Your Role The Facility Compliance Reviewteam reviews post service prepayment facility claims for contract compliance, industry billing standards, medical necessity and hospital acquired conditions/never events. The Utilization Management Nurse, Seniorwill report to the Senior Manager, Facility Compliance Review. In this role you will be reviewing medical documents and applying clinical criteria to establish the most appropriate level of care. Also, you will be reviewing hospital itemized bills for a comprehensive line-by-line audit and manual claims processing on exceptions to ensure that appropriate billing practices are followed based on facility specific contract language. These exceptions may include medical necessity, DRG validation, stop loss, trauma, ER, burns, implants, NICU, transplants, hospital acquired conditions/never events and aberrant billing.Your Work In this role, you will: Perform retrospective utilization reviews and first level determination approvals for members using BSC evidenced based guidelines, policies and nationally recognized clinal criteria across lines of business or for a specific line of business such as Medicare and FEPConducts clinical review of claims for medical necessity, coding accuracy, medical policy compliance and contract compliancePrepare and present cases to Medical Director (MD) for medical director oversight and necessity determinationand communicate determinations to providers and/or members to in compliance with state, federal and accreditation requirementsDevelop and review member centered documentation and correspondence reflecting determinations in compliance with regulatory and accreditation standardsand identifypotential quality of care issues, service or treatment delays and intervenes or as clinically appropriateClearly communicates, is collaborative, while working effectively and efficientlyReview itemizations for coding logic using industry standards as well as CMS guidelinesTriages and prioritizes cases to meet required turn-around timesIdentifies potential quality of care issues, service or treatment delays as clinically appropriate.Clinical judgment and detailed knowledge of benefit plans used to complete review decisionsYour Knowledge and Experience Requires Bachelors of Science in Nursing or advanced degree preferredRequires a current California RN LicenseTypically, requires a college degree or equivalent experience and minimum 5 years of prior relevant experienceTypically, requires advanced knowledge of job area typically obtained through advanced education combined with experience. May have practical knowledge of project managementRequires strong written and oral communication skillsRequires strong analytical and problem solving skillsActive AAPC or ADHIMA coding certification, eg CPC-CIC or COC with procedure coding experience (HCPCS/CPT) preferredStrong attention to detail to include ability to analyze claim data analytics preferredIndependent motivation, strong work ethic and strong computer navigations skills preferredArbitration experience preferredDRG validation review experience preferred Pay Range: The pay range for this role is: $ 87230.00 to $ 130900.00 for California. Note: Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles. #LI-MM4

General information City: Van Nuys State: California Team Clinical Services Working time Full- Time Description & Requirements Description Sign-On Bonus:$750Compensation: $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 Master’s degree in relevant fieldIn progress with BCBA preferredStrong ABA and clinical skillsExcellent written and spoken communication, time management skills, and interpersonal skillsAbility to give and receive constructive feedback with a team player attitudeBilingual skills valuedJob DescriptionIntercare Therapy provides evidence-based behavioral therapies that help children overcome challenges related to autism spectrum disorders. Our mission is to optimize the independence and quality of life of our clients and their families. We love what we do, and we are seeking team members who share our passion for improving the lives of children and families affected by autism.AProgram Managerserves in the field as the onsite case supervisor and leader, mastering daily case management skills, including developing and overseeing clinical programs, supervising BIs and providing education and training for client caregivers. You must be willing to drive 30 to 60 miles a day, andable to supervise client sessions anytime between 8AM and 6PM on weekdays, and occasionally on weekends.We are proud to be the highest rated established ABA organization on Glassdoor! Check out our rankings and reviews on Glassdoor!Learn more about us on You Tube!This position may require the candidate be fully vaccinated for COVID-19 in accordance with all vaccination requirements set forth by Intercare funding sources and pursuant to any guidelines from the California Department of Health.Closing:If you have experience in any of the following fields, we encourage you to apply:Behavior Analyst, Autism, Social Learning, Social Skills, Developmental Condition, Psychology, Sociology, Social Services, Children, ABA, Applied behavior analysis, BCBAIntercare Therapy will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the Los Angeles Fair Chance Initiative for Hiring (Ban the Box) Ordinance.Intercare Therapy supports a diverse workforce and is an Equal Opportunity Employer.

