Your Role The MCS Clinical Service Intaketeam responsible for timely and accurate processing of Treatment Authorization Requests. The Clinical Services Coordinator (CSC), Intermediate will report to the Supervisor of Clinical Services Intake. In this role you will be for supporting clinical staff day to day operations for Promise (Medi-Cal) or Commercial/Medicare lines of business.Your WorkIn this role, you will:Work in a production-based environment with defined production and quality metrics.Process Faxed /Web Portal /Phoned in Prior Authorization or Hospital Admission Notification Requests, Utilization Management (UM)/Case Management (CM) requests and/or calls left on voicemail.Select support for Case Manager such as mailings, surveys.Data entry including authorization forms, high risk member information, verbal HIPPA authorizations information for case creation.Support to Advanced/Specialist CSC.Assign initial Extension Of Authority (EOA) days, or triage to nurses, based on established workflow.Research member eligibility/benefits and provider networks.Serves as initial point of contact for providers and members in the medical management process by telephone or correspondence.Assists with system letters, requests for information and data entry.Provides administrative/clerical support to medical management.Intake (received via fax, phone, or portal). Data entry including authorization forms, high risk member information, verbal HIPPA authorizations information for case creation.Provide workflow guidance to offshore representative. Other duties as assigned. Your Knowledge and ExperienceRequires a high school diploma or equivalentRequires at least 3 years of prior relevant experienceMay require vocational or technical education in addition to prior work experience1-year work experience within the Medical Care Solutions’ Utilization Management Department or a similar medical management department at a different payor, facility, or provider/group.In-depth working knowledge of the prior authorization and/or concurrent review non-clinical business rules and guidelines, preferably within the Outpatient, Inpatient, DME and/or Home Health, Long Term Care and CBAS areasIn-depth working knowledge of the systems/tools utilized for UM authorization functions such as AuthAccel, Facets, PA Matrix or other systems at a different payor, facility, or provider/group.Ability to provide both written and verbal detailed prior authorization workflow instructions to offshore staff. Ability to work in a high-paced production environment with occasional overtime needed (including weekends) to ensure regulatory turnaround standards are met.Knowledge of UM regulatory Turn Around Time (TAT) standards Knowledge of clinical workflow to assist nurses with case creation, research/issue resolution and other UM related functions, as necessary. Your PayThe pay range for this role is: $ 20.47 to $ 28.66 for California.NotePlease 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-AG3

Thriveworks is currently seeking Licensed Clinicians to provide a mix of telehealth and face-to-face sessions in Berkeley, CA. Thriveworks is a clinician-founded national private practice group with locations in 48 states. Our mission is to help people live happy, successful lives, and we believe that client accessibility, integrity, and quality care are what is most important. We put a lot of emphasis on the thought thatin order for our clinical team to be accessible to clientswe must fully support our clinicians by allowing them to do what they are trained to do. We operate under the idea that we are most successful by focusing on one job and being great at that job.Qualifications:All eligible candidates must have one of the following independent licenses in California:LPCC or LMFT or LCSWLicensed Clinical Psychologists (PhD or PsyD)Clinicians need to be licensed and living in the state in which they will be practicingCompensation:Up to $68,100 depending on licensure, sessions, and bonus opportunitiesWhat We Need:Individuals willing to see a minimum of 15 sessions per weekA true partnershipBehavioral Health Generalists - open to seeing couples and/or children (we provide support!)Candidates that may be looking to grow into leadership roles/supervisorsSelf guided determination to complete your notes inside of 24 hoursStrong character matters - integrity, honesty, adaptability and quality of care to name a fewIndividuals who enjoy being a part of team and working together to professionally developWhat We Give:We are dedicated to taking great care of our employees and empowering them to succeed. This enables them to focus on providing excellent care to our clients. We offer the following benefits:Guaranteed payPaid orientationPTOAnnual pay increasesAdditional bonus opportunitiesFlexibility with your schedule - we’re open 7am-10pm (seven days a week)No-Show ProtectionFull clinical caseload typically established within the first 90 days (after credentialing)Group health and dental, disability, life, and liability insurance optionsA W2 employment model with access to a 401k program with a 3% employer matchCEU ReimbursementAccess to “motivated” patient populationOpportunities for paid clinical supervisory rolesMonthly in-house professional developmentNo required callWe credential you!Support team for scheduling and client service with extended hoursCustomized MarketingAutonomy, but with access to case consultation groupsAmazing team culture and clinical supportMalpractice CoverageCareer advancement opportunitiesBrand prideWho we are - about Thriveworks:Thriveworks is a clinician-owned National outpatient mental health private practice groupWe are currently operating in 48 states and are continuing to expandCorporate headquartered in Fredericksburg, VAA career at Thriveworks isn’t just about finding a job that pays the bills. It’s about helping others, joining a community, and learning to thrive both personally and professionally. We believe that the success of our employees is just as important as the success of our organization in fact, they go hand in hand.So, what do you say Are you interested in joining our team Apply today.#LI-Hybrid #LI-MS1Interested in joining Team Thriveworks We're thrilled to meet you!With Job scams becoming more and more frequent, here's how to know you're speaking with a real member of our team:Our recruiters and other team members will only email you from or an @thriveworks.com email address.Our interviews will take place over Google Meet (not Microsoft Teams or Zoom)We will never ask you to purchase or send us equipment.If you see a scam related to Thriveworks, please report to . You can contact with any questions or concerns.Thriveworks is an Equal Opportunity Employer. Our people are our most valuable assets. We embrace and encourage differences in age, color, disability, ethnicity, gender identity or expression, national origin, physical and mental ability, race, religion, sexual orientation, veteran status, and other characteristics that make our employees unique. We encourage and welcome diverse candidates to apply for any position you are qualified for to bring your unique perspective to our team.By clicking Apply, you acknowledge that Thriveworks may contact you regarding your application.

We. Are. OneStaff. Medical. An independently-owned, nationally-recognized and amazingly awesome staffing firm ready to work for you! A work ethic forged in the Midwest, we are here to stand by your side and help you find your dream assignment anywhere in this great country. We want the same like-minded, awesome candidates to travel with us. Be bold. Enjoy work again. Let us help. THE POSITION: Medical-Surgical nurses provide direct care to adult patients in a variety of settings and is the largest group of nurses. They provide care for patients often with multiple diagnoses, across multiple medical specialties. *Weekly amount stated in the job postings is scaled based on estimated hourly wages and potential stipends available for the location of the assignment. Hourly wages are based on various factors including but not limited to: experience, demand, availability, location, etc. Please contact one of our amazing OneStaff Recruiting Specialists for more details. **Equal Opportunity Employer** BENEFITS: Insurance We provide group benefits for Health, Dental, Vision, Life, Short Term Disability, Long Term Disability, Accident, Critical Illness, and Identity Theft Protection. 401K You are eligible to enroll 1st of the month following hire date. We match 100% of your first 3% of deferrals and an additional 50% of the next 2% you contribute. Employee Assistance Program Free to all employees who’d like information on personal issues: Education, Dependent Care, Care Giving, Legal, Financial, Lifestyle & Fitness Management, Working Smarter.

Overview: Find Your Passion and Purpose as a Home Health Occupational TherapistTerritory: Elk Grove, Davis, NatomasReimagine Your Career in Home HealthAs a medical professional, you know that what you do impacts you as much as your patients and their families, and at AccentCare, we are united in our relentless drive to reimagine care because we want to provide the service we would seek for our own families. We think it’s really special to be a part of our patient’s health journey and create incredible memories while providing world-class patient care.Offer Based on Years of ExperienceSalary Range $100k-$150kThis position is paid on a per-visit basis. The compensation reflected on this posting, is an estimate of annual compensation.#AC-OT What You Need to Know: Our Investment in YouWe are committed to offering comprehensive benefits and rewards to full-time employees who work over 30 hours per week and their families, including:Medical, dental, and vision coveragePaid time off and paid holidaysProfessional developmentCompany-matching 401(k) Flexible spending and health savings accountsCompany store credit for your first AccentCare-branded scrubs for patient-facing employees Qualifications: Be the Best Home Health Occupational Therapist You Can BeIf you meet these qualifications, we want to meet you!Knowledge of rehabilitation techniques related to complex neurologic injury Experience with home health, medical-surgical, or rehabilitation center environmentRequired Certifications and Licensures:Master’s degree in Occupational Therapy or the equivalent with license or certificate within the state providing servicesAt least two years of experience working independently under minimal supervisionMust be a licensed driver who can travel to all business locationsCome As You AreAt AccentCare, our care is most compassionate when we empathize and engage with everyone, and we are at our best when we value diverse perspectives, foster open dialogue, and enact change. And we are stronger when each of us is empowered to grow, be our unique selves, and feel a sense of inclusion and belonging.AccentCare is proud of how we are building a culture and inclusive infrastructure to help elevate the voice of all our employees with a special focus on the underrepresented and marginalized. We offer equal employment opportunities regardless of a person’s race, ethnicity, sex, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental disability, physical disability, or any other protected classification. Posted Salary Range: USD $100,000.00 - USD $150,000.00 /Yr.

Overview: Must be a licensed and or a registered therapist to be considered.** EXCLUSIVE NEW JOB OPPORTUNITY!!*****Highly competitive rates and benefits package! ***Do you know a therapist who's a perfect fit for our team EARN UP TO $1,000 by referring a clinician to the Enhance family of brands! Make a difference and get rewarded for it!https://enhancetherapies.com/refer-a-friend/ About Us: South Pacific Rehab/Rehab Allianceis part of Enhance Therapies, a family of therapy companies with more than 30 years of industry leading experience. With over 7,000 therapists in 28 states and growing, we provide quality rehabilitation services to homecare, sub-acute, long-term care, outpatient, hospital, and assisted living facilities throughout the nation.South Pacific Rehab/Rehab Allianceis hiring! We are looking for a passionate full-time Occupational Therapist to join our growing team. In the same way that you are committed to quality work, we are equally dedicated to helping you grow and succeed with us.At South Pacific Rehab/Rehab Alliance you will enjoy:Unparalleled schedule flexibility and supportive company cultureHealthcare benefits packageDynamic company partnerships to ensure career stability401K Plan with company matchOnline CEU CreditsPromotion / Advancement / Transfer OpportunitiesReferral bonus program eligibilityEmployee Assistance ProgramStudent mentor programWe offer additional benefits and perks, please reach out todayWe hire candidates who need H1B Sponsorship to include those on student Visa’s, H1B transfer and new H1B filing. Contact us today to learn about our amazing immigration program! Qualifications: Graduate of an accredited university with a B.S.,MA, or M.S. or Doctorate in Occupational Therapythat the AOTA recognizes.Recognized by the NBCOT as a designated OTR (if state mandated)OT holds a current license and/or registration as an Occupational Therapist in-state as applicable.Responsibilities:Provide a comprehensive occupational therapy evaluation based on MD orders.Document findings on the standardized evaluation form timely, accurately and adhering to all guidelines.Provide a comprehensive treatment plan including long and short-term goals, frequency, duration, and treatment modalities.Ensure MD orders are obtained for evaluations, treatments, recertifications and discharges.Provide comprehensive treatment to patients utilizing modalities and modify patient treatment as indicated while adhering to precautions.Related:Occupational Therapist | OT | AOTA Pay Range: USD $54.00 - USD $56.00 /Hr.

