OverviewAvanath is proud to be named one of the top property management companies to provide affordable housing for the workforce.Cultivating the American Dream is the purpose that binds the Avanath team. At Avanath, every day is an opportunity to make a difference in someone's life. Whether it is helping residents call one of our communities’ home, providing excellence in customer service, or championing our workforce, we are committed to creating an unforgettable experience as a great place to live, work, and be.The Role: The Maintenance Supervisor is accountable for delivering on our commitments to our residents and is instrumental in helping Avanath provide superior customer service to our residents. This includes quality move-in, timely service, superb curb appeal, and personal attention to our residents and their homes. The Maintenance Supervisor works alongside the Community Manager in ensuring the responsibility of overseeing the activities of assigned staff and vendors to ensure the maintenance of the property. The incumbent in this role must possess a high degree of professionalism and positive engagement for our residents and the workforce.An Aptitude for Connecting - Must possessa strong sense for creating a sense of community, as well as the drive to go the extra mile to create a positive experience for all residents and staff. Your success and purpose are driven by the relationships that you build within your communities including vendor partners, regulatory and social services partnerships. This Includes adopting a collaborative approach to create consistent favorable circumstances that foster success and effectiveness for the Organization and the communities.An Authentic Attitude -Consistently demonstrate an open and professional attitude and approach when accessing and resolving resident and staff concerns. This Includes, but Is not limited to, seeking resources throughout the organization via the organizations' support services and senior leadership.An Approach that is positive and Professional - Consistently demonstrate an approach of active listening and understand that your participation and support are integral to the success of Avanath, ensuring that each resident and staff feel seen, heard and valued as you and the staff work to resolve challenges.QualificationsAt least 3 years of multifamily property maintenance experience.One year of supervisory experience required.Expertise in plumbing, HVAC, appliance repair, electrical, and carpentry work.HVAC certification.Valid Driver’s License.Very strong organizational skills and ability to handle multiple priorities.Solid interpersonal and customer service skills.Must be available for on-call and weekend work.Key Accountabilities+ Resident Relations + Customer ServiceDemonstrates customer services skills by treating residents and others with respect, answering questions from team and residents, responding sensitively to complaints about maintenance services, and assigned work orders with efficiency and urgency.Projects a favorable image of the community to achieve property objectives and public recognition.Ensure consistency, follow-up, and follow through in dealing with residents on all matters.Enforce policies of the community that are delegated by Community Manager.Assists and completes work orders generated from resident requests for service, as well as routine upkeep on the community by diagnosing the source or cause of the defect or problem, and making repairs in accordance with established policies, procedures, safety standards, and code requirements.+ Maintenance ManagementCoordinate, schedule and respond to resident/management request and work orders.Ensure all repairs and replacements necessary for community common areas and units. Supports cost-cutting and expense control programs by fixing rather than replacing parts when possible, not being wasteful with materials and supplies, and practicing the correct use for tools and equipment.Inspect grounds, building and other community features daily to daily to identify, minimize and correct hazardous property conditions or liability concerns.Manage and order maintenance supplies inventory while adhering to budget guidelines set by Community Manager.Maintain preventative maintenance program that extends the life of the community while minimizing future repairs.Maintain well-organized and property stocked maintenance shop while adhering to safety standards and OSHA guidelines.Maintain hazard communications program; teach and promote safe work practices.Manage unit inspections.Responsible for key control of community.Maintain accurate records regarding service requests, EPA/OSHA standards, preventative maintenance, apartment make-ready status, work in progress, etc.Manage and participate in on-call emergency at community.Plan for and utilize property resources, equipment and supplies economically by obtaining bids/pricing from vendors, suppliers, and contractors.Give direction to and monitor maintenance, construction, and rehabilitation activities to ensure quality and expediency.+ Staff LeadershipChallenge all team members to achieve higher levels of performance by establishing and communicating immediate and long-term goals.Develops standards for the cleanliness and overall appearance of the community’s grounds, amenities, building exteriors, market ready unit interiors, breezeways, curbs, signage, leasing office, central garbage areas, parking lots, and other buildings and common areas to ensure that they reflect and represent the high quality of the community and Avanath standards.Under direction of Community Manager, supervises, trains and schedules maintenance activities for maintenance staff.Monitor work progress of each maintenance staff on daily basis; provide immediate assistance and instruction if needed.Provide Community Manager input regarding employee performance evaluations.Conducts regularly scheduled Avanath safety meetings, ensure all MSDS sheets are current and readily accessible, and keeps up to date on all OSHA and other safety related laws and requirements to ensure community compliance.+ Adherence to Property Management Rules, Regulations and GuidelinesPractices proper safety techniques in accordance with Company, property, and departmental policies, procedures, and standards by immediately reporting any mechanical or electrical equipment malfunctions, employee/visitor/resident injuries or accidents, or other safety issues to appropriate individual(s).Complies with Avanath’s safety and risk-management policies by attending and participating in the property’s routine safety meetings, completing required training on OSHA and other safety related laws and requirements, and by reporting accidents and incidents promptly and accurately.Follows established policies and procedures by monitoring and ensuring compliance with regulatory requirements, organizational standards, and operational processes related to area(s) of responsibility and reporting violations or infractions to appropriate individual(s).Conduct all business in accordance with company policies and procedures, Fair Housing,Americans with Disabilities Actand all other laws pertaining to the apartment industry.Physical Demands & Working ConditionsThe incumbent in this is classified as essential staff and is expected to report to work and adhere to all safety and business protocols.Frequent sitting and walking.Reading, comprehending, writing, performing calculations, communicating verbally.May work in an elevated site, may walk on uneven ground.Occasional squatting, bending neck/waist, twisting neck/waist, pushing, and pulling.How Avanath Supports YouWe know that our teams are the heart of our success and growth, and we are committed to showing our appreciation.We offer:Culture Built on Purpose and Core Values -A Commitment to Integrity,A Spirit of Caring, andA Focus on Continuous Improvement.Comprehensive Benefits – health, dental & vision, 401(k), personal time off, paid holidays and more!Growth that is based on achievement and an emphasis on promoting from within our ranks versus just external candidates.Development – a commitment to creating opportunities to learn and expand your knowledge in the industry from online training platforms to training classes to one-on-one coaching.Diversity & InclusionAvanath Capital is committed to fostering, cultivating and preserving a culture of diversity, equity and inclusion. Our human capital is the most valuable asset we have, and Diversity, equity, and inclusion (“DEI”) are at the very core of Avanath’s operating and investment philosophy. We believe that bringing together people with diverse thoughts, backgrounds, talents, and experiences at all levels of our organization, including the executive team, enables us to proactively and creatively achieve our mission to enable opportunities for hard-working American families. The collective sum of the individual differences, life experiences, knowledge, inventiveness, innovation, self-expression, unique capabilities and talent that our employees invest in their work represents a significant part our culture, our reputation and our achievements. We embrace and encourage our employees’ differences in age, color, disability, ethnicity, family or marital status, gender identity or expression, language, national origin, physical and mental ability, political affiliation, race, religion, sexual orientation, socio-economic status, veteran status, and other characteristics that make our employees unique. Our organization’s diversity initiatives includebut are not limited toour practices and policies on recruitment and selection; compensation and benefits; professional development and training; promotions; transfers; and the ongoing development of a work environment built on the premise of gender and diversity equity that encourages and enforces:+ Respectful communication and cooperation between all employees.+ Teamwork and employee participation, permitting the representation of all groups and employee perspectives.+ Work/life balance through flexible work schedules to accommodate employees’ varying needs.+ Employer and employee contributions to the communities we serve to promote a greater understanding and respect for diversity.

