General information City: Riverside State: California Team Clinical Services Working time Full- Time Description & Requirements Description $750 Sign-On Bonus!Compensation:$23 - $30 Per Hour - Full time, based upon experiencePromotion opportunity to Program Supervisor (salaried) based upon experienceBenefits of Working at Intercare:Monthly Bonuses!Flexible work schedule with a focus on work/life balance; Manage your own scheduleMileage reimbursement, a company computer and cell phoneEducation tuition reimbursement program (Masters & BCBA)!Leadership training and CEUs - we will teach how to become a better leader!Medical, Dental, and Vision insuranceGenerous time off policy (vacation, sick time, and holidays)Company 401k PlanOutstanding mentorship and supportive environment for continual learningRequired Credentials/Experience:Completed Master’s degree in relevant fieldIn progress with BCBA preferredStrong ABA and clinical skillsExcellent written and spoken communication, time management skills, and interpersonal skillsAbility to give and receive constructive feedback with a team player attitudeBilingual skills valuedJob DescriptionIntercare Therapy provides evidence-based behavioral therapies that help children overcome challenges related to autism spectrum disorders. Our mission is to optimize the independence and quality of life of our clients and their families. We love what we do, and we are seeking team members who share our passion for improving the lives of children and families affected by autism.AProgram Managerserves in the field as the onsite case supervisor and leader, mastering daily case management skills, including developing and overseeing clinical programs, supervising BIs and providing education and training for client caregivers. You must be willing to drive 30 to 60 miles a day, andable to supervise client sessions anytime between 8AM and 6PM on weekdays, and occasionally on weekends.We are proud to be the highest rated established ABA organization on Glassdoor! Check out our rankings and reviews on Glassdoor!Learn more about us on You Tube!This position may require the candidate be fully vaccinated for COVID-19 in accordance with all vaccination requirements set forth by Intercare funding sources and pursuant to any guidelines from the California Department of Health.Closing:If you have experience in any of the following fields, we encourage you to apply:Behavior Analyst, Autism, Social Learning, Social Skills, Developmental Condition, Psychology, Sociology, Social Services, Children, ABA, Applied behavior analysis, BCBAIntercare Therapy will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the Los Angeles Fair Chance Initiative for Hiring (Ban the Box) Ordinance.Intercare Therapy supports a diverse workforce and is an Equal Opportunity Employer.

The pay range is $83,200.00 - $130,000.00Pay 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 .ALL ABOUT SPECIALTY SALES A sales force of specialized consultants who provide tailored suggestions and solutions through active selling and compelling visual merchandising presentations that inspire guests and build the basket.Teams in Apparel & Accessories (A&A), 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 Executive Team Leader can provide you with the:Knowledge of guest service fundamentals, experience building and managing a guest first culture on your teamKnowledge of retail business fundamentals including: department sales trends, inventory management, guest shopping patterns, pricing and promotions strategiesExperience setting and planning department(s) monthly/quarterly workload to support business priorities and managing a team to deliver on sales goalsAbility to manage multiple specialty businesses and balance team member expertise in each area to effectively manage teams in each departmentKnowledge of competitors and ability to leverage insights that drive business objectives in each specialty departmentExperience managing a team of hourly team members and leaders and creating business specific strategies and goalsSkills in recruiting, selecting and talent management of hourly team members and leadersAs a Specialty Sales Executive Team Leader, no two days are ever the same, but a typical day will most likely include the following responsibilities:Drive total store sales, understand your role in sales growth and how your departments and team contribute to and impact total store profitabilityCreate a guest-obsessed culture and lead your team to prioritize the guest experience and deliver on store sales goalsCreate schedules and make adjustments as needed to align to guest traffic and business needsManage your team to effectively plan merchandising and pricing workload including transitions, revisions, sales plans, sampling and promotionsKnow and assess the competition and leverage guest insights and feedback to drive the business and be the destination of choice for our guestsWork a schedule that aligns to guest and business needs (this includes early morning, evening, overnight shifts and weekends)Build a team of consultants that are knowledgeable and passionate about Apparel and Accessories, Beauty and ElectronicsManage and develop a sales force using selling training techniquesLead A&A, Beauty and