Jobs in San Diego County, CA
714 positions found — Page 9
At ABS Kids we find our purpose in the wow moments our clients experience each day, learning new skills and reaching new goals. Join us as a Behavior Technician and discover wow for yourself in your career path. #WorkInWow
Benefits and Compensation:
* $20.00 - $25.00 / hour
* Earn an additional $2.00/hour (premium pay) for hours worked in the home setting starting at 3 pm
* Increase for RBT certification
* Paid drive time / mileage reimbursement
* 401(k) plus company match
* Paid time off earned for every hour worked!
* Paid training
We also support you with:
* LAUNCH career path - clear milestones with rewards including bonuses and promotions
* Referral bonus program
* Free continuing education opportunities
* Free CPR and safety training
* Employee assistance program including free financial advice, free counseling support, mental health resources
* Virtual office connection to hundreds of colleagues nationwide, and fun local events with colleagues in your area
* Learn transferable skills which open the door to great careers in behavior health
What You Will Do:
* Teach kids while playing, and following a treatment plan specific to that child
* Observe, play and collect data so you can write a progress note
* Help kids learn essential life skills such as motor skills, social skills, emotional skills and more
* Work on goals with child that help shape challenging behaviors into communication skills
* Make a difference in the life of a child!
Skills and Qualities We Are Looking For:
* Paid prior experience working with kids (i.e. Camp counselor, daycare, nanny, school setting, ABA, etc) preferred
* Lots of energy, playful, creative, able to think on your feet
* Dependable - someone your client and their family can count on
* Ability to constantly get up and down off floor, move quickly
* Tech savviness - comfortable learning our data collection software and using Microsoft Office 365 (Excel, Outlook, Teams)
* Desire to learn, work independently, and provide the best quality care to our clients
* Interested in working with evidence-based methods based in science and proven effective
Who We Are
* It�s in the wow moments that we find our purpose at ABS Kids. Our shared experiences are the milestones that influence our work. The mission of our work with children with autism and their families feeds our spirit. With every wow moment, we can see our impact grow.
* At ABS Kids we are empowered by the breadth of our differences. Our mission is to create a culture where all people thrive because their diverse stories are heard and celebrated. We commit to an evolving understanding of diversity as we learn from one another.
* We are committed to equal employment opportunities regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status.
CA Job Applicant Privacy Notice ( )
IBTI
At ABS Kids we find our purpose in the wow moments our clients experience each day, learning new skills and reaching new goals. Join us as a Behavior Technician and discover wow for yourself in your career path. #WorkInWow
Benefits and Compensation:
* $20.00 - $25.00 / hour
* Earn an additional $2.00/hour (premium pay) for hours worked in the home setting starting at 3 pm
* Increase for RBT certification
* Paid drive time / mileage reimbursement
* 401(k) plus company match
* Paid time off earned for every hour worked!
* Paid training
We also support you with:
* LAUNCH career path - clear milestones with rewards including bonuses and promotions
* Referral bonus program
* Free continuing education opportunities
* Free CPR and safety training
* Employee assistance program including free financial advice, free counseling support, mental health resources
* Virtual office connection to hundreds of colleagues nationwide, and fun local events with colleagues in your area
* Learn transferable skills which open the door to great careers in behavior health
What You Will Do:
* Teach kids while playing, and following a treatment plan specific to that child
* Observe, play and collect data so you can write a progress note
* Help kids learn essential life skills such as motor skills, social skills, emotional skills and more
* Work on goals with child that help shape challenging behaviors into communication skills
* Make a difference in the life of a child!
Skills and Qualities We Are Looking For:
* Paid prior experience working with kids (i.e. Camp counselor, daycare, nanny, school setting, ABA, etc) preferred
* Lots of energy, playful, creative, able to think on your feet
* Dependable - someone your client and their family can count on
* Ability to constantly get up and down off floor, move quickly
* Tech savviness - comfortable learning our data collection software and using Microsoft Office 365 (Excel, Outlook, Teams)
* Desire to learn, work independently, and provide the best quality care to our clients
* Interested in working with evidence-based methods based in science and proven effective
Who We Are
* It�s in the wow moments that we find our purpose at ABS Kids. Our shared experiences are the milestones that influence our work. The mission of our work with children with autism and their families feeds our spirit. With every wow moment, we can see our impact grow.