At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives by improving access to trusted, affordable, and personalized mental healthcare. Everywhere. Every day. It’s a lofty goal; we know. But we make it happen with the best team in behavioral health.Thank you for taking the time to explore a career with us. As the fastest growing behavioral health practice group in the country, now is the perfect time to join our clinical team! We are actively looking to hire talented Psychologists in the area, who are passionate about patient care and committed to clinical excellence. We offer Psychologists:Compensation range of $136K to $182K based on productivityFlexible work schedules. Telemedicine and in-person flexibility.Full benefits package: health, dental, vision, life, 401k (with match), paid parental leave, holidays, EAP and more. Collegial work environment. Newly designed and modern offices. Full administrative support. Latest in digital technology. Strong work/life balance.Psychologists are a critical part of our clinical team. We’re seeking Psychologists that are:Fully licensed and credentialed in California, including a Ph.D. or Psy.D.Experienced with caring for adult and/or child and adolescent populations.To learn more about this position contact Jackie at jackie.Kalpin@lifestance.comAbout LifeStance HealthLifeStance is a national provider of mental healthcare services focused on evidenced-based, medically driven treatment services for children, adolescents and adults suffering from a variety of mental health issues in an outpatient care setting, both in-person at its clinics nationwide and through its digital health telemedicine offering. The company employs psychiatrists, psychologists, psychiatric nurse practitioners, and licensed therapists throughout the US. LifeStance Health is an equal opportunity employer. We celebrate diversity and are fully committed to creating an inclusive work environment for all our employees.Our values:Belonging: We cultivate a space where everyone can show up as their authentic self.Empathy: We seek out diverse perspectives and listen to learn without judgment.Courage: We are all accountable for doing the right thing - even when it's hard - because we know it's worth it.One Team: We realize our full potential when we work together towards our shared purpose.

Your Role The Medi-Cal Member Appeals and Grievances team is responsible for clinically reviewing member appeals and grievances that are the result of either a preservice, post-service or claim denial. The Medi-Cal Appeals and Grievances RN Senior will report to the Appeals and Grievances Manager. In this role you will perform accurate and timely clinical review of Member-initiated appeals. The RNs perform first level appeal reviews for membersutilizing the National Coverage Determination (NCD) guidelines, Local Coverage Determination (LCD) Guidelines,Milliman Care Guidelines, and nationally recognized sources such as NCCN and ACOG. The successful RN candidate will review both inpatient and outpatient Medicare member appeals for benefits, medical necessity, coding accuracy and medical policy compliance. In this role you will also perform Clinical oversight of all Medi-Cal grievances. In this process, the candidate will work with the medical directors and coordinators to identify any Potential Quality Issues (PQI), Quality of Service (QOS) cases and/or Quality of Care (QOC) cases to ensure member’s clinical needs are addressed appropriately within 30 days or 72 hours if the request is deemed expedited. Your Work In this role, you will: Identify issues, and with assistance, execute corrective actionIntake QueuePrepares and submits clinical case reviews to the Medical Director (MD) for MD collaboration and medical necessity determinationCommunicates determinations to the providers in compliance with state, federal and accreditation requirementsWorks well in a fast paced, production environmentInitiates appropriate referrals for member’s needs to other departments such as Case Management.Your Knowledge and Experience Bachelors of Science in Nursing or advanced degree preferred.Requires a current California RN LicenseRequires at least 5 years of prior relevant experienceProficient skills with Microsoft Office SuiteKnowledge of CPT, ICD-10, HCPCS and billing practicesKnowledge of Medicare and Medi-Cal and benefit reviews preferredDemonstrate the ability to act independently using sound clinical judgementRequires advanced knowledge of appeals and grievances typically obtained through advanced education combined with experience.Solid communication skills Pay Range: The pay range for this role is: $ 87230.00 to $ 130900.00 for California. Note: Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles. #LI-RU1

Job DescriptionNomad Health seeks an experienced Outpatient Clinic registered nurse for a travel assignment in CA.Take the next step in your healthcare career and join Nomad Health as a Outpatient Clinic travel nurse. As a traveler with Nomad, you get access to industry-leading pay, outstanding benefits, and our knowledgeable Nomad Navigator support team.QUALIFICATIONSMinimum one year of RN experienceOne yearOutpatient Clinic experience within the last two years as an RNHave an active RN license or be willing to obtain a Registered Nurse license in CARN degree from an accredited registered nurse programBLS and all relevant Outpatient Clinic/department-specific certifications requiredRegister for a Nomad Health account to view full job details and applyNOMAD BENEFITSMajor medical and dental plans available on your first day of work401(k) with employer matching availableReimbursement for travel to your assignmentHousing stipendWeekly deposits direct to your bank accountWe work with thousands of travel nurses all over the country, in a wide variety of specialties and disciplines. To apply as a travel RN with us, you must have an active Professional Registered Nursing License or be willing to obtain one in the state you’re applying to, evidence of a minimum of one year RN work experience, and evidence of at least one year of Outpatient Clinic experience within the last two years. In addition, you must have a Bachelor’s or Associate degree in nursing from an accredited registered nursing program, as well as a Basic Life Support (BLS) and all other relevant specialty/department certifications.At Nomad, we want to give you the tools you need to succeed. Our Nomad Navigators are passionate about helping you get to the bedside as quickly and efficiently as possible. They can help you with your application, credentialing, and finding housing. Our Navigators have experience working with travel nurses and can even help with on-the-job concerns if any arise while on assignment, and can provide clinician-to-clinician support.In addition to real hands-on support, we have a benefits package that was explicitly built for traveling clinicians and includes a housing stipend, partial travel reimbursement, and major medical and dental plans available on your first day of work. We also have a 401(k) program with employer matching options, a user-friendly digital timekeeping process, and weekly direct deposits.With your Nomad Health account, you get access to our unique digital platform; a platform built to help you land your perfect assignment. Move your travel healthcare career forward and find your next job today.We are seeking experienced RNs in a number of specialties to fill critical roles across the country: Medical Surgical NurseEmergency Room NurseStep-Down NurseTelemetry NurseICU NurseOperating Room NurseLabor and Delivery NurseCath Lab NursePsychiatric NurseAnd more travel RN jobs!

We. Are. OneStaff. Medical. An independently-owned, nationally-recognized and amazingly awesome staffing firm ready to work for you! A work ethic forged in the Midwest, we are here to stand by your side and help you find your dream assignment anywhere in this great country. We want the same like-minded, awesome candidates to travel with us. Be bold. Enjoy work again. Let us help. THE POSITION: Labor and Delivery Nurses help bring people into the world every day. They care for women during labor and childbirth, monitoring the baby and the mother, coaching mothers and assisting doctors. As a Labor and Delivery Nurse, you’ll prepare women, and their families, for the stages of giving birth and help patients with breastfeeding after the baby is born. *Weekly amount stated in the job postings is scaled based on estimated hourly wages and potential stipends available for the location of the assignment. Hourly wages are based on various factors including but not limited to: experience, demand, availability, location, etc. Please contact one of our amazing OneStaff Recruiting Specialists for more details. **Equal Opportunity Employer** BENEFITS: Insurance We provide group benefits for Health, Dental, Vision, Life, Short Term Disability, Long Term Disability, Accident, Critical Illness, and Identity Theft Protection. 401K You are eligible to enroll 1st of the month following hire date. We match 100% of your first 3% of deferrals and an additional 50% of the next 2% you contribute. Employee Assistance Program Free to all employees who’d like information on personal issues: Education, Dependent Care, Care Giving, Legal, Financial, Lifestyle & Fitness Management, Working Smarter.

Overview: Must be a licensed and or a registered therapist to be considered.** EXCLUSIVE NEW JOB OPPORTUNITY!!*****Highly competitive rates and benefits package! ***Do you know a therapist who's a perfect fit for our team EARN UP TO $1,000 by referring a clinician to the Enhance family of brands! Make a difference and get rewarded for it!https://enhancetherapies.com/refer-a-friend/ About Us: South Pacific Rehab/Rehab Allianceis part of Enhance Therapies, a family of therapy companies with more than 30 years of industry leading experience. With over 7,000 therapists in 28 states and growing, we provide quality rehabilitation services to homecare, sub-acute, long-term care, outpatient, hospital, and assisted living facilities throughout the nation.South Pacific Rehab/Rehab Allianceis hiring! We are looking for a passionate full-time Occupational Therapist to join our growing team. In the same way that you are committed to quality work, we are equally dedicated to helping you grow and succeed with us.At South Pacific Rehab/Rehab Allianceyou will enjoy:Unparalleled schedule flexibility and supportive company cultureHealthcare benefits packageDynamic company partnerships to ensure career stability401K Plan with company matchOnline CEU CreditsPromotion / Advancement / Transfer OpportunitiesReferral bonus program eligibilityEmployee Assistance ProgramStudent mentor programWe offer additional benefits and perks, please reach out todayWe hire candidates who need H1B Sponsorship to include those on student Visa’s, H1B transfer and new H1B filing. Contact us today to learn about our amazing immigration program! Qualifications: Graduate of an accredited university with a B.S., MA, or M.S. or Doctorate in Occupational Therapy that the AOTA recognizes.Recognized by the NBCOT as a designated OTR (if state mandated)OT holds a current license and/or registration as an Occupational Therapist in-state as applicable.Responsibilities:Provide a comprehensive occupational therapy evaluation based on MD orders.Document findings on the standardized evaluation form timely, accurately and adhering to all guidelines.Provide a comprehensive treatment plan including long and short-term goals, frequency, duration, and treatment modalities.Ensure MD orders are obtained for evaluations, treatments, recertifications and discharges.Provide comprehensive treatment to patients utilizing modalities and modify patient treatment as indicated while adhering to precautions.Work settings include: Outpatient, rehabilitation center, long term care, inpatient, clinic, nursing home, acute care, hospital Pay Range: USD $55.00 - USD $60.00 /Hr.