Electronics backroom processes, organization, layout and replenishment of the salesfloor to ensure product is available for guestsLead your team to deliver inspiring visual moments in A&A, Home, Baby and other seasonally relevant areasEnsure fitting rooms are used as an extension of the sales floor and are welcomingPlan, lead and follow-up on organizational and operational changeAnticipate and identify changes in unique store trendsAnticipate staffing needs, talent plan and recruit – both long and short termDevelop and coach your team and Team Leaders to elevate their skills and expertiseLead team onboarding, learning and help close product knowledge and skill gaps through development, coaching and team interactionsEstablish a culture of accountability through clear expectations and performance managementProvide service and a shopping experience that meets the needs of the guestAlways demonstrate a culture of ethical conduct, safety and compliance; lead and hold the team accountable to work in the same wayAddress store needs (emergency, regulatory visits, etc.)As a key carrier, follow all safe and secure training and processesAll 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 Executive Team Leader. But, there are a few skills you should have from the get-go:4 year degree or equivalent experienceStrong interpersonal and communication skillsStrong business acumenComfortable dealing with ambiguityManage conflict, lead and hold others accountableRelate well with and interact with all levels of the organizationStrong cognitive skills, including problem analysis, decision making, financial and quantitative analysisLearn and adapt to current technology needsManage workload and prioritize tasks independentlyWe 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 informationScan, 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 40 pounds Accurately handle cash register operationsClimb up and down laddersFlexible work schedule (e.g., nights, weekends and holidays) and regular attendance necessaryTarget 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 Clinical Program Manager, Principal in collaboration with the Regional Medical Director and internal Blue Shield of California teams will be responsible for collaborating with all externally facing partners to transform the way health care is delivered, ensuring best-in-class care for all members. Priority is given to delivering on the Quadruple Aim (lower cost care, increased quality, increased member satisfaction and physician satisfaction) with a focus on execution to drive and accelerate improvements in primary care for all patients. This role will report to the Regional Medical Director. Your work: In this role, you will: Operate at a strategic business level to ensure projects/programs are in line with Blue Shield of California’s strategic goalsConsult with all levels (including senior management) making recommendations and influencing decision-makingLeverage cross-functional internal and external relationships to drive initiatives forwardPlan and implement multiple and extremely complex projects/programs spanning across business areasDetermine key business issues, develop effective action plans, and implement to successful conclusionPerform data analysis for all lines of business: Analyze data in collaboration with Regional Medical Director for trends, drivers, and key initiatives. Incorporate the analysis into meaningful discussions with Group/IPAIdentify opportunities around utilization, quality, and clinical initiatives: Work side by side with internal and external partners in the design and launch of clinical programs focused on high-risk members, hospital initiatives, and behavioral health as well as internal innovation programsPartner with medical groups to co-create programs encompassing a full spectrum of initiatives around disease management, complex care management, transitions of care and site of service; ensuring optimal utilization, access, and quality of care for membersLead with a collaborative approach and an understanding of existing resources and relationships between/among partner organizations while moving them towards constructive changeWork cross functionally with Blue Shield of California internal teams to provide support both ad hoc and for recurrent initiatives Your Knowledge and Experience Requires a current, active California RN, NP, or PA licenseRequires a bachelor’s degree; advanced degree is preferredRequires a minimum of 10 years of prior relevant clinical or job related experienceExperience in case utilization, quality improvement and disease management; MediCal experience is a plus.In-depth understanding of the managed care delegated model and associated efficiency and quality measures. Health plan experience is preferredExcellent verbal and written communication style to drive positive outcomesStrong data analytic skills and advanced knowledge in Microsoft 365, especially in Excel and PowerPoint applicationsAbility to be resourceful and collaborative; a team collaborator with strong listening skills and the ability to offer creative solutions to drive consensus 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-EB1