ESSENTIAL DUTIES AND RESPONSIBILITIES Ensure a genuine safety culture that fosters employee well-being through engagement and leadership accountability. Role model and prioritize the value of safety at all times. Challenge leaders to set the right tone for safety and hold them accountable for proactive efforts that drive engagement.Advocate for a positive employee experience and high engagement. Be able to identify employee experience defects and escalate those risks to the right stakeholders. Promote a positive work environment across the Market that drives engagement, retention, and EPS, through consistent execution of LEAD Plays. Utilize data and insights to identify opportunities and make recommendations when appropriate (i.e EPS action planning).Be a present, active thought partner and participant in identifying gaps in the Associate Experience, prioritization and action planning, and preparing to support during labor negotiations.Participate in the development of department goals and objectives and execute plans to meet these goals. Advise supervisors and managers on application of Company policies to ensure consistency and accurate policy interpretation interdepartmentally. Facilitate training as needed, I.e. orientation or leader development.Execute & support communication and change campaigns for strategic HR and business priorities, driving employee adoption and accelerating ROI. Support leaders to create the necessary beliefs and experiences for our associates to change culture and thus, results. Collaborate with HR stakeholders to support campaigns and deliver consistent programmatic messaging across the HR function. Maintain accountability to support consistent implementation and execution of policies, plays, and routines.Lead investigations with support of the ADHR when assigned, partner with Compliance on investigations they lead; effectively summarize findings and provide recommendations for employee relations investigations in conjunction with Region HR, Compliance, Legal, and functional leaders.Support recruitment efforts, help develop staffing and retention strategies, manage onboarding, PIP’s and IDP’s.Review and coach on hourly level disciplinary / performance management actions. Provide coaching and consulting support to Area leaders, with guidance from the ADHR, in completing talent assessment and planning processes, performance management processes and talent identification for various programs.Lead leave administration practices for the market, provide guidance for the interactive process in conjunction with ADHR and Legal. Participate in interactive discussions with employees in compliance with ADA and support the Workers Compensation Program.Collaborate with and influence market leaders to ensure HR practices align with business objectives and drive market success. Remain up-to-date with changes in US Foods procedures, employment laws, and regulations to ensure compliance.Maintain documentation relating to personnel activities such as staffing, recruitment, training, grievances, Affirmative Action Plans including good faith outreach efforts, and disciplinary actions. Maintain personnel files.Other duties assigned by manager.SUPERVISION:N/ARELATIONSHIPSInternal: Front line leaders, managers, and directors in Finance, Supply Chain, Sales, and Human Resources. Associates at all levels in all departments. External: Interaction with job candidates, outside agencies, and occasionally customers.WORK ENVIRONMENTHybrid: This role is partially remote, and the associate is expected to perform assigned responsibilities from a combined home-based and office-based environment.Significant amount of interaction with associates in multiple locations such as our distribution centers, driver domicile yards, and occasional customer visits with territory managersMINIMUM QUALIFICATIONS Minimum 6 years HR experience with at least 4 in professional (non-administrative) role.Experience consulting with and advising small management teams.Demonstrated strong foundation in core HR fundamentals to effectively support and advise the organization on various HR practices and processes.Familiarity with legislation concerning employment such as: ADA, FMLA, EEOC, FLSA, Title VII.Working knowledge of MS Office software required; HRIS familiarity; effective presentation skills; ability to interface with all employee levels.Travel required 10-15%EDUCATIONBachelor’s degree or equivalent work experience required;CERTIFICATIONS/TRAININGSHRM certification desirableLICENSESValid driver’s license required & motor vehicle record must be in good standing.PREFERRED QUALIFICATIONSPrior employee relations experience and experience working in a collective bargaining environment preferred.Prior experience with affirmative action requirements at a Federal government contractor preferred.Excellent verbal and written communication skills.Strong organizational and time management skills. Ability to make timely and informed decisions and understand when to escalate issuesPHYSICAL QUALIFICATIONSMust 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: FREQUENTLYWALK: FREQUENTLYDRIVE VEHICLE: OCCASIONALLYSIT: CONTINUOUSLYLIFT1-10 lbs (Sedentary): OCCASIONALLY11-20 lbs (Light): N/A21-50 lbs (Medium): N/A51-100 lbs (Heavy):N/AOver 100 lbs (Very Heavy): N/ACARRY1-10 lbs (Sedentary): OCCASIONALLY11-20 lbs (Light): N/A21-50 lbs (Medium): N/A51-100 lbs (Heavy): N/AOver 100 lbs (Very Heavy): N/APUSH/PULL: N/ACLIMB/BALANCE 2: N/ASTOOP/SQUAT: N/AKNEEL: N/ABEND: N/AREACH ABOVE SHOULDER: N/ATWIST: N/AGRASP OBJECTS 3: FREQUENTLYMANIPULATE OBJECTS 4: FREQUENTLYMANUAL DEXTERITY 5: CONTINUOUSLY1 (Push/Pull: Hand truck, gate, straps, metal ramp, truck door, dolly, boxes, truck gear shift)2 (Climb/Balance: In/Out Truck/Trailer to cab. On/Off ramp to ground level and side doorsteps and Platform of trailer. Stairs)3 (Grasp Objects: Hand truck, boxes, cartons, steering wheel)4 (Manipulate Objects: Boxes, dolly, metal truck ramp, hand truck, paperwork, truck gate, straps)5 (Manual Dexterity: Typing, use of office machines such as copiers, printers)Compensation depends on relevant experience and/or education, specific skills, function, geographic location, and other factors as applicable by law. The expected base rate for this role is between $65,000.00 and $110,000.00This role will also receive an annual incentive plan bonus. Benefits for this role may include health insurance, pre-tax spending accounts, retirement benefits, paid time off, short-term and long-term disability, employee stock purchase plan, and life insurance. To review available benefits, please click here: https://www.usfoods.com/careers/benefits.html.