* At ABS Kids we are empowered by the breadth of our differences. Our mission is to create a culture where all people thrive because their diverse stories are heard and celebrated. We commit to an evolving understanding of diversity as we learn from one another.
* We are committed to equal employment opportunities regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status.
CA Job Applicant Privacy Notice ( )
IBTI
At ABS Kids we find our purpose in the wow moments our clients experience each day, learning new skills and reaching new goals. Join us as a Behavior Technician and discover wow for yourself in your career path. #WorkInWow
Benefits and Compensation:
* $20.00 - $25.00 / hour
* Earn an additional $2.00/hour (premium pay) for hours worked in the home setting starting at 3 pm
* Increase for RBT certification
* Paid drive time / mileage reimbursement
* 401(k) plus company match
* Paid time off earned for every hour worked!
* Paid training
We also support you with:
* LAUNCH career path - clear milestones with rewards including bonuses and promotions
* Referral bonus program
* Free continuing education opportunities
* Free CPR and safety training
* Employee assistance program including free financial advice, free counseling support, mental health resources
* Virtual office connection to hundreds of colleagues nationwide, and fun local events with colleagues in your area
* Learn transferable skills which open the door to great careers in behavior health
What You Will Do:
* Teach kids while playing, and following a treatment plan specific to that child
* Observe, play and collect data so you can write a progress note
* Help kids learn essential life skills such as motor skills, social skills, emotional skills and more
* Work on goals with child that help shape challenging behaviors into communication skills
* Make a difference in the life of a child!
Skills and Qualities We Are Looking For:
* Paid prior experience working with kids (i.e. Camp counselor, daycare, nanny, school setting, ABA, etc) preferred
* Lots of energy, playful, creative, able to think on your feet
* Dependable - someone your client and their family can count on
* Ability to constantly get up and down off floor, move quickly
* Tech savviness - comfortable learning our data collection software and using Microsoft Office 365 (Excel, Outlook, Teams)
* Desire to learn, work independently, and provide the best quality care to our clients
* Interested in working with evidence-based methods based in science and proven effective
Who We Are
* It�s in the wow moments that we find our purpose at ABS Kids. Our shared experiences are the milestones that influence our work. The mission of our work with children with autism and their families feeds our spirit. With every wow moment, we can see our impact grow.
* At ABS Kids we are empowered by the breadth of our differences. Our mission is to create a culture where all people thrive because their diverse stories are heard and celebrated. We commit to an evolving understanding of diversity as we learn from one another.
* We are committed to equal employment opportunities regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status.
CA Job Applicant Privacy Notice ( )
IBTI
At ABS Kids we find our purpose in the wow moments our clients experience each day, learning new skills and reaching new goals. Join us as a Behavior Technician and discover wow for yourself in your career path. #WorkInWow
Benefits and Compensation:
* $20.00 - $25.00 / hour
* Earn an additional $2.00/hour (premium pay) for hours worked in the home setting starting at 3 pm
* Increase for RBT certification
* Paid drive time / mileage reimbursement
* 401(k) plus company match
* Paid time off earned for every hour worked!
* Paid training
We also support you with:
* LAUNCH career path - clear milestones with rewards including bonuses and promotions
* Referral bonus program
* Free continuing education opportunities
* Free CPR and safety training
* Employee assistance program including free financial advice, free counseling support, mental health resources
* Virtual office connection to hundreds of colleagues nationwide, and fun local events with colleagues in your area
* Learn transferable skills which open the door to great careers in behavior health
What You Will Do:
* Teach kids while playing, and following a treatment plan specific to that child
* Observe, play and collect data so you can write a progress note
* Help kids learn essential life skills such as motor skills, social skills, emotional skills and more
* Work on goals with child that help shape challenging behaviors into communication skills
* Make a difference in the life of a child!