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

General information City: Elk Grove State: California Team Clinical Services Working time Full- Time Description & Requirements Description Compensation:$26 - $32 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 Bachelor’s degree and either of the following:12 semester units of ABA course work with one (1) year experience implementing and/or designing ABA programmingTwo (2) years of experience designing or implementing ABA programsStrong 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.

ESSENTIAL DUTIES AND RESPONSIBILITIES• Foster the customer relationship in a team based selling model.• Manage deliveries to the routing schedule published by the transportation department; troubleshoot any problems that occur during the order process (e.g., delivery mis picks, short on loads, stock-outs).• Communicate and collect accounts receivable as necessary, working with the credit department and client; collect all balances due based on approved credit terms.• Leverage other resources to assist with top penetration opportunities and new accounts opening.• Develop new business; identify prospective customers by utilizing market intelligence databases, as well as business directories, following leads from existing clients, participating in organizations and clubs, and attending trade shows and conferences.• Know the market conditions, product innovations, and competitors' products, prices, and sales; share information with customers as part of value-added services provided.• Drive motor vehicle to existing customers, and prospects, to ensure product delivery, which may include lifting/carrying up to 75lbs.SUPERVISION:• No direct reports.RELATIONSHIPS• Internal: District Sales Manager, Regional Sales Manager, VP of Local Sales, Accounting/Credit Department, Merchandising and Marketing, Operations, and Customer Contact.• External: Customers, vendors, prospective customers.WORK ENVIRONMENT• Frequently outside the office environment working in the field visiting customers in variable weather and temperature conditionsMINIMUM QUALIFICATIONS• 1+ year of sales experience preferred.• Foodservice industry/culinary/restaurant management/hospitality experience preferred.• Excellent oral and written communication skills and presentation abilities.• Ability to build internal and external relationships and cold call to develop new business.• Exceptional customer service and interpersonal skills.• Competitive spirit and results driven mentality.• Problem solving ability / Organization and negotiation skills.• Team up mentality to collaborate with internal and external stakeholders.• Proficient computer skills; Microsoft Office products – Experience using Customer relationship management tools preferred (i.e., Salesforce).EDUCATION• HS Diploma or equivalentCERTIFICATIONS/TRAINING• N/ALICENSES• Valid driver’s license required & motor vehicle record must be in good standing.PREFERRED QUALIFICATIONS• N/APHYSICAL QUALIFICATIONS• Must be able to perform the following physical activities for described length of time.• List the required physical activities including length of time performing each activity referencing the key below.OCCASIONALLY: 1% - 33 / FREQUENTLY: 34% - 66% / CONTINUOUSLY: 67% - 100% or NEVERJOB REQUIRES WORKER TO: FREQUENCY:STAND FREQUENTLY,WALK FREQUENTLY,DRIVE VEHICLE FREQUENTLY,SIT FREQUENTLY,LIFT1-10 lbs (Sedentary) FREQUENTLY,11-20 lbs (Light) FREQUENTLY,21-50 lbs (Medium) OCCASIONALLY,51-100 lbs (Heavy) OCCASIONALLY,Over 100 lbs (Very Heavy) N/ACARRY1-10 lbs (Sedentary) FREQUENTLY11-20 lbs (Light) FREQUENTLY21-50 lbs (Medium) OCCASIONALLY,51-100 lbs (Heavy) N/A,Over 100 lbs (Very Heavy) N/A,PUSH/PULL N/A,CLIMB/BALANCE N/A,STOOP/SQUAT OCCASIONALLY,KNEEL OCCASIONALLY,BEND OCCASIONALLY,REACH ABOVE SHOULDER N/A,TWIST N/A,GRASP OBJECTS FREQUENTLY,MANIPULATE OBJECTS FREQUENTLY,MANUAL DEXTERITY FREQUENTLYThe following information is provided in accordance with certain state and local laws. Compensation depends on experience, geographic locations, and other factors permitted by law. In California, the expected compensation for this role is between $61,500. and $92,300. This role is also eligible for incentive compensation. Benefits for this role 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.careers.usfoods.com/benefits#LI-BK1

