems or concerns. Participates in employee progressive discipline procedures. Celebrates successes and publicly recognizes the contributions of team members. Ensuring Exceptional Customer ServiceSets a positive example for guest relations. Participates in the development and implementation of corrective action plans to improve guest satisfaction. Empowers employees to provide excellent customer service. Emphasizes guest satisfaction during all departmental meetings and focuses on continuous improvement. Responds to and handles guest problems and complaints. Strives to improve service performance. Marriott Vacations Worldwide is an equal opportunity employer committed to hiring a diverse workforce and sustaining an inclusive culture.CANDIDATE PROFILEEducation and Experience High school diploma or GED; 2 years' experience in the housekeeping or related professional area.Relocation Assistance AvailableThe hourly rate of pay for this position is $27.50.This company is an equal opportunity employer.frnch1

YourRole The Children's Services Program (CSP) team provides identification, referrals, and care management for all Medi-Cal members under 21 years old and collaborates within Promise ClinicalTeam.The CaseManagement LVNConsultant willreporttotheCSPManager.Inthisrole you will be perform clinical review, assessment, evaluation of medical services for the organizationusingtheestablishedandapprovedBlueShieldMedicalPolicies andCCS/EIES/ DDS/CSHCN/EPSDT eligibility guideline which align with nationally recognized standards. Responsible for managing member needs for specific CCS/EIES/DDS/CSHCN/EPSDT and other clinical programs and care coordination.Responsible in assisting and working daily inventory, providing high-quality clinical reviews, performing efficient case management and care coordination, and ensuring compliance performance metrics are met.In addition, the CM LVN ConsultantwillassisttheCSPManagersinimprovingoperationalprocessesandimplementation of new regulatory requirements. They would also assist in training and developing CSP staffs performance.YourWorkInthis role,you will:PerformCare Management/Care Coordination formembers usingBSCevidenced based guidelines, policies and nationally recognized clinal criteria across lines of business or for a specific line of business such as Medi-Cal and CCS/EIES/DDS/ CSHCN/EPSDT Eligibility guidelines.Conducts clinicalreviewof claimsformedicalnecessity,codingaccuracy,medical policy compliance and contract complianceEnsuredischarge(DC)planningatlevelsofcareappropriateforthemembersneeds andacuityanddeterminepost-acuteneedsofmemberincludinglevels ofcare, durable medicalequipment,andpost service needsto ensure qualityand cost- appropriate DC planningPrepare andpresentcasestoMedicalDirector(MD) formedicaldirectoroversight and necessity determination and communicate determinations to providers and/or members to in compliance with state, federal and accreditation requirementsDevelopandreviewmembercentereddocumentationandcorrespondencereflecting determinations in compliance with regulatory and accreditation standards andidentify potentialqualityof care issues,serviceortreatmentdelays andintervenes or as clinically appropriatePreparesandpresents cases toMedicalDirector(MD)formedicaldirectoroversight and CCS eligibility determination.Communicatedeterminationstoprovidersand/ormemberstoincompliancewith state, federal and accreditation requirements.Develops and reviews member centered documentation and correspondence reflectingdeterminations incompliancewithregulatory andaccreditationstandards.Identifies potential quality of care issues, service or treatment delays and intervenes orasclinically appropriateandprovidecarecoordinationtoidentifiedCHPmembers.Provides referrals to Social Services, BehavioralHealth,AppealsandGrievance,andQualityDepartmentsasnecessary.In additiontocollaborationwithCountyCCSandRegionalCenters.Inaddition,theCM LVN Consultant will assist the CSP Managers in improving operational processes and implementationofnewregulatoryrequirements.Theywouldalsoassistintrainingand developing CSP staff’s performance.YourKnowledgeandExperience Requiresa bachelor'sdegree or equivalentexperienceRequiresacurrentCaliforniaLVNLicenseRequires at least7 yearsofpriorrelevantexperienceAminimum of 4years'experiencein Medi-CalClinicalReview, CaseManagementand Care Coordination.Aminimum of 2years'experiencewith ChildHealthPrograms[CCS,EI,ES, DDS, EPSDT, CHDP preferred]DemonstratedknowledgeofCMS/DHCSprotocolsand requirementsDemonstratedunderstandingofNCQA/CMS/DHCSregulatoryauditrequirementsCareCoordinationandCaseManagementexperience Pay Range: The pay range for this role is: $ 77990.00 to $ 116930.00 for California. Note: Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles. #LI-MM4