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 executing receiving and merchandising standards while ensuring Associates are processing efficiently and effectively, and working as a team. Ensures an excellent customer experience by engaging and interacting with all customers, and maintaining a clean and organized store. Role models exceptional customer service.Creates a positive internal and external customer experiencePromotes a culture of honesty and integrity; maintains confidentialityOrchestrates truck delivery, prioritizing the processing of merchandise onto the sales floorTrains and mentors Associates on established merchandising and processing principlesEnsures merchandise is properly tagged, hung, secured, and codedCommunicates with the Coordinator on Duty to ensure efficient flow of goods to sales floorEnsures Associates complete tasks and activities according to store plan; prioritizes as neededMonitors productivity of team and coaches as necessaryOrganizes and rotates back stock for easy replenishmentMaintains and upholds merchandising philosophy and signage standardsMaintains all organizational, cleanliness and recovery standards for the backroom areaEnsures compliance with recycling and, where applicable, hazardous waste programsCommunicates 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!Able to work a flexible schedule, including nights and weekendsSuperior communication and organizational skills with attention to detailCapable of multi-taskingAble to respond appropriately to changes in direction or unexpected situationsTeam player, working effectively with peers and supervisorsCapable of lifting heavy objects with or without reasonable accommodationAble 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.

The pay range is $115,000.00 - $210,000.00Pay is based on several factors which vary based on position. These include labor markets and in some instances may include education, work experience and certifications. In addition to your pay, Target cares about and invests in you as a team member, so that you can take care of yourself and your family. Target offers eligible team members and their dependents comprehensive health benefits and programs, which may include medical, vision, dental, life insurance and more, to help you and your family take care of your whole selves. Other benefits for eligible team members include 401(k), employee discount, short term disability, long term disability, paid sick leave, paid national holidays, and paid vacation. Find competitive benefits from financial and education to well-being and beyond at .ALL ABOUT STORE LEADERSHIPYou run a profitable growth business that has one purpose: to help all families discover the joy of everyday life. You lead a sales force of experts, advocates and consultants that discover guests’ needs and offer solutions to earn their loyalty.You lead teams that are passionate about making sure guests get what they came for (plus a little more) every time they shop at their store. You develop leaders who care about their team members, and team members who care about their guests and each other.At Target, we believe in our leaders having meaningful experiences that help them build and develop skills for a career. The role of a Store Director can provide you with the:Knowledge of guest service fundamentals and experience building and managing a guest first culture across the storeSkills in retail business financials (e.g. payroll, profit and loss) and driving sales growthExperience creating store specific strategies and managing your team to deliver resultsKnowledge of retail business fundamentals for total store: sales trends, inventory management, guest shopping patterns and satisfaction, pricing and promotions strategies and specialty businessesSkills in setting and planning total store quarterly business priorities and managing a team to deliver on sales goalsMake business decisions by assessing market competition, understanding guest insights and feedback Experience managing a large team of hourly team members and leaders as well as leaders of leadersSkills in recruiting, selecting, talent management and talent planning across all departments of the storeAs a Store Director, no two days are ever the same, but a typical day will most likely include the following responsibilities:Own your store’s overall business to drive efficiency and grow salesLead and create a service culture utilizing tools and routines that model, train, and coachbehavioral expectationsto deliver the service standardDemonstrate a commitment to diversity, equity, and inclusion through continuous development,modeling inclusivebehaviors, and proactively managing biasIn partnership with HR, support the leadership team in ensuring equitable experiences,strengthening inclusionacumen, and promoting a culture of inclusivity and belonging that embraces the contributions of all team membersLeverage your reports (financial, operational, safety, food safety, team and guest) to understand the business and make decisionsUnderstand sales trends and lead your team to drive sales growth in core businesses (Style, Beauty, Electronics, Food & Beverage, Fulfillment) by leaning into key seasons, events and weekendsKnow and assess the competition; leverage guest insights and feedback to drive the business and be the destination of choice for our guestsLead an efficient operation to fund the sales cultureAs a key carrier, follow all safe and secure training and processesAddress store needs (emergency, regulatory visits, etc.)Always demonstrate a culture of ethical conduct, safety (including food safety) and compliance; Lead and hold the team accountable to work in the same wayLead and create a safety advocacy culture by understanding how safety impacts your role and that of your team, identifying and