Job Description$25.00 / HourFull-TimeFull BenefitsOpportunitiesfor AdvancementOur restaurant portfolio at Sacramento International Airport includes Iron Horse Tavern, Peet's Coffee, Squeeze Burger, Cafeteria 15L, Mango Taco, & more!If you’ve enjoyed working in quick service or fast casual restaurant concepts, you’ll fit in on our team!Our Shift Supervisors play an important role in the day to day running of the business. You'll work on shift with the team to cultivate a positive and engaging atmosphere, ensure that best practices are being followed, and hold the team accountable for providing a safe and clean environment for our employees and our guests!Requirements:Previous experience leading a team in a Quick Service Restaurant or Fast-Food environmentServSafe certification preferredKnowledge of food safety (back of house experience a plus!)Basic computer skillsAbility to multi-taskStrong leadership & communication skillsDiversity and Inclusion is a priority at SSP. We are an equal opportunities employer committed to engaging all of our people, so they feel valued and motivated; we champion diversity, promote inclusion, and ensure equality. We respect and protect human rights and prevent discrimination; and we positively impact our communities. We encourage and welcome applications from a diverse range of candidates regardless of background, gender, race, religious beliefs, disability, sexual identity and orientation.

In our ‘always on’ world, we believe it’s essential to have a genuine connection with the work you do.RUCKUSNetworks builds and delivers purpose-driven networks that perform in the tough, unique environments of the industries we serve. Leveraging network assurance and enterprise-wide automation driven by AI and machine learning (ML), we empower our customers to deliver exceptional experiences for every employee, guest, customer, student, and resident who counts on those networks to connect with their digital lives.How You'll Help Us Connect The World: RUCKUS is searching for aTerritory Account Managerto strategically manage its business for the Westterritory. This critical role drives revenue, increases market share, develops strong customer and partner relationships, and develops new business. In this role, you will execute the sales go-to-market strategy and work with channel partners to apply a hands-on approach to driving sales and channel functions. Candidate residence within theterritory is required, and the California area is highly preferred.Requirements:Experience working with IT and/or networking and wireless products with the ability to tap into technology to provide valued added business outcomes.Establishes a professional working relationship (up to the executive level) with clients and prospects to develop a core understanding of the unique business needs.Prospect and nurture growth opportunities using the account planning process; actively manages planning process through scheduled reviews and updates.Build and drive the execution of a territory account plan that includes working with partners and internal specialists to increase win rate.Demonstrated experience selling complex solutions, value selling, and/or consultative sales techniques.Cultivate relationships with our channel partners to bring channel-centric go-to-market approach for our customers.Demonstrates in depth knowledge of the full sales cycle and the ability to follow a structured sales process.Proficient in the understanding of forecast methodologies and provide weekly updates.Excellent time management skills, and work with high levels of autonomy and self-direction.Ability to manage excellent Sales Force hygiene.Thorough understanding and ability to meet KPIs. Required Qualifications:8+ years of proven track record in sales, technical sales, or a related field.Technical aptitude of IP networking and wireless products, software solutions, and service offerings as well as competitive offerings.A proven self-starter who is open to coaching and mentoring.A positive track record of delivering and overachieving revenue goals.Experience presenting technical solutions to technical and non-technical audiences including C-level executives in small and large group settings.Proficient in the understanding of MEDDICC and SFDC forecast methodologies.Bachelor, or equivalent, degree preferred.Fluency in english language is a must.#LI-RB1#LI-REMOTEOur salary ranges consider a wide variety of factors, including but not limited to benchmarking by independent third-party consultants, skill sets, years of experience, training, education, geography, and other business needs. Depending on experience, the range can be higher for candidates with exceptional experience and a demonstrated history of successful performance. This position's expected total compensation (base salary and commission range) is $123,600.00-$190,000.00 The candidate will be rewarded with a comprehensive benefits package, including medical, dental, and vision plans, life and accidental death insurance, a 401(k) plan, and participation in the Company’s Incentive Plan. Candidates starting with the Company will be eligible for eleven paid holidays in a full calendar year, two weeks of paid vacation (prorated based on start date), as well as other leave options.What Happens After You Apply Learn how to prepare yourself for the next steps in our hiring process by visiting https://jobs.commscope.com/content/How-We-Hire/ locale=en_USWhy CommScope CommScope is on a quest to deliver connectivity that empowers how we live, work, and learn.Our employees push the boundaries of communications technology that enables game-changing discoveries like 5G, the Internet of Things, and gigabit speeds for everyone, everywhere.With our unmatched expertise in copper, fiber, and wireless infrastructure, our global clients rely on us to outperform today and be ready for the needs of tomorrow. If you want to grow your career alongside bright, passionate, and caring people who strive to create what's next..come connect to your future at CommScope. CommScope is an Equal Opportunity Employer (EEO), including people with disabilities and veterans. If you are seeking an accommodation for the application or interview process, please contact us to submit your request at . You can also learn more about CommScope’s accommodation process and EEO policy athttps://jobs.commscope.com/eeo