Skills and Qualities We Are Looking For:
* Paid prior experience working with kids (i.e. Camp counselor, daycare, nanny, school setting, ABA, etc) preferred
* Lots of energy, playful, creative, able to think on your feet
* Dependable - someone your client and their family can count on
* Ability to constantly get up and down off floor, move quickly
* Tech savviness - comfortable learning our data collection software and using Microsoft Office 365 (Excel, Outlook, Teams)
* Desire to learn, work independently, and provide the best quality care to our clients
* Interested in working with evidence-based methods based in science and proven effective
Who We Are
* It�s in the wow moments that we find our purpose at ABS Kids. Our shared experiences are the milestones that influence our work. The mission of our work with children with autism and their families feeds our spirit. With every wow moment, we can see our impact grow.
* At ABS Kids we are empowered by the breadth of our differences. Our mission is to create a culture where all people thrive because their diverse stories are heard and celebrated. We commit to an evolving understanding of diversity as we learn from one another.
* We are committed to equal employment opportunities regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status.
CA Job Applicant Privacy Notice ( )
IBTI
NOTE: This position must be performed in Washington, DC so relocation to Washington, DC will be required.
Recruitment Incentive: Applicants may be eligible for a $75,000 recruitment incentive in accordance with regulatory requirements. Click apply to view full details and eligibility of this recruitment incentive.
At their core, those who join the Secret Service are courageous, intelligent, strong and determined. A diverse team capable of balancing our investigative mission and fulfilling our protective legacy. Proven to be worthy of trust and confidence. Be tomorrow's Secret Service.
Duties
During the course of their careers, Secret Service Police carry out assignments in protection. Duties include:
- Providing protection for The White House Complex, The Vice President's Residence, The Main Treasury Building and Annex, and foreign diplomatic missions and embassies in the Washington, D.C. area.
- Traveling in support of the Presidential, Vice Presidential, and foreign heads of state/government missions.
- Enforcing mandated protective responsibilities as described under Title 18, United States Code, Section 3056A.
Requirements
- U.S. citizenship is required.
- Possess a current valid U.S. driver's license.
- Must be at least 21 years old at the time of application and under 40 at referral. Exceptions may apply for those with current or prior service in federal law enforcement positions covered by special retirement provisions. The Secret Service has determined that age is essential to the performance of this position.
- Carry and use a firearm. Maintaining firearm proficiency is also mandatory.
- Possess uncorrected visual acuity of no worse than 20/100 binocular. Possess corrected visual acuity of 20/20 or better in each eye.
- Hearing loss, as measured by an audiometer, must not exceed 25 decibels (A.S.A. or equivalent I.S.O.) in either ear in the 500, 1000, and 2000 Hz ranges. Applicants must be able to hear the whispered voice at 15 feet with each ear without the use of a hearing aid.
- Submit to a drug test prior to your appointment and random drug testing while you occupy the position.
- Complete 12 weeks of intensive training at the Federal Law Enforcement Training Center (FLETC) in Glynco, GA or Artesia, NM and 17 weeks of specialized training at the James J. Rowley Training Center in Laurel, MD.
- Certify that you have registered with the Selective Service System or are exempt from having to do so, if you are a male applicant born after December 31, 1959.
Want to make extra money on YOUR schedule? Join our exclusive list of research study participants and start earning extra income today!
Perfect for anyone seeking remote, part-time, or temporary work, these opportunities require no previous experience and offer unmatched flexibility. Choose the studies that suit you best—whether online, in-person, or over the phone—and get paid for sharing your opinions.
Don't miss out on this chance to turn your free time into valuable earnings!
Participants are needed on a wide range of topics such as:
- Health Issues (Research for cures and new medications to treat ailments)
- Consumer Products (Your experience with consumer products)
- Shopping (Shopping experiences)
- Internet Usage (How you use the internet)
- Vehicles (recreational vehicles and automobiles)
- Employment (Various types of jobs or career fields)
- Food & Beverages (the consumption of various foods and beverages)
- Entertainment (About TV, movies or video games)
- Social Media (the use of different social media platforms)
- Financial (Banking and investing)
- Retirement (Planning what, when and how)
- Gender (studies based on your gender)
- Housing (Renters or Homeowners)
Compensation:
- Earn up to $250+ in Just ONE Hour! (Focus Group Session)
- Earn up to $3,000+ (Multi-Session Studies)
Benefits:
- Flexibility to take part in discussions online or in-person.