At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives by improving access to trusted, affordable, and personalized mental healthcare. Everywhere. Every day. It’s a lofty goal; we know. But we make it happen with the best team in behavioral health.Thank you for taking the time to explore a career with us. As the fastest growing behavioral health practice group in the country, now is the perfect time to join our clinical team! We are actively looking to hire talented Psychologists in the area, who are passionate about patient care and committed to clinical excellence. We offer Psychologists:Compensation range of $136K to $182K based on productivityFlexible work schedules. Telemedicine and in-person flexibility.Full benefits package: health, dental, vision, life, 401k (with match), paid parental leave, holidays, EAP and more. Collegial work environment. Newly designed and modern offices. Full administrative support. Latest in digital technology. Strong work/life balance.Psychologists are a critical part of our clinical team. We’re seeking Psychologists that are:Fully licensed and credentialed in California, including a Ph.D. or Psy.D.Experienced with caring for adult and/or child and adolescent populations.To learn more about this position contact Jackie at jackie.Kalpin@lifestance.comAbout LifeStance HealthLifeStance is a national provider of mental healthcare services focused on evidenced-based, medically driven treatment services for children, adolescents and adults suffering from a variety of mental health issues in an outpatient care setting, both in-person at its clinics nationwide and through its digital health telemedicine offering. The company employs psychiatrists, psychologists, psychiatric nurse practitioners, and licensed therapists throughout the US. LifeStance Health is an equal opportunity employer. We celebrate diversity and are fully committed to creating an inclusive work environment for all our employees.Our values:Belonging: We cultivate a space where everyone can show up as their authentic self.Empathy: We seek out diverse perspectives and listen to learn without judgment.Courage: We are all accountable for doing the right thing - even when it's hard - because we know it's worth it.One Team: We realize our full potential when we work together towards our shared purpose.

Overview: Find Your Passion and Purpose as an RN Case Manager.#AC-RNReimagine Your Career in Home HealthAs a medical professional, you know that what you do impacts you as much as your patients and their families, and at AccentCare, we are united in our relentless drive to reimagine care because we want to provide the service we would seek for our own families. We think it’s really special to be a part of our patient’s health journey and create incredible memories while providing world-class patient care.Offer Based on Years of Experience What You Need to Know: Our Investment in YouWe are committed to offering comprehensive benefits and rewards to full-time employees who work over 30 hours per week and their families, including:Medical, dental, and vision coveragePaid time off and paid holidaysProfessional developmentCompany-matching 401(k) Flexible spending and health savings accountsCompany store credit for your first AccentCare-branded scrubs for patient-facing employees Qualifications: Be the Best RN Case Manager You Can BeIf you meet these qualifications, we want to meet you!Graduate from an approved school of professional nursing and currently licensed to practice as a registered nurse in the state of agency operation.One (1) year experience as a RN.Required Certifications and Licensures:Licensed to practice as a registered nurse in the state of agency operation.Must possess and maintain valid CPR certification while employed in a clinical role.Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order. Ability to travel to all business locations.Come As You AreAt AccentCare, our care is most compassionate when we empathize and engage with everyone, and we are at our best when we value diverse perspectives, foster open dialogue, and enact change. And we are stronger when each of us is empowered to grow, be our unique selves, and feel a sense of inclusion and belonging.AccentCare is proud of how we are building a culture and inclusive infrastructure to help elevate the voice of all our employees with a special focus on the underrepresented and marginalized. We offer equal employment opportunities regardless of a person’s race, ethnicity, sex, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental disability, physical disability, or any other protected classification. Posted Salary Range: USD $96,000.00 - USD $125,000.00 /Yr.

Your Role The Clinical Quality Analytics and Informatics team delivers best-in-class clinical quality analytics and informatics to enable high quality and affordable member-centered care. Our data, intelligence, and actionable insights help drive quality strategy, performance improvement, and regulatory reporting. The Clinical Quality Analyst - Senior will report to the Clinical Quality Manager or Senior Manager. In this role you will provide data, analytic and reporting support for the Clinical Quality Department to improve Blue Shield of California and Promise Health Plan quality performance for regulatory and accreditation requirements including National Committee for Quality Assurance, Centers for Medicare and Medicaid and Department Health Care Service.Your Work In this role, you will: Conduct independent analysis of high complexity under moderate supervision and guidance, develop novel analyses and reportsDevelop documentation and create and execute workplans for analyses of high complexityProduce analysis of high complexity under the guidance and direction of Clinical Quality Analyst – Consultant or Principal or ManagerDesign, build, and enhance data systems and applications so that they better serve specific reporting requirementsIdentify business risks relating to report design and productionCollect data from various internal systems (example Claims processing or membership systems) and external systems (EMR/EHR) and converts those data to actionable insights to guide business decision making for BSC populations' health management and quality of careProduce monthly provider and/or employer group specific reports based on HEDIS measures in alignment with reporting quality ratings systems such as NCQA Stars/Accreditation, Medicare Stars, Medi-Cal Managed Care Accountability Sets, Quality Transformation Initiative and Quality Rating SystemPartner with the HEDIS data team, Clinical Quality Analytics and Medical Record Review teams to support HEDIS performance improvement initiativesYour Knowledge and Experience Requires a bachelor’s degree in health science, quantitative social science, public health, health services research or business or equivalent experiencePrefer an MPH, MBA, MS, MA, RN, or RHIA in health science, quantitative social science, public health, health services research or businessRequires at least 2 years of SAS/SQL programming experienceRequires at least 2 years of Tableau or Power BI development and visualization managementRequires at least 5 years of prior operational and / or data analysis experience, experience in database structures, and standard query and reporting toolsProficient in MS Office – Word, Excel, and PowerPointRequires at least 2 years of programming using inpatient claims, outpatient encounters, membership, pharmacy, or laboratory dataRequires at least 2 years of experience with ICD (International Classification of Diseases) codes, CPT (Current Procedural Terminology) codes, Diagnostic Related Group (APR-DRG/MS-DRG) codes or Healthcare Common Procedure Coding System (HCPCS) codesRequires at least 3 years of experience in Health Care (managed care, academic, or gov't payer)Requires at least 1 year of experience working with NCQA HEDIS quality measuresRequires at least 1 year of experience with NCQA Health Plan Rating, CMS Medicare Advantage Star Rating or Medi-Cal Managed Care Accountability Sets (MCAS)Tableau certifications preferredPreferred experience with task management tools (eg. JIRA, Work Front, SharePoint) or cloud data (eg. Azure, AWS, Snowflake)Mastery of at least two of the following: clinical coding, large-scale health databases, health statistics (e.g., epidemiology or health services), health insurance business principles preferredExperience developing SAS/SQL programs and scripts that can be passed on to other analysts to improve their work efficiencyMust be able to develop programs and scripts that can be used to repeatedly to generate reliable reports and analyticsMust exhibit level-appropriate competence in Departmental competency dimensions (Communication, Agile Learning, Business Knowledge, Creativity, Critical Thinking, Customer Focus, Drive for Results)Experience with cost-of-healthcare or quality of care assessment in a managed care or academic settingExperience utilizing a certified HEDIS software. Pay Range: The pay range for this role is: $ 99000.00 to $ 148500.00 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

Job DescriptionNomad Health seeks an experienced Cardiac ICU registered nurse for a travel assignment in CA.Take the next step in your healthcare career and join Nomad Health as a Cardiac ICU travel nurse. As a traveler with Nomad, you get access to industry-leading pay, outstanding benefits, and our knowledgeable Nomad Navigator support team.QUALIFICATIONSMinimum one year of RN experienceOne yearCardiac ICU experience within the last two years as an RNHave an active RN license or be willing to obtain a Registered Nurse license in CARN degree from an accredited registered nurse programBLS and all relevant Cardiac ICU/department-specific certifications requiredRegister for a Nomad Health account to view full job details and applyNOMAD BENEFITSMajor medical and dental plans available on your first day of work401(k) with employer matching availableReimbursement for travel to your assignmentHousing stipendWeekly deposits direct to your bank accountWe work with thousands of travel nurses all over the country, in a wide variety of specialties and disciplines. To apply as a travel RN with us, you must have an active Professional Registered Nursing License or be willing to obtain one in the state you’re applying to, evidence of a minimum of one year RN work experience, and evidence of at least one year of Cardiac ICU experience within the last two years. In addition, you must have a Bachelor’s or Associate degree in nursing from an accredited registered nursing program, as well as a Basic Life Support (BLS) and all other relevant specialty/department certifications.At Nomad, we want to give you the tools you need to succeed. Our Nomad Navigators are passionate about helping you get to the bedside as quickly and efficiently as possible. They can help you with your application, credentialing, and finding housing. Our Navigators have experience working with travel nurses and can even help with on-the-job concerns if any arise while on assignment, and can provide clinician-to-clinician support.In addition to real hands-on support, we have a benefits package that was explicitly built for traveling clinicians and includes a housing stipend, partial travel reimbursement, and major medical and dental plans available on your first day of work. We also have a 401(k) program with employer matching options, a user-friendly digital timekeeping process, and weekly direct deposits.With your Nomad Health account, you get access to our unique digital platform; a platform built to help you land your perfect assignment. Move your travel healthcare career forward and find your next job today.We are seeking experienced RNs in a number of specialties to fill critical roles across the country: Medical Surgical NurseEmergency Room NurseStep-Down NurseTelemetry NurseICU NurseOperating Room NurseLabor and Delivery NurseCath Lab NursePsychiatric NurseAnd more travel RN jobs!

Overview: Must be a licensed and or a registered therapist to be considered.** EXCLUSIVE NEW JOB OPPORTUNITY!!*****Highly competitive rates and benefits package! ***Do you know a therapist who's a perfect fit for our team EARN UP TO $1,000 by referring a clinician to the Enhance family of brands! Make a difference and get rewarded for it!https://enhancetherapies.com/refer-a-friend/ About Us: South Pacific Rehab/Rehab Allianceis part of Enhance Therapies, a family of therapy companies with more than 30 years of industry leading experience. With over 7,000 therapists in 28 states and growing, we provide quality rehabilitation services to homecare, sub-acute, long-term care, outpatient, hospital, and assisted living facilities throughout the nation.South Pacific Rehab/Rehab Allianceis hiring! We are looking for a passionate full-time Speech Language Pathologist to join our growing team. In the same way that you are committed to quality work, we are equally dedicated to helping you grow and succeed with us.At South Pacific Rehab/Rehab Alliance you will enjoy:Unparalleled schedule flexibility and supportive company cultureHealthcare benefits packageDynamic company partnerships to ensure career stability401K Plan with company matchOnline CEU CreditsPromotion / Advancement / Transfer OpportunitiesReferral bonus program eligibilityEmployee Assistance ProgramStudent mentor programWe offer additional benefits and perks, please reach out todayWe hire candidates who need H1B Sponsorship to include those on student Visa’s, H1B transfer and new H1B filing. Contact us today to learn about our amazing immigration program! Qualifications: Graduate of an accrediteduniversity with an MA, or M.S. in communication disordersthat ASHA recognizes and state board.SLP holds a current license and/or registration as a Speech Language Pathologist in-state as applicable.Responsibilities:Provide comprehensive speech therapy evaluations as per MD orders.Document findings on the standardized evaluation format neatly, accurately and adhering to all guidelines.Provide a comprehensive treatment plan including long and short-term goals, frequency, duration and treatment modalities, therapeutic interventions, clinical and technical guidelinesEnsure MD orders are obtained for evaluations, treatments, recertifications and discharges.Provide comprehensive treatment to patients utilizing modalities and modifying patient treatment as indicated and adhering to precautions. Pay Range: USD $55.00 - USD $57.00 /Hr.