RSC Human Resources ManagerAbout This RoleWe have an opportunity for a Human Resources Manager at our distribution center in Sacramento, CA. The RSC Human ResourcesManager leads and administers the organization's HR programs and policies and is accountable for all employment law compliance, talent acquisition, employee relations, performance management practices, community relationships and guidance of consistent practices and processes for the RSC. This role leads a team to ensure a high level of HR service is met to strategic operational partners throughout the Retail Support Center. They will have oversight and manage the employee services function at the RSC as well. This includes CMN as well as other company and community events. Additionally, the position will participate in recruiting and onboarding all senior manager roles within the RSC with guidance from the Retail Support Director (RSD) and Regional HR Manager.The RSC HR Manager will also act as the strategic business partner with Operations within the RSC. This will include all exempt and non-exempt talent acquisition, employee relations, policy administration and assistance with employee services and events for the RSC.What You’ll DoLead, support and encourage our Ace Values: Winning, Excellence, Love, Integrity, Gratitude, Humility and Teamwork.Collaborates with and assists the RSC Regional HR Manager with RSC specific HR strategy. Recommend new approaches, policies, and procedures to ensure continual improvements and efficiencies with RSC.Lead and administer organization's HR programs and policies as they apply to employee relations, comp, bens, safety, performance, and staffing.Manages day to day operations of the HR team within the RSCOversee talent acquisition and employee on-boarding process for RSC population,compensation equity and compliance, unemployment administration, leaves of absence administration, workers comp administration, benefits administration, personnel file administrationPartners with Regional HR Manager on strategic direction of the department and creates goals for team based on directionResponsible for planning and managing the business within General Admin cost centerPartners with operations to train, develop and mentor RSC exempt staffInvestigate employee relations issues within the RSC and determine the best corrective action solution for each unique situation.Participate in final termination decisions, respond to all employee relations issues/concerns and conduct employee relations investigations as requiredProvide guidance to exempt staff on employee relations/performance issues; consult on the development of performance goals; editing performance appraisals; drafting constructive criticism or development feedback for inclusion in performance appraisalsCollaborate with operations team to create and oversee employee recognition programs, employee events and other activities to help create a positive and highly engaged environment.Ace Hardware is committed to promoting and maintaining a safe, healthy and injury-free environment for all team members. This is our number one priority, and we will support programs and initiatives that focus on this commitment. It is critical that all team members take responsibility for their safety as well as the safety of others to ensure that Ace Hardware is a world class safety organization.What you need to succeed:Be a safety champion by promoting a safe and productive workplace through your own actions, including the proper use of PPE, safe operation of powered equipment and safe lifting techniques as determined by the role.Be an active participant in contributing to a successful safety culture in the facility.Bachelor’s Degree in HR or related fieldPHR or SPHR Certification preferred5 years HR management experienceExcellent leadership, interpersonal, communications, research, negotiations, persuasion, analytical, problem solving, resourcefulness and influential staff development skills.Detail orientated self-starter able to handle heavy, priority shifting workload with minimal supervision.Ability to multi-task and work well in a high-pressure environment.Outstanding interpersonal skills, with the ability to create effective relationships throughout the organization with both rank & file as well as upper management.Successful and demonstrated HR generalist experience with proven track record of increased responsibility.Compensation Details:$101000 - $126000 per yearWhy should you join our team We live our values - W.E.L.I.G.H.T (Winning, Excellence, Love, Integrity, Gratitude, Humility, and Teamwork). Gratitude. Humility. Love. You don’t often see values like these in most corporate statements, but Ace is different. These things are important to us. They represent our commitment to the company, our employees, to Ace retailers and to the Ace brand.In addition to providing our employees a great culture, Ace also offers competitive benefits* that address life’s necessities and perks, many of which expand and improve year after year, including:Semi-Monthly PayIncentive opportunities, based on role/grade level (rapid company growth over the past 5 years resulted in incentives being paid out at an average of 122% of your target opportunity!)18 days of vacation immediately available (prorated in the first year) and up to 9 paid holidays depending on the month of hireComprehensive health coverage (medical, dental, vision and disability – up to 26 weeks short-term disability and long-term disability)& life insurance benefits for you and your dependents.Generous 401(k) retirement savings plan with a fully vested matching contribution the first year in addition to quarterly contributions and annual discretionary contribution (once eligibility requirements have been met).Over the past 5 years, company contributions (matching, quarterly & discretionary) for fully eligible employees have averaged 9.6% of total eligible compensationAce invests in every employee we hire, with a key focus on development and coaching. We offer on-site classes, facilitator-led courses, and a generous tuition assistance program, plus a performance management approach that goes beyond the typical annual review.Your career at Ace is more than just a job. It’s a chance to be part of something meaningful. We help locally-owned businesses thrive and make an impact in their communities – and we support our employees in doing the same by offering our employees opportunities to help Children’s Miracle Network Hospitals and the Ace Helpful Fund through the Ace Foundation.Employee discounts on Ace merchandise (including top brands like Weber, Traeger, Yeti, Craftsman, DeWalt and more), travel, fitness, computers and thousands more.Employee Assistance Program (EAP) – access to free visits to therapists and lawyers, guidance on financial matters, elder and childcare, and assistance with tickets to entertainment events.Birth/Adoption bonding paid time offAdoption cost reimbursementIdentity theft protection* Benefits are provided in compliance with applicable plans and policies.Want to be notified when new jobs are posted Follow the link below to create an account and set up custom job alerts:Create Job AlertWe want to hear from you!When most people think of career opportunities with Ace Hardware, they often think of the helpful cashiers and sales associates at their local store. However, have you also considered the people behind the scenes who select, promote, ship and process the invoices for more than 75,000 products Maybe you haven't, but we'd like you to. Because together we help our customers take care of their homes. Come find out why a career with the Ace Hardware Corporation is one of America's best kept secrets.Equal Opportunity EmployerAce Hardware Corporation is committed to a policy of promoting equal employment opportunities. The company recognizes the importance of diversity and leveraging the skills and talents of all people to the mutual advantage of each individual and the organization. The company is committed to the prevention of employment discrimination related to race, religion, color, sex (including sexual harassment), gender identity, national origin, age, marital status, disability and military or veteran status, sexual orientation or any other action covered by federal or applicable state/local laws.DisclaimerThe pay range for this position starts as listed in the job posting, but could be higher based on education and experience. Please note, compensation decisions are dependent on the facts and circumstances of each opening. We take into consideration the minimum requirements outlined in the job description, such as an individual’s education, training and experience, the position’s work location, required travel (if any), and external market conditions when determining the final salary for potential new hires. Be aware that salary estimates published via alternate online job boards may not be a true representation of the actual pay range offered for this position. Please refer to the Ace position description for the accurate starting pay range information and feel free to discuss this with a Talent Acquisition professional if you are chosen to move forward with an interview. This written “Position Description” is not intended to cover all aspects of the position listed. It is meant to cover the basic/general essential job functions of a particular position. Ace Hardware Corporation reserves the right to change job duties, including essential job functions, according to business necessity.

Develop a sound business plan to capture and penetrate market share within the division’s footprint, focusing on Division customers with sales potential > $0.5m annually. Responsible for producing new account revenue in line with current organization and individual targets and quotas (minimum of $2 million in first year, $6 million annually in following years), or annual target agreed with Division President and VP Sales.Utilizing Key Performance Indicators (KPIs), focus on (1) opening highest potential new accounts, (2) sales dollars, and (3) gross profit dollars of all new accounts.Responsible for sourcing, pursuing, securing and developing highest potential new business that can be transitioned to a Territory Manager (TM) in order to achieve annual sales and profit operating plans; maintain a pipeline of new, emerging high potential clients.Research potential customer requirements, menu design, business size, current suppliers, etc.; analyze current trends within the market and remain informed of market conditions, product innovations, competitors' products, prices, and sales; share information with customers, along with new menu ideas and products, as part of value-added services provided.Work with Category and Segment Specialists to create order-guide/pricing for prospective accounts; develop and present compelling offering to prospective accounts.Complete new customer credit application forms; work with Customer Solutions Coordinator, Sales Coordinator and TM to ensure an effective on-boarding process as well as to facilitate a smooth handover of the new account to the TM and Sales Coordinator, including any AR responsibility while in development.Maintain full understanding of company IT tools to identify high potential opportunities and update progress; utilize Company-approved data base for lead generation; communicate with District Sales Managers on field intelligence and observations.Selective involvement in the SOS process, only for accounts recently opened by NBM where they areat-risk of churn. Visit customers, understand concerns and change offerings, pricing as required; maintain contact with new accounts as required; conduct Customer Business Review (CBRs) with critical customers upon request.Maintain ongoing relationships with key decision makers; leverage industry contacts to "follow" decision makers as they moveAttend sales meetings, food shows, and vendor, marketing and industry events to network with prospective accountsShare skills and experience with TMs in at 1 – 2 sales meetings/year i.e. how to on-board, do account research, penetration, warming and closing techniquesOther duties assigned by manager.Education/Training:High School diploma or equivalent; Bachelor’s Degree preferred.Related Experience:Must possess a minimum of 3 years sales experience requiredMinimum 3 years of experience opening accounts greater than $0.5m, preferably in foodservice industryExceptional sales and interpersonal skills and proven ability to warm, convert, and close high-potential new street accounts required.Overnight travel may be required to participate in trainings, meetings, or other company events.Knowledge/Skills/Abilities:Excellent communication and negotiation skills required, as well as strong interpersonal skills and ability to successfully build relationships internally and externally, leveraging relations to achieve business goals.Able to present in front of large groups of people utilizing creative presentation skills.Highly motivated, results-driven and able to work autonomously; detail-oriented, ability to work under pressure and meet tight deadlines.Working knowledge of Microsoft Word, Excel and PowerPoint is required.Compensation depends on relevant experience and/or education, specific skills, function, geographic location, and other factors as applicable by law.The expected base rate for this role is between $75,000 and $120,000.This role will also receive incentive compensation. Benefits for this role may include health insurance, pre-tax spending accounts, retirement benefits, paid time off, short-term and long-term disability, employee stock purchase plan, and life insurance. To review available benefits, please click here: https://www.usfoods.com/careers/benefits.html.#LI-BK1