- No commute needed if you choose to work from home.
- No minimum hours. You can do this part-time or full-time
- Enjoy free samples from our sponsors and partners in exchange for your honest feedback of their products.
- You get to review and use new products or services before they are launched to the public.
Qualifications:
- Speak and/or read English
- Must be 18yrs old or older
- Must have either a phone, computer or tablet with internet connection
Experience:
- Start Immediately - No Experience Needed! Anyone Can Participate!
Education:
- Open to all education levels - Your opinion matters!
Remote working/work at home options are available for this role.
The position requires a law degree, a license to practice law, and strong experience in regulatory compliance and intellectual property.
Responsibilities include advising on legal issues, directing counsel in litigation, and ensuring efficient operation of the legal function.
This role offers a competitive salary range of $220,500
- $330,700 and the opportunity to work in an inclusive environment committed to health equity.
#J-18808-Ljbffr
The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations.
· Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses.
· Performs ongoing, systematic collection and analysis of patient data pre – during – post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed.
· Assesses, collaborates, and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family.
· Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients.
· Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness.
· Initiates or assists with emergency response measures.
· Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.
· Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections.
· Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.
· Ensures patient awareness related to transplant and treatment modality options.
· Required to complete CAP requirements to advance.
· Performs all other duties as assigned by Supervisor.
PHYSICAL DEMANDS AND WORKING CONDITIONS:
The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
· The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance.
· This position requires frequent, prolonged periods of standing and the employee must be able to bend over.
· The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet.
· The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.
· May be exposed to infectious and contagious diseases/materials.
· Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians.
· The position may require travel to training sites or other facilities.
· May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.
SUPERVISION:
Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following:
· Successful completion of all FKC education and training requirements for new employees.
· Must have a minimum of 9 months experience as a RN.
· Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN.
EDUCATION and LICENSURE:
· Graduate of an accredited School of Nursing.
· Current appropriate state licensure.
· Current or successful completion of CPR BLS Certification.
· Must meet the practice requirements in the state in which he or she is employed.
EXPERIENCE AND REQUIRED SKILLS:
· Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
· Chronic/acute hemodialysis experience (preferred).
The rate of pay for this position will depend on the successful candidate’s work location and qualifications, including relevant education, work experience, skills, and competencies.
Hourly Rate: $39 - $56
Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave.
Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.
EOE, disability/veterans
Located in Hershey, PA, Milton Hershey School (MHS) is a top-notch home and school where over 2,200 pre-K through 12th grade students from disadvantaged backgrounds are provided an extraordinary, cost-free, career-focused education. This is made possible by the generosity of Milton and Catherine Hershey, who established the school in 1909 and ensured it was fully endowed. Thanks to their foresight and generosity, the school has over 12,000 graduates and continues to expand to serve more students.MHS is hiring married couples to serve as Full-time Flex Houseparents. In this unique and life-changing career, couples reside in on-campus student homes and provide care, guidance, supervision, and support for a group of approximately 8–13 students living in the home. Flex Houseparents play a vital role in creating a structured, family-like environment that fosters students’ academic, emotional, and social development so they can reach their full potential.Responsibilities include:
Providing daily supervision and mentorship
Managing household routines and student schedules
Administering medications and ensuring student wellness
Driving students to activities, as well as planning and actively engaging in developmental and recreational activities with students
Leading daily devotions and accompanying students to Sunday Chapel
Overseeing budgeting and household reporting
Upon hire, Flex Houseparents initially support various student homes and follow a working schedule of nine consecutive days on duty, followed by three days off. On weekdays, houseparents have unscheduled time while students are in school. Flex Houseparents eventually transition into a Placed Houseparent role, where they live and work with the same group of students in their own student home.Benefits include:
Salary: $44,768.00 per person (approximately $168,000 total compensation per couple, including free housing, meals while on duty, utilities, and more)
Comprehensive benefits: medical, dental, and vision insurance; health savings and flexible spending accounts; life insurance; disability options; retirement savings
Relocation assistance and paid training provided
Paid time off provided at designated times throughout the year
Qualifications:
Qualifications include:
Experience working or volunteering with youth
This is a two-person role for couples legally married for at least two years
Both spouses must be age 27 or older
No more than three dependent children may reside in the student home
Commitment to a smoke-free and weapon-free campus; no alcohol permitted while on duty
Pet limitations: only fish and one dog of approved breeds allowed
Valid U.S. driver’s license and ability to become certified to drive student home vans
Comfort leading students in daily devotions and accompanying them to Judeo-Christian Sunday Chapel services (proselytizing prohibited)
High school diploma or GED required
Ability to lift to 50 lbs.