Join us and inspire with every cup! At Starbucks, it’s all about connection. People are at the heart of who we are, especially the people that are a part of our store team. We connect with each other, our customers and our communities to make a positive impact every day. We believe in working together to make a difference and in celebrating our shared success, which is why we call ourselves Starbucks “partners.” Starbucks is a place of warmth and belonging, where everyone is welcome, and we value the unique experiences that each partner brings to our team! As a Starbucks shift supervisor, you’ll be a role model of the store operations standards that define our Starbucks Experience. You’ll lead each shift, working alongside a team of baristas to deliver quality customer service and expertly-crafted products. You’ll be in an energetic store environment where you’ll have the ability to positively influence and guide others, maintain an encouraging team environment, and grow your leadership skills. We believe our shift supervisors are leaders in creating an uplifting experience for our customers and partners alike. You’d make a great shift supervisor if you: Take initiative and act as a role model to others. Enjoy working as a team and motivating others.Understand how to create a great customer service experience.Have a focus on quality and take pride in your work.Are confident in leading, deploying, and guiding others.Are open to learning new things (especially the latest beverage recipe!)Are experienced with responsibilities like cash-handling and store safety. Can keep cool and calm in a fast-paced, energetic work environment.Have excellent communications skills. From free coffee to competitive pay, Starbucks is proud to offer a comprehensive compensation and benefits package to our eligible part-time and full-time partners. Benefits include 100% tuition coverage through our Starbucks College Achievement Plan, health coverage with a variety of plans to choose from, and stock & savings programs like our equity reward program, Bean Stock. What’s more, Starbucks offers flexible scheduling and opportunities for paid time off. Visit starbucksbenefits.com for details. Benefit Information Summary of Experience Customer service experience in a retail or restaurant environment - 1 year Basic Qualifications Maintain regular and consistent attendance and punctuality, with or without reasonable accommodationAvailable to work flexible hours that may include early mornings, evenings, weekends, nights and/or holidaysMeet store operating policies and standards, including providing quality beverages and food products, cash handling and store safety and security, with or without reasonable accommodationsSix (6) months of experience in a position that required constant interacting with and fulfilling the requests of customersPrepare and coach the preparation of food and beverages to standard recipes or customized for customers, including recipe changes such as temperature, quantity of ingredients or substituted ingredientsAt least six (6) months of experience delegating tasks to other employees and/or coordinating the tasks of two (2) or more employees Knowledge, Skills and Abilities Ability to direct the work of othersAbility to learn quicklyEffective oral communication skillsKnowledge of the retail environmentStrong interpersonal skillsAbility to work as part of a teamAbility to build relationships As a Starbucks partner, you (and your family) will have access to medical, dental, vision,basic and supplemental life insurance, and other voluntary insurance benefits.Partners have access to short-term and long-term disability, paid parental leave, family expansion reimbursement, paid vacationthat accrues starting at .01961 hours based on a 40 hour week up to 40 hours annually (64 hours in California) after an introductory period, sick time (accrued at1 hour for every 25 or 30 hours worked, depending on work location),and additional pay if working on one of eightobserved holidays. Starbucks also offers eligible partners participation in a 401(k)-retirement plan with employer match, a discounted company stock program (S.I.P.), Starbucks equity program (Bean Stock), incentivized emergency savings, and financial well-being tools. Additionally, Starbucks offers 100% upfront tuition coverage for a first-time bachelor’s degree through Arizona State University’s online program viathe Starbucks College Achievement Plan, student loan management resources, and access to other educational opportunities.You will also have access to backup careand DACA reimbursement. Starbucks will comply with any applicable state and local laws regarding employee leave benefits, including, but not limited to providing time off pursuant to the Colorado Healthy Families and Workplaces Act, in accordance with its plans and policies. This list is subject to change depending on collective bargaining in locations where partners have a certified bargaining representative. For additional information regarding partner perks and more detailed information regarding benefits, go to starbucksbenefits.com. At Starbucks, it is typical for new partners to be hired at the entry point of the range for their role, which is based upon geographic location. Individual compensation decisions are dependent upon the facts and circumstances of each position and candidate. Starbucks is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, physical or mental disability, sexual orientation, marital status, military or veteran status, gender identity and expression, genetic information, or any other factor protected by law. We are committed to creating a diverse and welcoming workplace that includes partners with diverse backgrounds and experiences. We believe that enables us to better meet our mission and values while serving customers throughout our global communities. People of color, women, LGBTQIA+, veterans and persons with disabilities are encouraged to apply. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal state and local ordinances. Starbucks Corporation is committed to offering reasonable accommodations to job applicants with disabilities. If you need assistance or an accommodation due to a disability, please contact us at .