At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives by improving access to trusted, affordable, and personalized mental healthcare. Everywhere. Every day. It’s a lofty goal; we know. But we make it happen with the best team in behavioral health.Thank you for taking the time to explore a career with us. As the fastest growing behavioral health practice group in the country, now is the perfect time to join our clinical team! We are actively looking to hire talented Psychologists in the area, who are passionate about patient care and committed to clinical excellence. We offer Psychologists:Compensation range of $136K to $182K based on production.Flexible work schedules. Telemedicine and in-person flexibility.Full benefits package: health, dental, vision, life, 401k (with match), paid parental leave, holidays, EAP and more. Collegial work environment. Newly designed and modern offices. Full administrative support. Latest in digital technology. Strong work/life balance.Psychologists are a critical part of our clinical team. We’re seeking Psychologists that are:Fully licensed and credentialed in California, including a Ph.D. or Psy.D.Experienced with caring for adult and/or child and adolescent populations.To learn more about this position contact Jackie at jackie.Kalpin@lifestance.comAbout LifeStance HealthLifeStance is a national provider of mental healthcare services focused on evidenced-based, medically driven treatment services for children, adolescents and adults suffering from a variety of mental health issues in an outpatient care setting, both in-person at its clinics nationwide and through its digital health telemedicine offering. The company employs psychiatrists, psychologists, psychiatric nurse practitioners, and licensed therapists throughout the US. LifeStance Health is an equal opportunity employer. We celebrate diversity and are fully committed to creating an inclusive work environment for all our employees.Our values:Belonging: We cultivate a space where everyone can show up as their authentic self.Empathy: We seek out diverse perspectives and listen to learn without judgment.Courage: We are all accountable for doing the right thing - even when it's hard - because we know it's worth it.One Team: We realize our full potential when we work together towards our shared purpose.

Overview: **$5,000 Bonus**Find Your Passion and Purpose as a Clinical Support Specialist RN or LVN/LPNReimagine Your Career in Corporate HealthcareAs a professional, you know that what you do impacts you as much as our patients and their families, and at AccentCare, we are united in our relentless drive to reimagine care because we want to provide the service we would seek for our own families. We think it’s really special to be a part of our patient’s health journey and create incredible memories while providing world-class patient care.Offer Based on Years of Experience#AC-LPNLVN What You Need to Know: Our Investment in YouWe are committed to offering comprehensive benefits and rewards to full-time employees who work over 30 hours per week and their families, including:Medical, dental, and vision coveragePaid time off and paid holidaysProfessional developmentCompany-matching 401(k) Flexible spending and health savings accountsCompany store credit for your first AccentCare-branded scrubs for patient-facing employees Qualifications: Be the Best Clinical Support Specialist You Can BeIf you meet these qualifications, we want to meet you!RN or LVN/LPN with current licensure to practice nursing in the practicing state.Possess and maintain CPR certification.Previous experience in home care setting preferred.Prior use of Electronic Medical Records (EMR) preferred.Knowledge of accepted professional standards and practice, Medicare Conditions of Participation, and federal, state, and local regulatory requirements.Demonstrates excellent observation, nursing judgement, and communication skills.Must be a licensed driver with an automobile in good working order.Come As You AreAt AccentCare, our care is most compassionate when we empathize and engage with everyone, and we are at our best when we value diverse perspectives, foster open dialogue, and enact change. And we are stronger when each of us is empowered to grow, be our unique selves, and feel a sense of inclusion and belonging.AccentCare is proud of how we are building a culture and inclusive infrastructure to help elevate the voice of all our employees with a special focus on the underrepresented and marginalized. We offer equal employment opportunities regardless of a person’s race, ethnicity, sex, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental disability, physical disability, or any other protected classification. Posted Salary Range: USD $32.40 - USD $51.85 /Hr.

Your Role The Back Office Analytics team supports operations stakeholders with dashboarding, analytic studies, and statistical modeling to drive a better member/provider experience while reducing both administrative and healthcare costs. The Medical Informatics Analyst, Consultant will report to the Sr. Manager of Back Office Analytics. In this role you will provide analytic support to the operations team which involves defining a business problem, developing an analytic framework, and producing analytically driven insights and solutions that support transformational initiatives improving health care operations efficiency and member experience. You will face off directly with executive leadership to understand business challenges and present your analytic findings. You will own the relationship with your executive stakeholders and be responsible for delivering on their priorities within committed timeframes. Your Work In this role, you will: Proactively and aggressively partner with business stakeholders to understand problems and provide guidance / support before you are askedConduct independent analysis of highly complex domains under minimal supervision and guidanceDevelop analytical methods so that they may be subsequently delegated for production to Medical Informatics Analysts at lower levelsDevelop documentation and create / execute workplans for analyses. Workplans may coordinate the activities of Medical Informatics Analysts at lower levels and may involve collaboration with more than one teamProvide training and mentoring for team members on best practices for analysis andAnalyze structured and unstructured data to size and solve different business problems which can include uncovering pain points, performing root cause analysis, recommending, and sizing improvements for prioritizationBuild complex data sets from disparate sources with required linkages to enable analyticsUse statistics, text mining, topic modeling, predictive modeling to answer business questions and generate insights/outcomes that relate to solving business problemsWork directly with business stakeholders and leaders to become an "embedded" analytic partner who understands the business and is ready to contribute directly to meeting stakeholder goalsLead teams of full time and contract analysts to produce impactful insights in a highly matrixed and fast paced environmentYour Knowledge and Experience Requires an MPH, MBA, MS, MA, RN, or RHIA in health science, quantitative social science, public health, health services research or business, or BA/BS with demonstrated equivalent work experienceRequires advanced level proficiency in SAS, R, or Python (preferred) for data wrangling, automation, and creating statistical and machine learning modelsRequires at least 7 years of prior relevant experienceRequires expert level skill with SQL, Excel, data visualization (Tableau preferred), query tuning, various database models (normalized / dimensional / data vault / etc.)Requires high level of curiosity, superior conceptualization, and problem-solving skillsRequires proficiency in statistics, regression techniques, text mining, predictive modelingDesire at least 5 years of experience in Health Care (managed care, academic, or gov't payer)Desire proficiency in agile methodology, confluence, Jira, etc.Desire proficiency in cloud-based computing and data platforms (Azure, Google Cloud, BigQuery, Snowflake, DataBricks)Desire experience with medical claims payment, payment integrity, corporate recovery, provider operations/relations, provider network management, inventory management, workforce productivity measurement Pay Range: The pay range for this role is: $ 118800.00 to $ 178200.00 for California. Notes: 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.

Job DescriptionNomad Health seeks an experienced Labor & Delivery registered nurse for a travel assignment in CA.Take the next step in your healthcare career and join Nomad Health as a Labor & Delivery travel nurse. As a traveler with Nomad, you get access to industry-leading pay, outstanding benefits, and our knowledgeable Nomad Navigator support team.QUALIFICATIONSMinimum one year of RN experienceOne yearLabor & Delivery experience within the last two years as an RNHave an active RN license or be willing to obtain a Registered Nurse license in CARN degree from an accredited registered nurse programBLS and all relevant Labor & Delivery/department-specific certifications requiredRegister for a Nomad Health account to view full job details and applyNOMAD BENEFITSMajor medical and dental plans available on your first day of work401(k) with employer matching availableReimbursement for travel to your assignmentHousing stipendWeekly deposits direct to your bank accountWe work with thousands of travel nurses all over the country, in a wide variety of specialties and disciplines. To apply as a travel RN with us, you must have an active Professional Registered Nursing License or be willing to obtain one in the state you’re applying to, evidence of a minimum of one year RN work experience, and evidence of at least one year of Labor & Delivery experience within the last two years. In addition, you must have a Bachelor’s or Associate degree in nursing from an accredited registered nursing program, as well as a Basic Life Support (BLS) and all other relevant specialty/department certifications.At Nomad, we want to give you the tools you need to succeed. Our Nomad Navigators are passionate about helping you get to the bedside as quickly and efficiently as possible. They can help you with your application, credentialing, and finding housing. Our Navigators have experience working with travel nurses and can even help with on-the-job concerns if any arise while on assignment, and can provide clinician-to-clinician support.In addition to real hands-on support, we have a benefits package that was explicitly built for traveling clinicians and includes a housing stipend, partial travel reimbursement, and major medical and dental plans available on your first day of work. We also have a 401(k) program with employer matching options, a user-friendly digital timekeeping process, and weekly direct deposits.With your Nomad Health account, you get access to our unique digital platform; a platform built to help you land your perfect assignment. Move your travel healthcare career forward and find your next job today.We are seeking experienced RNs in a number of specialties to fill critical roles across the country: Medical Surgical NurseEmergency Room NurseStep-Down NurseTelemetry NurseICU NurseOperating Room NurseLabor and Delivery NurseCath Lab NursePsychiatric NurseAnd more travel RN jobs!

Overview: Must be a licensed and or a registered therapist to be considered.** EXCLUSIVE NEW JOB OPPORTUNITY!!*****Highly competitive rates and benefits package! ***Do you know a therapist who's a perfect fit for our team EARN UP TO $1,000 by referring a clinician to the Enhance family of brands! Make a difference and get rewarded for it!https://enhancetherapies.com/refer-a-friend/ About Us: South Pacific Rehab/Rehab Allianceis part of Enhance Therapies, a family of therapy companies with more than 30 years of industry leading experience. With over 7,000 therapists in 28 states and growing, we provide quality rehabilitation services to homecare, sub-acute, long-term care, outpatient, hospital, and assisted living facilities throughout the nation.South Pacific Rehab/Rehab Allianceis hiring! We are looking for a passionate full-time Speech Language Pathologist to join our growing team. In the same way that you are committed to quality work, we are equally dedicated to helping you grow and succeed with us.At South Pacific Rehab/Rehab Allianceyou will enjoy:Unparalleled schedule flexibility and supportive company cultureHealthcare benefits packageDynamic company partnerships to ensure career stability401K Plan with company matchOnline CEU CreditsPromotion / Advancement / Transfer OpportunitiesReferral bonus program eligibilityEmployee Assistance ProgramStudent mentor programWe offer additional benefits and perks, please reach out todayWe hire candidates who need H1B Sponsorship to include those on student Visa’s, H1B transfer and new H1B filing. Contact us today to learn about our amazing immigration program! Qualifications: Graduate of an accrediteduniversity with an MA, or M.S. in communication disordersthat ASHA recognizes and state board.SLP holds a current license and/or registration as a Speech Language Pathologist in-state as applicable.Responsibilities:Provide comprehensive speech therapy evaluations as per MD orders.Document findings on the standardized evaluation format neatly, accurately and adhering to all guidelines.Provide a comprehensive treatment plan including long and short-term goals, frequency, duration and treatment modalities, therapeutic interventions, clinical and technical guidelinesEnsure MD orders are obtained for evaluations, treatments, recertifications and discharges.Provide comprehensive treatment to patients utilizing modalities and modifying patient treatment as indicated and adhering to precautions.Work settings include: Outpatient, rehabilitation center, long term care, inpatient, clinic, nursing home, acute care, hospital Pay Range: USD $60.00 - USD $63.00 /Hr.