Demonstrated integrity and professionalism; MHS staff serve as role models for students
This is a unique, challenging, and rewarding career and life choice that requires a high level of commitment to student success from both spouses. For consideration, both spouses must complete individual employment applications. To learn more and apply, visit
Shift Start Time:
Variable
Shift End Time:
Variable
AWS Hours Requirement:
8/40 - 8 Hour Shift
Additional Shift Information:
Weekend Requirements:
As Needed
On-Call Required:
Yes
Hourly Pay Range (Minimum - Midpoint - Maximum):
$124.640 - $160.830 - $197.020
The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant’s years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices.
What You Will Do
Working with the Chief Medical Officer, oversees medical care for Sharp Health Plan (SHP) products and services and oversees the health care needs of the membership. Serves as a medical manager and policy advisor to SHP and its Chief Medical Officer. Is accountable for and provides professional leadership and direction to the utilization/cost management and clinical quality management functions. Works collaboratively with other plan functions that interface with medical management such as provider relations, member services, benefits and claims management, etc. Assists (as determined by the plan Chief Medical Officer) in short and long range program planning, total quality management (quality improvement), and external relationships. Works with all departments of Health Services to support, provide assistance and direction in overall medical management effectiveness. Reports all issues of clinical quality management to the health plan Chief Medical Officer. To ensure that policies and systems are followed until agreed upon change is implemented. Works toward SHP strategic goals and objectives of ensuring a high quality of medical care for Plan members, staff empowerment, customer satisfaction, cost-effectiveness, and market competitiveness. As a member of the management team, assists in identifying and establishing strategic goals and objectives for the Plan.
Required Qualifications
- Doctor of Medicine (MD)
- Previous experience in the clinical practice of medicine.
- Previous experience as a physician executive in a managed care environment, preferably as an HMO Medical Director.
- California Physicians and Surgeons License - Medical Board of CA -REQUIRED
Other Qualification Requirements
- Board certified in a medical discipline (internal medicine or family practice preferred).
Essential Functions
- Responsible and accountable to the Chief Medical Officer for helping to manage health plan medical costs and assuring appropriate health care delivery for SHP's products and services. Reports organizationally to the Chief Medical Officer.
- Plans, organizes, and directs the professional medical services program, consisting of all primary and Specialty services for in-patient, out-patient, preventive and wellness programs.
- Implements health plan medical policies, goals and objectives.
- Provides professional leadership and direction to the functions within the Medical Management
- Department (Utilization/Cost Management and Quality Management)
- Responsible for and assists with the development of staffing plans and assuring the adequate allocation of resources to the medical management functions.
- Responsible and accountable for implementing the Utilization/Cost Management Program and Quality Improvement Program, in conjunction with the Manager Medical Management and Quality Improvement Manager.
- Assists the Chief Medical Officer with activities to promote positive community relations.
- Assures plan conformance with legal and regulatory requirements
- Assists the Chief Medical Officer and the Quality Improvement Manager in creating and maintaining a system that gives feedback to providers individually and collectively regarding managed care effectiveness of individual providers and networks.
- Assists the Chief Medical Officer in designing and implementing corrective action plans to address issues and improve plan and network managed care performance.
- Collaborates with Chief Medical Officer in creating and maintaining programs that incentivize providers to achieve selected utilization/cost and quality outcomes.