As a General Manager, you will be collaborative and inclusive in helping our customers while leading a fun, team-oriented retail culture. You’ll make a visible impact as a retail leader and business professional in driving your stores community relationships, merchandise sales, technical services portfolio, print & marketing services, and business-to-business network. Get great perks. Two bonus plans, generous paid time off, career development program, and weekly payCompensation based on qualifications and experience. Hiring immediatelyFull medical benefits package, 401(k) with company match, and many more benefitsAssociate store discount and more perks (discounts on mobile plans and other retailers, etc.) Provide strong leadership in community, customer service, sales, and team development. Ensure that the store culture embodies Staples values and its commitment to the communityDevelop a consultative and customer centric environment for the small business customerEmpower your team to learn, grow and deliver through teaching, coaching and inspiringLead merchandise sales, print & marketing services and retail operationsDrive profitable sales and margin while reducing variability and improving performance YoYHold yourself and your team accountable for flawless execution of operational excellenceCoach every manager and supervisor to create a culture of consultative selling and total solutionsOverall leadership of running a store; additional responsibilities as needed or assigned Essential skills and experience: 1+ year progressively responsible store management experience in a retail environment as a General/Store ManagerStore Operations experience with analysis, planning, financial acumen and driving resultsExperience creating a customer centric environment and working in a consultative selling environment that provides customers a total solutionExperience developing a team in operational excellence to drive profitable YOY sales and marginsAbility to lift/move materials in the 10-50 pound range, climb ladders, stand and walk continuouslyStaples does not sponsor applicants for work visas for this position Preferred skills and experience: Bachelor’s Degree in Business or related fieldAbility to engage with the community and network & support small business customers The world of working and learning has changed. This is your opportunity to be a part of a brand transformation and growth strategy within the retail industry. Staples is helping our customers and community discover innovative products, services, and inspiration that unlock what’s possible, while empowering you to unlock your potential. Our people are the heart of our success and there has never been a better time to join us as we lead the way in a new era of working and learning. Want to learn more about Staples Stores Visit RetailCareers.Staples.com for information and to learn about our career opportunities.Click here to learn more about the employee benefits, programs and perks offered at Staples!Staples is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other basis protected by federal, state, or local law.Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act; as well as with any other state and local Fair Chance Ordinance/Act regulations.It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

The pay range per hour is $25.50 - $43.35Pay is based on several factors which vary based on position. These include labor markets and in some instances may include education, work experience and certifications. In addition to your pay, Target cares about and invests in you as a team member, so that you can take care of yourself and your family. Target offers eligible team members and their dependents comprehensive health benefits and programs, which may include medical, vision, dental, life insurance and more, to help you and your family take care of your whole selves. Other benefits for eligible team members include 401(k), employee discount, short term disability, long term disability, paid sick leave, paid national holidays, and paid vacation. Find competitive benefits from financial and education to well-being and beyond at .ALL ABOUT TARGETAs a Fortune 50 company with more than 400,000 team members worldwide, Target is an iconic brand and one of America's leading retailers.Working at Target means the opportunity to help all families discover the joy of everyday life. Caring for our communities is woven into who we are, and we invest in the places we collectively live, work and play. We prioritize relationships, fuel and develop talent by creating growth opportunities, and succeed as one Target team. At our core, our purpose is ingrained in who we are, what we value, and how we work. It's how we care, grow, and win together. Guests love to shop us for social media worthy looks and we’re proud to offer the freshest mix of apparel and accessories that won’t break the bank. ALL ABOUT SPECIALTY SALESA team of specialized consultants who understand what it means to meet our guests where they are at and deliver for them through strong operations, incredible guest experience and compelling visual merchandising presentations that inspire guests and build the basket.Teams in Apparel and Accessories (A&A), Home, Baby, Beauty and Electronics prioritize guest experience while blending completion of tasks that ensure product is available and easy to shop – pulling, filling, pricing, setting, staging and maintaining the sales floor and the backroom.At Target, we believe in our team members having meaningful experiences that help them build and develop skills for a career. The role of a Specialty Sales Team Leader can provide you with the skills and experience of:GUEST service fundamentals and experience; building a guest first culture on your teamRetail business fundamentals including department sales trends, inventory management, guest shopping patterns, pricing and promotions strategiesPlanning department(s) daily/weekly workload to support business priorities and deliver sales goalsLead multiple businesses, balancing team member expertise and effectively leading teams in each departmentHelping build a team of hourly team membersAs a Specialty Sales Team Leader, no two days are ever the same, but a typical day will most likely include the following responsibilities:Demonstrate a service culture that prioritizes the guest service experience. Model, train and coach team member expectations to deliver on our GUEST service model culture.Demonstrate a commitment to diversity, equity, and inclusion through continuous development, modeling inclusive behaviors, and proactively managing biasUnderstand sales goals, plan daily/weekly workload at the direction of your ETL, and execute the same to deliver on department and store sales goals and guest engagement; including planning merchandising, transitions, revisions, sales plans, events and promotionsLead and demonstrate a culture of executing all best practices as outlined with team onboarding and learning; help close skill gaps through development, coaching and team interactionsWith ETL guidance, develop, coach, and lead a team of consultants who are knowledgeable and passionate about A&A, Home, Seasonal, Beauty Electronics and Baby who stay current on brands, trends and promotions in each departmentEncourage team to use tools available in their department (i.e. the fitting room, testers, displays) as an opportunity to welcome, inspire and influence guests by providing personalized recommendations to complete their purchaseWith ETL guidance, partner with third party vendors to ensure brand standards and merchandising are being met and areas are full and maintained.Support team's execution of revisions, sales plans, planograms, and Visual Merchandising Guide (VMG) for defined categoriesEncourage guests to shop with confidence in specialty departments by creating inspiring visual moments and by ensuring product is organized, signed correctly and merchandised to support seasonal trendsSupport your ETL in leading assigned business units backroom process, organization, layout and replenishment of the salesfloor to ensure product is available for guests.Evaluate candidates for open positions and develop a guest-centric teamSupport team onboarding, learning and help close product knowledge and skill gaps through development, coaching and team interactions set by your ETLEnsure fitting rooms are welcoming, clean and safe if applicable to your assigned areas of responsibilitySupport your ETL in establishing clear goals and expectations and hold team members accountable to expectationsProvide service and a shopping experience that meets the needs of the guests in all areas including clearanceDemonstrate a culture of ethical conduct, safety and compliance; lead and hold the team accountable to work in the same wayModel a safety advocacy culture by understanding how safety impacts your role and that of your team, identifying and correcting hazards, and holding team accountable to working in a safe manner to benefit themselves and others. If applicable, as a key carrier, follow all safe and secure training and processesAddress store needs (emergency, regulatory visits, etc.)Support guest services such as back-up cashier, order pick up (OPU) and Drive-up (DU) and maintain a compliance culture while executing those duties, such as compliance with federal, state, and local adult beverage laws.All other duties based on business needsWHAT WE ARE LOOKING FORWe might be a great match if:Working in a fun and energetic environment makes you excited…. We work efficiently and as a team to take care of our guestsProviding service to our guests that makes them say I LOVE TARGET! excites you…. That’s why we love working at TargetLeading teams who are stocking, setting and selling Target products sounds like your thing… That’s the core of what we doYou aren’t looking for Monday thru Friday job where you are at a computer all day… We are busy all day (especially on the weekends), making it easy for the guest to feel welcomed, inspired and rewardedThe good news is that we have some amazing training that will help teach you everything you need to know to be a Specialty Sales Team Leader. But, there are a few skills you should have from the get-go:High school diploma or equivalentMust be at least 18 years of age or olderPrevious retail experience preferred, but not requiredLead and hold others accountable Ability to communicate on multiple frequency devices and operate handheld scanners, and other technology equipment as directed.Work independently and as part of a teamManage workload and prioritize tasks independentlyWelcoming and helpful attitudeEffective communication skillsCapability to remain focused and composed in a fast-paced environment and accomplish multiple tasks within established timeframesWe are an awesome place to work and care about our teams, so we want to make sure we are clear on a few more basics that we expect:Access all areas of the building to respond to guest or team member issuesInterpret instructions, reports and informationAccurately handle cash register operations as neededClimb up and down ladders as neededScan, handle and move merchandise efficiently and safely, including frequently lifting or moving merchandise up to 15 pounds and occasionally lifting or moving merchandise up to 44 pounds without additional assistance from othersFlexible work schedule (e.g., nights, weekends and holidays) and reliable and prompt attendance necessaryCapable of working in and exposure to varying temperatures, humidity, and other elements while performing certain job duties including but not limited to Drive-Up, carryout, etc. as neededAbility to remain mobile for the duration of a scheduled shift (shift length may vary).Target will consider for employment qualified applicants with criminal histories in a manner consistent with the San Francisco and City of Los Angeles Fair Chance Ordinances.Americans with Disabilities Act (ADA)Target will provide reasonable accommodations with the application process upon your request as required to comply with applicable laws. If you have a disability and require assistance in this application process, please visit your nearest Target store or reach out to Guest Services at 1-800-440-0680 for additional information.