All 1,000 of our Marshalls stores embrace discovery, from designer luggage to statement shoes. Our assortment of brands is always changing, but our mission to provide the surprises that make the everyday a little more fun is unwavering. Just like working here. Everyone encourages each other and embraces the excitement that can come with change. Each shift is a new opportunity to Discover Different.The Opportunity: Contribute To The Growth Of Your CareerAssist a Store Manager in the areas of Merchandising, Operations, Customer Service, and Human Resources within a high-volume store locationDevelop creative plans to increase store salesHire, train, supervise and mentor a team of AssociatesOversee and monitor loss prevention and operational programsEnsure every customer has a positive shopping experienceManage the daily activity of the sales floor, backroom, front end and cash officeWho We Are Looking For: You!Two (2) years' of retail leadership experience as an Assistant or Store ManagerExcellent interpersonal, strong communication, and follow through skillsProven ability to manage, develop, and motivate a large teamPrevious volume responsibility of $5 million or moreBenefits include Associate discount; 401(k) match; medical/dental/vision; HSA; health care FSA; life insurance; short/long-term disability; paid holidays/vacation /sick/bereavement/parental leave; EAP; incentive programs; auto/home insurance discounts; scholarship program; adoption/surrogacy assistance; smoking cessation; child care/cell phone discounts; pet/legal insurance; credit union; referral bonuses. All benefits are subject to applicable plan or program terms (including eligibility terms) and may change from time to time. Contact your TJX representative for more information.This is a bonus and overtime eligible position with a starting pay range of $23.25 to $29.70 per hour, which equates to approximately $57,947.37 to $74,023.09 annually.Actual starting pay is determined by a number of factors, including relevant skills, qualifications, and experience.Applicants with arrest or conviction records will be considered for employment.We’re reinventing retail and helping people discover that next find that’s going to be their new signature look. You can be a part of their journey to look amazing.Our inventory is always changing and our approach is continually evolving, which means every day is another chance to Discover Different. In fact, that’s what it’s like throughout the entire TJX family, which includes TJ Maxx, HomeGoods, Sierra, and Homesense.Discover Different also means we embrace each other’s differences and unique perspectives. We consider all applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, marital or military status. We also provide reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law.

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).

Style is never in short supply at our more than 1,000 TJ Maxx stores. They all have different products, but the same commitment to the thrill of the find. From designers straight off the runway to statement jewelry, we offer exciting surprises that make the everyday a little more fun. Same with working here. Our environment is ever-changing, yet always encouraging. Each shift is a new opportunity to Discover Different.Opportunity: Contribute To The Growth Of Your CareerResponsible for promoting an excellent customer experience. Oversees a team of Associates at front of store ensuring prompt, courteous customer service and promotion of loyalty programs. Leads by example by engaging and interacting with all customers, and maintaining a clean and organized store. Role models outstanding customer service.Creates a positive internal and external customer experiencePromotes a culture of honesty and integrity; maintains confidentialityTakes an active role in training and mentoring Associates on front end principlesTrains and coaches Associates on personalizing the customer experience while promoting loyalty programsAssigns registers, supports and responds to POS coverage needs, and coordinates breaks for all AssociatesAddresses customer concerns and issues promptly, ensuring a positive customer experienceEnsures Associates execute tasks and activities according to store plan; prioritizes as neededCommunicates accurately and effectively with management and Associates when setting and addressing priorities; provides progress updatesProvides and accepts recognition and constructive feedbackPartners with Management on Associate training needs to increase effectivenessEnsures adherence to all labor laws, policies, and proceduresPromotes credit and loyalty programsSupports and participates in store shrink reduction goals and programsPromotes safety awareness and maintains a safe environmentOther duties as assignedWho We Are Looking For: You!Available to work flexible schedule, including nights and weekendsStrong understanding of merchandising techniquesCapable of multi-taskingStrong communication and organizational skills with attention to detailAble to respond appropriately to changes in direction or unexpected situationsTeam player, working effectively with peers and supervisorsAble to train others1 year retail and 6 months of leadership experienceBenefits include: Associate discount; EAP; smoking cessation; bereavement; 401(k) Associate contributions; child care & cell phone discounts; pet & legal insurance; credit union; referral bonuses. Those who meet service or hours requirements are also eligible for: 401(k) match; medical/dental/vision; HSA; health care FSA; life insurance; short/long term disability; paid parental leave; paid holidays/vacation/sick; auto/home insurance discounts; scholarship program; adoption assistance. All benefits are provided in accordance with and subject to the terms of the applicable plan or program and may change from time to time. Contact your TJX representative for more information.This position has a starting pay range of $17.00 to $17.50 per hour.Actual starting pay is determined by a number of factors, including relevant skills, qualifications, and experience.Applicants with arrest or conviction records will be considered for employment.At TJ Maxx there’s so much potential to discover something new. A new day means new merchandise, and a fresh chance to reinvent retail. Discover Different means that we want you to bring your whole self and your sense of style to work with you every day - just as Associates do throughout the entire TJX family, which includes Marshalls, HomeGoods, Sierra, and Homesense.Discover Different also means we embrace each other’s differences and unique perspectives. We consider all applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, marital or military status. We also provide reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law.