correcting hazards, and holding team members accountable to working in a safe matter to benefit themselves and othersCultivate a guest-centric and engaged teamDevelop a team and culture that is committed to guest loyalty and shares services and rewards like REDcard, Target Circle, Pick-up, Wallet and Shipt to improve convenience and frequencyLead a confident and knowledgeable sales force that delivers a differentiated experience, prioritizes the guest over task and delivers a welcoming, inspiring, rewarding and easy experienceRecruit, hire and retain a passionate team for area specific knowledge and expertiseInvest in training to enhance skills and capabilitiesEvaluate and manage individual impact through a total store contributionCreate sustainable talent strategies to fuel continued team growthOwn and implement exempt and hourly schedules that align to guest and business needs(including weekends,mornings, evenings, overnight and appropriate seasonal adjustments)WHAT WE ARE LOOKING FORWe might be a great match if:Working in a fun and energetic environment makes you excited…. We work efficiently and as a team to take care of our guestsProviding service to our guests that makes them say I LOVE TARGET! excites you…. That’s why we love working at TargetLeading teams who are stocking, setting and selling Target products sounds like your thing… That’s the core of what we doYou aren’t looking for Monday thru Friday job where you are at a computer all day… We are busy all day (especially on the weekends), making it easy for the guest to feel welcomed, inspired and rewardedThe good news is that we have some amazing training that will help teach you everything you need to know to be a Store Director. But there are a few skills you should have from the get go:4-year degree or equivalent experienceStrong interpersonal and communication skillsStrong cognitive skills, including problem analysis, decision making, financial and quantitative analysisManage conflict and lead and hold others accountableRelate well with and interact with all levels of the organizationWelcoming and helpful attitudeManage workload and prioritize tasks independentlyWe are an awesome place to work and care about our teams, so we want to make sure we are clear on a few more basics that we expect:Access all areas of the building to respond to guest or team member issuesInterpret instructions, reports and informationAccurately handle cash register operationsClimb up and down laddersScan, handle and move merchandise efficiently and safely, including frequently lifting ormoving merchandiseup to 40 poundsFlexible work schedule (e.g., nights, weekends and holidays) and regular attendance necessaryAmericans with Disabilities Act (ADA)Target will provide reasonable accommodations with the application process upon your request as required to comply with applicable laws. If you have a disability and require assistance in this application process, please visit your nearest Target store or reach out to Guest Services at 1-800-440-0680 for additional information.Target will consider for employment qualified applicants with criminal histories in a manner consistent with the San Francisco and City of Los Angeles Fair Chance Ordinances.Americans with Disabilities Act (ADA)Target will provide reasonable accommodations with the application process upon your request as required to comply with applicable laws. If you have a disability and require assistance in this application process, please visit your nearest Target store or reach out to Guest Services at 1-800-440-0680 for additional information.

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.

About the RoleAs Merchandising Supervisor you will be the expert in merchandising and leading associates to deliver excellent customer service through sales floor merchandising, pricing and recovery. You will teach, coach, develop and supervise associates while consistently executing merchandising processes.What You’ll DoExecute store merchandising standards following visual merchandising direction, accomplishing product presentation; make decisions about and adaptations to merchandising direction based on the layout, adjacencies and needs of the store in partnership with the Merchandising ManagerMaintain a well recovered selling floor where product is displayed in a manner that is clear, easy to understand and compelling to the customerMaintain appropriate levels of product on the sales floor by remerchandising and replenishing as necessary based on sell through and seasonal changesCoach, teach and train merchandising associates to accurately and efficiently execute company merchandising direction to brand standardsExecute pricing activities in store, ensuring that price changes, sign changes and ticketing procedures are completed accurately and efficientlySupport the training of associates on merchandising standards, product knowledge, and tools adhering to Kohl’s brand standardsSupport and partner with the Operations team on merchandising incoming product, ensuring efficient executionAll Supervisor roles at Kohl’s are responsible for:Leading with integrity, honesty and fostering teamwork in an engaged and inclusive cultureExercising good judgment; taking appropriate partners as neededModeling, guiding and providing direction to associatesDemonstrating and coaching a customer service mindset, including customer service philosophies, anticipating customer needs and satisfactorily resolving issuesLeading by example by personally meeting or exceeding individual goals (e.g., productivity, credit, loyalty)Supporting strong operational standards, shortage mitigation, and merchandising presentation to include accurate pricing and proper signingPreventing loss by educating associates, monitoring daily store activity, maintaining product protection standards, ensuring