Job ID: 259857Store Name/Number: CA-Folsom (1190)Address: 280 Palladio Parkway Space #901, Folsom, CA 95630, United States (US)Hourly/Salaried: Hourly (Non-Exempt)Full Time/Part Time: Full TimePosition Type: RegularYour Role at Sephora: As a Sales and Service Coordinator, you'll be a key player in our mission to provide an exceptional shopping experience for every client. You'll support all aspects of sales and service initiatives, including paid services, events, classes, loyalty programs, cash handling, and training in your store. If you have a passion for retail sales and service and love being part of a team, this is the perfect role for you.Key Responsibilities:Supporting Sales and Service Initiatives: Support all aspects of sales and service initiatives, ensuring an exceptional shopping experience.Coordinating Paid Services, Events, and Classes: Coordinate paid services, events, and classes.Implementing Loyalty Programs: Support the implementation of loyalty programs.Handling Cash: Responsible for cash handling, ensuring a smooth checkout process.Training Store Team: Educate teams on service offerings, customer experience, and other key areas.Qualifications/Experience:Prior experience in retail sales and service, preferably in a coordinator role.Passion for client service and teamwork.Strong communication skills, ability to multitask.Resilience and adaptability to changing store priorities.Flexible availability to work during “peak” retail hours.Consistent and reliable attendance.Ability to lift and carry up to 50 pounds.While at Sephora, you’ll enjoy.Diversity, Inclusion & Belonging?We pledge to create a beauty community where everyone’s uniqueness is celebrated, respected, and honored.Meaningful Rewards?Sephora offers comprehensive healthcare and wellbeing benefits based on eligibility; Details about our company benefits can be found at the following link: $22.30 - $27.33/hr. The actual hourly pay offered depends on various factors, including qualifications for the position and relevant experience; and other legitimate, non-discriminatory business factors specific to the position or location. Sephora now offers a Flex (on demand) position for employees who can work anywhere from 0-19 hours a week. This flexibility allows you to balance your work schedule with other commitments. This could be a steppingstone into a more permanent position if you are looking for more in the future.Sephora is an equal opportunity employer; and values a diverse and inclusive workplace. All persons will receive consideration for employment without regard to sex, pregnancy, race, color, national origin, gender (including gender identity and gender expression), age, religion, sexual orientation, military/veteran status, disability, or any other legally protected status. Sephora is committed to providing reasonable accommodation in our recruiting processes to applicants with disabilities or other medical conditions.Sephora will consider for employment all qualified applicants, including those with a criminal history, in a manner consistent with the requirements of all applicable federal, state, and local laws, including the Los Angeles Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, and the New York City Fair Chance Act.*This job will be posted for a minimum of 5 business days.

About the RoleAs Beauty Lead Advisor, you will drive sales through an authentic passion for beauty and engage clients by identifying their needs with a consultative approach. You will maintain expert knowledge of top beauty brands, execute merchandise sets, replenishment and visual standards according to Sephora at Kohl’s standards and ensure an excellent overall client experience.What You’ll DoBuild strong client loyalty and influence clients by identifying their needs and suggesting products to drive sales, including the opportunity to upsell productsDevelop and expand knowledge of the beauty industryProvide credibility to the client through knowledge of products and beauty trendsInspire clients through demonstrating products and application of productsUnderstand and execute the sales plans to support and meet goalsExecute and maintain all Sephora visual merchandising and operational standards, including merchandise sets, tester maintenance and department cleanliness and hygiene standardsEnsure timely and consistent sales floor replenishment to drive sales and enhance the customer experienceActively engage and complete all required training to expand knowledgeSupport omni-processing within the departmentSupport inventory management from receipt to sale, including freight processing, back stocking, inventory counts and price changesAll associates are responsible for:Acting with integrity and honesty and fostering teamwork in an engaged and inclusive cultureExercising good judgment and discernment when making decisions; taking appropriate partners as neededSupporting and executing safety and shortage reduction programs following company guidelinesAccomplishing multiple tasks within established timeframesFollowing company policies, procedures, standards and guidelinesMaintaining adherence to company safety policies for the safety of all associates and customersReceiving, understanding and proactively responding to direction from leaders and other company personnelOther responsibilities as assigned What Skills You HaveRequiredAuthentic passion for beauty Client-facing retail or service industry experienceExcellent written and verbal communication skills with the ability to influence in a clear and concise mannerAvailability to work days, nights, weekends and holidaysPay Range: $19.60 - $27.45Kohl’s offers a variety of benefits to associates depending on full-time/part-time status and work hours, including: WORK LIFE BALANCE (PTO, Vacation Buy Program, Parental Leave), HEALTH & WELLNESS (Medical, Dental, Vision and other short and long term disability programs, Emergency health and wellness programs such as Accident Protection Plans, Critical Illness Plans and more), SAVINGS & RETIREMENT BENEFITS (401k, Flexible Spending Accounts and associate discount programs with Kohl’s partners), INSURANCE PROGRAMS (Life Insurance for you, your family or your pet, as well as other protection programs), and LIFE EVENTS (Legal and adoption assistance benefits).