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

General information City: Elk Grove State: California Team Clinical Services Working time Full- Time Description & Requirements Description Compensation:$26 - $32 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 Bachelor’s degree and either of the following:12 semester units of ABA course work with one (1) year experience implementing and/or designing ABA programmingTwo (2) years of experience designing or implementing ABA programsStrong 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.

ESSENTIAL DUTIES AND RESPONSIBILITIES• Foster the customer relationship in a team based selling model.• Manage deliveries to the routing schedule published by the transportation department; troubleshoot any problems that occur during the order process (e.g., delivery mis picks, short on loads, stock-outs).• Communicate and collect accounts receivable as necessary, working with the credit department and client; collect all balances due based on approved credit terms.• Leverage other resources to assist with top penetration opportunities and new accounts opening.• Develop new business; identify prospective customers by utilizing market intelligence databases, as well as business directories, following leads from existing clients, participating in organizations and clubs, and attending trade shows and conferences.• Know the market conditions, product innovations, and competitors' products, prices, and sales; share information with customers as part of value-added services provided.• Drive motor vehicle to existing customers, and prospects, to ensure product delivery, which may include lifting/carrying up to 75lbs.SUPERVISION:• No direct reports.RELATIONSHIPS• Internal: District Sales Manager, Regional Sales Manager, VP of Local Sales, Accounting/Credit Department, Merchandising and Marketing, Operations, and Customer Contact.• External: Customers, vendors, prospective customers.WORK ENVIRONMENT• Frequently outside the office environment working in the field visiting customers in variable weather and temperature conditionsMINIMUM QUALIFICATIONS• 1+ year of sales experience preferred.• Foodservice industry/culinary/restaurant management/hospitality experience preferred.• Excellent oral and written communication skills and presentation abilities.• Ability to build internal and external relationships and cold call to develop new business.• Exceptional customer service and interpersonal skills.• Competitive spirit and results driven mentality.• Problem solving ability / Organization and negotiation skills.• Team up mentality to collaborate with internal and external stakeholders.• Proficient computer skills; Microsoft Office products – Experience using Customer relationship management tools preferred (i.e., Salesforce).EDUCATION• HS Diploma or equivalentCERTIFICATIONS/TRAINING• N/ALICENSES• Valid driver’s license required & motor vehicle record must be in good standing.PREFERRED QUALIFICATIONS• N/APHYSICAL QUALIFICATIONS• Must be able to perform the following physical activities for described length of time.• List the required physical activities including length of time performing each activity referencing the key below.OCCASIONALLY: 1% - 33 / FREQUENTLY: 34% - 66% / CONTINUOUSLY: 67% - 100% or NEVERJOB REQUIRES WORKER TO: FREQUENCY:STAND FREQUENTLY,WALK FREQUENTLY,DRIVE VEHICLE FREQUENTLY,SIT FREQUENTLY,LIFT1-10 lbs (Sedentary) FREQUENTLY,11-20 lbs (Light) FREQUENTLY,21-50 lbs (Medium) OCCASIONALLY,51-100 lbs (Heavy) OCCASIONALLY,Over 100 lbs (Very Heavy) N/ACARRY1-10 lbs (Sedentary) FREQUENTLY11-20 lbs (Light) FREQUENTLY21-50 lbs (Medium) OCCASIONALLY,51-100 lbs (Heavy) N/A,Over 100 lbs (Very Heavy) N/A,PUSH/PULL N/A,CLIMB/BALANCE N/A,STOOP/SQUAT OCCASIONALLY,KNEEL OCCASIONALLY,BEND OCCASIONALLY,REACH ABOVE SHOULDER N/A,TWIST N/A,GRASP OBJECTS FREQUENTLY,MANIPULATE OBJECTS FREQUENTLY,MANUAL DEXTERITY FREQUENTLYThe following information is provided in accordance with certain state and local laws. Compensation depends on experience, geographic locations, and other factors permitted by law. In California, the expected compensation for this role is between $61,500. and $92,300. This role is also eligible for incentive compensation. Benefits for this role 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.careers.usfoods.com/benefits#LI-BK1