company policies are followed and partnering with Loss PreventionMonitoring and adjusting resources as dictated by the business to support customer needs and workload demands when assigned as leader on dutyUse key performance indicators (KPIs) to make informed business decisions that drive overall store resultsAccomplishing multiple tasks within established timeframesTraining, monitoring and reinforcing company policies, procedures, standards and guidelinesMaintaining adherence to company safety policies for the safety of all associates and customers Key holder responsibilities include opening and closing store processes, and providing direction to associatesOther responsibilities as assigned What Skills You HaveRequiredMust be at least 18 years of age or olderStrong verbal/written communication and interpersonal skillsFlexible availability, including days, nights, weekends, and holidaysPreferred2 years experience in retail or similar industryExperience supervising teams or associates, including the responsibility for coaching to achieve daily performance goalsPay 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 The Pharmacy Services Prior Authorization team conducts medical necessity reviews for drug coverage. The Pharmacist Manager will report to the Pharmacist Senior Manager, Pharmacy Benefit Prior Authorization. In this role, you willsupport the Blue Shield of California Pharmacy and Therapeutics (P&T) Committee process by ensuring that evidence-based clinical decisions are implemented operationally to support safe, efficacious, and cost-effective prescribing of medications. 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.s the right way, and fostering continuous learning.Your Work In this role, you will: Provide oversight for the management of program area operations and employeesBe responsible for promotion and execution of overall vision, goals, objectives of the business unitProvide oversight for the coordination of activities of the program area with other business units and monitor operational statistics to ensure all respective accreditation, regulatory and compliance requirements are metProvide oversight for the development, implementation, coordination, and assessment of programs to improve quality and cost-effectivenessDemonstrate leadership principles daily and ensure team actions are in place to make Blue Shield a great place to workRegularly monitor program data and metrics to evaluate program effectiveness and outcomes; reports to appropriate committees, managers, and other internal or external stakeholdersSupport other teams within and outside of the Pharmacy Services department with subject matter expertisePrecept Pharmacy Practice Residents and students, as assigned. Maintain required residency program documentation and meet standards for preceptorship.Your Knowledge and ExperienceRequires a Doctor of Pharmacy (PharmD) degreeRequires at least 5 years of experience in a managed care setting, including at least 3-5 years of management experience or equivalentRequires an active and unrestricted California Registered Pharmacist (RPh) licenseDemonstrates thorough knowledge regarding therapeutic use of drugsUnderstands basic management approaches such as work scheduling, prioritizing, coaching and process execution, work organization, risk management and delegationExperience in leading and managing the execution of processes, projects, and tacticsDemonstrates critical thinking and effective decision-makingAdvanced skills analyzing data to make business decisionsPay Range:The pay range for this role is: $ 118800.00 to $ 178200.00 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: Van Nuys State: California Team Clinical Services Working time Full- Time Description & Requirements Description Sign-On Bonus:$750Compensation: $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 Master’s degree in relevant fieldIn progress with BCBA preferredStrong ABA and clinical skillsExcellent written and spoken communication, time management skills, and interpersonal skillsAbility to give and receive constructive feedback with a team player attitudeBilingual skills valuedJob DescriptionIntercare Therapy provides evidence-based behavioral therapies that help children overcome challenges related to autism spectrum disorders. Our mission is to optimize the independence and quality of life of our clients and their families. We love what we do, and we are seeking team members who share our passion for improving the lives of children and families affected by autism.AProgram Managerserves in the field as the onsite case supervisor and leader, mastering daily case management skills, including developing and overseeing clinical programs, supervising BIs and providing education and training for client caregivers. You must be willing to drive 30 to 60 miles a day, andable to supervise client sessions anytime between 8AM and 6PM on weekdays, and occasionally on weekends.We are proud to be the highest rated established ABA organization on Glassdoor! Check out our rankings and reviews on Glassdoor!Learn more about us on You Tube!This position may require the candidate be fully vaccinated for COVID-19 in accordance with all vaccination requirements set forth by Intercare funding sources and pursuant to any guidelines from the California Department of Health.Closing:If you have experience in any of the following fields, we encourage you to apply:Behavior Analyst, Autism, Social Learning, Social Skills, Developmental Condition, Psychology, Sociology, Social Services, Children, ABA, Applied behavior analysis, BCBAIntercare Therapy will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the Los Angeles Fair Chance Initiative for Hiring (Ban the Box) Ordinance.Intercare Therapy supports a diverse workforce and is an Equal Opportunity Employer.