Your Role The Commercial Appeals & Grievances department performs comprehensive research related to the facts and circumstances of member complaints, appeals, and grievances. The department partners with the customer service and operations teams to ensure alignment with service levels to provide service worthy of our family and friends. The Commercial Appeals & Grievances Supervisor will report to the Commercial Appeals & Grievances Senior Manager. In this role, you will be accountable for hiring, promoting, coaching and daily supervision of Commercial Appeals & Grievances coordinators as they review, investigate, and process member appeals and grievances in a manner that is consistent with regulatory requirements and department policies and procedures. You will manage projects and participate in regulatory audit activities.Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially.Your Work In this role, you will: Be responsible for routine operations and people management functionsFoster a great place to work communicating clear roles and responsibilities and building successful working relationships across the organizationConsult and make recommendations to management on operational issuesUse concepts and abilities to manage processes and operations, including procedural changes, inventories, and workload managementApply policies and procedures within health care operationsStay up to date on legislation and regulations to ensure team complianceInterpret audit information requests, prepare narratives, conduct preliminary risk assessments, anticipate adverse findings to prepare for internal corrective action plansMake decisions on people and operational matters consistent with goals and objectivesProvide coaching, performance management, skill development, and guidance on team members’ Professional Development PlansPerform other related duties as assignedYour Knowledge and Experience Requires High School Diploma or GEDRequires a minimum of 5 years of prior relevant experienceRequires a minimum of 2 years of experience operating in a lead role or equivalent leadership training or manager trainingRequires related experience and/or training, or equivalent combination of education and experience. Must have experience in appeals and grievances and preferred experience in claims, customer service, installation & billing, or member services role in the health care industry.Understands basic supervision/management approaches such as work scheduling, prioritizing, coaching and process executionRequires broad knowledge of technical or operational practices within assigned disciplineCommercial experience preferredMust be willing to work weekends and holidays as needed Pay Range: The pay range for this role is: $ 66,600 to $ 98,900 for California. Note: Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles. #LI-CP3

The pay range per hour is $25.50 - $43.35Pay is based on several factors which vary based on position. These include labor markets and in some instances may include education, work experience and certifications. In addition to your pay, Target cares about and invests in you as a team member, so that you can take care of yourself and your family. Target offers eligible team members and their dependents comprehensive health benefits and programs, which may include medical, vision, dental, life insurance and more, to help you and your family take care of your whole selves. Other benefits for eligible team members include 401(k), employee discount, short term disability, long term disability, paid sick leave, paid national holidays, and paid vacation. Find competitive benefits from financial and education to well-being and beyond at .ALL ABOUT SERVICE & ENGAGEMENTAdvocates of guest experience who welcome, thank, and exceed guest service expectations by focusing on guest interaction and recovery. Advocates of both in-store and digital services and solutions who are knowledgeable about capabilities and features that drive adoption, usage and ultimately guest loyalty. Empowered to make shopping quick and easy for guests at the checklanes, guest services, gift registry, pick-up and drive up while ensuring exceptional quality.At Target, we believe in our team members having meaningful experiences that help them build and develop skills for a career. The role of a Service and Engagement Team Leader can provide you with the skills and experience of: Guest service fundamentals and experience building a guest first team cultureGuest engagement; problem solving and resolutionRetail business fundamentals including: department sales trends, inventory management, guest shopping patterns, pricing and promotions strategiesPlanning department(s) daily/weekly workload to support business priorities and deliver service and sales goalsLeading a team of hourly team members; including skills in interviewing, developing, coaching, evaluating and retaining talentAs a Service and Engagement Team Leader, no two days are ever the same, but a typical day will most likely include the following responsibilities:Demonstrate a service culture that prioritizes the guest service experience. Model, train and coach team members on expectations to deliver the service standard.Demonstrate a commitment to diversity, equity, and inclusion through continuous development, modeling inclusive behaviors, and proactively managing biasLead a team of passionate and knowledgeable Guest Advocates and Front of Store Attendants who strive to exceed guest service expectations by focusing on decreasing wait time, friendly guest interactions, quality of service and product and service recoveryLead and demonstrate a culture of executing all best practices as outlined with team onboarding and learning; help close skill gaps through development, coaching and team interactionsUnderstand sales goals, plan and execute daily/weekly workload to deliver on store sales goals and guest engagementSupport leading physical and digital offerings and Target Loyalty Programs to ensure your team can inform, educate and promote the suite of benefits, features and offerings that reward our guest and/or enhance their shopping experienceSupport your ETL by following-up on training completion, checking for understanding and supporting continuous education opportunities to drive proficiencies for all front of store experiencesEngage in consistent, meaningful development conversations throughout the critical touch points within the Guest Advocate and Front of Store Attendant career pathPersonalize recognition and appreciation to reinforce critical guest service behaviors and promote a positive team and guest centric cultureWith ETL guidance, help lead a culture of accountability through clear expectations and performance management (listen, observe, recognize and coach) on critical Service and Engagement behaviorsUnderstand business reporting and guest insights to understand, troubleshoot and follow-up on opportunity areasQuickly respond to any negative guest shopping experience by de-escalating the situation and ensuring your team understands and feels supported to resolve or address guest concerns and issuesCreate intra-day workload optimization plans for your teamAssess the front of store experience and anticipate and/or react with urgency to any scheduling needs based on fluctuations in guest traffic and salesEnable your team members to stay up-to-date on upcoming major promotions, brand launches and eventsEvaluate candidates for open positions and develop a guest-centric teamAssist in closing knowledge and skill gaps for team members through training and experiencesWork a schedule that aligns to guest and business needs (this includes early morning, evening, overnight shifts and weekends)Utilize guest survey reporting tools to drive change in key areas with the greatest impact on guest experience; and use guest feedback to coach/recognize teamsExpect and enable team members to deliver pick up and drive up orders (including drive up Returns and Starbucks) efficiently and accurately to digital guestsDemonstrate a culture of ethical conduct, safety and compliance; lead team to work in the same way and hold others accountable to this commitmentSupport and create a safety advocacy culture by understanding how safety impacts your role and that of your team, identifying and correcting hazards, and holding team accountable to working in a safe manner to benefit themselves and othersLead and demonstrate a culture of executing all best practices as outlined with team onboarding and learning; help close skill gaps through development, coaching and team interactionsIf applicable, as a key carrier, follow all safe and secure training and processesAddress store needs (emergency, regulatory visits, etc.)Support guest services such as order pick up (OPU), Drive-up (DU) Orders, including Starbucks DU, and DU Returns and maintain a compliance culture while executing those duties, such as compliance with federal, state, and local adult beverage laws.All other duties based on business needsWHAT WE ARE LOOKING FORWe might be a great match if:Working in a fun and energetic environment makes you excited…. We work efficiently and as a team to deliver for our guestsProviding service to our guests that makes them say I LOVE TARGET! excites you…. That’s why we love working at TargetYou enjoy interacting with people all day and making things easy for others…. Interacting with guests, solving concerns and making the guests day better is core of what we doYou aren’t looking for Monday thru Friday job where you are at a computer all day… We are busy all day (especially on the weekends), making it easy for the guest to feel welcomed, inspired and rewardedThe good news is that we have some amazing training that will help teach you everything you need to know to be a Service and Engagement Team Leader. But, there are a few skills you should have from the get-go:High school diploma or equivalentMust be at least 18 years of age or olderPrevious retail experience preferred, but not requiredLead and hold others accountableAbility to communicate on multiple frequency devices and operate handheld scanners, and other technology equipment as directed. Work independently and as part of a teamManage workload and prioritize tasks independently and with a teamWelcoming and helpful attitudeEffective communication skillsCapability to remain focused and composed in a fast-paced environment and accomplish multiple tasks within established timeframesWe are an awesome place to work and care about our teams, so we want to make sure we are clear on a few more basics that we expect:Access all areas of the building to respond to guest or team member issuesInterpret instructions, reports and informationAccurately handle cash register operations, cash transactions, and oversee cash office processes as neededScan, handle and move merchandise efficiently and safely, including frequently lifting or moving merchandise up to 10 pounds and occasionally lifting or moving merchandise up to 44 pounds without additional assistance from othersClimb up and down ladders as needed Flexible work schedule (e.g., nights, weekends and holidays) and reliable and prompt attendance necessaryCapable of working in and exposure to varying temperatures, humidity, and other elements while performing certain job duties including but not limited to Drive-Up, carryout, etc. as neededAbility to remain mobile for the duration of a scheduled shift (shift length may vary).Target will consider for employment qualified applicants with criminal histories in a manner consistent with the San Francisco and City of Los Angeles Fair Chance Ordinances.Americans with Disabilities Act (ADA)Target will provide reasonable accommodations with the application process upon your request as required to comply with applicable laws. If you have a disability and require assistance in this application process, please visit your nearest Target store or reach out to Guest Services at 1-800-440-0680 for additional information.