- Participates in policy review, performs analysis and makes recommendations.
- Participates in the retrospective review and analysis of Plan performance from summary data of paid claims, encounters, authorization logs, complaint and grievance logs and other sources.
- Achieves and maintains benchmarked utilization and cost management (UM) goals and clinical quality improvement (QI) objectives, in conjunction with the Manager Medical Management and Quality Improvement Manager.
- Provides periodic written and verbal reports and updates as required in program descriptions, Annual Work Plans and policy and procedures to various plan committees, and the SHP Chief Medical Officer.
- Supports NCQA qualification activities. Prepares for site visits and responds to accrediting and regulatory agency feedback.
- Supports pre-admission review, utilization management, and concurrent and retrospective rev1ew process.
- Participates in risk management, pharmacy utilization management, catastrophic case review, outreach programs, HEDIS reporting, site visit review coordination, triage, provider orientation, credentialing, profiling, etc.
- Conducts quality improvement and outcomes studies as directed by the Quality Management Committee, Peer Review Committee and Chief Medical Officer and reports findings in conjunction with the Quality Improvement Manager.
- Participates in the grievance process with the Chief Medical Officer, insuring a fair outcome for all members.
- Monitors member and provider satisfaction survey results and implements changes as needed to increase satisfaction and assure that satisfactory relationships are maintained between network and plan participants.
- Participates in SHP Advisory Committees which include (but are not limited to) the Peer Review Committee and the Quality Management Committee.
- Participates in key marketing activities and presentations, as requested.
- Promotes wellness and ensures programs of prevention, education and outreach to members and providers are consistent with SHP's mission, vision and values.
- Maintains up-to-date knowledge of new information and technologies m medicine and their application to SHP.
- Performs and oversees in-service staff training and education of professional staff.
- Represents SHP at medical group meetings, conferences, etc.
- Participates in the development of strategic planning for existing and expanding business. Recommends changes in program content in concurrence with changing markets and technologies.
- Participates in key marketing activities and presentations, as necessary, to assist the marketing effort, as requested.
- Ensures that the Utilization Management staff is available on a 24 hour basis to respond to authorization requests for emergency and urgent services and is available, at a minimum, during normal working hours for inquiries and authorization requests for non-urgent health care services..
- Performs other duties as requested or assigned.
- Collaborates with the Manager, Medical Management to guide and direct staff in relation to medical issues and departmental responsibilities. Assists in monitoring, reviewing, and evaluating the quality of health care services provided and the appropriateness of health care resources utilized, and communicates with PMGs and Plan providers as needed. Addresses physicians' issues and educates providers with regard to Plan policy as needed.
- Completes and/or supervises the completion of all clinical appeals and grievances. Collaborates with Customer Care Manager to identify trends in grievances. Supervises the process for identifying Potential Quality Issues.
- Supervises Physician Reviewer(s)
- Shares after-hours coverage responsibilities with other physicians
- Assists the CMO, as needed, to oversee the credentialing process.
- Assists in the development and interpretation of the covered benefit provisions of member materials and Plan contracts. Assists in the development and implementation of new benefits packages.
- Maintains appropriate contacts with membership in community and professional organizations.
Knowledge, Skills, and Abilities
- Strong clinical background and skills.
- Solid understanding of utilization management and quality assurance activities and concepts.
- Excellent communication skills, both verbal and written.
- Strong interpersonal skills, including the ability to interface effectively with employees, members, physicians, senior management, and the public at large.
- Management skills to meet the organizational goals.
- Knowledge of regulatory and accreditation agencies and requirements.
- Able to manage multiple priorities and deadlines in an expedient and decisive manner.
- Able to manage difficult peer situations arising from medical care review.
- Appreciation of cultural diversity and sensitivity towards target population.
Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class
California Physicians and Surgeons License - Medical Board of CA; Doctor of Medicine (MD)
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See Sharp HealthCare Terms & Conditions at and Privacy Policy at and SonicJobs Privacy Policy at and Terms of Use at Category:Healthcare, Keywords:Medical Director, Location:San Diego, CA-92108
Remote working/work at home options are available for this role.