All 1,000 of our Marshalls stores embrace discovery, from designer luggage to statement shoes. Our assortment of brands is always changing, but our mission to provide the surprises that make the everyday a little more fun is unwavering. Just like working here. Everyone encourages each other and embraces the excitement that can come with change. Each shift is a new opportunity to Discover Different.Opportunity: Contribute To The Growth Of Your CareerResponsible for promoting an excellent customer experience. Oversees a team of Associates at front of store ensuring prompt, courteous customer service and promotion of loyalty programs. Leads by example by engaging and interacting with all customers, and maintaining a clean and organized store. Role models outstanding customer service.Creates a positive internal and external customer experiencePromotes a culture of honesty and integrity; maintains confidentialityTakes an active role in training and mentoring Associates on front end principlesTrains and coaches Associates on personalizing the customer experience while promoting loyalty programsAssigns registers, supports and responds to POS coverage needs, and coordinates breaks for all AssociatesAddresses customer concerns and issues promptly, ensuring a positive customer experienceEnsures Associates execute tasks and activities according to store plan; prioritizes as neededCommunicates accurately and effectively with management and Associates when setting and addressing priorities; provides progress updatesProvides and accepts recognition and constructive feedbackPartners with Management on Associate training needs to increase effectivenessEnsures adherence to all labor laws, policies, and proceduresPromotes credit and loyalty programsSupports and participates in store shrink reduction goals and programsPromotes safety awareness and maintains a safe environmentOther duties as assignedWho We Are Looking For: You!Available to work flexible schedule, including nights and weekendsStrong understanding of merchandising techniquesCapable of multi-taskingStrong communication and organizational skills with attention to detailAble to respond appropriately to changes in direction or unexpected situationsTeam player, working effectively with peers and supervisorsAble to train others1 year retail and 6 months of leadership experienceBenefits include: Associate discount; EAP; smoking cessation; bereavement; 401(k) Associate contributions; child care & cell phone discounts; pet & legal insurance; credit union; referral bonuses. Those who meet service or hours requirements are also eligible for: 401(k) match; medical/dental/vision; HSA; health care FSA; life insurance; short/long term disability; paid parental leave; paid holidays/vacation/sick; auto/home insurance discounts; scholarship program; adoption assistance. All benefits are provided in accordance with and subject to the terms of the applicable plan or program and may change from time to time. Contact your TJX representative for more information.This position has a starting pay range of $17.00 to $17.50 per hour.Actual starting pay is determined by a number of factors, including relevant skills, qualifications, and experience.Applicants with arrest or conviction records will be considered for employment.We’re reinventing retail and helping people discover that next find that’s going to be their new signature look. You can be a part of their journey to look amazing.Our inventory is always changing and our approach is continually evolving, which means every day is another chance to Discover Different. In fact, that’s what it’s like throughout the entire TJX family, which includes TJ Maxx, HomeGoods, Sierra, and Homesense.Discover Different also means we embrace each other’s differences and unique perspectives. We consider all applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, marital or military status. We also provide reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law.

About the RoleAs Beauty Team Leader, you will lead the team to drive sales and department initiatives through an authentic passion for beauty and engage the team and clients by identifying their needs with a consultative approach. You will maintain expert knowledge of top beauty brands, execute merchandise sets and support replenishment and visual standards. You will guide the team to meet Sephora at Kohl’s standards and ensure an excellent overall client experience.What You’ll DoLead the Beauty Team to deliver a positive and compelling client experienceProvide leadership for the Beauty Team through strong partnership with the Store ManagerBuild a strong culture within the department and team through executing recognition programs to reward client experience and sales, providing feedback and coachingAct as a point of contact for Store Manager, Sephora Training Team, and other partnersDrive sales performance, understand and execute the sales plans and hold the team accountable to support and meet goalsBuild and maintain client loyalty and influence clients by identifying their needs and suggesting products to drive sales, including the opportunity to upsell productsProvide credibility to the client through knowledge of products and beauty trendsInspire clients through demonstrating products and application of productsActively engage and complete all required training to expand knowledge and ensure the team completes all required training according to established timelinesWork with Store Manager and Sephora partners to identify and address any additional training opportunities needed for Beauty AdvisorsEnsure all Sephora visual merchandising and operational standards are executed according to company guidelines and established timelines, including merchandise sets, tester maintenance and department cleanliness and hygiene standardsEnsure timely and consistent sales floor replenishment to drive sales and enhance the client experienceSupport 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 assignedWhat Skills You HaveRequiredAuthentic passion for beauty 5 years of 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: $21.30 - $31.95Kohl’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).

Style is never in short supply at our more than 1,000 TJ Maxx stores. They all have different products, but the same commitment to the thrill of the find. From designers straight off the runway to statement jewelry, we offer exciting surprises that make the everyday a little more fun. Same with working here. Our environment is ever-changing, yet always encouraging. Each shift is a new opportunity to Discover Different.The Opportunity: Contribute To The Growth Of Your CareerAssist a Store Manager in the areas of Merchandising, Operations, Customer Service, and Human Resources within a high-volume store locationDevelop creative plans to increase store salesHire, train, supervise and mentor a team of AssociatesOversee and monitor loss prevention and operational programsEnsure every customer has a positive shopping experienceManage the daily activity of the sales floor, backroom, front end and cash officeWho We Are Looking For: You!Two (2) years' of retail leadership experience as an Assistant or Store ManagerExcellent interpersonal, strong communication, and follow through skillsProven ability to manage, develop, and motivate a large teamPrevious volume responsibility of $5 million or moreBenefits include Associate discount; 401(k) match; medical/dental/vision; HSA; health care FSA; life insurance; short/long-term disability; paid holidays/vacation /sick/bereavement/parental leave; EAP; incentive programs; auto/home insurance discounts; scholarship program; adoption/surrogacy assistance; smoking cessation; child care/cell phone discounts; pet/legal insurance; credit union; referral bonuses. All benefits are subject to applicable plan or program terms (including eligibility terms) and may change from time to time. Contact your TJX representative for more information.This is a bonus and overtime eligible position with a starting pay range of $23.25 to $29.70 per hour, which equates to approximately $57,947.37 to $74,023.09 annually.Actual starting pay is determined by a number of factors, including relevant skills, qualifications, and experience.Applicants with arrest or conviction records will be considered for employment.At TJ Maxx there’s so much potential to discover something new. A new day means new merchandise, and a fresh chance to reinvent retail. Discover Different means that we want you to bring your whole self and your sense of style to work with you every day - just as Associates do throughout the entire TJX family, which includes Marshalls, HomeGoods, Sierra, and Homesense.Discover Different also means we embrace each other’s differences and unique perspectives. We consider all applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, marital or military status. We also provide reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law.