Your Role The Care Managementteam will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Senior Care Manager will report to the Manager of Care Management. In this role you will ensure that services are provided based on standardized procedures including coordination of care with specialists, community resources. Care Managers perform a blended function of utilization management (UM) and care management (CM) activities demonstrating clinical judgement and independent analysis, collaborating with members and those involved with members’ care including clinical nurses and treating physicians.Your WorkIn this role, you will:Research and design treatment /care plans to promote quality of care, cost effective health care services based on medical necessity complying with contract for each appropriate plan type.Initiation of timely individualized care plans (ICP) based on health risk assessment (HRA) completion, participation in and documentation of interdisciplinary meetings (ICT), assisting in transitions of care across all ages.Determines appropriateness of referral for CM services, mental health, and social services.Provides Referrals to Quality Management (QM), Disease Management (DM) and Appeals and Grievance department (AGD).Conducts member care review with medical groups or individual providers for continuity of care, out of area/out of network and investigational/experimental cases.Manages member treatment in order to meet recommended length of stay. Ensures DC planning at levels of care appropriate for the members needs and acuity.Assessment: Assesses members health behaviors, cultural influences and clients belief/value system. Evaluates all information related to current/proposed treatment plan and in accordance with clinical practice guidelines to identify potential barriers.Research opportunities for improvement in assessment methodology and actively promotes continuous improvement. Anticipates potential barriers while establishing realistic goals to ensure success for the member, providers and BSC.Determines realistic goals and objectives and provides appropriate alternatives. Actively solicits client’s involvement.Planning: Designs appropriate and fiscally responsible plan of care with targeted interventions that enhance quality, access, and cost-effective outcomes. Adjusts plans or creates contingency plans as necessary.Assesses and re-evaluates health and progress due to the dynamic nature of the plan of care required on an ongoing basis. Initiates and implements appropriate modifications in plan of care to adapt to changes occurring over time and through various settings.Develops appropriate and fiscally responsible plan of care with targeted interventions that enhance quality, access, and cost-effective outcomes.Recognizes need for contingency plans throughout the healthcare process.Develops and implements the plan of care based on accurate assessment of the member and current of proposed treatment.Your Knowledge and ExperienceBachelor's degree of Science in Nursing or advanced degree is preferredRequires a current CA RN LicenseCertified Case Manager (CCM) Certification or is in process of completing certification when eligible based on CCM application requirementsRequires at least 5 years of prior experience in nursing, healthcare or related field A minimum of 3+ years managed care experience in inpatient, outpatient or managed care environment preferredHealth insurance/managed care experience preferredTransitions of care experience preferredExcellent communications skillsPay Range:The pay range for this role is: $ 87230.00 to $ 130900.00 for California.Note:Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.#LI-MM4

The pay range is $69,000.00 - $124,200.00Pay is based on several factors which vary based on position. These include labor markets and in some instances may include education, work experience and certifications. In addition to your pay, Target cares about and invests in you as a team member, so that you can take care of yourself and your family. Target offers eligible team members and their dependents comprehensive health benefits and programs, which may include medical, vision, dental, life insurance and more, to help you and your family take care of your whole selves. Other benefits for eligible team members include 401(k), employee discount, short term disability, long term disability, paid sick leave, paid national holidays, and paid vacation. Find competitive benefits from financial and education to well-being and beyond at .About us:Working at Target means helping all families discover the joy of everyday life. We bring that vision to life through our values and culture. .A role in Distribution and Receive Centers means being on the very front lines of getting product to the guest as fast as possible – a critical differentiator and one of the most essential functions within Logistics. Whether it’s through focusing on regional or upstream distribution centers, target.com fulfillment centers, or import warehouses, you’ll have the chance to positively impact thousands of fellow team members and Target guests worldwide. There’s so much good work to be done, from Distribution Center Operations, where process and problem solving drive our results, Quality Management, which influences and maintains our good name in the retail marketplace, or overall Distribution Center Productivity, where we’re always analyzing and recalibrating how to best support our people, process and technology investments to support an ever evolving business.A role as an Operations Manager provides a chance to influence with a focus on safety, leadership, excellence, self-motivation, problem-solving and teamwork. You will foster a “safety first” culture through awareness, training and accountability. You will quickly establish yourself as an engaging and inclusive leader with ownership for the team’s ability to maximize its productivity, growth and development. Create a positive work environment though real-time observation and specific, constructive and actionable feedback. Working with a sense of urgency will help ensure that ensure that operational plans are executed, performance and budget goals are achieved and teams are kept informed and coordinated across functions. You’ll have the autonomy to innovate with new approaches to process and method, all in the name of more efficiency and implementing future process flow optimization. Your ability to find root causes to problems will be well supported by an environment of calculated risk and testing. And your commitment to others will shine when you jump right in to help teams meet their business goals.Core responsibilities of this job are described within this job description. Job duties may change at any time due to business needs.About you:• Four-year degree or equivalent experience• Demonstrated leadership ability, with the ability to engage and motivate others• Excellent communication, interpersonal and organizational skills• Good reasoning, conflict-management, and analytical and problem-solving skills• Able to access all areas of the Distribution Center, including the mezzanine platforms• Able to read and interpret necessary policies and procedures to perform updates and operate systems and other programs within the Distribution Center, for example, ability to traverse conveyor crossoversTarget will consider for employment qualified applicants with criminal histories in a manner consistent with the San Francisco and City of Los Angeles Fair Chance Ordinances.Americans with Disabilities Act (ADA)In compliance with state and federal laws, Target will make reasonable accommodations for applicants with disabilities. If a reasonable accommodation is needed to participate in the job application or interview process, please reach out to candidate.accommodations@HRHelp.Target.com.

Your Role The Clinical Post Serviceteam reviews outpatient post service claims with medical records supporting services rendered to members for medical necessity and benefit validation. The Utilization Management Nurse, Seniorwill report to the Manager, Utilization and Medical Review. In this role you will beperforming post service review for members using BSC evidenced based guidelines, medical policies, and nationally recognized clinical criteria across lines of business. Successful RN candidate reviews post service requests for medical necessity, coding accuracy and medical policy compliance while maintaining turn-around time and production expectations. Clinical judgment and detailed knowledge of benefit plans used to complete review decisions is required.Your Work In this role, you will: Perform retrospective utilization reviews and first level determination approvals for members using BSC evidenced based guidelines, policies and nationally recognized clinal criteria across lines of business or for a specific line of business such as Medicare and CommercialConducts clinical review of claims for medical necessity, coding accuracy, medical policy compliance and contract compliancePrepare and present cases to Medical Director (MD) for medical director oversight and necessity determinationand communicate determinations to providers and/or members to in compliance with state, federal and accreditation requirementsDevelop and review member centered documentation and correspondence reflecting determinations in compliance with regulatory and accreditation standardsand identifypotential quality of care issues, service or treatment delays and intervenes or as clinically appropriateClearly communicates, is collaborative, while working effectively and efficientlyTriages and prioritizes cases to meet required turn-around timesClinical judgment and detailed knowledge of benefit plans used to complete review decisionsYour Knowledge and Experience Bachelors of Science in nursing or advanced degree preferredRequires a current California RN LicenseRequires at least 5 years of prior relevant experienceRequires strong attention to detail to include ability to analyze claim data analyticsRequires independent motivation, strong work ethic and strong computer navigations skillsPrior post service review experience preferred Pay Range: The pay range for this role is: $ 87230.00 to $ 130900.00 for California. Note: Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.