The pay range per hour is $24.75 - $42.05Pay is based on several factors which vary based on position. These include labor markets and in some instances may include education, work experience and certifications. In addition to your pay, Target cares about and invests in you as a team member, so that you can take care of yourself and your family. Target offers eligible team members and their dependents comprehensive health benefits and programs, which may include medical, vision, dental, life insurance and more, to help you and your family take care of your whole selves. Other benefits for eligible team members include 401(k), employee discount, short term disability, long term disability, paid sick leave, paid national holidays, and paid vacation. Find competitive benefits from financial and education to well-being and beyond at .ALL ABOUT PROPERTY MANAGEMENTA dedicated expert who supports a profitable business, ensuring that assets are fixed and functional and services are completed timely and dependable while minimizing vendor cost. Property Management (PM) supports new sales-driving initiatives and mitigates excess spend to ensure that our store teams can focus on serving our guests without distraction. PM supports remodel efforts, executes new project sets and enables efficient front of store and backroom operations to delight our digital guests.At Target, we believe in our team members having meaningful experiences that help them build and develop skills for a career. The role of a Property Management Lead can provide you with the skills and experience of:Working with vendors and influencing timely completion of their workIdentifying and executing preventative and corrective maintenance on all building assets and equipmentInfluencing store team to ensure project work aligns with PM priorities and financial goalsWorking with Plumbing, HVAC, Refrigeration, Life Safety Power Systems and Electrical equipmentUnderstanding repair versus replace and managing costCompleting work within compliance standards and Target guidelinesAs a Property Management Lead no two days are ever the same, but a typical day will most likely include the following responsibilities:Know the role you play in achieving store sales goalsWith PMBP guidance, inform and engage the team (including new leaders) on PM workload priorities, partner on various projects and share impacts of store processes on asset maintenance and functionalityUse technology to prioritize daily work orders for the storeWith PMPB guidance, evaluate store brand and ensure assets and vendor performance meets maintenance standardsMaintain and repair assetsPerform proactive asset up-keep as assigned by headquartersPerform reactive repairs requested by store teamsWith guidance from PMBP, execute special projects, remodels and support PM asset or service strategies in partnership with store teamEnsure internal and external work orders are completed and vendors are accountable to asset repairsEvaluate PM candidates for open rolesEnsure learning objectives are met and behaviors are consistently demonstratedWith guidance from PMBP, help with the learning of new PM team membersShare solutions that drive vendor cost downWith PMBP guidance, determine areas or individuals to influence and train on proper asset careAssist in managing some emergency situations as needed in partnership with store and field leadersFollow appropriate safety procedures and use Personal Protective Equipment (PPE) while maintaining equipment (Lock Out/Tag Out, Arc Flash, etc.), and ensure a safe work environment by eliminating potential equipment safety hazards.Provide service and a shopping experience that meets the needs of the guestDemonstrate a commitment to diversity, equity, and inclusion through continuous development, modeling inclusive behaviors, and proactively managing biasWork in a safe manner at all times to benefit yourself and others; identify and correct hazards; comply with all safety policies and best practices.Lead and demonstrate a culture of executing all best practices as outlined with team onboarding and learning; help close skill gaps through development, coaching and team interactionsAll other duties based on business needsWHAT WE ARE LOOKING FORWe might be a great match if:Working in a fun and energetic environment makes you excited…. We work efficiently and as a team to deliver for our guestsProviding service to our guests that makes them say I LOVE TARGET! excites you…. That’s why we love working at TargetStocking, Setting and Selling Target product sounds like your thing… That’s the core of what we doYou aren’t looking for Monday thru Friday job where you are at a computer all day… We are busy all day (yes, even on the weekends), making it easy for the guest to feel welcomed, inspired and rewardedThe good news is that we have some amazing training that will help teach you everything you need to know to be a Property Management Lead. But, there are a few skills you should have from the get-go: Must be 18 years of age or olderHigh School diploma or equivalentBasic technical skills and general experience working with property assets required1–2 years of technical education preferred in some of the following areas: electrical, mechanical, carpentry, HVAC or plumbing and/or experience working in any of the following areas: basic door repair, HVAC filter changing, carpentry, power equipment/mechanical repair and basic equipment trouble-shootingProficiency in operating power tools, HVAC, wet/dry and litter vacuum and other power equipment (as labor laws permit) preferredManaging vendor relationships and accountability on quality and efficient services results and issue resolutionInfluence and hold others accountableAbility to communicate on multiple frequency devices and operate handheld scanners, and other technology equipment as directed.Work independently and as part of a teamManage workload and prioritize tasks independentlyWelcoming and helpful attitudeEffective communication skillsCapability to remain focused and composed in a fast-paced environment and accomplish multiple tasks within established timeframesWe are an awesome place to work and care about our teams, so we want to make sure we are clear on a few more basics that we expect:Access all areas of the building to respond to guest or team member issuesAbility to work outdoors in various climatesInterpret instructions, reports and informationHandle and move merchandise and other items efficiently and safely, including frequently lifting or moving merchandise up to 40 poundsClimb up and down laddersWilling to change location assignment or provide coverage to a nearby store, if neededCapable of working in and exposure to varying temperatures, humidity, and other elements while performing certain job duties including but not limited to Drive-Up, carryout, etc.Ability to remain mobile for the duration of a scheduled shift (shift length may vary)Flexible work schedule (e.g., nights, weekends and holidays); reliable and prompt attendance necessaryTarget will consider for employment qualified applicants with criminal histories in a manner consistent with the San Francisco and City of Los Angeles Fair Chance Ordinances.Americans with Disabilities Act (ADA)Target will provide reasonable accommodations with the application process upon your request as required to comply with applicable laws. If you have a disability and require assistance in this application process, please visit your nearest Target store or reach out to Guest Services at 1-800-440-0680 for additional information.