At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives by improving access to trusted, affordable, and personalized mental healthcare. Everywhere. Every day. It’s a lofty goal; we know. But we make it happen with the best team in behavioral health.Thank you for taking the time to explore a career with us. As the fastest growing behavioral health practice group in the country, now is the perfect time to join our clinical team! We are actively looking to hire talented Psychologists in the area, who are passionate about patient care and committed to clinical excellence. We offer Psychologists:Compensation range of $136K to $182K based on productivityFlexible work schedules. Telemedicine and in-person flexibility.Full benefits package: health, dental, vision, life, 401k (with match), paid parental leave, holidays, EAP and more. Collegial work environment. Newly designed and modern offices. Full administrative support. Latest in digital technology. Strong work/life balance.Psychologists are a critical part of our clinical team. We’re seeking Psychologists that are:Fully licensed and credentialed in California, including a Ph.D. or Psy.D.Experienced with caring for adult and/or child and adolescent populations.To learn more about this position contact Jackie at jackie.Kalpin@lifestance.comAbout LifeStance HealthLifeStance is a national provider of mental healthcare services focused on evidenced-based, medically driven treatment services for children, adolescents and adults suffering from a variety of mental health issues in an outpatient care setting, both in-person at its clinics nationwide and through its digital health telemedicine offering. The company employs psychiatrists, psychologists, psychiatric nurse practitioners, and licensed therapists throughout the US. LifeStance Health is an equal opportunity employer. We celebrate diversity and are fully committed to creating an inclusive work environment for all our employees.Our values:Belonging: We cultivate a space where everyone can show up as their authentic self.Empathy: We seek out diverse perspectives and listen to learn without judgment.Courage: We are all accountable for doing the right thing - even when it's hard - because we know it's worth it.One Team: We realize our full potential when we work together towards our shared purpose.

Overview: **$5,000 Bonus**Find Your Passion and Purpose as a Clinical Support Specialist RN or LVN/LPNReimagine Your Career in Corporate HealthcareAs a professional, you know that what you do impacts you as much as our patients and their families, and at AccentCare, we are united in our relentless drive to reimagine care because we want to provide the service we would seek for our own families. We think it’s really special to be a part of our patient’s health journey and create incredible memories while providing world-class patient care.Offer Based on Years of Experience#AC-LPNLVN What You Need to Know: Our Investment in YouWe are committed to offering comprehensive benefits and rewards to full-time employees who work over 30 hours per week and their families, including:Medical, dental, and vision coveragePaid time off and paid holidaysProfessional developmentCompany-matching 401(k) Flexible spending and health savings accountsCompany store credit for your first AccentCare-branded scrubs for patient-facing employees Qualifications: Be the Best Clinical Support Specialist You Can BeIf you meet these qualifications, we want to meet you!RN or LVN/LPN with current licensure to practice nursing in the practicing state.Possess and maintain CPR certification.Previous experience in home care setting preferred.Prior use of Electronic Medical Records (EMR) preferred.Knowledge of accepted professional standards and practice, Medicare Conditions of Participation, and federal, state, and local regulatory requirements.Demonstrates excellent observation, nursing judgement, and communication skills.Must be a licensed driver with an automobile in good working order.Come As You AreAt AccentCare, our care is most compassionate when we empathize and engage with everyone, and we are at our best when we value diverse perspectives, foster open dialogue, and enact change. And we are stronger when each of us is empowered to grow, be our unique selves, and feel a sense of inclusion and belonging.AccentCare is proud of how we are building a culture and inclusive infrastructure to help elevate the voice of all our employees with a special focus on the underrepresented and marginalized. We offer equal employment opportunities regardless of a person’s race, ethnicity, sex, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental disability, physical disability, or any other protected classification. Posted Salary Range: USD $32.40 - USD $51.85 /Hr.

Your Role The Cost of Health Care Actuarial team is responsible for supporting the Pharmacy Reimagined strategy in addition to traditional actuarial functions of claim reserves and cost trends. The Pharmacy Medical Informaticist, Principal will report to the Senior Director, Cost of Health Care Actuarial. In this role you will support the Pharmacy Team’s strategic objectives in contract negotiations, pricing for self-funded employer groups, formulary changes, product development, and initiative evaluation. Your Work In this role, you will: Use deep understanding of underlying business requirements to conceptualize and develop analytical systems that meet important business needsDesign and develop these systems so that they can be used by lower-level analysts thereby promoting company-wide efficienciesCoordinate activities with other internal departments to maximize overall efficiency and resolve conflictsCommunicate project status, progress, and outcomes to executive managementFulfill a leadership role in the critical review and ongoing development of data management and analytical systems for strategically important enterprise-wide analysis and reportingSupport vendor financial contract performance evaluation, forecast and negotiation (e.g. rebates, network contracts)Support development of budget/trend impact models and formulary strategy models for high impact existing and pipeline drugsProvide Rx data support and participate in product governance /value assessment committee on Rx benefit and formulary strategySupport ASO product strategy evaluation and coordinate with UW and Actuarial Trend teams as neededSupport RxCare strategic initiatives evaluation as needed Your Knowledge and Experience Requires an MPH, MBA, MS, MA, RN, or RHIA in health science, quantitative social science, public health, health services research or business, or BA/BS with demonstrated equivalent work experienceRequires SAS Certified Base Programmer Credential or equivalent and SAS Certified Advanced Programmer Credential or equivalentRequires at least 10 years of prior relevant experienceRequires at least 5 years of experience in Health Care (managed care, academic, or gov't payer)Requires experience at a Pharmacy Benefit Manager (PBM) Pay Range: The pay range for this role is: $ 145970.00 to $ 218900.00 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.

Job DescriptionNomad Health seeks an experienced Neonatal ICU (NICU) registered nurse for a travel assignment in CA.Take the next step in your healthcare career and join Nomad Health as a Neonatal ICU (NICU) travel nurse. As a traveler with Nomad, you get access to industry-leading pay, outstanding benefits, and our knowledgeable Nomad Navigator support team.QUALIFICATIONSMinimum one year of RN experienceOne yearNeonatal ICU (NICU) experience within the last two years as an RNHave an active RN license or be willing to obtain a Registered Nurse license in CARN degree from an accredited registered nurse programBLS and all relevant Neonatal ICU (NICU)/department-specific certifications requiredRegister for a Nomad Health account to view full job details and applyNOMAD BENEFITSMajor medical and dental plans available on your first day of work401(k) with employer matching availableReimbursement for travel to your assignmentHousing stipendWeekly deposits direct to your bank accountWe work with thousands of travel nurses all over the country, in a wide variety of specialties and disciplines. To apply as a travel RN with us, you must have an active Professional Registered Nursing License or be willing to obtain one in the state you’re applying to, evidence of a minimum of one year RN work experience, and evidence of at least one year of Neonatal ICU (NICU) experience within the last two years. In addition, you must have a Bachelor’s or Associate degree in nursing from an accredited registered nursing program, as well as a Basic Life Support (BLS) and all other relevant specialty/department certifications.At Nomad, we want to give you the tools you need to succeed. Our Nomad Navigators are passionate about helping you get to the bedside as quickly and efficiently as possible. They can help you with your application, credentialing, and finding housing. Our Navigators have experience working with travel nurses and can even help with on-the-job concerns if any arise while on assignment, and can provide clinician-to-clinician support.In addition to real hands-on support, we have a benefits package that was explicitly built for traveling clinicians and includes a housing stipend, partial travel reimbursement, and major medical and dental plans available on your first day of work. We also have a 401(k) program with employer matching options, a user-friendly digital timekeeping process, and weekly direct deposits.With your Nomad Health account, you get access to our unique digital platform; a platform built to help you land your perfect assignment. Move your travel healthcare career forward and find your next job today.We are seeking experienced RNs in a number of specialties to fill critical roles across the country: Medical Surgical NurseEmergency Room NurseStep-Down NurseTelemetry NurseICU NurseOperating Room NurseLabor and Delivery NurseCath Lab NursePsychiatric NurseAnd more travel RN jobs!

Overview: Must be a licensed and or a registered therapist to be considered.** EXCLUSIVE NEW JOB OPPORTUNITY!!*****Highly competitive rates and benefits package! ***Do you know a therapist who's a perfect fit for our team EARN UP TO $1,000 by referring a clinician to the Enhance family of brands! Make a difference and get rewarded for it!https://enhancetherapies.com/refer-a-friend/ About Us: South Pacific Rehab/Rehab Allianceis part of Enhance Therapies, a family of therapy companies with more than 30 years of industry leading experience. With over 7,000 therapists in 28 states and growing, we provide quality rehabilitation services to homecare, sub-acute, long-term care, outpatient, hospital, and assisted living facilities throughout the nation.South Pacific Rehab/Rehab Allianceis hiring! We are looking for a passionate part-time Speech Language Pathologist to join our growing team. In the same way that you are committed to quality work, we are equally dedicated to helping you grow and succeed with us.At South Pacific Rehab/Rehab Allianceyou will enjoy:Unparalleled schedule flexibility and supportive company cultureHealthcare benefits packageDynamic company partnerships to ensure career stability401K Plan with company matchOnline CEU CreditsPromotion / Advancement / Transfer OpportunitiesReferral bonus program eligibilityEmployee Assistance ProgramStudent mentor programWe offer additional benefits and perks, please reach out todayWe hire candidates who need H1B Sponsorship to include those on student Visa’s, H1B transfer and new H1B filing. Contact us today to learn about our amazing immigration program! Qualifications: Graduate of an accrediteduniversity with an MA, or M.S. in communication disordersthat ASHA recognizes and state board.SLP holds a current license and/or registration as a Speech Language Pathologist in-state as applicable.Responsibilities:Provide comprehensive speech therapy evaluations as per MD orders.Document findings on the standardized evaluation format neatly, accurately and adhering to all guidelines.Provide a comprehensive treatment plan including long and short-term goals, frequency, duration and treatment modalities, therapeutic interventions, clinical and technical guidelinesEnsure MD orders are obtained for evaluations, treatments, recertifications and discharges.Provide comprehensive treatment to patients utilizing modalities and modifying patient treatment as indicated and adhering to precautions. Pay Range: USD $63.00 - USD $65.00 /Hr.