Your Role The Utilization Management team reviews the inpatient stays for our members and correctly applies the guidelines for nationally recognized levels of care. The Utilization Management Nurse will report to the Utilization Management Nurse Manager. In this role you will be assigned a list of inpatient facilities and then review clinical information provided by the facilities to determine medical necessity when our members admit. You will also be involved with discharge planning and transfers as needed for higher levels of care or out of network admissions.Your Work In this role, you will: Perform prospective, concurrent and retrospective utilization reviews and first level determination approvals for long term care members using BSC evidenced based guidelines, policies and nationally recognized clinal criteria across lines of business or for a specific line of business such as Medicare and FEPConducts clinical review of claims for medical necessity, coding accuracy, medical policy compliance and contract complianceEnsuredischarge (DC) planning at levels of care appropriate for the members needs and acuityand determine post-acute needs of member including levels of care, durable medical equipment, and post service needs to ensure quality and cost-appropriate DC planningPrepare and present cases to Medical Director (MD) for medical director oversight and necessity determinationand communicate determinations to providers and/or members to in compliance with state, federal and accreditation requirementsDevelop and review member centered documentation and correspondence reflecting determinations in compliance with regulatory and accreditation standardsand identifypotential quality of care issues, service or treatment delays and intervenes or as clinically appropriateRefer to Case Management when there are acute inpatient needs affecting dischargeAttend staff meetings, clinical rounds and weekly huddlesMaintain quality and productivity metrics for all caseworkBuddy or support new employeesMaintaining HIPAA compliant workspace for telework environmentYour Knowledge and Experience Requires a bachelor's degree or equivalent experienceRequires a current California RN LicenseRequires at least 5 years of prior relevant experienceRequires strong communication and computer navigation skillsDesires strong teamwork and collaboration skillsRequires independent motivation and strong work ethicRequires strong critical thinking skills Pay Range: The pay range for this role is: $ 87230.00 to $ 130900.00 for California. Note: Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles. #LI-RU1

Your Role The UM Prior Authorization teamconducts medical necessity reviews for services before they are rendered. TheSr. Manager Medical and Utilization Reviewwill report to theDirector Medical and Utilization Review. In this role you will bemanaging a high functioning team, have direct oversight of day-to-day operations and participate in process improvement/cost of health care initiates.Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking,buildingand sustaining high-performing teams, getting results the right way, and fostering continuous learning.Your Work In this role, you will: Establish operational objectives for department or functional area and participate with other managers to establish group objectives.Be responsible for team, department or functional area results in terms of planning, cost and methods in collaboration with Director.Participate in the development and implementation of the annual budget under the direction of Director.Ensureworkflowprocedures and guidelines are clearly documented and communicated.Interpret or initiate changes in guidelines/policies/procedures.May lead special projects/committees/task forces.Manages a team and/or department with focus on policy and strategy implementation.Establishes operational plans with measurable contribution towards the achievement of results for the function.Provides measurable input to new products, processes or standards in operational plans that will have some impact on the achievement of overall function results.Exerts significant decision-making authority, guided by resource availability and functional objectives.Has budgetary responsibility and/or manages certain processes or projects within department’s budget.Responsible for making moderate to significant improvements of processes and policies to enhance performance of the department.Requires ability to exert influence on others within department in the development of multiple objectives and annual goals for a department.Influences higher-level management on large-scale tactical changes and organization improvements.Manages a large team consisting of experienced clinical professionals. Leads, directs and reviews the work of team who exercise latitude and independence in their assignments.Manage multiple regulatory reports.Manage operational and regulatory reports.Ensure compliance to regulatory and accreditation standards.Collaborate across functionally to improve member outcomesYour Knowledge and Experience Requires a bachelor's degree or equivalent experienceRequires a current California RN LicenseRequires at least 10 years of prior relevant experience including 4 years of management experienceRequires knowledge of regulatory requirements for all Lines of Business (Medi-Cal, ASO/SA, IFP, Medicare Advantage)Requires practical knowledge in leading and managing the execution of processes, projects and tactics within an areaRequires strong emotional intelligenceRequires the ability to work collaborative with cross functional operations Pay Range: The pay range for this role is: $ 136400.00 to $ 204600.00 for California. Note: Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles. #LI-RU1

Your Role The Utilization Management Prior Authorization team ensures accurate and timely prior authorization of designated healthcare services, continuity or care, and access to care clinical review determinations. The Manager, Utilization and Medical Review will report to the Sr. Manager, Utilization and Medical Review. In this role you will be managing a high functioning team, have direct oversight of day-to-day operations and participate in process improvement/cost of health care initiatives.Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking,building,and sustaining high-performing teams, getting results the right way, and fostering continuous learning.Your WorkIn this role, you will:Establish operational objectives for department or functional area and participate with other managers to establish group objectivesBe responsible for team, department, or functional area results in terms of planning, cost in collaboration with Sr ManagerParticipate in the development and implementation of the annual budget under the direction of Sr Manager / DirectorEnsureworkflowprocedures and guidelines are clearly documented and communicatedInterpret or initiate changes in guidelines/policies/proceduresManage multiple regulatory reportsEstablish and manage operational reportsEnsure regulatory and accreditation standards are met for multiple lines of businessCollaborate across functionally to improve member outcomesParticipate in Regulatory and Internal Audits.Your Knowledge and ExperienceRequires a bachelor's Degree or equivalent experienceRequires a current California RN LicenseRequires at least 7 years of prior relevant experience including 3 years of management experienceHas demonstrated experience with basic management approaches such as work scheduling, prioritizing, coaching, process execution, work organization, inventory management, risk management and delegationKnowledge of regulatory requirements for all Lines of Business (Medi-Cal, ASO/SA, IFP, Medicare Advantage) preferredRequires strong emotional intelligence skillsRequires the ability to work collaborative with cross functional operationsPay Range:The pay range for this role is: $ 109120.00 to $ 163680.00 for California.Note:Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.#LI-RU1