General information City: Riverside State: California Team Clinical Services Working time Full- Time Description & Requirements Description $750 Sign-On Bonus!Compensation:$23 - $30 Per Hour - Full time, based upon experiencePromotion opportunity to Program Supervisor (salaried) based upon experienceBenefits of Working at Intercare:Monthly Bonuses!Flexible work schedule with a focus on work/life balance; Manage your own scheduleMileage reimbursement, a company computer and cell phoneEducation tuition reimbursement program (Masters & BCBA)!Leadership training and CEUs - we will teach how to become a better leader!Medical, Dental, and Vision insuranceGenerous time off policy (vacation, sick time, and holidays)Company 401k PlanOutstanding mentorship and supportive environment for continual learningRequired Credentials/Experience:Completed Master’s degree in relevant fieldIn progress with BCBA preferredStrong ABA and clinical skillsExcellent written and spoken communication, time management skills, and interpersonal skillsAbility to give and receive constructive feedback with a team player attitudeBilingual skills valuedJob DescriptionIntercare Therapy provides evidence-based behavioral therapies that help children overcome challenges related to autism spectrum disorders. Our mission is to optimize the independence and quality of life of our clients and their families. We love what we do, and we are seeking team members who share our passion for improving the lives of children and families affected by autism.AProgram Managerserves in the field as the onsite case supervisor and leader, mastering daily case management skills, including developing and overseeing clinical programs, supervising BIs and providing education and training for client caregivers. You must be willing to drive 30 to 60 miles a day, andable to supervise client sessions anytime between 8AM and 6PM on weekdays, and occasionally on weekends.We are proud to be the highest rated established ABA organization on Glassdoor! Check out our rankings and reviews on Glassdoor!Learn more about us on You Tube!This position may require the candidate be fully vaccinated for COVID-19 in accordance with all vaccination requirements set forth by Intercare funding sources and pursuant to any guidelines from the California Department of Health.Closing:If you have experience in any of the following fields, we encourage you to apply:Behavior Analyst, Autism, Social Learning, Social Skills, Developmental Condition, Psychology, Sociology, Social Services, Children, ABA, Applied behavior analysis, BCBAIntercare Therapy will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the Los Angeles Fair Chance Initiative for Hiring (Ban the Box) Ordinance.Intercare Therapy supports a diverse workforce and is an Equal Opportunity Employer.

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 Work In 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 typeInitiation 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 agesDetermines appropriateness of referral for CM services, mental health, and social servicesProvides 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 casesManages member treatment in order to meet recommended length of stay. Ensures DC planning at levels of care appropriate for the members needs and acuityAssessment: 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 barriersResearch 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 BSCDetermines realistic goals and objectives and provides appropriate alternatives. Actively solicits client’s involvementPlanning: 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 necessaryAssesses 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 settingsDevelops appropriate and fiscally responsible plan of care with targeted interventions that enhance quality, access, and cost-effective outcomesRecognizes need for contingency plans throughout the healthcare processDevelops and implements the plan of care based on accurate assessment of the member and current of proposed treatmentYour Knowledge and Experience Requires 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 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-MM4

Your Role The Medicare Appeals and Grievances team is responsible for compliance processing of Medicare appeals and grievances. The supervisor will report to the Manager for Medicare Appeals and Grievances. In this role you will manage the daily, short-term, and/or long-term activities of the customer service and operations teams to ensure alignment with service levels and providing service worthy of our family and friends. You will be responsible for the oversight of quality, production levels, strategic initiatives, employee development, preparation and management of budgets, goals, objectives, and results for various operational areas. 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 PlansContribute towards achieving the organizations Medicare Stars goalsYour Knowledge and Experience Requires a 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 trainingKnowledge of Medicare preferred.Experience working with appeals and grievances in healthcare preferredAbility to work collaboratively across diverse teams to improve processes and policies with a focus on the customer experience. 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