At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives by improving access to trusted, affordable, and personalized mental healthcare. Everywhere. Every day. It’s a lofty goal; we know. But we make it happen with the best team in behavioral health.Thank you for taking the time to explore a career with us. As the fastest growing behavioral health practice group in the country, now is the perfect time to join our clinical team! We are actively looking to hire talented Psychologists in the area, who are passionate about patient care and committed to clinical excellence. We offer Psychologists:Compensation range of $136K to $182K based on production.Flexible work schedules. Telemedicine and in-person flexibility.Full benefits package: health, dental, vision, life, 401k (with match), paid parental leave, holidays, EAP and more.Collegial work environment. Full administrative support. Latest in digital technology. Strong work/life balance.Psychologists are a critical part of our clinical team. We’re seeking Psychologists that are:Fully licensed and credentialed in California, including a Ph.D. or Psy.D.Experienced with caring for adult and/or child and adolescent populations.To learn more about this position contact Jackie at jackie.Kalpin@lifestance.comAbout LifeStance HealthLifeStance is a national provider of mental healthcare services focused on evidenced-based, medically driven treatment services for children, adolescents and adults suffering from a variety of mental health issues in an outpatient care setting, both in-person at its clinics nationwide and through its digital health telemedicine offering. The company employs psychiatrists, psychologists, psychiatric nurse practitioners, and licensed therapists throughout the US. LifeStance Health is an equal opportunity employer. We celebrate diversity and are fully committed to creating an inclusive work environment for all our employees.Our values:Belonging: We cultivate a space where everyone can show up as their authentic self.Empathy: We seek out diverse perspectives and listen to learn without judgment.Courage: We are all accountable for doing the right thing - even when it's hard - because we know it's worth it.One Team: We realize our full potential when we work together towards our shared purpose.

Overview: **$5,000 Bonus**Find Your Passion and Purpose as a Clinical Support Specialist RN or LVN/LPNReimagine Your Career in Corporate HealthcareAs a professional, you know that what you do impacts you as much as our patients and their families, and at AccentCare, we are united in our relentless drive to reimagine care because we want to provide the service we would seek for our own families. We think it’s really special to be a part of our patient’s health journey and create incredible memories while providing world-class patient care.Offer Based on Years of Experience#AC-LPNLVN What You Need to Know: Our Investment in YouWe are committed to offering comprehensive benefits and rewards to full-time employees who work over 30 hours per week and their families, including:Medical, dental, and vision coveragePaid time off and paid holidaysProfessional developmentCompany-matching 401(k) Flexible spending and health savings accountsCompany store credit for your first AccentCare-branded scrubs for patient-facing employees Qualifications: Be the Best Clinical Support Specialist You Can BeIf you meet these qualifications, we want to meet you!RN or LVN/LPN with current licensure to practice nursing in the practicing state.Possess and maintain CPR certification.Previous experience in home care setting preferred.Prior use of Electronic Medical Records (EMR) preferred.Knowledge of accepted professional standards and practice, Medicare Conditions of Participation, and federal, state, and local regulatory requirements.Demonstrates excellent observation, nursing judgement, and communication skills.Must be a licensed driver with an automobile in good working order.Come As You AreAt AccentCare, our care is most compassionate when we empathize and engage with everyone, and we are at our best when we value diverse perspectives, foster open dialogue, and enact change. And we are stronger when each of us is empowered to grow, be our unique selves, and feel a sense of inclusion and belonging.AccentCare is proud of how we are building a culture and inclusive infrastructure to help elevate the voice of all our employees with a special focus on the underrepresented and marginalized. We offer equal employment opportunities regardless of a person’s race, ethnicity, sex, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental disability, physical disability, or any other protected classification. Posted Salary Range: USD $32.40 - USD $51.85 /Hr.

Job descriptionNomad Health seeks an experienced Breast Sonography ultrasound tech for a travel assignment in CA.Take the next step in your healthcare career and join Nomad Health as a travel ultrasound technologist. As a traveler with Nomad, you get access to industry-leading pay, outstanding benefits, and our knowledgeable Nomad Navigator support team.QUALIFICATIONSTwo years minimum of ultrasound/sonography tech experienceTwo years minimum of recent experience within the applied modality as an ultrasound techAn active credential issued by the ARDMSRegister for a Nomad Health account to view full job details and applyNOMAD BENEFITSMajor medical and dental plans available on your first day of work401(k) with employer matching availableReimbursement for travel to your assignmentHousing stipendWeekly deposits direct to your bank accountUltrasound technologists use sonography to get a better look at organs, joints, blood vessels, etc. As a travel ultrasound tech with Nomad, you’ll be expected to deliver age-specific direct patient care according to unit scope of service, conduct ongoing assessments as determined by patient’s condition, facility policies, procedures, and protocols, provide individualized, non-judgemental, non-discriminatory care to all patients, families, and staff.To apply as an ultrasound tech, or sonographer, with Nomad, you must have an active ARDMS or equivalent certification, evidence of at least one year of experience as an Breast Sonography ultrasound tech, and evidence of at least one year of experience in your specialty/modality within the past three years. You must have also graduated from an accredited school within your discipline, and score 80% or higher on all Nomad Health competency assessments. We offer a variety of ultrasound technologist jobs, including general, cardiac, vascular, and more, as well as jobs working with different patient populations, so we’re confident you’ll be able to find the perfect position.At Nomad, we want to give you the tools you need to succeed. Our Nomad Navigators are passionate about helping you get to the bedside as quickly and efficiently as possible. They can help you with your application, credentialing, and finding housing. Our Navigators have experience working with travel ultrasound techs and can even help with on-the-job concerns if any arise while on assignment.In addition to real hands-on support, we have a benefits package that was explicitly built for traveling clinicians and includes a housing stipend, partial travel reimbursement, and major medical and dental plans available on your first day of work. We also have a 401(k) program with employer matching options, a user-friendly digital timekeeping process, and weekly direct deposits.With your Nomad Health account, you get access to our unique digital platform; a platform built to help you land your perfect assignment. Move your travel healthcare career forward and find your next job today. We are seeking experienced ultrasound techs in a number of specialties to fill critical roles across the country: Pediatric EchocardiographyAdult EchocardiographyVascular TechnologyCardio SonographerMedical SonographerAnd more ultrasound tech jobs!

About Our Internships Our paid internship program is thoughtfully curated to provide students with experience and exposure to the healthcare industry. Interns will be given the opportunity to get hands-on experience with real work projects, build meaningful relationships and connections within the organization, and experience our mission and enterprise goals through our program curriculum centered on our leadership model (Personal, People, Thought, and Results Leadership). To see more about our internship program,check out this video. Our Summer 2025 Internship is June 9th or June 16ththrough August 15th, 2025. Application Process and Timeline: Now:Actively accepting applicationsNovember: If you meet the requirements, you will receive an invitation to complete a Pre-Recorded Video InterviewNovember - January:2nd round interviews & offers extended As an intern at Blue Shield of California, you will: Participate in impactful projects during a 10-week internship programUndertake a 10-week curriculum designed to familiarize interns with BSC, leadership development, exposure to the healthcare industry, and moreBe invited to participate in BSC employee events and networking opportunities such as Employee Resource Groups, employee volunteer activities, and more General Requirements: Must reside in the state of California for the duration of the internshipHybrid requirements - Preferably live within a 50-mile radius of a BSC office and be available for in-office collaboration 2 times per monthMust currently be enrolled in an undergraduate or graduate program at the time of the internship, with a graduation date of December 2025 or later Your Role The Data Governance team drives building trust in data via alignment and transparency across the organization to achieve the company’s goal of transforming healthcare. In this role you will be part of a high-performing team which works across the enterprise by SME based stewardship and transparency on definitions of business concepts in data, technical metadata management, data quality, reference data management, master data management, security and compliance. Your Work In this role, you will: Mapping BSC business taxonomy to Healthcare Industry standard taxonomy: Associate BSC business taxonomy to HL7 taxonomy to enable interoperabilitySuggest refinement of the business taxonomy of BSC in data catalog for industry standardizationCompliance: Associate applicable regulatory policies to business taxonomy Your Knowledge and Experience Actively pursuing a master’s degree in Health Informatics & Public HealthInterest in and understanding of Industry standards for healthcare data and applicable regulatory policiesMinimum 1 year of related professional experience, project, or courseworkProactive, solution focused mindset with demonstrated creative, problem-solving skillsPassionate about changing healthcare and challenging the status quo via Healthcare Information management Pay Range: The pay range for this role is: $25.00 to $30.00 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.

Overview: Must be a licensed and or a registered therapist to be considered.** EXCLUSIVE NEW JOB OPPORTUNITY!!*****Highly competitive rates and benefits package! ***Do you know a therapist who's a perfect fit for our team EARN UP TO $1,000 by referring a clinician to the Enhance family of brands! Make a difference and get rewarded for it!https://enhancetherapies.com/refer-a-friend/ About Us: South Pacific Rehab/Rehab Alliance is part of Enhance Therapies, a family of therapy companies with more than 30 years of industry leading experience. With over 7,000 therapists in 28 states and growing, we provide quality rehabilitation services to homecare, sub-acute, long-term care, outpatient, hospital, and assisted living facilities throughout the nation.South Pacific Rehab/Rehab Allianceis hiring! We are looking for a passionate part-time Occupational Therapist to join our growing team. In the same way that you are committed to quality work, we are equally dedicated to helping you grow and succeed with us.At South Pacific Rehab/Rehab Alliance you will enjoy:Unparalleled schedule flexibility and supportive company cultureDynamic company partnerships to ensure career stability401K Plan with company matchOnline CEU CreditsPromotion / Advancement / Transfer OpportunitiesReferral bonus program eligibilityEmployee Assistance ProgramStudent mentor programWe offer additional benefits and perks, please reach out todayWe hire candidates who need H1B Sponsorship to include those on student Visa’s, H1B transfer and new H1B filing. Contact us today to learn about our amazing immigration program! Qualifications: Graduate of an accredited university with a B.S.,MA, or M.S. or Doctorate in Occupational Therapythat the AOTA recognizes.Recognized by the NBCOT as a designated OTR (if state mandated)OT holds a current license and/or registration as an Occupational Therapist in-state as applicable.Responsibilities:Provide a comprehensive occupational therapy evaluation based on MD orders.Document findings on the standardized evaluation form timely, accurately and adhering to all guidelines.Provide a comprehensive treatment plan including long and short-term goals, frequency, duration, and treatment modalities.Ensure MD orders are obtained for evaluations, treatments, recertifications and discharges.Provide comprehensive treatment to patients utilizing modalities and modify patient treatment as indicated while adhering to precautions.Related:Occupational Therapist | OT | AOTA Pay Range: USD $53.00 - USD $56.00 /Hr.

At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives by improving access to trusted, affordable, and personalized mental healthcare. Everywhere. Every day. It’s a lofty goal; we know. But we make it happen with the best team in behavioral health.Thank you for taking the time to explore a career with us. As the fastest growing behavioral health practice group in the country, now is the perfect time to join our clinical team! We are actively looking to hire talented Psychologists in the area, who are passionate about patient care and committed to clinical excellence. We offer Psychologists:Compensation range of $136K to $182K based on productivityFlexible work schedules. Telemedicine and in-person flexibility.Full benefits package: health, dental, vision, life, 401k (with match), paid parental leave, holidays, EAP and more. Collegial work environment. Newly designed and modern offices. Full administrative support. Latest in digital technology. Strong work/life balance.Psychologists are a critical part of our clinical team. We’re seeking Psychologists that are:Fully licensed and credentialed in California, including a Ph.D. or Psy.D.Experienced with caring for adult and/or child and adolescent populations.To learn more about this position contact Jackie at jackie.Kalpin@lifestance.comAbout LifeStance HealthLifeStance is a national provider of mental healthcare services focused on evidenced-based, medically driven treatment services for children, adolescents and adults suffering from a variety of mental health issues in an outpatient care setting, both in-person at its clinics nationwide and through its digital health telemedicine offering. The company employs psychiatrists, psychologists, psychiatric nurse practitioners, and licensed therapists throughout the US. LifeStance Health is an equal opportunity employer. We celebrate diversity and are fully committed to creating an inclusive work environment for all our employees.Our values:Belonging: We cultivate a space where everyone can show up as their authentic self.Empathy: We seek out diverse perspectives and listen to learn without judgment.Courage: We are all accountable for doing the right thing - even when it's hard - because we know it's worth it.One Team: We realize our full potential when we work together towards our shared purpose.