Your Role The Utilization Management Prior Authorization team accurate and timely prior authorization of designated healthcare services, continuity or care, and access to care clinical review determinations. The Utilization Management Nurse, Senior will report to the Manager, Utilization and Medical Review. In this role you will be performing first level determination approvals for members using BSC evidenced based guidelines, policies, and nationally recognized clinical criteria across lines of business or for a specific line of business such as Medi-Cal and Medicare. Successful RN candidate reviews prior authorization requests for medical necessity, coding accuracy and medical policy compliance. Clinical judgment and detailed knowledge of benefit plans used to complete review decisions is required.Your Work In this role, you will: Perform prospective utilization reviews and first level determination approvals for members using BSC evidenced based guidelines, policies and nationally recognized clinal criteria across lines of business or for a specific line of business such as BSC Promise Medi-Cal and MedicareEnsuredischarge (DC) planning at levels of care appropriate for the members needs and acuityand determine post-acute needs of member including levels of care, durable medical equipment, and post service needs to ensure quality and cost-appropriate DC planningPrepare and present cases to Medical Director (MD) for medical director oversight and necessity determinationand communicate determinations to providers and/or members to in compliance with state, federal and accreditation requirementsDevelop and review member centered documentation and correspondence reflecting determinations in compliance with regulatory and accreditation standardsand identifypotential quality of care issues, service or treatment delays and intervenes or as clinically appropriateTriages and prioritizes cases to meet required turn-around times and expedites access to appropriate care for members with urgent needsProvides referrals to Case Management, Disease Management, Appeals and Grievance and Quality Departments, as necessaryOther duties as assignedYour Knowledge and Experience Requires a bachelor's degree or equivalent experienceRequires a current California RN LicenseRequires at least 5 years of prior relevant experienceRequires practical knowledge of job area typically obtained through advanced education combined with experienceExperience working with or for a manage health care plan preferredExperience with Medi-Cal managed care including Medicare preferredEffective time management skills and ability to define and act on priorities efficiently preferredExcellent communication skills both orally and in writing with all levels of BSC Promise staff, members, contracted physicians, and participating provider groups preferred Pay Range: The pay range for this role is: $ 87230.00 to $ 130900.00 for California. Note: Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.

Your Role Reporting to the Sr. Director, Utilization Management, the role of the Director, Commercial Utilization Management is critical to the success of Blue Shield of California and the Utilization Management department in realizing its goals and objectives. This individual will play a key role as part of Utilization Management team in delivering and collaborating on all aspects of utilization management and care coordination for Commercial membership. The Director, Commercial Utilization Management role will also provide direction and leadership in compliance to regulatory requirements and key operational metrics. Your Work In this role, you will: Manages and monitors prior authorization and concurrent review to ensure that the patient is getting the right care in a timely and cost effective way.Leading development of UM strategy by leveraging the use of data/analytics to inform and technology solutions to streamline operational efficiencies while also building a cost-benefit methodology to rationalize decisions on UM reviews to be performed based upon staffing costs, productivity, and projected medical cost savings.Provides analysis and reports of significant utilization trends, patterns, and resource allocation. Partners with physicians and others to develop improved utilization of effective and appropriate services.Establishing and measuring productivity metrics in order to support workforce planning methodology and rationalization of services required to perform UM reviews.Reviewing and reporting out on Utilization Review (UR) trending for Commercial membership.Ensuring alignment of the authorization strategy with clinical policy, payment integrity, and network development strategies to optimize quality and cost of care.Responsible for managing strategic projects and supporting operations initiatives.Leading operational implementation of transformation changes (organizational management, process implementation, technology adoption).Responsible for operational teams' performance, resource management, continuous improvement, and training.Responsible for operational audit readiness, ensuring adequate processes and internal audit measures in place and maintained quarterly.Ensuring all operational processes are meeting regulatory and accreditation requirements.Fosters a culture of process excellence, BSC leadership principles, and a great place to work environment.Occasional business travel required.Your Knowledge and Experience Requires current CA RN LicenseBachelors of Science in Nursing or advanced degree preferredMaster’s degree or equivalent experience preferredMinimum of 10 years prior relevant experience, including 6 years of management experienceMinimum of 5 years of progressive leadership in Utilization Management operations, preferredHealth plan or similar health care organization structure experience requiredSuccessful track record in driving organizational change managementExcellent relationship and consensus-building skills required Pay Range: The pay range for this role is: $ 165990.00 to $ 248930.00 for California. Note: Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles. #LI-SS8

Your Role The Medical Care Solutions education team is responsible for all clinical education for all departments within Medical Care Solutions as well as some Health Solutions teams. This includes Utilization Management, Care Management, Post Service, and Appeals. This clinical educator role will be responsible for Utilization Management for all lines of business. The Clinical Educator position will report to the Senior Stakeholder Manager in Enterprise Learning supporting Health Solutions. Your Work In this role, you will: Manage and facilitate clinical education for new hires and existing clinical staffSupport Utilization Management with a focus on new hire training and continuing education for Blue Shield of California clinicians working concurrent review and prior authorizationsConduct training classes in a virtual learning environment and at times in personAct as a liaison and provide training support and clinical education to cliniciansReportany instances of noncompliance, such as access issues or quality concerns, to the appropriate department along with recommended corrective actionsPartner will quality team and compliance to address quality trends or compliance issues that require training or education with a focus on DHCS, NCQA, and DMHC regulatory complianceAct as a Utilization Management clinical subject matter expert for Enterprise Learning guiding principles and processesProvide learning support and create Behavioral Health clinical learning scenariosBe a subject matter expert in MCG clinical criteria and BSC medical policiesClinical education on Utilization Management including concurrent reviews and prior authorizationsUtilization Management concurrent review and prior authorizationdepartment processes and workflowsDevelop and design training modules for Utilization Management for all lines of businessCreate learning competencies checklists, mock case scenarios, and assessments as needed for Utilization Management reviews using MCG clinical guidelines and medical policiesSupport clinical learning projects and process improvements for Utilization Management (Concurrent Review and Prior Authorizations)Your Knowledge and Experience Requires a bachelor's degree or equivalent experienceRequires a current California RN licenseRequires at least 7 years of prior relevant experienceExperience working in Utilization Management, preferredExperience in Health Insurance, preferredKnowledge of learning principles and models, preferredExperience facilitating presentations using virtual technology, preferred Pay Range: The pay range for this role is: $ 109120.00 to $ 163680.00 for California. Note: Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.

Your Role The IT Health Solutions Pharmacy team delivers all IT Pharmacy solutions to support Pharmacy operations and Pharmacy Transformation. The IT Product Manager, Consultantwill report to the IT Apps Pharmacy Solution Delivery Director. In this role you will as part of an agile team, successfully deliver high-quality pharmacy solutions. You will build strong partners with business and IT stakeholders and align/engage appropriate agile team resources to deliver initiatives, mandates and operational enhancements. Your Work In this role, you will: Develop new product concepts, designs, and/or enhancements to existing product design that reflect business and user needsConduct research and develop a strong understanding of the business' needs, new technologies, technology trends and competitorsDrive advanced, complex technical product(s) and business issues requiring state of the art technical or industry knowledgeInvest in product process improvements, utilizing data and organizational strategies to foster and influence changeServe as an advocate of product team to Senior Leadership and provides consultation to other product managersLead all Agile Quarterly Planning activities work with business to ensure Epic and stories are created and define quarterly two-week sprintsManage/groom product backlogCreate and maintain robust product roadmapEnsure availability and stability of applicationsProvide IT estimates for all work assigned to business serviceUnderstand and be able to influence technical design and architectural patterns as well as understand Cloud technologies and data integrations Your Knowledge and Experience Requires a bachelors degree or equivalent experienceRequires at least 7 years of prior relevant experienceDeep knowledge of product managementComprehensive understanding of Cloud technologies, system/data integrations and APIsRequires Healthcare KnowledgePreferred Healthcare Pharmacy Knowledge and experience working with Pharmacy Benefits Manager Pay Range: The pay range for this role is: $ 119130.00 to $ 178860.00 for California. Note: Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.