Schedule is Mon-Fri 10am-7pm The Behavioral Health Registered Nurse Case Managerwill report to the FEP 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. 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.Your WorkIn this role, you will:Coordinates care for Lower Level of Care such as Residential Treatment, Partial Hospitalization Program, Intensive Outpatient Program, other outpatient services, and community programs as appropriateResearch 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 settingsApplies detailed knowledge of FEP PPO and Blue Shield of California's (BSC) established medical/departmental policies, clinical practice guidelines, community resources, contracting and community care standards to each casePerforms effective discharge planning and collaborates with member 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)Determines, develops and implements a plan of care based on accurate and comprehensive assessment of the member's needs related to behavioral healthMust 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 ExperienceBachelor of Science in Nursing or advanced degree preferredRequires a current CA RN LicenseCertified Case Manager (CCM) Certification or is in process of completing certification when eligible based on CCM application requirementsRequires at least 5 years of prior experience in nursing, healthcare or related field3+ years managed care experience preferredRequires relevant behavioral health experienceComprehensive knowledge of case management, discharge planning, utilization management, disease management and community resourcesAble to operate PC-based software programs including proficiency in Word and Excel.Strong clinical documentation skills, independent problem identification and resolution skillsStrong supervisory, communication, abstracting skills with strong verbal and written communication skills and negotiation skillsCompetent understanding of NCQA and federal regulatory requirementsKnowledge of coordination of care, prior authorization, level of care and length of stay criteria sets desirableDemonstrates 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 careDemonstrate leadership, project management and program evaluation skills and ability to interact with all levels including senior management and influence decision-makingPay 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: Van Nuys State: California Team Clinical Services Working time Full- Time Description & Requirements Description Sign-On Bonus:$750Compensation: $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 Master’s degree in relevant fieldIn progress with BCBA preferredStrong ABA and clinical skillsExcellent written and spoken communication, time management skills, and interpersonal skillsAbility to give and receive constructive feedback with a team player attitudeBilingual skills valuedJob DescriptionIntercare Therapy provides evidence-based behavioral therapies that help children overcome challenges related to autism spectrum disorders. Our mission is to optimize the independence and quality of life of our clients and their families. We love what we do, and we are seeking team members who share our passion for improving the lives of children and families affected by autism.AProgram Managerserves in the field as the onsite case supervisor and leader, mastering daily case management skills, including developing and overseeing clinical programs, supervising BIs and providing education and training for client caregivers. You must be willing to drive 30 to 60 miles a day, andable to supervise client sessions anytime between 8AM and 6PM on weekdays, and occasionally on weekends.We are proud to be the highest rated established ABA organization on Glassdoor! Check out our rankings and reviews on Glassdoor!Learn more about us on You Tube!This position may require the candidate be fully vaccinated for COVID-19 in accordance with all vaccination requirements set forth by Intercare funding sources and pursuant to any guidelines from the California Department of Health.Closing:If you have experience in any of the following fields, we encourage you to apply:Behavior Analyst, Autism, Social Learning, Social Skills, Developmental Condition, Psychology, Sociology, Social Services, Children, ABA, Applied behavior analysis, BCBAIntercare Therapy will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the Los Angeles Fair Chance Initiative for Hiring (Ban the Box) Ordinance.Intercare Therapy supports a diverse workforce and is an Equal Opportunity Employer.