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.

General information City: Elk Grove State: California Team Clinical Services Working time Full- Time Description & Requirements Description Compensation:$26 - $32 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 Bachelor’s degree and either of the following:12 semester units of ABA course work with one (1) year experience implementing and/or designing ABA programmingTwo (2) years of experience designing or implementing ABA programsStrong 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.

Hourly rate based on experience, minimum starting rate of $22.25About the RoleAs Loss Prevention Supervisor you will improve company profitability by executing company programs around external theft deterrence, internal investigations and operational shortage. You will increase associate awareness of shortage opportunities through training, lead and influence teams to reduce shortage and build partnerships with store and company leaders, law enforcement, and local network groups. What You’ll DoIdentify external and internal theft trends within assigned location(s)Execute theft prevention strategies, including deterring theft and internal investigations to reduce exposureImplement store awareness programs that address theft, safety, inventory and shortage controlEffectively identify and communicate potential shortage opportunities to all leaders Conduct operational audits and physical security inspections to ensure the store is in compliance with Kohl's policies and proceduresPartners with store personnel to address opportunities for improvementWork to create a culture of honesty and impression of control in the storeRecruit and train new Loss Prevention Associates; Lead and supervise Loss Prevention Officers and Loss Prevention Service Specialists (select locations) Maintain customer service awarenessAct as a representative on behalf of Kohl’s on legal proceedings as neededAdditional tasks may be assignedWhat Skills You HaveRequiredStrong interpersonal and written communication skillsAbility to work independently with initiativeStrong customer service skillsAbility to make quick decisions in the company’s best interestUphold confidential information and investigationsExcellent attention to detailPreferredPrior experience or background in Loss Prevention, security, law enforcement or retailKnowledge of surveillance and basic CCTV systemsKnowledge of or ability to learn programs in Google Suite and various other computer programsPay Range: $22.25 - $34.50Kohl’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 Work schedule is Mon-Fri 10am- 7pm The Federal Employee Program (FEP) team performs integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with members’ care including clinical nurses and treating physicians. The Regional Registered Nurse Case Manager will report to the FEP Care Management Department Manager. In this role you will determine, develop, and implement a plan of care based on accurate and comprehensive assessment of the member’s needs.Your Work In this role, you will: Coordinate care for lower level of care such Skilled Nursing Facility, Home Health, Home Infusion, Acute Rehab, Long-term Acute Care Hospital, Hospice, and other community program as appropriatePerform effective discharge planning and collaborate with member’s support system and health care professionals involved in the continuum of careProvides disease management education on core chronic conditions (Diabetes, Heart Failure, COPD, Asthma and Coronary Artery Disease). Outreach to members with HEDIS Care Gaps to assist with closureApply detailed knowledge of FEP PPO and Blue Shield of California's established medical/departmental policies, clinical practice guidelines, community resources, contracting and community care standards to each caseResearch and design treatment/care plans to promote quality of care, cost effective health care services based on medical necessity complying withcontract for each appropriate plan typeProvide Referrals to QualityManagement (QM), Disease Management (DM) and Appeals and Grievance department (AGD)Recognize the clients right to self-determination as it relates to the ethical principle of autonomy, including the client/family's right to make informed choices that may not promote the best outcomes, as determined by the healthcare teamDesign appropriate and fiscally responsible plan of care with targeted interventions that enhance quality, access and cost-effective outcomesInitiate and implement appropriate modifications in plan of care to adapt to changes occurring over time and through various settingsMust be able to sit for extended periods of time and read information on one computer screen and apply that information on a second computer screen to complete documentationYour Knowledge and Experience Requires a current CA RN License. Bachelor of Science in Nursing or advanced degree preferredCertified 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 field3+ years managed care experience preferred.Comprehensive knowledge of case management, discharge planning, utilization management, disease management and community resources preferredBehavioral health, oncology, or OB/NICU/pediatrics experience preferredStrong electronic clinical documentation skills, independent problem identification and resolution skillsKnowledge of coordination of care, prior authorization, level of care and length of stay criteria sets desirableCompetent understanding of NCQA and federal regulatory requirementsDemonstrate leadership, project management and program evaluation skills and ability to interact with all levels including senior management and influence decision-makingDemonstrates professional judgment, and critical thinking, to promote the delivery of quality, cost-effective care. This judgment is based on medical necessity including intensity of service and severity of illness within contracted benefits and appropriate level of care 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

General information City: Elk Grove State: California Team Clinical Services Working time Full- Time Description & Requirements Description Compensation:$26 - $32 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 Bachelor’s degree and either of the following:12 semester units of ABA course work with one (1) year experience implementing and/or designing ABA programmingTwo (2) years of experience designing or implementing ABA programsStrong 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 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

General information City: Elk Grove State: California Team Clinical Services Working time Full- Time Description & Requirements Description Compensation:$26 - $32 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 Bachelor’s degree and either of the following:12 semester units of ABA course work with one (1) year experience implementing and/or designing ABA programmingTwo (2) years of experience designing or implementing ABA programsStrong 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.

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

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

YourRoleThe 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. Your WorkInthis 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.YourKnowledgeandExperienceRequiresa 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/DHCSregulatoryauditrequirementsCareCoordinationandCaseManagementexperiencePay Range:The pay range for this role is: $ 96470.00 to $ 144760.00 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 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 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 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