Overview: **$5,000 Bonus**Find Your Passion and Purpose as a Clinical Support Specialist RN or LVN/LPNReimagine Your Career in Corporate HealthcareAs a professional, you know that what you do impacts you as much as our patients and their families, and at AccentCare, we are united in our relentless drive to reimagine care because we want to provide the service we would seek for our own families. We think it’s really special to be a part of our patient’s health journey and create incredible memories while providing world-class patient care.Offer Based on Years of Experience#AC-LPNLVN What You Need to Know: Our Investment in YouWe are committed to offering comprehensive benefits and rewards to full-time employees who work over 30 hours per week and their families, including:Medical, dental, and vision coveragePaid time off and paid holidaysProfessional developmentCompany-matching 401(k) Flexible spending and health savings accountsCompany store credit for your first AccentCare-branded scrubs for patient-facing employees Qualifications: Be the Best Clinical Support Specialist You Can BeIf you meet these qualifications, we want to meet you!RN or LVN/LPN with current licensure to practice nursing in the practicing state.Possess and maintain CPR certification.Previous experience in home care setting preferred.Prior use of Electronic Medical Records (EMR) preferred.Knowledge of accepted professional standards and practice, Medicare Conditions of Participation, and federal, state, and local regulatory requirements.Demonstrates excellent observation, nursing judgement, and communication skills.Must be a licensed driver with an automobile in good working order.Come As You AreAt AccentCare, our care is most compassionate when we empathize and engage with everyone, and we are at our best when we value diverse perspectives, foster open dialogue, and enact change. And we are stronger when each of us is empowered to grow, be our unique selves, and feel a sense of inclusion and belonging.AccentCare is proud of how we are building a culture and inclusive infrastructure to help elevate the voice of all our employees with a special focus on the underrepresented and marginalized. We offer equal employment opportunities regardless of a person’s race, ethnicity, sex, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental disability, physical disability, or any other protected classification. Posted Salary Range: USD $32.40 - USD $51.85 /Hr.

Job DescriptionNomad Health seeks an experienced Trauma ICU registered nurse for a travel assignment in CA.Take the next step in your healthcare career and join Nomad Health as a Trauma ICU travel nurse. As a traveler with Nomad, you get access to industry-leading pay, outstanding benefits, and our knowledgeable Nomad Navigator support team.QUALIFICATIONSMinimum one year of RN experienceOne yearTrauma ICU experience within the last two years as an RNHave an active RN license or be willing to obtain a Registered Nurse license in CARN degree from an accredited registered nurse programBLS and all relevant Trauma ICU/department-specific certifications requiredRegister for a Nomad Health account to view full job details and applyNOMAD BENEFITSMajor medical and dental plans available on your first day of work401(k) with employer matching availableReimbursement for travel to your assignmentHousing stipendWeekly deposits direct to your bank accountWe work with thousands of travel nurses all over the country, in a wide variety of specialties and disciplines. To apply as a travel RN with us, you must have an active Professional Registered Nursing License or be willing to obtain one in the state you’re applying to, evidence of a minimum of one year RN work experience, and evidence of at least one year of Trauma ICU experience within the last two years. In addition, you must have a Bachelor’s or Associate degree in nursing from an accredited registered nursing program, as well as a Basic Life Support (BLS) and all other relevant specialty/department certifications.At Nomad, we want to give you the tools you need to succeed. Our Nomad Navigators are passionate about helping you get to the bedside as quickly and efficiently as possible. They can help you with your application, credentialing, and finding housing. Our Navigators have experience working with travel nurses and can even help with on-the-job concerns if any arise while on assignment, and can provide clinician-to-clinician support.In addition to real hands-on support, we have a benefits package that was explicitly built for traveling clinicians and includes a housing stipend, partial travel reimbursement, and major medical and dental plans available on your first day of work. We also have a 401(k) program with employer matching options, a user-friendly digital timekeeping process, and weekly direct deposits.With your Nomad Health account, you get access to our unique digital platform; a platform built to help you land your perfect assignment. Move your travel healthcare career forward and find your next job today.We are seeking experienced RNs in a number of specialties to fill critical roles across the country: Medical Surgical NurseEmergency Room NurseStep-Down NurseTelemetry NurseICU NurseOperating Room NurseLabor and Delivery NurseCath Lab NursePsychiatric NurseAnd more travel RN jobs!

Our Senior Markets Customer Experience Teams receive incoming telephone calls from both our 65+, Medicare and Medicare Supplement Senior members. The Senior Markets Call Center is open 7 days a week, 8:00 a.m. – 8:00 p.m., including holidays. If hired, you will be required to attend and complete paid, mandatory training remotely. You must attend each day for 8 hours, totaling 40 hours per week for the required training period. Training hours are 8:00 a.m-4:30.p.m Mon-Fri. After completion of successful training the agent may continue to work remotely in accordance with our work from home policy and will be assigned a 40-hour shift/schedule between the hours of 8am to 8pm 7 days a week. The following job summary will help you understand the candidates/people well suited to our Senior Markets Call Center Team. Job Summary: Projected Start date: March 24th, 2025 Mandatory Training: Remote As a Senior Markets Customer Service Representative (CSR), you are in charge of upholding our mission of providing a service worthy of our family and friends. Our members look to you to help them navigate healthcare, providing empathy and advocacy. You are empowered to provide members with peace of mind that their current issue is resolved and that none are on the horizon. Medicare provides health coverage to individuals 65 and older or those with a severe disability regardless of age. Successful CSRs deliver an effortless customer experience by: Taking the lead – our CSRs take ownership of members' issues, relieving members' stress while guiding them to a quick and easy resolution.Identifying future problems – not only do our CSRs solve the current member concern but they actively identify and solve any lurking complications the member may encounter after their first interaction.Sharing insights with peers and management – our positive team culture relies on open communication to continuously improve how our work gets done.Having fun! – our work is important, but we don't take ourselves too seriously. We love helping others and have a fun community dedicated to doing so! You must also be: Available to work a scheduled 8-hour shift, which includes 2 scheduled breaks and a lunch period, also available to work Saturday and or Sunday and occasional holidays as part of your regularly scheduled shiftPatient with members who call into our Centers with a question or a problemA good listener and not only answer the questions they ask you, but identify and answer questions the member may not be aware they neededComfortable using a computer with 2 display monitors to allow you to navigate to multiple screens for informationComfortable using Excel spreadsheets to calculate member premiums for health insuranceTo multi-task using a computer; talking to the member, and entering member information into their online record Your WorkResponsibilities include:Resolve incoming calls concerning member's eligibility, benefits, provider information, monthly premium billing, clinical and pharmacy needsCompose routine and non-routine correspondence to answer benefits/provider inquiries in writingCoordinate membership changes such as member's primary care physicianPerform routine to mid-level inventory reduction (i.e., member inquiries, may initiate claim adjustments, respond to emails, etc.)Review and analyze member claims for accuracy as well as member education on how benefits are appliedParticipate in quality and efficiency workgroups to continuously improve quality member/customer satisfaction as requestedProactively analyze available programs, determine program eligibility and connect the Member to appropriate BSC vendors, Health Advocates, Social Workers, Pharmacy Techs, and Pharmacists. Verify the member is included in or targeted for any outreach or care gap programs and connect members to programs or services when appropriate. Engage members with their wellness plan optionsComprehensive resolution of pharmacy calls concerning benefits coverage, co-pays, formulary coverage, vacation overrides, and utilization management requirementsProvide prescription-related benefit coverage (e.g. explanation of coverage or benefit summary related): Provide prescription co-pays. Provide prescription formulary coverage information and utilization management requirements using web-posted printed formulary. Provide a brief description of coverage denial reasons and alternatives listed in the printed formulary. Perform prescription claim overridesProvide deductible and max out of pocket informationProvide status of a prior authorization requestsAssist members may when and how to appeal a coverage decisionOther duties as assignedYour Knowledge and ExperienceMust reside in the state of CA preferably within a 50-mile radius from one of our office locations - Lodi, Rancho Cordova, Redding, Woodland Hills, Long Beach etc.Requires a High School Diploma or GED, or equivalentRequires at least 3 years of prior relevant experienceFlexibility in availability is required including weekends and holidays, shifts are not guaranteedRequires attending and completing training facilitated remotelyRequires basic job knowledge of Microsoft Suite systems and the ability to use applications on a computer proficientlyRequires high internet connectivity speed of a minimum 11MBPS and 3 MBPS upload speedPost-training, Requires private work location at their residence free from distractions and within 25 feet of their Wi-Fi modemPreferred Qualifications:Bilingual – Spanish, Korean, Mandarin Chinese, Tagalong, Vietnamese language proficiency as demonstrated by successful completion of an oral language proficiency testCamera friendly in coaching's, team meetings, 1:1 with leadersPay Range:The pay range for this role is: $ 18.61 to $ 26.05 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.

Overview: Must be a licensed and or a registered therapist to be considered.** EXCLUSIVE NEW JOB OPPORTUNITY!!*****Highly competitive rates and benefits package! ***Do you know a therapist who's a perfect fit for our team EARN UP TO $1,000 by referring a clinician to the Enhance family of brands! Make a difference and get rewarded for it!https://enhancetherapies.com/refer-a-friend/ About Us: South Pacific Rehab/Rehab Allianceis part of Enhance Therapies, a family of therapy companies with more than 30 years of industry leading experience. With over 7,000 therapists in 28 states and growing, we provide quality rehabilitation services to homecare, sub-acute, long-term care, outpatient, hospital, and assisted living facilities throughout the nation.South Pacific Rehab/Rehab Allianceis hiring! We are looking for a passionate full-time Occupational Therapist to join our growing team. In the same way that you are committed to quality work, we are equally dedicated to helping you grow and succeed with us.At South Pacific Rehab/Rehab Allianceyou will enjoy:Unparalleled schedule flexibility and supportive company cultureHealthcare benefits packageDynamic company partnerships to ensure career stability401K Plan with company matchOnline CEU CreditsPromotion / Advancement / Transfer OpportunitiesReferral bonus program eligibilityEmployee Assistance ProgramStudent mentor programWe offer additional benefits and perks, please reach out todayWe hire candidates who need H1B Sponsorship to include those on student Visa’s, H1B transfer and new H1B filing. Contact us today to learn about our amazing immigration program! Qualifications: Graduate of an accredited university with a B.S., MA, or M.S. or Doctorate in Occupational Therapy that the AOTA recognizes.Recognized by the NBCOT as a designated OTR (if state mandated)OT holds a current license and/or registration as an Occupational Therapist in-state as applicable.Responsibilities:Provide a comprehensive occupational therapy evaluation based on MD orders.Document findings on the standardized evaluation form timely, accurately and adhering to all guidelines.Provide a comprehensive treatment plan including long and short-term goals, frequency, duration, and treatment modalities.Ensure MD orders are obtained for evaluations, treatments, recertifications and discharges.Provide comprehensive treatment to patients utilizing modalities and modify patient treatment as indicated while adhering to precautions.Work settings include: Outpatient, rehabilitation center, long term care, inpatient, clinic, nursing home, acute care, hospital Pay Range: USD $55.00 - USD $60.00 /Hr.