Your Role The Clinical Program Manager, Principal in collaboration with the Regional Medical Director and internal Blue Shield of California teams will be responsible for collaborating with all externally facing partners to transform the way health care is delivered, ensuring best-in-class care for all members. Priority is given to delivering on the Quadruple Aim (lower cost care, increased quality, increased member satisfaction and physician satisfaction) with a focus on execution to drive and accelerate improvements in primary care for all patients. This role will report to the Regional Medical Director. Your work: In this role, you will: Operate at a strategic business level to ensure projects/programs are in line with Blue Shield of California’s strategic goalsConsult with all levels (including senior management) making recommendations and influencing decision-makingLeverage cross-functional internal and external relationships to drive initiatives forwardPlan and implement multiple and extremely complex projects/programs spanning across business areasDetermine key business issues, develop effective action plans, and implement to successful conclusionPerform data analysis for all lines of business: Analyze data in collaboration with Regional Medical Director for trends, drivers, and key initiatives. Incorporate the analysis into meaningful discussions with Group/IPAIdentify opportunities around utilization, quality, and clinical initiatives: Work side by side with internal and external partners in the design and launch of clinical programs focused on high-risk members, hospital initiatives, and behavioral health as well as internal innovation programsPartner with medical groups to co-create programs encompassing a full spectrum of initiatives around disease management, complex care management, transitions of care and site of service; ensuring optimal utilization, access, and quality of care for membersLead with a collaborative approach and an understanding of existing resources and relationships between/among partner organizations while moving them towards constructive changeWork cross functionally with Blue Shield of California internal teams to provide support both ad hoc and for recurrent initiatives Your Knowledge and Experience Requires a current, active California RN, NP, or PA licenseRequires a bachelor’s degree; advanced degree is preferredRequires a minimum of 10 years of prior relevant clinical or job related experienceExperience in case utilization, quality improvement and disease management; MediCal experience is a plus.In-depth understanding of the managed care delegated model and associated efficiency and quality measures. Health plan experience is preferredExcellent verbal and written communication style to drive positive outcomesStrong data analytic skills and advanced knowledge in Microsoft 365, especially in Excel and PowerPoint applicationsAbility to be resourceful and collaborative; a team collaborator with strong listening skills and the ability to offer creative solutions to drive consensus Pay Range The pay range for this role is: $ 136400.00 to $ 204600.00 for California. Note Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles. #LI-EB1

General information City: Van Nuys State: California Team Clinical Services Working time Full- Time Description & Requirements Description Sign-On Bonus:$750Compensation: $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 Master’s degree in relevant fieldIn progress with BCBA preferredStrong ABA and clinical skillsExcellent written and spoken communication, time management skills, and interpersonal skillsAbility to give and receive constructive feedback with a team player attitudeBilingual skills valuedJob DescriptionIntercare Therapy provides evidence-based behavioral therapies that help children overcome challenges related to autism spectrum disorders. Our mission is to optimize the independence and quality of life of our clients and their families. We love what we do, and we are seeking team members who share our passion for improving the lives of children and families affected by autism.AProgram Managerserves in the field as the onsite case supervisor and leader, mastering daily case management skills, including developing and overseeing clinical programs, supervising BIs and providing education and training for client caregivers. You must be willing to drive 30 to 60 miles a day, andable to supervise client sessions anytime between 8AM and 6PM on weekdays, and occasionally on weekends.We are proud to be the highest rated established ABA organization on Glassdoor! Check out our rankings and reviews on Glassdoor!Learn more about us on You Tube!This position may require the candidate be fully vaccinated for COVID-19 in accordance with all vaccination requirements set forth by Intercare funding sources and pursuant to any guidelines from the California Department of Health.Closing:If you have experience in any of the following fields, we encourage you to apply:Behavior Analyst, Autism, Social Learning, Social Skills, Developmental Condition, Psychology, Sociology, Social Services, Children, ABA, Applied behavior analysis, BCBAIntercare Therapy will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the Los Angeles Fair Chance Initiative for Hiring (Ban the Box) Ordinance.Intercare Therapy supports a diverse workforce and is an Equal Opportunity Employer.

Your Role The Medicare Appeals and Grievances team is responsible for compliance processing of Medicare appeals and grievances. The supervisor will report to the Manager for Medicare Appeals and Grievances. In this role you will manage the daily, short-term, and/or long-term activities of the customer service and operations teams to ensure alignment with service levels and providing service worthy of our family and friends. You will be responsible for the oversight of quality, production levels, strategic initiatives, employee development, preparation and management of budgets, goals, objectives, and results for various operational areas. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially.Your Work In this role, you will: Be responsible for routine operations and people management functionsFoster a great place to work communicating clear roles and responsibilities and building successful working relationships across the organizationConsult and make recommendations to management on operational issuesUse concepts and abilities to manage processes and operations, including procedural changes, inventories, and workload managementApply policies and procedures within health care operationsStay up to date on legislation and regulations to ensure team complianceInterpret audit information requests, prepare narratives, conduct preliminary risk assessments, anticipate adverse findings to prepare for internal corrective action plansMake decisions on people and operational matters consistent with goals and objectivesProvide coaching, performance management, skill development, and guidance on team members’ Professional Development PlansContribute towards achieving the organizations Medicare Stars goalsYour Knowledge and Experience Requires a high school diploma or GEDRequires a minimum of 5 years of prior relevant experienceRequires a minimum of 2 years of experience operating in a lead role or equivalent leadership training or manager trainingKnowledge of Medicare preferred.Experience working with appeals and grievances in healthcare preferredAbility to work collaboratively across diverse teams to improve processes and policies with a focus on the customer experience. Pay Range: The pay range for this role is: $ 66,600 to $ 98,900 for California. Note: Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles. #LI-CP3