At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives by improving access to trusted, affordable, and personalized mental healthcare. Everywhere. Every day. It’s a lofty goal; we know. But we make it happen with the best team in behavioral health.Thank you for taking the time to explore a career with us. As the fastest growing behavioral health practice group in the country, now is the perfect time to join our clinical team! We are actively looking to hire talented Psychologists in the area, who are passionate about patient care and committed to clinical excellence. We offer Psychologists:Compensation range of $136K to $182K based on production.Flexible work schedules. Telemedicine and in-person flexibility.Full benefits package: health, dental, vision, life, 401k (with match), paid parental leave, holidays, EAP and more. Collegial work environment. Newly designed and modern offices. Full administrative support. Latest in digital technology. Strong work/life balance.Psychologists are a critical part of our clinical team. We’re seeking Psychologists that are:Fully licensed and credentialed in California, including a Ph.D. or Psy.D.Experienced with caring for adult and/or child and adolescent populations.To learn more about this position contact Jackie at jackie.Kalpin@lifestance.comAbout LifeStance HealthLifeStance is a national provider of mental healthcare services focused on evidenced-based, medically driven treatment services for children, adolescents and adults suffering from a variety of mental health issues in an outpatient care setting, both in-person at its clinics nationwide and through its digital health telemedicine offering. The company employs psychiatrists, psychologists, psychiatric nurse practitioners, and licensed therapists throughout the US. LifeStance Health is an equal opportunity employer. We celebrate diversity and are fully committed to creating an inclusive work environment for all our employees.Our values:Belonging: We cultivate a space where everyone can show up as their authentic self.Empathy: We seek out diverse perspectives and listen to learn without judgment.Courage: We are all accountable for doing the right thing - even when it's hard - because we know it's worth it.One Team: We realize our full potential when we work together towards our shared purpose.

Overview: **$5,000 Bonus**Find Your Passion and Purpose as a Clinical Support Specialist RN or LVN/LPNReimagine Your Career in Corporate HealthcareAs a professional, you know that what you do impacts you as much as our patients and their families, and at AccentCare, we are united in our relentless drive to reimagine care because we want to provide the service we would seek for our own families. We think it’s really special to be a part of our patient’s health journey and create incredible memories while providing world-class patient care.Offer Based on Years of Experience#AC-LPNLVN What You Need to Know: Our Investment in YouWe are committed to offering comprehensive benefits and rewards to full-time employees who work over 30 hours per week and their families, including:Medical, dental, and vision coveragePaid time off and paid holidaysProfessional developmentCompany-matching 401(k) Flexible spending and health savings accountsCompany store credit for your first AccentCare-branded scrubs for patient-facing employees Qualifications: Be the Best Clinical Support Specialist You Can BeIf you meet these qualifications, we want to meet you!RN or LVN/LPN with current licensure to practice nursing in the practicing state.Possess and maintain CPR certification.Previous experience in home care setting preferred.Prior use of Electronic Medical Records (EMR) preferred.Knowledge of accepted professional standards and practice, Medicare Conditions of Participation, and federal, state, and local regulatory requirements.Demonstrates excellent observation, nursing judgement, and communication skills.Must be a licensed driver with an automobile in good working order.Come As You AreAt AccentCare, our care is most compassionate when we empathize and engage with everyone, and we are at our best when we value diverse perspectives, foster open dialogue, and enact change. And we are stronger when each of us is empowered to grow, be our unique selves, and feel a sense of inclusion and belonging.AccentCare is proud of how we are building a culture and inclusive infrastructure to help elevate the voice of all our employees with a special focus on the underrepresented and marginalized. We offer equal employment opportunities regardless of a person’s race, ethnicity, sex, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental disability, physical disability, or any other protected classification. Posted Salary Range: USD $32.40 - USD $51.85 /Hr.

Job DescriptionNomad Health seeks an experienced Labor & Delivery registered nurse for a travel assignment in CA.Take the next step in your healthcare career and join Nomad Health as a Labor & Delivery travel nurse. As a traveler with Nomad, you get access to industry-leading pay, outstanding benefits, and our knowledgeable Nomad Navigator support team.QUALIFICATIONSMinimum one year of RN experienceOne yearLabor & Delivery experience within the last two years as an RNHave an active RN license or be willing to obtain a Registered Nurse license in CARN degree from an accredited registered nurse programBLS and all relevant Labor & Delivery/department-specific certifications requiredRegister for a Nomad Health account to view full job details and applyNOMAD BENEFITSMajor medical and dental plans available on your first day of work401(k) with employer matching availableReimbursement for travel to your assignmentHousing stipendWeekly deposits direct to your bank accountWe work with thousands of travel nurses all over the country, in a wide variety of specialties and disciplines. To apply as a travel RN with us, you must have an active Professional Registered Nursing License or be willing to obtain one in the state you’re applying to, evidence of a minimum of one year RN work experience, and evidence of at least one year of Labor & Delivery experience within the last two years. In addition, you must have a Bachelor’s or Associate degree in nursing from an accredited registered nursing program, as well as a Basic Life Support (BLS) and all other relevant specialty/department certifications.At Nomad, we want to give you the tools you need to succeed. Our Nomad Navigators are passionate about helping you get to the bedside as quickly and efficiently as possible. They can help you with your application, credentialing, and finding housing. Our Navigators have experience working with travel nurses and can even help with on-the-job concerns if any arise while on assignment, and can provide clinician-to-clinician support.In addition to real hands-on support, we have a benefits package that was explicitly built for traveling clinicians and includes a housing stipend, partial travel reimbursement, and major medical and dental plans available on your first day of work. We also have a 401(k) program with employer matching options, a user-friendly digital timekeeping process, and weekly direct deposits.With your Nomad Health account, you get access to our unique digital platform; a platform built to help you land your perfect assignment. Move your travel healthcare career forward and find your next job today.We are seeking experienced RNs in a number of specialties to fill critical roles across the country: Medical Surgical NurseEmergency Room NurseStep-Down NurseTelemetry NurseICU NurseOperating Room NurseLabor and Delivery NurseCath Lab NursePsychiatric NurseAnd more travel RN jobs!

At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives by improving access to trusted, affordable, and personalized mental healthcare. Everywhere. Every day. It’s a lofty goal; we know. But we make it happen with the best team in behavioral health.Thank you for taking the time to explore a career with us. As the fastest growing behavioral health practice group in the country, now is the perfect time to join our clinical team! We are actively looking to hire talented Psychologists in the area, who are passionate about patient care and committed to clinical excellence. We offer Psychologists:Compensation range of $136K to $182K based on productivityFlexible work schedules. Telemedicine and in-person flexibility.Full benefits package: health, dental, vision, life, 401k (with match), paid parental leave, holidays, EAP and more. Collegial work environment. Newly designed and modern offices. Full administrative support. Latest in digital technology. Strong work/life balance.Psychologists are a critical part of our clinical team. We’re seeking Psychologists that are:Fully licensed and credentialed in California, including a Ph.D. or Psy.D.Experienced with caring for adult and/or child and adolescent populations.To learn more about this position contact Jackie at jackie.Kalpin@lifestance.comAbout LifeStance HealthLifeStance is a national provider of mental healthcare services focused on evidenced-based, medically driven treatment services for children, adolescents and adults suffering from a variety of mental health issues in an outpatient care setting, both in-person at its clinics nationwide and through its digital health telemedicine offering. The company employs psychiatrists, psychologists, psychiatric nurse practitioners, and licensed therapists throughout the US. LifeStance Health is an equal opportunity employer. We celebrate diversity and are fully committed to creating an inclusive work environment for all our employees.Our values:Belonging: We cultivate a space where everyone can show up as their authentic self.Empathy: We seek out diverse perspectives and listen to learn without judgment.Courage: We are all accountable for doing the right thing - even when it's hard - because we know it's worth it.One Team: We realize our full potential when we work together towards our shared purpose.

Overview: Must be a licensed and or a registered therapist to be considered.** EXCLUSIVE NEW JOB OPPORTUNITY!!*****Highly competitive rates and benefits package! ***Do you know a therapist who's a perfect fit for our team EARN UP TO $1,000 by referring a clinician to the Enhance family of brands! Make a difference and get rewarded for it!https://enhancetherapies.com/refer-a-friend/ About Us: South Pacific Rehab/Rehab Allianceis part of Enhance Therapies, a family of therapy companies with more than 30 years of industry leading experience. With over 7,000 therapists in 28 states and growing, we provide quality rehabilitation services to homecare, sub-acute, long-term care, outpatient, hospital, and assisted living facilities throughout the nation.South Pacific Rehab/Rehab Allianceis hiring! We are looking for a passionate full-time Occupational Therapist Assistant to join our growing team. In the same way that you are committed to quality work, we are equally dedicated to helping you grow and succeed with us.At South Pacific Rehab/Rehab Alliance you will enjoy:Unparalleled schedule flexibility and supportive company cultureHealthcare benefits packageDynamic company partnerships to ensure career stability401K Plan with company matchOnline CEU CreditsPromotion / Advancement / Transfer OpportunitiesReferral bonus program eligibilityEmployee Assistance ProgramStudent mentor programWe offer additional benefits and perks, please reach out todayWe hire candidates who need H1B Sponsorship to include those on student Visa’s, H1B transfer and new H1B filing. Contact us today to learn about our amazing immigration program! Qualifications: Graduate of an accredited college with aBA or associate degree in Occupational Therapy that the AOTA recognizes.Recognized by the NBCOT as a designated COTA (if state mandated)COTA holds a current license and/or registration as a Certified Occupational Therapy Assistant in-state as applicable.Responsibilities:Provide comprehensive treatment to patients under the supervision of an OTR and according to state guidelines.Assist OT in identifying appropriate patients and referring them to rehab accordingly.Document patient’s daily participation and progress on progress note in an accurate and timely fashion and obtain the co-signature of the OTR.Ensure MD orders are obtained for treatments, re-certifications, and discharges.Assist with other documentation requirements as indicated and according to state guidelines.Related:Occupational Therapist Assistant | OTA | COTA | AOTA Pay Range: USD $45.00 - USD $47.00 /Hr.